Should I test or wait?

I'm supposed to take my paramedic certification exam in just over a month however I don't feel confident in my skills. I'm just finishing up my clinical time and I can tell that some of the medics think that I could use more time. My instructors potentially will be upset if I put off taking the exam just because they want us to succeed and our class is small, so they want as many people to test as possible. My main concern isn't failing the test (although obviously I want to pass on the first try). My main concern is that I'm not going to be confident with my skills and that I'm going to hurt someone. Part of me is debating staying on to do more clinical until the people I'm with think I'm ready to work alone. Thoughts?

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