AANP FNP Exam Practice Questions

The AANPCB FNP exam at a glance

The AANPCB (Nurse Practitioners Certification Board) FNP exam is a computer-based test of 150 multiple-choice questions, 135 scored and 15 unscored pretest, taken in 3 hours at a Prometric test center. Passing it awards the NP-C credential, often written FNP-C. The blueprint is almost entirely clinical: it counts questions by step of care and by the age of the patient, and older adults make up the largest group.

Format

150 questions (135 scored, 15 unscored pretest) in 3 hours

Our practice exam

The same length and clock, drawn to the four domain counts and close to the age counts, with mark-for-review navigation; part of the FNP pass

The AANPCB blueprint

• Assess: 43 scored items (32%). History, review of systems, focused and complete exams, and ordering, performing and interpreting screening and diagnostic tests.
• Diagnose: 36 items (26.5%). Prioritizing differential diagnoses and establishing the primary diagnosis.
• Plan: 36 items (26.5%). Plan of care, referrals, drug and non-drug treatment, education, counseling and health promotion.
• Evaluate: 20 items (15%). How a plan already under way is working; the handbook lists the same tasks as for Plan.
• Patient age: newborn 3, infant 4, toddler 5, child 6, adolescent 12, young adult 30, middle adult 35, older adult 40. Adolescent, young adult and middle adult include prenatal care. AANPCB does not define the ages; it uses growth and development.

Applied knowledge AANPCB lists

Health assessment (diagnostic and therapeutic tests, developmental, functional and psychological assessment, history and exam); pathophysiology (anatomy, physiology, comorbidities); therapeutics (pharmacologic, non-pharmacologic and integrative); and evidence-informed practice, including crisis management, diagnostic reasoning, health promotion and harm reduction, healthcare economics, interprofessional practice, legal and ethical issues, patient education, epidemiology and social drivers of health, procedures, transitions of care, cultural responsiveness, therapeutic communication and pain management.

How our AANPCB practice exam works

• 150 four-option questions in 3 hours: 135 scored in the exact Domain I counts (43, 36, 36, 20) and as close to the Domain II age counts as the draw allows, plus 15 unscored pretest questions mixed in.
• Skip, go back, change answers and mark questions for review until you submit or time runs out.
• Your result shows your score on the scored questions, a score for each of the four domains and each content area, and an explanation for every question. It shows no pass line, because AANPCB does not publish one.

Common questions

More FNP practice

• ANCC FNP-BC exam
• Cardiovascular and Hematology
• Respiratory
• Endocrine and Metabolic
• Gastrointestinal
• Renal, Urinary and Men’s Health
• Women’s Health and Prenatal Care
• Pediatrics and Adolescents
• HEENT and Dermatology
• Musculoskeletal and Neurology
• Mental Health and Substance Use
• Professional Practice, Ethics and Policy
• AANPCB practice exam (150 questions, 3 hours)
• ANCC practice exam (175 questions, 3.5 hours)

Sources

• AANPCB (NPCB): Family Nurse Practitioner Candidate Handbook (updated 06/2026): format, timing, blueprint, scoring, retakes
• AANPCB: Family NP exam page (test blueprint) and fees
• AANPCB: Practice exams (50 questions, 60 minutes, $50)
• AANPCB: 2025 certification statistics
• ANCC: Family Nurse Practitioner certification (FNP-BC): fees, format, renewal
• ANCC: FNP-BC Test Content Outline, effective October 30, 2026
• ANCC Certification Handbook (October 2026): scoring (350 of 500) and retesting
• ANCC: FNP reference list, effective October 30, 2026
• ANCC: 2025 certification data (first-time pass rates)