ANCC FNP-BC Exam Practice Questions

The ANCC FNP-BC exam at a glance

The ANCC FNP-BC exam has 175 questions, 150 scored and 25 unscored pretest questions you cannot tell apart, taken in 3.5 hours at a Prometric test center. A new test content outline took effect on October 30, 2026. It keeps five domains and puts a third of the scored questions in Implementation, which covers legal and ethical rules, scope and standards, health IT and artificial intelligence, documentation, education, communication, procedures and prescribing.

Format

175 questions (150 scored, 25 unscored pretest) in 3.5 hours

Our practice exam

The same length and clock, drawn to the outline’s five domain counts, with mark-for-review navigation; part of the FNP pass

The ANCC outline in force (effective October 30, 2026)

• Assessment: 26 scored items (17%). Health promotion and screening; comprehensive, focused, functional and risk assessment.
• Diagnosis: 25 items (17%). Pathophysiology and clinical manifestations; choosing and interpreting tests; differential diagnosis.
• Planning: 29 items (19%). Primary, secondary and tertiary prevention, anticipatory guidance, clinical guidelines, pharmacology and pharmacogenetics, culturally sensitive practice and research appraisal.
• Implementation: 50 items (33%). Legal, ethical and regulatory rules (HIPAA, reportable diseases, abuse reporting), APRN scope and standards, responsible use of technology including artificial intelligence, documentation, patient education, resource management, therapeutic communication, procedures and prescribing.
• Evaluation: 20 items (13%). Ethical and legal principles (justice, consent, guardianship), and monitoring drug and non-drug treatment outcomes with clinical data and patient-reported outcomes.
• Secondary classifications: 13 body systems, 12 drug classes and 8 age groups, from infant to frail elderly.

Scoring and retesting

ANCC reports pass or fail on a scale with a maximum score of 500; you pass with a scaled score of 350 or higher. Your raw score (questions answered correctly out of 150) is converted with a formula ANCC does not publish. A failing score report rates each content area high, medium or low. You may retest 60 calendar days after your last test date, no more than three times in any 12-month period.

How our ANCC practice exam works

• 175 four-option questions in 3.5 hours: 150 scored in the outline’s counts per domain (26, 25, 29, 50, 20), plus 25 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 raw score, a score for each domain and content area, and an explanation for every question. It shows no scaled score, because ANCC does not publish its conversion.

Common questions

More FNP practice

• AANPCB FNP 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)