FNP Cardiovascular Practice Questions
Original FNP board practice questions on cardiovascular and hematology, for the AANPCB and ANCC exams
150 questions in 3 hours, drawn to AANPCB’s domain and age counts, with a score for Cardiovascular and an explanation for every answer.
Free Cardiovascular drillA 67-year-old man’s blood pressure remains above goal. He admits he often forgets his evening dose of a twice-daily medicine and his copays are high. Which intervention best addresses the problem?
Cardiovascular and Hematology on the FNP board exams
Cardiovascular care fills a large share of family practice, and both board exams test it across every step of care, from measuring blood pressure correctly to choosing first-line drugs and monitoring their effects. Hematology questions here cover the anemias and anticoagulation.
- On the exams
- Not counted separately by either owner; tested across AANPCB’s four practice domains and ANCC’s five content domains
- Our drill
- 10 questions from 60 cardiovascular questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass

What cardiovascular and hematology questions test
- Blood pressure categories, confirming hypertension with out-of-office readings, treatment goals, first-line drug choice by comorbidity, and hypertensive urgency
- Lipid management: statin intensity, risk calculators and risk enhancers, and monitoring
- Chest pain: acute coronary syndrome, stable angina, pericarditis and chest wall pain
- Heart failure, atrial fibrillation (CHA2DS2-VASc and anticoagulation), murmurs and syncope
- Peripheral artery disease (ABI), venous disease and DVT, AAA screening, and microcytic and macrocytic anemias
Sit the full exam under the real clock
150 questions in 3 hours, drawn to AANPCB’s domain and age counts, with a score for Cardiovascular and an explanation for every answer.
Free Cardiovascular drillHow to study it
- Learn first-line drugs by comorbidity: ACE inhibitor or ARB with diabetes and albuminuria, thiazide or calcium channel blocker for Black adults without CKD, the four HFrEF drug classes.
- Know the warfarin interactions that raise the INR (TMP-SMX, metronidazole, fluconazole) and the steps for a high INR.
- Practice murmur location, timing and radiation until you can name the valve.
- Take the cardiovascular drill until you score 80% or better.
Common questions
How many cardiovascular questions are on the FNP exam?
Neither exam publishes a question count per body system. ANCC lists body systems, drug classes and age groups as secondary classifications of its five domains; AANPCB weights its exam by practice domain and patient age.
Which blood pressure categories do the questions use?
The ACC/AHA categories: normal below 120/80, elevated 120–129 with diastolic below 80, stage 1 at 130–139 or 80–89, and stage 2 at 140/90 or higher.
150 questions in 3 hours, drawn to AANPCB’s domain and age counts, with a score for Cardiovascular and an explanation for every answer.
Free Cardiovascular drillMore FNP practice
- AANPCB FNP exam
- ANCC FNP-BC exam
- 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)
Original practice questions for exam preparation, written to the AANPCB FNP blueprint and the ANCC FNP-BC Test Content Outline effective October 30, 2026, not AANPCB or ANCC exam questions. Independent practice, not affiliated with or endorsed by AANPCB (NPCB), AANP, ANCC or Prometric. NP-C is a certification mark of NPCB; FNP-BC is an ANCC credential.