FNP Pediatrics Practice Questions
Original FNP board practice questions on pediatrics and adolescents, for the AANPCB and ANCC exams
150 questions in 3 hours, drawn to AANPCB’s domain and age counts, with a score for Pediatrics and an explanation for every answer.
Free Pediatrics drillA 2-year-old says only a few words. What should the NP do first in the workup?
Pediatrics and Adolescents on the FNP board exams
AANPCB counts 30 of its 135 scored items in the newborn-through-adolescent age groups (newborn 3, infant 4, toddler 5, child 6, adolescent 12), and ANCC’s age groups run from infant to adolescent. Pediatric questions test well-child care as much as illness. Immunization questions follow the AAP schedule, which the AAFP also endorses; the CDC’s January 2026 revision of the childhood schedule was stayed by a federal court in March 2026.
- 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 68 pediatrics questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass
What pediatrics and adolescents questions test
- Newborn assessment: Apgar, red reflex, hip exam, jaundice, screening and vitamin K
- Growth, milestones, autism screening, language delay and anticipatory guidance (safe sleep, car seats, poisoning)
- The immunization schedule, timing limits and true contraindications
- Otitis media, strep pharyngitis, rashes of childhood, Kawasaki disease, fever in young infants and febrile seizures
- ADHD, adolescent interviewing (HEEADSSS), puberty, scoliosis, sports physicals and confidentiality
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 Pediatrics and an explanation for every answer.
Free Pediatrics drillHow to study it
- Make a one-page milestone table for 2, 4, 6, 9, 12, 18 and 24 months, and 3 to 5 years.
- Know the AAP otitis media rules: when to observe and when to give high-dose amoxicillin.
- Take the pediatrics drill until you score 80% or better.
Common questions
How many pediatrics 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.
How much pediatrics is on the AANPCB exam?
AANPCB’s Domain II counts 30 of 135 scored items for newborn through adolescent patients: newborn 3, infant 4, toddler 5, child 6 and adolescent 12.
150 questions in 3 hours, drawn to AANPCB’s domain and age counts, with a score for Pediatrics and an explanation for every answer.
Free Pediatrics drillMore FNP practice
- AANPCB FNP exam
- ANCC FNP-BC exam
- Cardiovascular and Hematology
- Respiratory
- Endocrine and Metabolic
- Gastrointestinal
- Renal, Urinary and Men’s Health
- Women’s Health and Prenatal Care
- 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.