A 58-year-old female with type 2 diabetes currently manages her condition with NPH insulin 20 units twice daily. She experiences recurrent nocturnal hypoglycemia at 2:00 AM. The NP plans to transition her to once-daily insulin glargine. Which prescription is most appropriate?

Prescribe insulin glargine forty units once daily.

Prescribe insulin glargine twenty units once daily.

Prescribe insulin glargine forty-eight units once daily.

A 22-year-old non-pregnant female presents with two days of dysuria and frequency. She reports no vaginal discharge or fever. She has no significant medical history and takes no daily medications. Which diagnostic action is most appropriate?

Perform a point-of-care urine dipstick.

Order a comprehensive urine culture test.

Obtain a nucleic acid amplification test.

Order a microscopic urinalysis laboratory test.

An 82-year-old frail male reports new-onset urinary incontinence and dizziness upon standing. He recently started furosemide 20 mg daily for bilateral pedal edema. His medication list includes amlodipine 10 mg, lisinopril 10 mg, and atorvastatin 20 mg.

Discontinue the furosemide and decrease the amlodipine.

Prescribe daily oxybutynin and maintain current medications.

Discontinue the lisinopril and initiate a thiazide.

Order a metabolic panel and a urinalysis.

A 14-year-old with cystic fibrosis presents for a routine follow-up. The patient is currently well-controlled on current regimen and actively participates in high school sports. The parents ask how long the child can remain at the pediatric clinic. Which action by the family nurse practitioner is most appropriate?

Introduce the concept of healthcare transition to the family.

Transfer care to an adult pulmonologist within one year.

Require the adolescent to attend clinic visits independently now.

Maintain pediatric care until the patient reaches age eighteen.

A 42-year-old patient with persistent asthma reports using their fluticasone-salmeterol DPI daily but still experiences frequent nocturnal awakenings. The FNP considers adjusting the medication regimen.

Ask the patient to demonstrate their current inhaler technique.

Increase the dosage of the current inhaled corticosteroid therapy.

Add a daily oral leukotriene receptor antagonist medication now.

Switch the patient to a nebulized corticosteroid therapy regimen.

What is the current pass rate for the AANP exam?

The AANP pass rate is currently 81%. This reflects recent testing years and highlights a slight downward trend from historical averages.

What is the current pass rate for the ANCC exam?

The ANCC pass rate sits at 82%. Like the AANP, this number has dropped over the last few years.

Why are the pass rates declining?

Both boards have seen a multi-year decline in pass rates. This trend indicates strict standards for entry-level competency, requiring candidates to study more rigorously.

Is one certification exam easier to pass than the other?

Neither certification is better or easier. The pass rates are nearly identical. Your success depends on how well your study style aligns with the specific test blueprint.

How does the AANP test content compare to the ANCC?

The AANP is purely clinical. The 2024 blueprint weights Assess at 32%, Diagnose at 26.5%, Plan at 26.5%, and Evaluate at 15%.

What is on the ANCC test blueprint?

The ANCC includes clinical questions plus policy, theory, and research. The September 2025 outline covers Implementation (29%), Assessment (19%), Planning (19%), Diagnosis (17%), and Evaluation (15%).

How many questions are on these exams?

The AANP has 135 scored items, and the ANCC has 150 scored items. For the total question count including unscored pretest questions, review the official candidate guides.

What score do I need to pass?

You must achieve a specific scaled score to pass. For the exact passing threshold and scoring methodology, check the ANCC and AANPCB official handbooks.

How often do I need to recertify if I pass?

Both certifications renew every five years. You can maintain your credential through continuing education and clinical practice hours, or by taking the exam again.

Where can I find the specific renewal requirements?

The ANCC and AANPCB each publish their own distinct renewal criteria. Refer to the primary certification websites for the exact breakdown of required contact hours.

How should I prepare given the lower pass rates?

Focus heavily on your weak domains. We offer 3000+ practice questions to help you identify knowledge gaps and build stamina for the actual test day.

FNP-C and FNP-BC Pass Rates

The 2025 pass rates for the Family Nurse Practitioner exams are 81% for the AANP (FNP-C) and 82% for the ANCC (FNP-BC). These numbers reflect a multi-year decline, meaning you must prepare thoroughly for either test.

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Every FNP question is written to the current exam outline for quick learning and a clear pass strategy.

Written and reviewed by the LexPort exam-prep team, led by our Founder & Exam-Prep Lead. LexPort builds certification practice questions — this is exam-preparation material, not medical advice. Last reviewed July 2026.

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What is the current pass rate for the AANP exam?: The AANP pass rate is currently 81%. This reflects recent testing years and highlights a slight downward trend from historical averages.
What is the current pass rate for the ANCC exam?: The ANCC pass rate sits at 82%. Like the AANP, this number has dropped over the last few years.
Why are the pass rates declining?: Both boards have seen a multi-year decline in pass rates. This trend indicates strict standards for entry-level competency, requiring candidates to study more rigorously.
Is one certification exam easier to pass than the other?: Neither certification is better or easier. The pass rates are nearly identical. Your success depends on how well your study style aligns with the specific test blueprint.
How does the AANP test content compare to the ANCC?: The AANP is purely clinical. The 2024 blueprint weights Assess at 32%, Diagnose at 26.5%, Plan at 26.5%, and Evaluate at 15%.
What is on the ANCC test blueprint?: The ANCC includes clinical questions plus policy, theory, and research. The September 2025 outline covers Implementation (29%), Assessment (19%), Planning (19%), Diagnosis (17%), and Evaluation (15%).
How many questions are on these exams?: The AANP has 135 scored items, and the ANCC has 150 scored items. For the total question count including unscored pretest questions, review the official candidate guides.
What score do I need to pass?: You must achieve a specific scaled score to pass. For the exact passing threshold and scoring methodology, check the ANCC and AANPCB official handbooks.
How often do I need to recertify if I pass?: Both certifications renew every five years. You can maintain your credential through continuing education and clinical practice hours, or by taking the exam again.
Where can I find the specific renewal requirements?: The ANCC and AANPCB each publish their own distinct renewal criteria. Refer to the primary certification websites for the exact breakdown of required contact hours.
How should I prepare given the lower pass rates?: Focus heavily on your weak domains. We offer 3000+ practice questions to help you identify knowledge gaps and build stamina for the actual test day.

Judge the difficulty yourself

These are three FNP practice questions at exam difficulty. See where you land. The app has 3,000+, timed and scored.

Question 1

A 38-year-old male presents for a routine wellness examination. He reports that his father diagnosed with colon cancer at age 46 recently passed away. The patient is currently asymptomatic and has no other significant medical history. Which action is most appropriate?

▸ Why C is the answer

For patients with a first-degree relative diagnosed with colorectal cancer before age 60, guidelines recommend starting screening at age 40 or 10 years before the relative's diagnosis, whichever is earlier. Since the father was diagnosed at 46, screening should have started at 36. Therefore, the patient requires a screening colonoscopy immediately. Fecal immunochemical testing and multi-target stool DNA tests are inappropriate because high-risk patients require direct visualization. Waiting until age 40 is incorrect because the 10-year rule dictates an earlier onset for this specific patient.

🔑 Key takeaway

High-risk colorectal screening begins at age forty or ten years prior to the youngest relative's diagnosis.

Question 2

A 72-year-old man who recently fell from a standing height sustained a distal radius fracture. His subsequent DEXA scan reveals a lowest T-score of -1.9 at the total hip. How should the nurse practitioner document this diagnosis?

▸ Why B is the answer

A clinical diagnosis of osteoporosis is made when a patient sustains a fragility fracture, such as falling from a standing height, even if the DEXA scan shows a T-score in the osteopenic range. Because of the fracture, he requires immediate antiresorptive therapy. Option A incorrectly classifies him based solely on the T-score, completely ignoring the clinical fracture. Option C is unnecessary because the fragility fracture already dictates treatment without needing a FRAX calculation to determine risk. Option D is entirely incorrect given the underlying pathology.

🔑 Key takeaway

A fragility fracture establishes a clinical diagnosis of osteoporosis regardless of whether the T-score is in the osteopenic range.

Question 3

A 28-year-old woman presents with her 3-year-old child whose hemoglobin is 10.2 g/dL. The mother states she recently lost her income and cannot afford iron-rich foods or fresh produce.

▸ Why A is the answer

The correct answer is A because WIC is specifically designed for pregnant women, postpartum mothers, and children under five who are at nutritional risk, such as having anemia. While SNAP (B) provides broad grocery assistance for low-income families, it does not offer the targeted nutritional education and specific iron-rich food packages that WIC provides for this age group. A food pantry (C) offers immediate but temporary relief and lacks the ongoing structured nutritional support required for a child with anemia. The school lunch program (D) is inappropriate because the child is only three years old and likely not enrolled in the public school system. The FNP must prioritize targeted community resources that address both the socioeconomic barrier and the specific clinical deficit.

🔑 Key takeaway

WIC provides targeted nutritional support specifically for pregnant women, postpartum mothers, and children under five.

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FNP · Exam Simulator

A 58-year-old female with type 2 diabetes currently manages her condition with NPH insulin 20 units twice dail…

A) Prescribe insulin glargine forty units o

B) Prescribe insulin glargine twenty units

C) Prescribe insulin glargine thirty-two un

D) Prescribe insulin glargine forty-eight u

Submit Answer

✓ CORRECT

C) Prescribe insulin glargine thirty-two units once d

💡 KEY TAKEAWAY

Reduce the total daily dose by 20% when converting from twice-daily NPH to once-daily basal analogs.

WHY

When converting a patient from twice-daily NPH insulin to a once-daily basal insulin analog like glargine, the total daily dose should be re…

Authoritative sources

AANPCB — American Academy of Nurse Practitioners Certification Board