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.

3,000+

questions in the app

10+ yrs

exam-prep publishing

Free

on iOS & Android

Built to help you pass faster — by exam-prep publishers with 10+ years' experience

💡 Key Takeaways — the one transferable rule per question
🔍 Hint highlights — the decisive cue phrases in each stem
📖 Full rationales — why every option is right or wrong

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.

Get the full FNP question bank — free

3,000+ practice questions with rationales on iOS & Android

Download on theApp Store GET IT ONGoogle Play

📄 Free: 15 high-yield FNP questions + cheat sheet (PDF)

Enter your email and we'll send the printable PDF — rationales and key takeaways included.

Studying on a laptop? Scan to put FNP practice on your phone

Point your phone camera at the code — it opens the app straight from the store.

Get it on

App Store →

Get it on

Google Play →

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 10-year-old patient with moderate persistent asthma presents for follow-up. The mother reports the child's peak flow is 65% of personal best despite using albuterol every 4 hours for 24 hours.

▸ Why A is the answer

The patient is in the yellow zone because their peak flow is 65 percent of personal best. Since the symptoms are unresponsive to frequent albuterol use, the anticipatory guidance in the asthma action plan dictates starting an oral corticosteroid burst to prevent further deterioration. Proceeding to the emergency department is reserved for the red zone when peak flow drops below 50 percent. Increasing the dose of inhaled corticosteroids is not the standard acute crisis intervention for this severity. Administering a long-acting beta-agonist is contraindicated for acute bronchospasm relief.

🔑 Key takeaway

Yellow zone asthma exacerbations unresponsive to initial short-acting beta-agonists require a short course of oral corticosteroids.

Question 2

A 19-year-old college student presents with a severe sore throat, fever, and palatal petechiae. A rapid streptococcal antigen test is performed in the clinic and yields a positive result. Which intervention is most appropriate for this patient?

▸ Why B is the answer

The patient has classic signs of Group A Streptococcus and a positive rapid test, which confirms the diagnosis. The standard of care is to prescribe a narrow-spectrum antibiotic like oral penicillin or amoxicillin to prevent complications and reduce transmission. Option A is incorrect because a confirmed bacterial infection requires antimicrobial treatment. Option C is incorrect because a positive rapid test is highly specific; a backup culture is only needed for negative results in younger patients. Option D is incorrect because systemic corticosteroids are not first-line therapy for uncomplicated pharyngitis.

🔑 Key takeaway

A positive rapid antigen test for strep throat warrants immediate targeted antibiotic therapy.

Question 3

A 55-year-old patient is transitioning to a tiotropium soft mist inhaler for asthma control and asks how this device differs from their previous metered-dose inhaler.

▸ Why D is the answer

A tiotropium soft mist inhaler delivers a slow-moving aerosol cloud, requiring the patient to inhale slowly and deeply to maximize lung deposition. Option A is incorrect because SMIs do not contain propellants or suspensions that require shaking, unlike traditional MDIs. Option B is incorrect because SMIs are designed to be used without a spacer; the slow mist velocity inherently reduces oropharyngeal deposition. Option C describes the technique for a dry powder inhaler, which relies on forceful inspiratory flow, whereas the SMI actively propels the medication independent of patient effort.

🔑 Key takeaway

Soft mist inhalers require a slow, deep inhalation and do not need shaking or spacers.

Unlock all 3,030 FNP practice questions, including 20 full-length mock exams

Timed, scored, with progress tracking and every answer explained. Free to start.

Download on theApp Store GET IT ONGoogle Play

Practice the full FNP bank in the app

You've seen a sample. Get the complete experience — a timed exam simulator, every rationale, and progress tracking that shows exactly what to study next.

This page shows a few free samples. The app has all 3,000+ FNP questions, a timed mock exam, and offline study.

✓ 3,000+ real FNP questions
✓ Timed exam simulator — real conditions
✓ Every answer explained + key takeaway
✓ Tracks your weak topics
✓ Works offline · Free to start

Get the full FNP question bank — free

3,000+ practice questions with rationales on iOS & Android

Download on theApp Store GET IT ONGoogle Play

On a computer? Scan to install on your phone.

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