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See where you stand before you pay for prep. These sample questions match the
ANCC FNP-BC style — clinical scenarios across the lifespan, with a rationale that
explains the reasoning. Work each before reading the answer.
Unlock 1,500+ FNP-BC practice questions across 10 full-length simulators — $19.99 lifetime →
How close are these to the real FNP-BC exam?
The ANCC FNP-BC is 175 questions (150 scored, 25 pretest) over 3.5 hours. It’s mostly clinical primary
care, but — unlike the AANPCB FNP-C — it also includes non-clinical items on
professional role, research, and health policy. The samples below reflect the clinical core.
Sample FNP-BC questions
- A 45-year-old man has an LDL of 168 mg/dL and a 10-year ASCVD risk of 12%. With no
contraindications, the most appropriate first-line therapy is:- A. Niacin
- B. A moderate-to-high-intensity statin
- C. A fibrate
- D. Ezetimibe alone
Answer: B. A statin is first-line for primary prevention when ASCVD risk and LDL
warrant treatment. Niacin and fibrates (A, C) are not first-line for LDL lowering, and ezetimibe (D) is
typically added to, not used instead of, a statin. - A 3-year-old is brought in with a barking cough, stridor at rest, and mild retractions. The
most appropriate management is:- A. Oral amoxicillin
- B. A single dose of oral dexamethasone (and nebulized epinephrine if
severe) - C. Albuterol only
- D. Reassurance with no treatment
Answer: B. This is croup (laryngotracheobronchitis), usually viral. Corticosteroids
(dexamethasone) are standard; nebulized epinephrine is added for moderate-to-severe stridor at rest.
Antibiotics (A) don’t treat a viral process. - A 60-year-old woman is due for colorectal cancer screening and has average risk. An acceptable
first-line option is:- A. Colonoscopy every 10 years (or another guideline-endorsed test such as annual FIT)
- B. No screening until age 75 regardless
- C. CT of the abdomen yearly
- D. Screening only if symptomatic
Answer: A. Average-risk colorectal screening options include colonoscopy every 10
years or annual fecal immunochemical testing (FIT), among others, beginning at 45. Preventive screening is
core FNP-BC content. - A patient on lisinopril develops a persistent dry cough. The best next step is to:
- A. Add a cough suppressant
- B. Switch to an ARB such as losartan
- C. Increase the
lisinopril dose - D. Add an inhaled steroid
Answer: B. ACE-inhibitor cough is a class effect from bradykinin accumulation. The
standard solution is to switch to an ARB, which does not cause the cough. This is a high-yield pharmacology
point. - When obtaining informed consent for a procedure, the nurse practitioner’s primary ethical
obligation is to ensure the patient:- A. Signs the form quickly to avoid delay
- B. Understands the risks, benefits, and
alternatives and decides voluntarily - C. Agrees with the provider’s recommendation
- D. Has family approval
Answer: B. Informed consent requires that the patient has decision-making capacity,
understands the risks/benefits/alternatives, and chooses voluntarily. The FNP-BC tests these professional
and ethical concepts alongside clinical care.
How did you do?
If the mix of clinical decisions and professional concepts stretched you, that’s what practice is for.
Our bank has 1,500+ FNP questions across 10 timed simulators with rationales like these, plus a free
sample test.
Unlock 1,500+ FNP-BC practice questions across 10 full-length simulators — $19.99 lifetime →
Frequently asked questions
Are these FNP-BC practice questions free?
Yes. The samples here are free, and a free practice test is available without purchase. The full 1,500+ question bank is a one-time $19.99.
How many questions are on the FNP-BC exam?
The ANCC FNP-BC has 175 questions — 150 scored and 25 pretest — over a 3.5-hour limit.
What does the FNP-BC exam cover?
Primary care across the lifespan (assessment, diagnosis, planning, implementation, evaluation), plus non-clinical content on professional role, research, and health policy that the AANPCB FNP-C does not include.
Sources & references
The exam facts on this page are drawn from official certifying-body materials, reviewed 2026-06-18 by the DrCertifications exam-prep team (10+ years in exam preparation and publishing).