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The first-line treatments and rules that recur on the FNP-BC. Skim before test day, then prove it with
practice questions.
Exam facts
- 175 questions (150 scored), 3.5 hours
- Domains: Assessment 19% · Diagnosis 17% · Planning 19% · Implementation 29% · Evaluation 15%
Pharmacology high-yield
- ACE-inhibitor cough — switch to an ARB
- Dyslipidemia — statin first-line for primary prevention by ASCVD risk
- Type 2 diabetes — metformin first-line; BP goal generally <130/80
Prevention & screening
- Colorectal cancer — start average-risk screening at 45 (colonoscopy q10y or
annual FIT, among options) - Croup — dexamethasone; add nebulized epinephrine if stridor at rest
- Implementation (29%) is the biggest area — know management and patient education cold
Professional & ethical concepts
- Informed consent — capacity + understanding of risks/benefits/alternatives +
voluntary choice - The FNP-BC also tests scope of practice, research basics, and health policy
Unlock 1,500+ FNP-BC practice questions across 10 full-length simulators — $19.99 lifetime →
Frequently asked questions
What do you do about an ACE-inhibitor cough?
Switch to an angiotensin-receptor blocker (ARB) such as losartan; the cough is a class effect of ACE inhibitors from bradykinin accumulation and resolves after switching.
When does colorectal cancer screening start?
Average-risk colorectal cancer screening begins at age 45, with options including colonoscopy every 10 years or annual fecal immunochemical testing (FIT).
What is required for valid informed consent?
The patient must have decision-making capacity, understand the risks, benefits, and alternatives, and choose voluntarily — concepts the FNP-BC tests alongside clinical care.
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).