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The AANPCB Family Nurse Practitioner exam, which awards the FNP-C credential, is built around the
clinical process. Here’s the format and how the AANPCB weights it.
Exam format
| Item | Detail |
|---|---|
| Questions | 150 (135 scored, 15 pretest) |
| Format | Multiple choice, single best answer |
| Delivery | Timed, computer-based exam |
| Focus | 100% clinical — no non-clinical (policy/research) items |
Clinical-process domains & weights
The scored content is organized across the clinical process:
| Domain | Weight |
|---|---|
| Assess | 32% |
| Diagnose | 26.5% |
| Plan | 26.5% |
| Evaluate | 15% |
The second axis: patient age
Every item also maps to a patient age group, weighted toward adults: older adult (30%), middle adult
(26%), and young adult (22%) make up the bulk, with adolescents, children, toddlers, infants, and newborns
filling out the rest. In practice, that means most questions are adult primary care, but
you must still be solid on pediatrics and geriatrics.
Unlock 1,500+ FNP-C practice questions across 10 full-length simulators — $19.99 lifetime →
Frequently asked questions
What is on the FNP-C exam?
Clinical primary care across the lifespan, organized by the clinical process: Assess (32%), Diagnose (26.5%), Plan (26.5%), and Evaluate (15%). Every item also maps to a patient age group, weighted toward adults.
How many questions are on the FNP-C?
150 questions — 135 scored and 15 pretest — multiple choice, single best answer.
Is the FNP-C exam all clinical?
Yes. Unlike the ANCC FNP-BC, the AANPCB FNP exam is 100% clinical — there are no health-policy, research, or professional-role questions.
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).