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See where you stand before you pay for prep. These sample questions match the
AANPCB FNP style — clinical, scenario-based, single best answer, across the
lifespan, each with a rationale that explains the reasoning. Work each before reading the answer.
Unlock 1,500+ FNP-C practice questions across 10 full-length simulators — $19.99 lifetime →
How close are these to the real FNP-C exam?
The AANPCB FNP exam is 150 questions (135 scored, 15 pretest), and — unlike the ANCC FNP-BC
— it is purely clinical: assess, diagnose, plan, and evaluate, with no health-policy
or research items. The samples below mirror that primary-care focus.
Sample FNP-C questions
- A 54-year-old with type 2 diabetes and no contraindications has an A1c of 8.4% on lifestyle
measures alone. What is the best first-line pharmacologic choice?- A. Glipizide
- B. Metformin
- C. Basal insulin
- D. Pioglitazone
Answer: B. Metformin is first-line for type 2 diabetes absent contraindications
(eGFR <30, acute illness). It lowers A1c effectively, is weight-neutral, and has cardiovascular
benefit. Sulfonylureas (A) and insulin (C) are not first-line here. - A 6-month-old presents for a well-child visit. Which vaccines are routinely due at this
visit per the standard schedule?- A. MMR and varicella
- B. The third doses of DTaP, IPV, Hib, PCV, HepB, and rotavirus
(per series) - C. Tdap only
- D. HPV series
Answer: B. The 6-month visit covers the third doses in the primary infant series
(DTaP, PCV, HepB, plus Hib/IPV/rotavirus depending on brand). MMR and varicella (A) start at 12 months;
HPV (D) begins at 11–12 years. - A 28-year-old woman on a combined oral contraceptive develops a new, unilateral throbbing
headache with visual aura. The most appropriate action is to:- A. Continue the pill and add a triptan
- B. Discontinue the estrogen-containing
contraceptive and switch to a progestin-only or non-hormonal method - C. Increase the estrogen
dose - D. Reassure and recheck in a year
Answer: B. Migraine with aura is a contraindication to estrogen-containing
contraceptives because of stroke risk. Switch to a progestin-only or non-hormonal method. This is core
FNP primary-care safety knowledge. - A 62-year-old with newly diagnosed stage 1 hypertension (average 138/86) and diabetes has
no other findings. Per current guidance, the blood-pressure treatment goal is generally:- A. <150/90
- B. <130/80
- C. <120/70
- D. No target needed
Answer: B. For most adults with hypertension — and especially with diabetes or
cardiovascular risk — the widely used target is <130/80. An ACE inhibitor or ARB is preferred
first-line in a diabetic patient for renal protection. - An adult presents with a round, scaly, erythematous patch with central clearing and an
advancing border. The most likely diagnosis and first-line treatment are:- A. Eczema; topical steroid
- B. Tinea corporis; a topical antifungal such as
terbinafine - C. Psoriasis; vitamin D analog
- D. Contact dermatitis; antihistamine
Answer: B. Central clearing with an active scaly border is classic tinea corporis
(ringworm); a topical antifungal is first-line. A topical steroid (A) can worsen and mask a fungal
infection — a common primary-care trap.
How did you do?
If the lifespan range stretched you — peds to geriatrics, derm to women’s health — that’s
exactly what practice fixes. Our bank has 1,500+ FNP questions across 10 timed simulators with rationales
like these, plus a free sample test.
Unlock 1,500+ FNP-C practice questions across 10 full-length simulators — $19.99 lifetime →
Frequently asked questions
Are these FNP-C 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-C exam?
The AANPCB FNP exam has 150 questions — 135 scored and 15 pretest (unscored).
What does the FNP-C exam cover?
Purely clinical primary care across the lifespan, organized as assess, diagnose, plan, and evaluate — from newborns to older adults. Unlike the ANCC FNP-BC, it has no health-policy or research 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).