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, AANP FNP Exam Preparation Guide — All 70 Questions Covered (2026 Edition)
Exam Overview and Blueprint
Feature Detail
Total questions 150 multiple-choice (135 scored, 15 pretest)
Time allotted 3 hours
Passing standard Criterion-referenced (scaled score)
Domains tested Assess, Diagnose, Plan, Evaluate
AANP 2026 Blueprint Domain Weights
Number of % of
Domain Focus Areas
Items Exam
History taking, physical exam, diagnostic testing,
01 – Assess 43 32%
risk stratification, screening
02 – Differential diagnosis, clinical reasoning,
36 26.5%
Diagnose interpretation of objective findings
Treatment plans, pharmacologic and non-
03 – Plan 36 26.5% pharmacologic therapies, referrals, patient
education
04 – Treatment response, adjusting management,
20 15%
Evaluate outcomes evaluation
Source: AANPCB official exam blueprint
Patient Age Distribution
, Age Group Number of Items % of Exam
Newborn 3 2%
Infant 4 3%
Toddler 5 4%
Child 6 4%
Adolescent 12 9%
Young Adult 30 22%
Middle Adult 35 26%
Older Adult 40 30%
Source: AANPCB official exam blueprint
Key Clinical Content Areas
The AANP exam tests clinical decision-making in primary care, with heavy emphasis on
cardiovascular, endocrine, respiratory, women's health, and mental health conditions.
Questions assume the candidate is a licensed provider and test applied clinical judgment rather
than basic science recall.
Domain 1: Assess (32% — Approximately 43 Questions)
Question 1 (Cardiovascular — Lipid Management)
A 65-year-old woman presents for follow-up after a new patient visit. She has not seen a
healthcare provider for several years. She is a smoker and her hypertension is now adequately
controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid
profile shows cholesterol = 240 mg/dL, HDL = 30 mg/dL, and LDL = 200 mg/dL. In addition to
starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
, AANP FNP Exam Preparation Guide — All 70 Questions Covered (2026 Edition)
Exam Overview and Blueprint
Feature Detail
Total questions 150 multiple-choice (135 scored, 15 pretest)
Time allotted 3 hours
Passing standard Criterion-referenced (scaled score)
Domains tested Assess, Diagnose, Plan, Evaluate
AANP 2026 Blueprint Domain Weights
Number of % of
Domain Focus Areas
Items Exam
History taking, physical exam, diagnostic testing,
01 – Assess 43 32%
risk stratification, screening
02 – Differential diagnosis, clinical reasoning,
36 26.5%
Diagnose interpretation of objective findings
Treatment plans, pharmacologic and non-
03 – Plan 36 26.5% pharmacologic therapies, referrals, patient
education
04 – Treatment response, adjusting management,
20 15%
Evaluate outcomes evaluation
Source: AANPCB official exam blueprint
Patient Age Distribution
, Age Group Number of Items % of Exam
Newborn 3 2%
Infant 4 3%
Toddler 5 4%
Child 6 4%
Adolescent 12 9%
Young Adult 30 22%
Middle Adult 35 26%
Older Adult 40 30%
Source: AANPCB official exam blueprint
Key Clinical Content Areas
The AANP exam tests clinical decision-making in primary care, with heavy emphasis on
cardiovascular, endocrine, respiratory, women's health, and mental health conditions.
Questions assume the candidate is a licensed provider and test applied clinical judgment rather
than basic science recall.
Domain 1: Assess (32% — Approximately 43 Questions)
Question 1 (Cardiovascular — Lipid Management)
A 65-year-old woman presents for follow-up after a new patient visit. She has not seen a
healthcare provider for several years. She is a smoker and her hypertension is now adequately
controlled with medication. Her mother died at age 40 from a heart attack. The fasting lipid
profile shows cholesterol = 240 mg/dL, HDL = 30 mg/dL, and LDL = 200 mg/dL. In addition to
starting Therapeutic Lifestyle Changes, the nurse practitioner should start the patient on:
