AANP FNP exam blueprint

The AANP-CB FNP exam has 150 multiple-choice questions in 3 hours, 135 scored and 15 unscored pretest items, with a minimum scaled score of 500 to pass. The domains are Assess 32%, Diagnose 26.5%, Plan 26.5% and Evaluate 15%.

Domains

DomainItemsShare
Assess4332%
Diagnose3626.5%
Plan3626.5%
Evaluate2015%

Source: AANP Certification Board, FNP exam page, read November 4, 2026.

Patient age groups

Age groupShare
Newborn2%
Infant3%
Toddler4%
Child4%
Adolescent, includes prenatal9%
Young adult22%
Middle adult26%
Older adult30%

Common questions

What percentage of the AANP FNP exam is each domain?

Assess is 32 percent (43 items), Diagnose is 26.5 percent (36 items), Plan is 26.5 percent (36 items), and Evaluate is 15 percent (20 items), for 135 scored items.

How many questions are on the AANP FNP exam?

150 multiple-choice questions: 135 are scored and 15 are unscored pretest questions that you cannot identify during the exam.

How long is the AANP FNP exam and what is the passing score?

Candidates have 3 hours. AANP-CB reports a scaled score, and a minimum scaled score of 500 is required to pass.

Which age group is tested most on the AANP FNP exam?

Older adults, at 30 percent, followed by middle adults at 26 percent and young adults at 22 percent.

Last updated November 4, 2026. Verify exam details against the official AANPCB Candidate Handbook before exam day.