Nurse Practitioner Certification Examination
NEWS & INFORMATION (ANCC and AANP certification exams for FNP/AGNP)
ANCC New Question Formats
This is the link for the new question formats. Visit these pages so that you will know what to expect for the ANCC.

FNP alternative exam formats link

AGNP alternative exam formats link

Multiple Choice question with 5 answer options.
You will be asked to pick out 2 or 3 answer options  out of the 5 presented.

Questions with Photos
Photos divided into 4 quadrants ('Hot-spot")
You will see a colored photo of an abdomen that is divided into 4 quadrants. To answer, you left click on the correct quadrant or you answer the question that is about the photos.

There will be MANY color photos of skin and eye conditions. 
The most common type of question is asking you for the diagnosis. Or it may ask how it is treated.  

Drag and Match Format
There are two columns. The left one contains the 3 samples of research studies (Evidence-based medicine). On the right column, there will be 3 boxes from 1 (strongest) to 3 (weakest evidence). You must DRAG the sample study on the left column into the matching rating on the right column. 

EKG strip
I will discuss in my review course (this is entry level test). You do not have to  figure out a heart block or anything fancy.

Chest Radiograph/x-ray
One chest x-ray film may be included. I will discuss this in my  review course. 

I discuss (and give samples) of the new ANCC question formats in all my review courses. 

​Both ANCC and AANPCB certification exams for FNPs and AGNP/AGPCNPs are entry-level (of practice) exams. The majority of test-takers are new graduates. Exams stay in circulation for about 2 years (usually, but there are exceptions).

How many times can I retake the exams?
ANCC: up to 3 times per calendar year (at least 30 days apart)
AANP: up to 2 times per calendar year (submit 15 contact hours continuing education). You can use the credit hours from the Leik Review Courses to fullfill this requirement.

ANCC FNP (Feb. 2016) /AGPCNP (Dec. 2015) 
Time allowed: 4 hours
# Questions: 200 total (25 not graded)
Passing Score: 350 points or higher (range 100 - 500)

AANPCB FNP/AGNP exams (both October 2016)
Time allowed: 3 hours
# Questions: 175 total
Passing Score: 500 points (range 200-800) 

When do I get my scores?
ANCC and AANPCB: you will find out right away, after you complete your exam. Ask the proctor to print your scores.
It will be in "Pass/Fail" format (unofficial scores). If you fail, you will get a "number" score. Your "official score" will not be released if the ANCC/AANPCB does not receive your final transcripts. Your official scores will be printed in a letter with the start date of certification printed on it.Certification is good for 5 years.

How long does it take to process an application?
It depends. If all your documentation  requirements are met, it will take about 3 - 4 weeks. Only the ANCC has an Expedited Application option (extra fees).

How many copies do I need of my official final transcript?
I suggest you order 4 copies of your final transcripts. Open one copy to make sure there are no errors, it should list the type of degree with the NP specialty.
Passing Rates (2016 exams) 
​These stats are for the current exams.
FNP: 82%  (was 74%)
AGPCNP: 82% (was 81%)

 FNP:82% (was 86%)
 AGNP: 76% (was 83%)

​*ANCC uses the designation of "AGPCNP" or Adult-Gerontology Primary Care Nurse Practitioner. 
The AANP designation is "AGNP" or Adult- Gerontology Nurse Practitioenr.
United States Department of Labor
Bureau of Labor Statistics

Occupational Employment Statistics 
for Nurse Practitioners: MAY 2015

National Estimates
Mean Annual Wage $92,670.00

By Location
Physician Offices: $99,760
Hospitals: $105, 690
Outpatient Centers: $103,710
University/College: $94,050

By State
Alaska: $111,800
California: 110,590
More states listed, visit link below.

Top Paying States
Columbus, IN: $146,920
Texarkana, TX: $137,880
San Jose/Sunnyvale/Santa Clara, CA: $133,930
More info at below link.

More fantastic stats on their website at

FNP Exam Procedures (AANPCB Exam)

LINK: AANP FNP Exam Blueprint

Minor lesion removal

Incision and drainage


Diagnostic interpretation of ECG

Pap tests

Diagnostic interpretation of X-ray

Joint aspirations and injections

Cerumen removal

Skin biopsy

Pulmonary function testing & office spirometry

Therapeutic injections

Fluorescein dye

Wound closure

Long-term contraceptive management


Long-term hormonal implantation


Foreign body removal

Wound management

Nail removal
A-GNP Exam Procedures (AANPCB Exam)
LINK: AGNP Exam Blueprint

Minor lesion removal




Pap tests


Joint aspirations and injections

Wound debridement


Incision and drainage

Therapeutic injections

Foreign body removal

Application Tips:

When you apply, make sure that the name in the application form matches the name you have on your primary ID. A primary ID  has your picture and signature and is the original government-issued ID (unexpired) such as a drivers license. 

If you are getting married, you may want to wait after you pass the exam before legally changing your surname.

Do not forget to send your official FINAL transcript (from the school registrar or from you) to complete your application. 

Check your State Board of Nursing website for the requirements  on how to become licensed as an advanced practice nurse/ nurse practitioner in your state.