FNP-BC Exam Information and Outline
Family Nurse Practitioner Certification
FNP-BC Exam Syllabus & Study Guide
Before you start practicing with our exam simulator, it is essential to understand the
official FNP-BC exam objectives. This course outline serves as your roadmap.
The information below reflects the 2026 syllabus defined by
ANCC.
Below are complete topics detail with latest syllabus and course outline, that will help you good knowledge about exam objectives and topics that you have to prepare. These contents are covered in questions and answers pool of exam.
Exam Code: FNP-BC
Exam Name: Family Nurse Practitioner Certification
Total number of questions: 175 (of which 150 are scored- 25 are pretest [unscored])
Time allotted: 3.5 hours (210 minutes)
Passing score / passing standard: Scale score of 350 (on a 0–500 scale) is the passing mark
Pass rate (first-time takers): Approximately 83 %
- Evidence-based population health promotion and screening
- Comprehensive history and physical assessment
- Focused history and physical assessment
- Functional assessment (e.g.- cognitive- developmental- physical capacity- family and caregiver roles)
- Risk assessment (e.g.- genetic- behavioral- lifestyle- cultural)
- Pathogenesis and clinical manifestations of disease states
- Diagnostic test selection
- Differentiating between normal and abnormal physiologic changes
- Formulating differential diagnoses
- Age-appropriate primary- secondary- and tertiary prevention
- Anticipatory guidance (e.g.- developmental- behavioral- disease progression- crisis management- end-of-life care)
- Evidence-based clinical guidelines and standards of care
- Pharmacotherapeutics- pharmacokinetics- pharmacodynamics- and pharmacogenetics
- Culturally sensitive practice
- Research appraisal (e.g.- design- results- clinical applicability)
- Legal and ethical implementations for healthcare and technology (e.g.- HIPAA- confidentiality- accessibility)
- Non-pharmacologic intervention and treatment selection (e.g.- procedures- splinting- biopsies- sutures- imaging)
- Pharmacotherapeutic intervention selection (e.g.- interactions- contraindications)
- Regulatory guidelines (e.g.- reportable diseases- abuse reporting)
- Scope and Standards for Advanced Practice Registered Nurses
- Comprehensive documentation
- Patient-specific education
- Resource management (e.g.- accessibility- coordination- cost-effectiveness)
- Therapeutic communication (e.g.- motivational interviewing- shared decision making)
- Ethical and legal principles and issues for patients- populations- and systems (e.g.- justice- consent- guardianship- bioethics)
- Non-pharmacologic intervention and treatment outcomes
- Pharmacotherapeutic intervention and treatment outcomes (e.g.- monitoring- side/adverse effects- patient outcomes)
- Test results evaluation- management- and reporting