I just took my ANCC adult NP boards and passed, I was very nervous that I whether I would pass for the 1st attempt or not, but I did it, have to take my Geriatric boards next as I have a dual degree Adult & Geriatric
I felt most of my questions (70%)are about communication, cultural aspects , and ethics, I only got a few of the clinical questions and just 1 or 2 theory questions
My tips
Try to concentrate equally on ethics as u do on clinicals I got 4 or 5 questions on autonomy, justice, informed consent, fidelity, 1 question on sensitivity and specificity
if we donot concentrate on the above topics and just study for clinicals its really tough to pass this exam
All I used was Fitzgerald review book only no live course
Hollier practice questions ( some questions were similar on the boards)
class notes
If anyone wants to know any more details about the exam am happy to reply