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Hi,
I haven't seen lots of posts about people taking the new ANCC-FNP exam as of February 2016, so I decided to write one because I know I went looking here for advice and on what to expect several times throughout my process. I just got home and I passed the exam.
So as far as study advice I would say really really really really DO NOT SKIP OR GLOSS OVER epidemiology, all the technical jargon about nursing roles, standards of practice, quality improvement programs, risk management programs, sentinel events, root cause analysis, outcomes analysis, malpractice, CPT, ICD-10, incident to billing.
Learn these definitions so well you can repeat them back including, if applicable, their precise names (International Classification for Diseases, Budget Reconciliation Act). If there are stated steps to the "risk management review process"- know them by name and in order. If you get these type of questions wrong on your practice exams, pay A LOT of attention and review, retest, try to fix. Don't think "ugh, whatever, I know what 'leadership' is"... they will ask it in strange ways.
Really improve your literal test-taking skills at closely reading questions. I am someone who is generally naturally good at this (I had a near perfect score on GRE verbal and I'm a voracious reader), but I actually realized I needed to do work on this. There are many questions where the line between the right answer or wrong are things.
I used lots of things to study over time, Leik is very good for streamlining and making things feel manageable, but there are also mistakes and exclusions and its organized not very well. There were some nights where all that made me pretty aggravated. All that said, I used her a lot. She does talk about professional issues, but you NEED to supplement-- go everywhere looking for supplements on the topics I suggested above, no one source covers it all. Check ANCC's book.
I took Barkley review ages ago, so the live review didn't factor in to my success (but could have), but the book I got from it was very good-- his outline for peds really helped me feel like it was manageable where other books were too bogged down in info. But of course, none of that was on the exam. ?
Fitzgerald is great, but she really lays on surplus info you don't need- she's focused on making great clinicians with her book, not getting people to focus on only passing the exam. But good supplement. I took Fitzgerald's practice online questions (many repeats from book, but some new), I bought Barkley's DRT exams (annoyingly expensive and overthinking it I think), the ANCC practice tests (they only sell 2 which together make up a little less than 1 whole exam), and I took APEA predictor exams the last few days before my exam, which I liked and also boosted my sense of confidence. Really none of these provided the mix I got on my exam, they were all much more clinical, and the test wasn't. But you need to just start testing and getting some sense, so just choose whichever budget wise works for you. But, if you had to only buy two for instance, I would choose two tests from two different sources rather than from one. Just having the experience of doing questions on the computer is valuable.
I also took Fitzgerald's review (again a long time ago) it was very thorough... it had a less relaxed feeling than Barkley's... I felt I liked hers better, but again... they are all focused on clinical...I also have lots of other resources that I didn't use much (Fitzgerald's CD's for instance) and I am happy I didn't use to study in retrospect... although I will for my general knowledge.
So, that's it. Hope it's helpful. I had agonized way past the point of return because I was so nervous about this test.... Oh, also, normally I take tests VERY quickly. On practice exams of 150 questions, I am done in an hour and 15. I needed every minute of 4 hours and 30 minutes on this test. I didn't even get through reviewing all of my marked questions when the computer shut off and I only took one short bathroom/ drink break.
OH and another thing, the computer DID NOT tell me if I passed. I sat there thinking it would given what others have said. And then I thought something went horribly wrong, or I failed. In fact, the proctor outside the room after checking me out, printed out a sheet, silently folded it and then handed it to me. THIS had if I passed or failed on it.
Additionally there were two features available to help you on the exam, which I have never heard anyone mention before. 1. You can strike out answers to help you visualize and cut down on the data. When you go back to a question, your strike outs remain. 2. You can also highlight parts of the question and your highlights remain.
Also everything, but your ID And key to your locked has to be put away, but at my testing center people were allowed to access food and drink they left on top of the lockers. A lady actually told me that I could even go into my locker as long as I didn't check my phone or other prohibited behaviors, so although I left my water and juice out, I left my snack bars in. It turns out my proctor made me leave my key on the desk, so she was misinformed. But I had access to my liquids, I would have put out my bar too if I had known. I took the test in NYC- Manhattan at Prometric and I am sure there could be variation between centers, but just putting it out there....
Good luck!
Hello Urbanrn328. I am hoping to take the ANCC fnp exam in a couple of weeks. Could you please send me your study guide to [email protected]. Thanks.
I passed my ANCC today! I told myself that if I passed I would come on here and make it a point to tell you guys how much I appreciate all the advice and the conversation. It was truly, truly helpful in so many ways and I just had to put that down in writing for all to read!!
So...about the test.. it was easier than I thought it would have been. I know most NP grads opt for the AANP, but I truly think the ANCC was easier (I never took the AANP so this is purely based on others opinion of it compared to my first hand experience with the ANCC). My primary reason for taking the ANCC was because I didn't want to take a 100% pure clinical exam. I didn't want to "put my eggs in one basket" sort-of-speak. I wanted a test that gave me a variety so that I could stand a better chance because I didn't feel like I was the strongest, clinically. Plus, people I spoke to told me that people are afraid of the non-clinical questions, but they aren't that detailed or ambiguous that you wouldn't be able to figure it out and I agree.
On the actual exam, know your skin lesions. Know community health questions regarding immunizations (but don't kill yourself memorizing the schedule), review your CXR results for TB vs pneumonia, know pregnancy what are contraindications for treatment and vaccinations and get comfortable with SATA (Select All That Apply). Know your pharmacology as far as what interacts with what. I'd say I had a little of everything, clinically, but they were mostly low/mid-level questions to me. For example (but not verbatim) be prepared to answer questions like which medication would you add to a DM type II and it giving you some options like an ACEI. Most of us know that our DM's should be on an ACEI. We all should know that first line HTN mgmt. for AA are CCB and Thiazides. These were the kind of questions. Like it didn't ask how much you should start the patient on or what is the SIG. It didn't get that detailed which I was ready to answer. It's guidelines and evidence based approach that I'm sure we all saw either in clinic or in school or with reviewing Hollier or Fitzgerald, etc. I really got the sense that they know we are fresh, new grad NPs and that we aren't going to know every nitty-gritty detail. The test is no where near as crazy as the tests that we had while in school.
Know your theories and know your evidence based research pyramid. That is extremely important. Know cultures and what is going to be seen in an Hispanic patient vs Asian vs AA, etc. Know your religions muslim, seventh day adventist, judaism, etc. know it at a birds eye view and the aspect of those religions and cultures that would be applicable to healthcare adherence and management. Like, I wouldn't focus on knowing that muslims come from different countries because that really doesn't matter in healthcare. I would focus on how they respond to healthcare professionals, what healthcare treatments might they not follow..don't know if I'm making sense, but I hope you get what I'm trying to say.
I studied for 6 weeks straight atleast 6-8 hours a day. I studied Leik (AWESOME!!!!!!!!!!! YOU NEED LEIK), listen to Hollier x2, some Fitz. (just the non-clinical stuff) and I did board vitals, googled questions, did ANCC free questions on their website (just google it, you'll find them. It's like 20-24 questions), quizlets, etc. I took a lot of free exams (you know when these websites offer a free trial or take a few questions for free) that were not just for Family NP but were for nurse informatics, gerontology NPs, pediatric NPs...basically I took all the free exams that would in compass a Family NP since that was the test I was taking.
Board vitals...what can I say...ummmm....(sips my water).....Board Vitals is hard and heck!!! I was averaging 73-75%. I had scores ranging from 54-86%. I was all over the place. BV (board vitals) is so hard it makes you want to ask yourself if you ever went to school because you are getting everything wrong. With all that said, and after you had a good cry because you are averaging so low with BV questions, I can say it was the best thing I did. It is awesome and I did all the questions. In total with Leik and BV and everything mentioned above I know I easily did about 2500 questions. I highly recommend BV (not bacterial vaginosis) lol. The only thing I didn't like with BV is that the explanations were a bit to wordy and after taking 200 questions, I can hardly stop the drool from my mouth much less concentrate on the wordy explanation. In addition, some of their questions were wordy AF as well..Like Jesus!! Some of the questions were in multiple paragraphs like really??!!! Are you serious??
Leik is beyond awesome. The book has some typos and some weird things, but it's nothing that you wouldn't be able to know that it's not correct. The questions were awesome, and the content was marvelously explained in a way that you can understand. The exam tips were on point. You need Leik in your life...I'm telling you. Do as much questions as you can and Leik and Hollier and you should be good.
Lastly...my best advice is believe in yourself. You are awesome!! You have gotten this far damnit!! You wouldn't have gotten this far if you were a dummy!! Remember who the "F" you are and what you can do and how awesome you are!! We are nurses and we can do and have done almost everything! This is not the end of the world no matter what. Passing or failing doesn't define who you are and your awesomeness. It is just and obstacle that you have to get over. If you fall, get up and take a couple of steps back and run harder to jump over this hurdle! Don't study the day of or the night of. Enjoy your family and remember their is more to life. Your boys are still going to laugh at fart jokes and your daughters are still going to wanna play in your make up!! Life goes on. Play music on the way to your test and even while you are getting ready. Laugh at something...listen to your favorite comedian on the way to the test or do something to remind you that life is more than this test and that you are smart and awesome no matter what happens because in the end it will all work out and for the better so stay positive. Good luck to you all and I hope to God that this was helpful.
Can you also send me the study guide I am taking in two weeks and super nervous due to failing AANP already. My email is [email protected]
Hello,
Could I please get a copy of the study guide as well? Thanks in advance. My email is [email protected]
Thank you for the advices. Unfortunately I also failed AANP last year. I missed by 6 points. I singed up to Leik webninar course in September. Because they have non clincal review. Do you think APEA is better than Leik review ? I am very nervous to fail it again. I need help. Can you email me any resources or study guide if you have, please? Thanks. My email is [email protected]
Va daughter
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I failed the AANP exam and I am thinking of taking the Ancc exam. Any advice or study guide would be greatly appreciated. My email is [email protected]
Thanks and congratulations to all who have passed.
Thanks.