ANCC-FNP Exam- new test version 4/7/2016- PASS

Updated:   Published

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. I am new to the site. I am planning on taking the AANPtest in December. If you still have the guide that you referred to in this post and are still offering it I would really appreciate it. My email is [email protected]. Thank you,

Susan

Hello. I am also new to the site and would also like the study guide if you still have the guide available. It would be a godsend. My email is [email protected].

Thanks,

Sheila

Hello,

I am planning on taking the ANCC-FNP in 2 weeks and would like to get more information about your study guide. You can email me at [email protected].

Thanks

I passed the ANCC in September 2017. The exam is like no other. On one hand, the clinical questions are straightforward. On the other hand, you rarely feel like you answered a non-clinical question correctly. I took Fitzgerald's live course in June. I completed all of the online content multiple times. I focused on 1 system per day and dedicated an hour daily to professional issues and research. i used the Buppert book for reference regarding the professional issues. This was probably most helpful. I used USPTF guidelines, COPD Gold guidelines, JNC8 etc. I did not trust any book for the guidelines, I went to the source. I used Liek for building knowledge. I completed those questions 1 week before the exam. I did 50 at a time.

I used Exam Edge- I purchased 10 tests. My scores ranged from 373-470. These tests gave me stamina to sit and complete 200 questions at one time. I also reviewed the rationale for each answer, which enhanced my knowledge base.

I used Board Vitals for 30 days prior to the exam. I completed all the questions with an average of 84. The research questions were difficult, but they helped me understand the research concepts and study harder.

I took Fitzgerald's comprehensive exam 1 week before I was scheduled to test. I got a 98. This boosted my confidence until I saw the real exam!

The actual exam was heavy in nonclinical concepts that it would be difficult to study for. Professional issues, scope of practice, standard of practice, HITECH, Medicare, hospice, palliative care, coding, documentation, prescriptive authority etc. I did use the strikeout and highlight feature.

I had approximately 8 SATA. The exam specified how many to select.

I had probably 10 photos- skin, HEENT, MSK, ECG.

I had a few questions on transcultural nursing

I used every minute of 4 hours to thoroughly read each question and understand what is being asked. There was a lot of information in the questions which did not help answer the question.

My suggestions: Focus on your test taking skills. Focus on reading comprehension. Build your knowledge base and use questions to test yourself. Focus on first line treatment for common problems. Learn the research concepts. Google photos of different common conditions. Also, the professional sites for derm and ophthalmology have great photos. If you take Fitzgerald, she has "additional resources" which include photos, in depth info about Medicare/Medicaid, and research definitions. All will be useful in your studies. The Figure1 website and Medscape have good photos and case studies.

Good luck!

-IfICanYouCanToo, FNP-BC

Congratulations on passing!!! Is there anyway i could get a copy of your study guide please? I test in 2 weeks...so nervous, anxious. Will greatly appreciate your help.

my email is [email protected]

Hi UrbanRN328,

Congratulations on passing!!! So happy for you!!!!is there any way i could please get a copy of your study guide. I test in 2 weeks. Any advice or info is greatly appreciated and welcomed.

My email address is [email protected]

I passed the ANCC this month and I want to share. First of all, I appreciate all the previous posts. They were very helpful in my preparation. I agree with the previous person. The exam is interesting. There were many non-clinical questions and some of them, you were not sure if you got them right.

I did Hollier review, purchased the APEA questions which did not help much. Also, boardvitals and FNP mastery from the apple store. I bought the Leik book as well.

The Leik book was the best for studying, including the questions. Boardvitals and the FNP mastery was also very helpful. Purchased 10 of the exam edge questions the last two weeks before. It prepared me to sit for the exam.

On the exam, I had maybe 5 SATA ( the exam stated how many), I had several matching questions and about 5 pictures.

Know your derm and eye pictures. Know the research pyramid and practice many questions to work on your test taking skills.

Take the time to study the non-clinical questions because it was quite heavy on that.

All the best. Goodluck and God bless!

I am close to finishing my FNP program, if anyone could email study guides or review books that would be awesome! Thank you!

[email protected]

I thought I would add my two cents as well since I've found good advice on here in the past. I just passed my ANCC FNP exam a few hours ago. I graduated from my program about 7-8 years ago. Never took the boards since my job didn't require it here in CA. I've been working as a family planning/gyn NP so a lot of the other stuff (cardiac/asthma) were definitely not fresh on my mind. I recently got offered a position that requires a cert (ANCC or AANP). I had about 6 weeks time to study. I have 4 kids under 6 years old at home with my youngest at 3mos old. So if I could do it, so can you!

You should know, I attempted to study for these tests 2 times prior in the years past, took the Fitzgerald course in person and bought the CDs the second time. I never got around to really studying then and thinking back, I think they actually made me feel like there was just too much to study and I couldn't do it. About 6 weeks ago, when I found out I needed the cert to keep my job, I went into panic mode and started studying the Fitzgerald materials including an extra book I bought years ago to review. I went through the course book and would then do the correlating chapter(s) in the cert review book. And I took notes in a notebook. When I finished (took about 3.5 weeks), and started studying my notes, I felt like I still wasn't happy. Thats when I found the Leik Intensive Review book.

Let me tell you, the Leik book is gold! I read it cover to cover, did the 600+ questions, made flashcards. Yes the Leik book had errors but I bought it knowing this and I would look up stuff I had doubts on. I think this actually helped me remember stuff more. I also went onto Leik's website and read all her tips and extra info. It took about 2 weeks to finish her book. At that point I only had 2-3 days left to study my flashcards. I had A LOT of flashcards and probably went through them twice only. Yesterday, I decided to find some online questions. Did some free questions on Boardvitals, decided I didn't want to spend $100+ on their tests and instead I took the APEA predictor test and scored an 80%. I was also getting about 70% of the Leik questions right. So I felt encouraged.

I was still so nervous about the test that I woke up from a nightmare (about falling asleep while taking the test of course) at 4 am and couldn't go back to sleep after that. For the test itself, I arrived a little earlier but there were so many people at the test site that I didn't start the test until about 45 min after my appt time. (Majority of the people there were taking the GRE). The test actually took me all 4 hours to take. With all the practice questions I took in the past, I would take only half the time but the actual ANCC test was so wordy that I spent the majority of the time trying to make sure I understood what it was asking. I had about 60 questions I marked to review at the end. I had the hardest time with all the research and leadership role questions. The original poster to this thread is correct- study up on this. I only reviewed what was in the Leik book so I ended up sitting there trying to think logically about the questions. I think this is what ate up my time. I felt like I had 30+ questions with some type of theory/research/nursing role component. The other questions I had were scattered in subject matter. I had one question on urinalysis. I had written all the lab values of cholesterol/cbc/wbc/cranial nerves, etc out on the scratch paper before I started but I barely used this. I had no cranial nerve questions. A bunch of asthma questions (probably enough for you to spend extra studying time on this). Some questions on hypertension and cardiac meds. Really I felt like there wasn't a lot of clinical questions. The images I had were fundoscopy related, pictures of bumpy hands, picture of a torso asking you where the pt's problem is, a lung x-ray, pictures with eyes with different problems (I am intentionally being vague- don't want to get into trouble). No EKG, no skin pictures. I know people remember what they had trouble with the most so this is what I remember.

In summary, I'd recommend the Leik book only with the internet as a supplement, make flashcards, do questions- study nursing theory. Skip the courses. If you need visual aids- google and youtube. Deep down you'll know when you've got a handle on a topic. Just tackle one topic at a time. You can do it! PS. I think most of the practice questions I did would probably be more reflective of the AANP- even so, I think it helped. (PPS. I actually have the AANP test booked as a back up but I don't plan on taking it now that I passed. - it was nice to have a back-up plan though.)

Can you please send me the guide! Thank you in advance! My email is [email protected]

Can you please send me the guide! Thank you in advance!

I passed last month and I passed because I it together a very specific study guide, better than any review course I took - they were all so vague, I felt like they knew the questions but could only give you hints, so if you need any help, contact me. What I have will get you through.

Is urbanrn328 still on here? I didn't see any responses to the email request. If anyone was able to receive a study guide and wouldn't mind sharing. Thank you. my email [email protected].

+ Join the Discussion