All you need to pass the ANCC exam is the Leik book, board vitals, and FNP mastery app. Most all questions from the ANCC exam are from the key points in the Leik book. Read and reread that book. It's awesome and it will make you successful in passing the exam! The exam consist of: eye pictures research validity RA/OA copd lots of Asthma (telling what stage the person is in and treatment) gout HTN first line meds BPH lots of cancer root cause analysis situational theory family system theory tanner stages first line Med in pregnany uti etc.... you can do it!!! Don't give up. Take your time and make sure you really know your information. The test is defiantly 50% of research/leadership and 50% clinical information.