I took the ACNP exam and did not pass the first time. I am still upset with myself for not passing but I will start studying again to prepare myself. I pray this next time will be a pass score. I felt the test was difficult because I was not prepared for the research, professional/patient relationship, and professional responsibility questions on my exam there seem to be a lot of those types of questions. If you have taken your ACNP exam did you pass!!!