I am in the process of studying for the ANCC FNP exam. Your post was great. I did the Kellerman live review class. I have been studying for weeks. I made flash cards on key diagnoses from each system as well as some pharmacology and health policy/research. I have the "yellow books" both volume 1 and 2, the Fitzgerald book and the Leik book. I also purchased the 2 practice tests from the ANCC and 10 practice tests from Exam Edge. I am only scoring between 330-345 on the practice tests. I have completed 4 so far. My exam is in 3 weeks and I am trying to stay calm but its not easy, especially after reading the various posts. If you are able/willing could you answer a few questions for me? I am very concerned about the picture questions... are the pictures clear? Do they give you any information with the picture or just a picture? Also how much do you need to know about specific drug dosing and immunizations for the exam? With the level of research questions are they pretty straight forward or do they try to trick you? I know each exam is different but any additional advice you could offer would be appreciated. Thank you.