Hello! I just took ANCC FNP on 5/26 and passed! I read Leik's FNP certification intensive review second edition and took the tests in the back. I also did the Fitzgerald review and listened to a review by the APEA, which was phenomenal (and better than Fitzgerald in my opinion!) I will tell you that my exam had pictures on it. Probably 8-10? Identifying rashes, Heberden's nodules, eye emergencies, acne and vascular emergency. There was also many multiple choice, however, they tell you to pick 3 of the six, so I did not find those terribly challenging. There was also mix and match question, you drop and drag the box with the correct answer to the box with the question. They did that with some research studies, where you placed the study in order of significance. I did not have many questions on htn, but I think I recall it saying "eighth," the test spelled out JNC so I sort of went through it quick. I will tell you this: I had only 20 minutes left when I finished the test. I took my time and read the questions twice, they do have some lengthy ones in there! They give the brand and generic name of drugs, but they do not give ranges on lab values. It was basic stuff, like lipid profiles and electrolytes. Some ranges on blood pressures and A1C's, making sure you know your ranges and when to treat and when you can monitor. I found a lot of the test was using critical reasoning and deduction. I hope this helps you! Good luck in July!