Every answer comes with the guideline it rests on.
FNP and AGNP boards test how you reason as a prescriber. So we drill that — and show you the source, so you can check us.
1,776 items—every rationale cites its guideline
Virtual patient—a live encounter, not a question bank
Readiness predictor—a calibrated probability, with error bars
No card. No account needed for the check.
A 9-month-old in daycare has a 2-week scaly, erythematous scalp plaque with broken-off hair stubs and mild cervical lymphadenopathy.
Most likely primary diagnosis?
Why·Scaly plaque plus broken hair stubs plus regional lymphadenopathy is the triad that separates tinea capitis from seborrheic or atopic dermatitis.
Counted, not claimed
Every figure here is counted from the question bank, not rounded up for a landing page. We publish the number we withhold because a bank you can audit is worth more than a bank you must trust.
The part no other board prep has
Practice the visit, not just the question.
“I've had this pressure in my chest for a couple hours — feels like bad heartburn that won't quit. My wife made me come in.”
Does it go anywhere — jaw, arm, back?
“My left arm feels heavy. I thought I'd slept on it.”
ECG and troponin now, aspirin 325 mg chewed.
Debrief — you did not send him home on a PPI. That is the whole case: an ACS that arrives calling itself indigestion.
Built for the exam you're actually taking
Engineered for advanced practice.
A proven engine, content and reasoning pitched at the prescriber level — diagnosis, pharmacology, and management, scored to your board's blueprint.
Case-driven, like the boards
Vignettes that move from presentation to differential to management — the clinical reasoning your certification exam actually measures, not recall drills.
Pharmacology-heavy, prescriber-level
Drug selection, dosing, monitoring, and interactions across the lifespan — written for someone about to hold a prescription pad, not memorize a med-surg chapter.
Diagnosis & management
Recognize, work up, treat, and follow up — the full clinical arc, scored against the blueprint domain it lives in so you see readiness by section.
Flo, at prescriber level
The same AI tutor, tuned for advanced practice: differential reasoning, prescribing rationale, and your weak domains — peer-to-peer, never beginner.
How it runs
Four moves, in order.
The number, with its error bars
A pass probability honest enough to show its uncertainty.
Anyone can print a percentage. A percentage from a finite number of questions has a range around it, and hiding that range is how prep companies turn a measurement into a marketing claim. Ours shows the interval, narrows it as you answer more, and tells you which domain is dragging it down.
We publish no pass rate of our own. We have no verified outcome data yet, and we will not borrow someone else's.
first-attempt pass
Illustrative reading, not a real student's result.
Audit us
One real question, uncut.
Straight from the bank, nothing rewritten for this page — including the source it was written against, so you can go and check whether we got it right.
A 26-year-old woman presents with a 2-day history of a warm, erythematous, tender, non-fluctuant area on her left lower leg measuring 6 × 4 cm with well-defined borders. She has no fever, no lymphangitis, no systemic symptoms, and no purulent drainage. She has no penicillin allergy and no recent hospitalization or healthcare exposure.
Which is the most appropriate first-line treatment plan for this patient?
Why
Non-purulent cellulitis is caused by beta-hemolytic Streptococcus in the vast majority of cases, and the well-defined borders here are characteristic of erysipelas — which IDSA 2014 treats identically. Cephalexin is first-line for mild, non-purulent outpatient cellulitis without penicillin allergy or MRSA risk factors. TMP-SMX should not be used as monotherapy: it lacks reliable streptococcal coverage, and that gap is what leads to treatment failure.
You're in good company.
RN-to-NP, direct-entry, or second career. The boards don't care how you reached advanced practice — and neither do we. We meet you exactly where you are and walk you to the same place: certified.
Choose your certification
AANP or ANCC — your blueprint, exactly.
The two bodies test different ground. Pick your target and the question mix + mock exams compose to that blueprint — so your readiness reflects the exam you're sitting, not an average.
Clinically focused
Purely clinical — assessment, diagnosis, planning, and evaluation across the lifespan.
Clinical + professional role
Clinical plus the non-clinical: research, theory, and professional role, policy & practice.
AANP · FNP-C
ANCC · FNP-BC
These are the published domain weightings, read straight from the engine that composes your exams — not retyped for this page. ANCC updated its FNP outline on 4 September 2025 and this matches the current version. FNP first; AGNP and PMHNP compose to their own outlines the same way.
Why trust it
Built to be checked.
Every vignette is original — never reproduced from a real exam — and every rationale names the clinical guideline it rests on, so you can go and read the source yourself. Questions that fail our audit are withheld rather than sold. The readiness engine tells you where you stand by blueprint domain, with the confidence interval attached.
Guideline-cited, every item
ADA, ACC/AHA, USPSTF, CDC/ACIP, IDSA, Beers — named on the rationale, not implied. Check any of them.
Composed to the published blueprint
AANP 32/26.5/26.5/15 and ANCC 19/17/19/29/15 — your form is weighted to your certification, not a generic bank.
Calibrated readiness
A pass-probability you can audit against your own performance — not a vanity score.
The day they pin NP on your coat.
We prep you for more than the exam. From your first prescription to your first 90 days on a panel, FirstPass NP already knows the prescriber you're about to be — so passing boards is the start, not the finish line.
What it costs
Free, while the beta is open.
Every feature, no card, no trial clock. The only thing we ask for is an account — an email and a password — so your readiness, your streak and your missed questions follow you between devices.
We have not announced what it costs after the beta, because we have not decided. If that changes you will hear it from us before it changes for you.
Prep like the prescriber you're about to be.
Free during open beta. No card, no fluff — just the clinical reasoning that passes boards.
Start freeCommon questions
AANP vs ANCC — which FNP exam should I take?+
Both certify you as an FNP and are accepted for licensure everywhere. The AANP FNP-C is purely clinical (assessment, diagnosis, planning, evaluation) and is scored 200–800. The ANCC FNP-BC adds non-clinical content — professional role, research/theory, and health policy — and is pass/fail with some alternate item formats. Pick AANP if you want a strictly clinical exam; pick ANCC if the non-clinical content plays to your strengths. FirstPass NP prepares you for either, mapped to that body's current blueprint.
How many practice questions does FirstPass NP have?+
Over a thousand original, prescriber-level questions across the AANP and ANCC blueprints — plus full-length mock exams, a virtual-patient simulator, flashcards, and a guideline-cited quick reference. Every item is written from the blueprint and current guidelines, never copied from a real exam.
Is FirstPass NP free?+
Yes — every feature is free during the open beta, no credit card required.
What's the FNP-C / FNP-BC pass rate, and can FirstPass predict mine?+
First-attempt pass rates for the FNP exams run high (commonly reported in the mid-80s percent), but a meaningful share don't pass the first time — and a retake costs time and money. The FirstPass NP Readiness Predictor gives you a calibrated, honest first-attempt pass probability before you sit, so you know where you stand rather than guessing.
Is the content current to the latest blueprints and guidelines?+
Yes. Questions and rationales are mapped to each body's current published test plan and anchored to current national guidelines, and every clinical claim cites the guideline it rests on.