Family Nurse Practitioner (FNP)

The FNP certification examination is an entry-level competency-based examination that tests clinical knowledge in family/individual across the life span (prenatal, pediatric, adolescent, adult, older adult, and elderly primary care).

How many questions are on the examination?

FNP EXAMINATION BLUEPRINT


DOMAIN I - Practice

# items

% items

DOMAIN II - Patient Age *

# items

% items

01 - Assess

36

27%

Prenatal

3

2%

02 - Diagnose

35

26%

Newborn

3

2%

03 - Plan

34

25%

Infant

4

3%

04 - Evaluate

30

22%

Child

8

6%

TOTAL

135

100%

Early Adolescent

7

5%

 

 

 

Late Adolescent

12

9%

 

 

 

Young Adult

26

19%

 

 

 

Middle Adult

32

24%

 

 

 

Older Adult

30

22%

 

 

 

Elder Adult

10

8%

 

 

 

TOTAL

135

100%

Age Parameters are not defined for any population. AANPCB uses growth and development for constructing the certification exams.



FNP DOMAIN 01 - ASSESS

Task 0101: Obtain subjective patient information, such as relevant medical history, social history, family history, chief complaint, history of present illness, and review of systems

Task 0102: Perform physical examination to obtain objective information based on patient age or developmental level, health history, and comorbidities

Task 0103: Order, perform, and interpret screening and diagnostic tests



FNP DOMAIN 02 - DIAGNOSE

Task 0201: Synthesize and analyze subjective and objective information to formulate differential diagnoses

Task 0202: Prioritize potential differential diagnoses, including recognizing urgent and emergent conditions

Task 0203: Establish primary diagnoses



FNP DOMAIN 03 - PLAN

Task 0301: Establish an individualized, patient-centered plan of care that is consistent with best evidence

Task 0302: Make referrals to and engage in consultation within interprofessional teams

Task 0303: Prescribe, order, and administer pharmacologic and non-pharmacologic therapies

Task 0304: Provide education, counselling, and health promotion strategies



FNP DOMAIN 04 - EVALUATE

Task 0401: Evaluate the effectiveness of the plan of care

Task 0402: Identify existing barriers

Task 0403: Modify the plan of care as appropriate based on patient outcomes

Task 0404: Coordinate follow-up and initiate referrals and consultations

Task 0405: Monitor ongoing plan of care


Patient Age Category

# of items

Prenatal

3

Newborn

3

Infant

4

Child

8

Early Adolescent

7

Late Adolescent

12

Young Adult

26

Middle Adult

32

Older Adult

30

Elder Adult

10

 

FNP KNOWLEDGE AREAS


Pathophysiology

  • Anatomy
  • Physiology
  • Pathophysiology
  • Co-morbidities


  • Pharmacology

  • Pharmacologic therapies
  • Non-pharmacologic therapies
  • Integrative therapies
  • Polypharmacy
  • Pain management


  • Physical Assessment

  • Cultural competence/sensitivity
  • Diagnostic and therapeutic tests
  • Functional assessment
  • Health history
  • Mental health assessment
  • Physical examination across the lifespan
  • Signs and symptoms
  • Therapeutic communication


  • Evidence-Informed Practice

  • Clinical decision-making
  • Crisis management
  • Differential diagnosis
  • Health promotion, harm reduction, and disease prevention
  • Healthcare economics
  • Interprofessional practice
  • Legal and ethical issues
  • Patient and family education and counselling
  • Principles of epidemiology, population health, and social determinants of health
  • Procedures
  • Transitions of care