PMHNP-BC Practice Test 2026 — Free PMHNP-BC Exam Prep Questions
The PMHNP-BC is ANCC's board certification for psychiatric-mental health nurse practitioners who assess, diagnose and treat patients across the lifespan. Our practice set follows the ANCC test content outline with vignettes on psychopharmacology, DSM-5-TR diagnosis, screening and risk assessment, psychotherapy models, and the ethical and legal side of psychiatric practice.
During a session, a patient calmly states that he intends to kill his former business partner, names him and says he has bought a knife for the purpose. The threat appears serious. What is the most appropriate action?
PMHNP-BC format, scoring & key facts
Computer-based at Prometric test centers, within a 120-day testing window.
Facts last verified Oct 5, 2026. Source: www.nursingworld.org/globalassets/pmhnp-tco_08292025-for-webposting.pdf. Always confirm details with ANCC before your exam.
When can you take the PMHNP-BC?
Plan backwards from your exam date
What the PMHNP-BC covers
Every PrepBanq PMHNP-BC test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Scientific FoundationAdvanced pathophysiology, pharmacology and psychopharmacology, neurodevelopment, neuroanatomy, neurophysiology, psychogenomics and advanced physical assessment. | 22% | ~33 | 6 questions → |
Advanced Practice SkillsClinical interviewing, health promotion, screening tools, mental status exam, psychiatric emergencies, psychoeducation, recovery, risk assessment and substance use screening. | 27% | ~41 | 7 questions → |
Diagnosis and TreatmentDSM-5-TR criteria, differential diagnosis, lab and diagnostic test use, complementary treatments, evidence-based practice and medication management. | 22% | ~33 | 5 questions → |
Psychotherapy and Related TheoriesPsychotherapy principles, change, developmental and family theories, and building and managing the therapeutic alliance. | 11% | ~17 | 3 questions → |
Ethics, Legal Principles, and Cultural CareInformed consent, confidentiality and duty to warn, ANA PMH scope and standards, cultural competence, equity, clinical ethics and patient advocacy. | 17% | ~26 | 4 questions → |
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PMHNP-BC FAQ
How many questions are on the PMHNP-BC?
The PMHNP-BC has 175 questions (150 of them scored) and you have 3 hours 30 minutes to finish.
How long is the PMHNP-BC exam?
Testing time for the PMHNP-BC is 3 hours 30 minutes.
What is on the PMHNP-BC?
The PMHNP-BC covers Scientific Foundation (about 22%), Advanced Practice Skills (about 27%), Diagnosis and Treatment (about 22%), Psychotherapy and Related Theories (about 11%), Ethics, Legal Principles, and Cultural Care (about 17%).
Who administers the PMHNP-BC?
The ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC) Exam is administered by ANCC. Delivery: Computer-based at Prometric test centers, within a 120-day testing window.
Is there a free PMHNP-BC practice test?
Yes. PrepBanq has 3 free PMHNP-BC practice tests with 25 exam-style questions in the real PMHNP-BC formats, and every answer is explained. No credit card is needed.
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