Gerontological Nurse Test Study Guide 2026

Everything you need to pass the Gerontological Nurse Test exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

Gerontological Nurse Test exam key facts

  • The ANCC Gerontological Nurse exam has 150 questions, of which 125 are scored and 25 are unscored pretest questions. Source
  • The ANCC Gerontological Nurse exam allows 3 hours to complete. Source
  • To pass the ANCC Gerontological Nurse exam, a candidate must achieve a scaled score of 350 or higher on a 500-point scale. Source
  • The ANCC Gerontological Nurse credential is valid for 5 years. Source
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📋 Gerontological Nurse Test Exam Format at a Glance

150
Questions
180 min
Time Limit
70%
Passing Score

📚 Gerontological Nurse Test Topics to Study (20)

✍️ Sample Gerontological Nurse Test Questions & Answers

1. Validation therapy, developed by Naomi Feil, is primarily used to:
✓ Acknowledge and communicate with patients in their own reality

Validation therapy focuses on empathetically acknowledging the feelings and subjective reality of a person with dementia rather than correcting or reorienting them.

2. The following is the most significant factor linked to nonadherence in older adults:
✓ Low health literacy

Health literacy is directly related to a lack of understanding about the purpose of the therapy and the significance of sustaining adherence, even though many other variables (such as lack of insurance) may also play a role in nonadherence. Patients who are unfamiliar with anatomy, bodily processes, or disease frequently struggle to understand instructions or the advantages of doing so.

3. A nurse is educating an older adult with hypertension on dietary modifications. The DASH diet primarily recommends:
✓ Increased fruits, vegetables, low-fat dairy, and reduced sodium

The DASH (Dietary Approaches to Stop Hypertension) diet emphasizes fruits, vegetables, low-fat dairy, whole grains, lean proteins, and reduced sodium to lower blood pressure.

4. A nurse is implementing universal fall precautions for all hospitalized older adults. Which intervention is a component of universal fall precautions?
✓ Ensuring call lights are within reach and beds are in the lowest position

Universal fall precautions include keeping beds in the lowest position, call lights within reach, non-slip footwear provided, and bed brakes locked—applied to all patients regardless of assessed risk level.

5. The nurse notes that a dying patient's respirations have become irregular with periods of apnea. The nurse recognizes this pattern as:
✓ Cheyne-Stokes respirations, a normal end-of-life change

Cheyne-Stokes respirations—cyclic periods of increasing then decreasing breathing depth with apneic episodes—are a normal physiologic sign of imminent death as brain stem regulation declines.

6. A nurse is discussing advance directives with an older adult patient. The POLST (Physician Orders for Life-Sustaining Treatment) form differs from a living will in that POLST:
✓ Is a physician order that is actionable across all healthcare settings

POLST is a physician order that translates patient wishes into actionable medical orders honored across all care settings, unlike a living will which is a legal directive that must be interpreted.

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Your Gerontological Nurse Test Study Path
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How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. nursingworld.org — Test delivery, eligibility, exam format, test dates, time limit, score validity, passing score, score release · verified Oct 2026
Gerontological Nurse Test Study Guide 2026 — Exam Format & Topics