ANCC
GERONTOLOGICAL
NURSING
QUESTIONS AND
ANSWERS NEW
UPDATE EXAM
2026
When an older patient is hospitalized, Medicare reimburses for this inpatient care
by which of the following mechanisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap - B. Medicare A
Gerontological nurses are expected to evaluate research to implement evidence-
based practice. Which of the following studies provides the strongest evidence to
change practice?
A. Randomized control clinical trial
B. Qualitative phenomenological study
C. In-depth case study
,D. Cohort study - A. Randomized control clinical trial
A randomized clinical trial is considered the "gold standard" and the highest level of
research evidence. The randomized design eliminates selection bias, and the control and
experimental groups provide evidence that any differences in outcomes at the end of the
study are due to the study intervention and not chance. phenomenological qualitative study
and a case study enable understanding of one person's "lived experience" which may or
may not be typical of others. Outcomes from a cohort study may reflect differences in age
groups found as a result of historical events and not necessarily changes as a result of
research interventions
The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing"
advances which of the following positions?
A. Nursing faculty will be required to pursue postdoctoral training
B. Nursing curriculum will require advanced aging content
C. Physicians will no longer be allowed to direct care in long-term-care facilities
D. Nurses should practice to the full extent of their education and training - D. Nurses
should practice to the full extent of their education and training
Nurses should be full partners with other professionals when redesigning the healthcare
system, nurses should achieve higher levels of education and have opportunities for
seamless academic progression, and nurses should participate in effective workforce
planning and policy-making with a better data collection and information infrastructure
The biggest risk factor for developing a cognitive impairment is:
A. socioeconomic status
B. poor nutrition
C. age
D. female gender - c. age
Cognitive impairments become more common with advanced age across all
categories of older people
, A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had difficulty
finding words, felt weak, and noticed her right hand felt numb for several hours. Although
she has recovered most of her function, she continues to have difficulty with her short-term
memory. The most likely cause of these symptoms
A. Alzheimer's disease
B. organic delusional syndrome
C. vascular dementia
D. acute depressive syndrome - C. vascular dementia
Is associated with sudden acute events, such as transient ischemic attacks or small strokes.
Clinically, older patients suffering from vascular events will have sudden-onset presentation
of their symptoms rather than slow, insidious onset An 85-year-old woman with advanced
cancer asks the nurse, "what is wrong with me? My doctor won't tell me anything. The
chemotherapy is making me sick and if I knew it wasn't helping, I would stop taking it." The
nurse decides to tell the patient the truth. Which ethical principle is the nurse upholding?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - B. Autonomy
By telling the patient the truth about the cancer diagnosis, the nurse is supporting autonomy
by providing information that supports self-determination. Justice involves treating patients
fairly, nonmaleficence involves doing no harm, and fidelity involves faithful performance of
duties and obligation to meet the needs of patients
Higher RN staffing levels in long-term-care settings are known to be associated
with which of the following factors?
A. lower costs to the facility
B. higher fall rates
C. lower rates of decubitus ulcers
D. more medication use - C. lower rates of decubitus ulcers
GERONTOLOGICAL
NURSING
QUESTIONS AND
ANSWERS NEW
UPDATE EXAM
2026
When an older patient is hospitalized, Medicare reimburses for this inpatient care
by which of the following mechanisms?
A. Medicare B
B. Medicare A
C. Medicare D
D. Medigap - B. Medicare A
Gerontological nurses are expected to evaluate research to implement evidence-
based practice. Which of the following studies provides the strongest evidence to
change practice?
A. Randomized control clinical trial
B. Qualitative phenomenological study
C. In-depth case study
,D. Cohort study - A. Randomized control clinical trial
A randomized clinical trial is considered the "gold standard" and the highest level of
research evidence. The randomized design eliminates selection bias, and the control and
experimental groups provide evidence that any differences in outcomes at the end of the
study are due to the study intervention and not chance. phenomenological qualitative study
and a case study enable understanding of one person's "lived experience" which may or
may not be typical of others. Outcomes from a cohort study may reflect differences in age
groups found as a result of historical events and not necessarily changes as a result of
research interventions
The landmark Institute of Medicine (IOM) report entitled "The Future of Nursing"
advances which of the following positions?
A. Nursing faculty will be required to pursue postdoctoral training
B. Nursing curriculum will require advanced aging content
C. Physicians will no longer be allowed to direct care in long-term-care facilities
D. Nurses should practice to the full extent of their education and training - D. Nurses
should practice to the full extent of their education and training
Nurses should be full partners with other professionals when redesigning the healthcare
system, nurses should achieve higher levels of education and have opportunities for
seamless academic progression, and nurses should participate in effective workforce
planning and policy-making with a better data collection and information infrastructure
The biggest risk factor for developing a cognitive impairment is:
A. socioeconomic status
B. poor nutrition
C. age
D. female gender - c. age
Cognitive impairments become more common with advanced age across all
categories of older people
, A 76 year old woman presents at an ambulatory clinic. About 2 weeks ago, she had difficulty
finding words, felt weak, and noticed her right hand felt numb for several hours. Although
she has recovered most of her function, she continues to have difficulty with her short-term
memory. The most likely cause of these symptoms
A. Alzheimer's disease
B. organic delusional syndrome
C. vascular dementia
D. acute depressive syndrome - C. vascular dementia
Is associated with sudden acute events, such as transient ischemic attacks or small strokes.
Clinically, older patients suffering from vascular events will have sudden-onset presentation
of their symptoms rather than slow, insidious onset An 85-year-old woman with advanced
cancer asks the nurse, "what is wrong with me? My doctor won't tell me anything. The
chemotherapy is making me sick and if I knew it wasn't helping, I would stop taking it." The
nurse decides to tell the patient the truth. Which ethical principle is the nurse upholding?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - B. Autonomy
By telling the patient the truth about the cancer diagnosis, the nurse is supporting autonomy
by providing information that supports self-determination. Justice involves treating patients
fairly, nonmaleficence involves doing no harm, and fidelity involves faithful performance of
duties and obligation to meet the needs of patients
Higher RN staffing levels in long-term-care settings are known to be associated
with which of the following factors?
A. lower costs to the facility
B. higher fall rates
C. lower rates of decubitus ulcers
D. more medication use - C. lower rates of decubitus ulcers
