ANCC Gero Review Questions and Answers
with solutions 2025
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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER C. lower rates of decubitus ulcers
Based on a study published by AARP, long-term-care facilities with higher RN staffing levels have
higher quality indicators, including lower rates of decubitus ulcers, indwelling catheter use, and
patient mortality
The process of gerontological nursing certification by the American Nurses Credentialing Center
is best described as a(n)
A. formal process to validate clinical competence in a speciality area of practice
B. formal process to obtain a nursing license
C. informal process necessary for those considering graduate study
D. requirement only for those working in a long-term care - ANSWER A. formal process to
validate clinical competence in a speciality area of practice
Certification is a voluntary process that occurs when a nurse passes an examination developed
by experts in the field, assuring the public and other healthcare professionals that the nurse
possesses knowledge of speciality content in a given area
Mrs. Jones is a 78-year-old female with a history of severe degenerative arthritis of her lower
back. She suffers from chronic pain much of time, rated between 4 and 6 on a 1-10 scale. She
describes the pain as burning and tingling. Over the past few months, she has been on a variety
of analgesics without much effect on her pain. Her current regimen includes tramadol 50 mg
twice daily and gabapentin 300 mg at bedtime. She states that she sleeps well and that, for the
most part, this regimen works better than previous ones that included hydrocodone. This
scenario describes which of the following categories of pain?
A. nociceptive
B. neuropathic
C. visceral
with solutions 2025
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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER C. lower rates of decubitus ulcers
Based on a study published by AARP, long-term-care facilities with higher RN staffing levels have
higher quality indicators, including lower rates of decubitus ulcers, indwelling catheter use, and
patient mortality
The process of gerontological nursing certification by the American Nurses Credentialing Center
is best described as a(n)
A. formal process to validate clinical competence in a speciality area of practice
B. formal process to obtain a nursing license
C. informal process necessary for those considering graduate study
D. requirement only for those working in a long-term care - ANSWER A. formal process to
validate clinical competence in a speciality area of practice
Certification is a voluntary process that occurs when a nurse passes an examination developed
by experts in the field, assuring the public and other healthcare professionals that the nurse
possesses knowledge of speciality content in a given area
Mrs. Jones is a 78-year-old female with a history of severe degenerative arthritis of her lower
back. She suffers from chronic pain much of time, rated between 4 and 6 on a 1-10 scale. She
describes the pain as burning and tingling. Over the past few months, she has been on a variety
of analgesics without much effect on her pain. Her current regimen includes tramadol 50 mg
twice daily and gabapentin 300 mg at bedtime. She states that she sleeps well and that, for the
most part, this regimen works better than previous ones that included hydrocodone. This
scenario describes which of the following categories of pain?
A. nociceptive
B. neuropathic
C. visceral
