Gerontological Nursing Exam

The Gerontological Nursing Board Certification Exam is computer-based, and consists of a total of 175 questions. While only 150 of these questions are scored, you will not know beforehand, which individual questions will or will not be scored, so you should answer all of them. The exam is 3.5 hours in length.

Examinees who have conditions covered under the Americans with Disabilities Act (ADA) that require special accommodations, must make this request in writing. This request should be on the physician’s letterhead, and include the date of the diagnosis, findings that support the diagnosis, a description of the examinee’s limitations, and accommodation recommendations.

Accommodations can vary from country-to-country, but some common ones include extra time, separate room, anti-glare screen, left-handed mouse, screen magnifier, and adjustable-height table.

What domains of practice, categories, and topics are covered on this exam?

Domain: Assessment (26 questions)

  • Data Collection
    • Norms and variances
    • Elements that impact diagnostic data
  • Data Interpretation
    • Developmental stages
    • Norms and variances
    • Elements that impact diagnostic data

Domain: Plan of Care (35 questions)

  • Planning
    • Nursing diagnoses and problem lists
    • Evidence-based interventions and treatments
    • Care strategies
  • Implementation
    • Creating an environment that is safe and effective
    • Possible treatment modality interactions
    • Special needs of adults when it comes to administering medication
    • Technology and equipment
  • Evaluation and Outcomes
    • Expected and unexpected intervention responses
    • Elements that may contribute to unexpected intervention responses

Domain: Person-Centered Care (43 questions)

  • Communication
    • How it influences health care relationship
    • Barriers
  • Support
    • Family dynamics
    • Advocacy and conflict resolution
    • Coping and defense mechanisms
    • Supports across continuum of care
    • Advocate roles

Domain: Professional Practice (21 questions)

  • Legal and Ethical
    • Considerations
    • Regulatory and accreditation compliance
    • Professional boundaries
    • Documentation guidelines and requirements
  • Leadership
    • Gerontology trends
    • Roles
    • Professional organizations and activities
    • Quality improvement
    • Elements that impact delivery of care

Domain: Health Promotion (25 questions)

  • Education
    • Teaching and learning
    • Methods and modes of education
    • Self-management of disease and conditions
  • Population Health
    • Specific behaviors or needs
    • Interagency collaboration
    • Care delivery models
    • Community resources
    • Barriers to care access

What is the most convenient way to register for this exam?

Online registration is the most convenient way. You can pay using a major credit card. If you are unable to pay via credit card, contact the test center to inquire about paying via personal check, bank check, money order, or wire transfer.

What is the cost of the exam?

As a member of the American Nurses Association, you will pay $270. Non-members will pay $395.

What are the testing dates and locations?

Once your registration has been approved, you will have a 90-day testing window opened to you. You must schedule and complete your exam within this window.

Testing is offered at various sites, year-round.

What should I do the day of the exam?

Arrive at the testing center on time. If you are late, you may not be allowed to test.

Be sure to bring one valid, non-expired form of identification with you. This identification must include your name, signature, and photo.

Various personal items are not allowed in the testing area. Some of these include food/drink, brief case, cell phone, and study materials.

What happens after I take the exam?

Before leaving the testing center, you will receive an unofficial report that indicates whether you have passed or failed the exam. If you pass the exam, within four weeks of your score being released, you will receive your certificate and lapel pin.

What happens if I do not pass the exam?

You are permitted to re-take the exam after a 60-day waiting period. You are allowed to take this exam a maximum of three times in a 12-month period. You must submit a new application before taking the exam each time.

How Can I Prepare for the Gerontological Nurse Test?

That’s a great question.  We’ve broken down the answer into three parts.

  1. Do yourself a favor and study.  Do not walk in unprepared. We have recommended prep materials below, but that only helps if you actually try.  Plus, studying is actually proven to be the best antidote to test anxiety.
  2. Take care of yourself.  Make sure you’re eating well, exercising, and sleeping.  All of these things are scientifically linked to brain performance.  If you take care of your body, you’ll be helping your grades.
  3. Get a study guide or set of flashcards.  Some people study better a certain way. Find your study strengths and make the most of them.  We’ve tried to make it easy for you by tracking down the best study guide and flashcard set for your exam. Below you’ll see links to both!

Study Guide



Last Updated: December 30, 2019