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Key Facts: GERO-BC Exam
150
Total Questions
ANCC GERO-BC handbook
125
Scored Questions
ANCC GERO-BC handbook
3h
Exam Time
ANCC GERO-BC handbook
350
Passing Score
Scaled score (100-500)
$395/$295
Non-member/Member Fee
ANCC fee schedule
5 years
Certification Validity
ANCC renewal requirements
The ANCC Gerontological Nursing Certification (GERO-BC) exam contains 150 questions (125 scored + 25 pretest) administered over 3 hours. The exam covers three domains: Assessment and Diagnosis (31%), Planning/Implementation/Evaluation (34%), and Professional Foundation (35%). The credential demonstrates expertise in gerontological nursing including geriatric syndromes, medication management using Beers Criteria, elder abuse screening, and person-centered care for older adults. Certification is valid for 5 years.
About the GERO-BC Exam
The ANCC Gerontological Nursing Certification (GERO-BC) validates expertise in caring for older adults across three domains: Assessment and Diagnosis (31%): age-related physiological changes, health history, physical and functional assessment, cognitive assessment, screening tools, and diagnostic testing; Planning, Implementation, and Evaluation (34%): care planning, therapeutic interventions, pharmacology and polypharmacy, fall prevention, wound care, dementia and delirium management, and palliative/end-of-life care; Professional Foundation (35%): ethics and advocacy, legal issues, cultural competence, communication, interprofessional collaboration, evidence-based practice, and quality improvement.
Questions
150 scored questions
Time Limit
3 hours
Passing Score
350 (scaled score, max 500)
Exam Fee
$395 (ANCC member $295) (ANCC (American Nurses Credentialing Center))
GERO-BC Exam Content Outline
Assessment and Diagnosis
Age-related physiological changes, health history, physical assessment, functional assessment, cognitive assessment, screening tools (MMSE, MoCA, SLUMS), laboratory values, diagnostic testing, risk assessment, fall assessment, skin integrity, nutritional assessment, pain assessment, elder abuse assessment
Planning, Implementation, and Evaluation
Care planning, person-centered care, therapeutic interventions, pharmacology, polypharmacy and Beers Criteria, medication administration, fall prevention, infection control, wound care, nutrition support, mobility interventions, restraint alternatives, pain management, delirium prevention, dementia care, depression care, palliative and hospice care, caregiver support, outcome evaluation
Professional Foundation
Ethics, advocacy, legal issues, informed consent, advance directives, cultural competence, spiritual care, communication skills, interprofessional collaboration, care coordination, transitions of care, evidence-based practice, quality improvement, patient education, health promotion, disease prevention, professional development, scope of practice, delegation, documentation
How to Pass the GERO-BC Exam
What You Need to Know
- Passing score: 350 (scaled score, max 500)
- Exam length: 150 questions
- Time limit: 3 hours
- Exam fee: $395 (ANCC member $295)
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
GERO-BC Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the GERO-BC exam?
The ANCC Gerontological Nursing exam contains 150 total items: 125 scored questions and 25 unscored pretest questions. Pretest questions cannot be distinguished from scored questions during the exam.
How long is the GERO-BC exam?
ANCC provides 3 hours for the Gerontological Nursing certification examination.
What score is needed to pass GERO-BC?
ANCC uses scaled scoring from 100 to 500 for the GERO-BC exam. The passing score is 350. Your raw score is converted to a scaled score to ensure consistency across different exam forms.
What are the GERO-BC eligibility requirements?
To sit for the GERO-BC exam, you must: (1) Hold a current, active RN license in the US or territory, (2) Have practiced the equivalent of 2 years full-time as an RN, and (3) Have completed 2,000 hours of clinical practice in gerontological nursing within the last 3 years, AND (4) Have completed 30 hours of continuing education in gerontological nursing within the last 3 years.
How much does GERO-BC certification cost?
The GERO-BC exam fee is $395 for non-members and $295 for ANA members. ANA membership is approximately $200/year, so joining saves money if you plan to maintain certification.
How long is GERO-BC certification valid?
GERO-BC certification is valid for 5 years. Renewal requires meeting professional development requirements including practice hours and continuing education in gerontological nursing, OR passing the exam again.
What is the Beers Criteria?
The Beers Criteria for Potentially Inappropriate Medication Use in Older Adults is a list of medications that should generally be avoided in older adults because the risks outweigh the benefits. It is updated periodically by the American Geriatrics Society and is essential knowledge for the GERO-BC exam.