The certification test a three-hour, 165 multiple-choice question test is based on the AOCNS® Test Content Outline (Test Blueprint). The Test Content Outline is based on the results of a role delineation study of advanced oncology nursing practice completed in 2014.
The AOCNS Test Content Outline includes eleven major subject areas, each with a percentage assigned to it. Many nurses who have passed the test tell us the Test Content Outline was essential in helping them know what areas to study. Remember, only generic drug names are used on ONCC tests. Once you pass the exam, your certification is valid for four years.
AOCNS examinations are offered throughout the year. Candidates will apply at any time they meet the eligibility criteria. AOCNS candidates should allow 4–6 weeks following application to receive their Authorization to Test (ATT), which will confirm eligibility to test and contain the information needed to make a testing appointment. The ATT will be valid for 90 days. It is the candidate’s responsibility to schedule a testing appointment and take the test prior to the expiration of the ATT.
Make sure you are prepared for your Advanced Oncology Certified Clinical Nurse Specialist (AOCNS) TEST. McRee Learning Center can help.


Advanced Oncology Certified Clinical Nurse Specialist (AOCNS) TEST - Sample
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Question 1 of 10
1. Question
A significant contributing factor to the lower five-year cancer survival rates among African Americans is:
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Question 2 of 10
2. Question
The APN palpates an abdominal mass in a patient with a chief complaint of flank pain and gross hematuria. The APN recommends a
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Question 3 of 10
3. Question
To reduce hematologic and gastrointestinal toxicities in a patient receiving pemetrexed and cisplatin, the APN recommends:
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Question 4 of 10
4. Question
The APN assesses a patient receiving prophylactic cranial radiation for small cell lung cancer, a patient receiving interferon for melanoma, and a patient receiving doxorubicin and cyclophosphamide every three weeks for breast cancer. The most common side effect likely to be experienced by all three patients is:
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Question 5 of 10
5. Question
A patient receiving chemotherapy states, �The doctor says that if things do not improve after this round, he may change the chemotherapy. These treatments are getting rougher, and I don't know if I can continue. I have been reading about the macrobiotic diet. What do you think about it?� The APN's best response is:
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Question 6 of 10
6. Question
A significant contributing factor to the lower five-year cancer survival rates among African Americans is:
CorrectIncorrect -
Question 7 of 10
7. Question
The APN palpates an abdominal mass in a patient with a chief complaint of flank pain and gross hematuria. The APN recommends a
CorrectIncorrect -
Question 8 of 10
8. Question
To reduce hematologic and gastrointestinal toxicities in a patient receiving pemetrexed and cisplatin, the APN recommends:
CorrectIncorrect -
Question 9 of 10
9. Question
The APN assesses a patient receiving prophylactic cranial radiation for small cell lung cancer, a patient receiving interferon for melanoma, and a patient receiving doxorubicin and cyclophosphamide every three weeks for breast cancer. The most common side effect likely to be experienced by all three patients is:�
CorrectIncorrect -
Question 10 of 10
10. Question
A patient receiving chemotherapy states, �The doctor says that if things do not improve after this round, he may change the chemotherapy. These treatments are getting rougher, and I don't know if I can continue. I have been reading about the macrobiotic diet. What do you think about it?� The APN's best response is:
CorrectIncorrect