About this site · method
Where each OCN figure here was read
Oncology Nursing Exam is run independently as a study resource for nurses heading into ONCC certification exams, beginning with the OCN. No certifying body, society, publisher or test vendor writes, reviews or pays for these pages. This page sets out the method: which documents count, how a figure gets its date, what we decline to print, and what a practice question passes through before it is published.
The ONCC papers behind the tables
Exam rules here come from ONCC's own publications, and from nowhere else:
- the 2026 Certification Test Registration Manual (eligibility, fees, test day, scoring, retakes), valid from January 1, 2026;
- the 2026 OCN Test Content Outline, and the 2025 OCN Test Content Outline for comparison;
- the Certification Renewal Manual effective 2026 and ONCC's renewal fee and ILNA pages;
- the examination statistics ONCC posts each year, 2022 to 2025, and its 2025 annual report for holder counts;
- the ONCC credential pages.
Three outside documents are used for one narrow purpose each: the ONS course page for what the chemotherapy certificate is, PSI's ONCC page for finding a test center, and the BPS BCOP Examination Specifications (2026) for the pharmacist credential named on the home page. Prep companies, discussion boards and card decks are not sources, even when a number they print turns out to be right.
From a PDF page to a table row
- Read it in the document. The figure is copied from the PDF or web page, together with the page number.
- Write it down with its date. Each row shows the day the source was read, so the age of every figure is visible.
- Mark what can move. Fees, launch dates and holder counts carry a note that they belong to a year or a schedule; a fee shown here is the 2026 one, not a promise for 2027.
- Settle conflicts in the open. When two ONCC documents disagree, as the manual and the OCN web page do about the year of the role study behind the outline, the table follows the manual and the row says that the other source differs.
- Write dates that stay true. A rule that changes on a known day is written with that day in it, so the sentence still reads right after the change.
Numbers we print only one way, or not at all
- Pass rates are the rate for first-time candidates, always with the year. ONCC's statistics also list repeat candidates, and a total that mixes the groups is not comparable from year to year, so it is not shown.
- Weights belong to the OCN outline's six content areas. A topic page shows the weight of the area it sits in, never a percentage for the topic itself. ONCC gives no per-area question count; the approximate scored count on the OCN page is our arithmetic using ONCC's own rule, weight × 145 scored questions (manual, p. 6), rounded. Topics get no count.
- Course prices that a provider does not post are left blank rather than taken from a third party; that is why the ONS chemotherapy course appears without a price.
- Coming exams such as ROCN™ get no pass rate or holder count until ONCC publishes one.
Clinical content is checked against guidelines
OCN questions are clinical, and a study item can be wrong in a way that looks plausible. Practice questions and topic pages are therefore checked against current published guidance rather than an older explanation. Examples:
- chemotherapy safety: the ASCO-ONS Antineoplastic Therapy Administration Safety Standards (2024), USP General Chapter <800> (official 2019) and the NIOSH List of Hazardous Drugs in Healthcare Settings, 2024;
- treatment and symptoms: the NCCN Guidelines (current versions), the MASCC/ISOO mucositis guidelines (2020) and the ASH guidelines on venous thromboembolism in cancer (2021);
- fever and neutropenia: the IDSA guideline (Freifeld and colleagues, 2011) and the ASCO/IDSA outpatient guideline (2018);
- grading: the NCI's CTCAE v6.0 (2025); under the NCI CTCAE v6.0 Implementation FAQs (2025), NCI-supported studies already reporting in v5.0 stay on it, so a grade taken from such a source is cited as v5.0; the ASTCT consensus grading for CRS and ICANS (2019) and the NIH consensus criteria for chronic GVHD (2005, revised 2014);
- screening: USPSTF recommendations and the American Cancer Society screening guidelines;
- individual drugs: FDA labeling.
Where a page relies on one of them, it names the source, with its year or edition in the page's Sources list. The material is for exam study, not clinical advice; in practice, follow your institution's policies, the current guideline and the prescriber's order.
How a practice question gets onto a page
Each question belongs to a single topic page. It has four options and one keyed answer, and uses generic drug names, as ONCC's tests do. A note sits under each answer choice, the wrong choices too, naming the idea behind it. Before publication each question goes through a separate review pass, not the one that wrote it, checking for a single defensible answer, for agreement with current guidance, and against every other question here so that no idea is tested twice. Most items start in the question banks behind our study apps and are rewritten and re-checked for these pages; none is copied from ONCC's practice tests.
Textbooks, outlines and marks
The ONCC outlines, the Core Curriculum for Oncology Nursing and the ONS Chemotherapy and Immunotherapy Guidelines (both on ONCC's 2026 OCN reference list) are copyrighted. Pages cite them by title and edition so you can locate the copy ONCC lists, describe their content in our own words, and keep quotations to a few words. OCN®, CBCN® and CPHON® are registered marks and TCTCN™ and ROCN™ are marks of ONCC; they identify the credential a page is about.
Who pays for the site
The site has no tie to ONCC, ONS, APHON or PSI. Its one commercial element is a button that opens a phone study app for the same exam. No account is needed for any table, topic page or question, and the app has no say in what they report. What a tap on that button records is described under Privacy; where to ask about your own application is on Contact.
Documents this page cites
- 2026 Certification Test Registration Manual oncc.org
- 2026 OCN Test Content Outline oncc.org
- 2025 OCN Test Content Outline oncc.org
- Certification Renewal Manual oncc.org
- ONCC credential pages oncc.org
- ONS course page ons.org
- PSI's ONCC page test-takers.psiexams.com
- BPS BCOP Examination Specifications (2026) bpsweb.org
- ASCO-ONS Antineoplastic Therapy Administration Safety Standards (2024) asco.org
- USP General Chapter <800> (official 2019) usp.org
- NIOSH List of Hazardous Drugs in Healthcare Settings, 2024 cdc.gov
- NCCN Guidelines nccn.org
- MASCC/ISOO mucositis guidelines (2020) doi.org
- ASH guidelines on venous thromboembolism in cancer (2021) doi.org
- IDSA guideline (Freifeld and colleagues, 2011) doi.org
- ASCO/IDSA outpatient guideline (2018) doi.org
- CTCAE v6.0 (2025) dctd.cancer.gov
- NCI CTCAE v6.0 Implementation FAQs (2025) dctd.cancer.gov
- ASTCT consensus grading for CRS and ICANS (2019) doi.org
- NIH consensus criteria for chronic GVHD (2005, revised 2014) doi.org
- USPSTF recommendations uspreventiveservicestaskforce.org
- American Cancer Society screening guidelines cancer.org
- FDA labeling accessdata.fda.gov
- ONCC's 2026 OCN reference list oncc.org