AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

▶

AOCNP Practice Test

Updated for October 2026
Home›AOCNP

The AOCNP credential from the Oncology Nursing Certification Corporation (ONCC) is for nurse practitioners who work in oncology. This page gives you free practice sets mapped to the official content areas and worked explanations for sample questions. It also lists the main test facts from ONCC: a 3-hour computer-based session at PSI test centers, a $420 fee ($300 for ONS/APHON members), and results on screen as soon as you finish.

AOCNP: upcoming dates and official changes
  • Jan 1, 2027: ONCC expects applications for 2027 international testing for the AOCNP and other ONCC exams to open January 1, 2027.[3]

What changed for AOCNP

The AOCNP takes about 3 hours and costs $420[1] (Oncology Nursing Certification Corporation, verified Oct 25, 2026).

  • The AOCNP test session lasts three hours, including a 15-minute tutorial and a post-test survey.[1]
  • The ONCC test fee for the AOCNP exam is $420 for nonmembers and $300 for ONS/APHON members.[1]
  • ONCC's DoubleTake retake option for the AOCNP exam costs an additional $100 and must be purchased at the time of initial application.[1]
  • AOCNP certification is valid for four years after passing the test.[2]
  • The AOCNP exam is delivered by computer-based testing at more than 1,500 PSI test centers worldwide.[1]
  • AOCNP candidates see on-screen results immediately after the exam and receive an email with printable results within one hour.[1]

Numbers in brackets link to the official sources listed under Sources & last verified. Dates that have passed are removed automatically.

AOCNP Exam at a Glance

ItemDetailSource · Verified
Time limit3 hours (includes 15-minute tutorial and post-test survey)[1]Oncology Nursing Certification Corporation · Oct 25, 2026
Exam fee$420 non-member / $300 ONS/APHON member[1]Oncology Nursing Certification Corporation · Oct 25, 2026
Retake fee$100 DoubleTake option (bought at initial application)[1]Oncology Nursing Certification Corporation · Oct 25, 2026
Validity4 years[2]Oncology Nursing Certification Corporation · Oct 26, 2026
DeliveryComputer-based at 1,500+ PSI test centers[1]Oncology Nursing Certification Corporation · Oct 25, 2026
Score releaseImmediately on screen; emailed results within 1 hour[1]Oncology Nursing Certification Corporation · Oct 25, 2026
Registration opens (International (outside US/territories/Canada))Expected January 1, 2027[3]Oncology Nursing Certification Corporation · Oct 26, 2026

What changed for AOCNP in 2026

What the AOCNP is and how it works

According to Oncology Nursing Certification Corporation, “ONCC examinations are offered by computer-based testing at more than 1,500 PSI test centers worldwide, including hundreds of test centers in the United States.”[1]

The Advanced Oncology Certified Nurse Practitioner (AOCNP) exam is the ONCC certification test for nurse practitioners in oncology care. If you pass, your certification is valid for 4 years.

Delivery and timing: ONCC exams are computer-based and offered at more than 1,500 PSI test centers worldwide. A test session lasts 3 hours. That time includes a 15-minute computer-based testing tutorial before the exam and a post-test survey, so you have a little less than the full session for the questions.

Fees and retakes: The fee is $420 for nonmembers and $300 for ONS/APHON members. There is also an optional $100 DoubleTake fee that covers a retake. You can only buy it at the time of your initial application, so decide before you apply. Check ONCC for the full DoubleTake terms.

Results: You see your result on screen as soon as you finish the exam. An email with printable results arrives within 1 hour of testing. The passing standard and how scores are reported are explained in the ONCC Test Registration Manual.

Eligibility and location: ONCC sets the eligibility requirements, and this page does not repeat them. Confirm them on the official AOCNP page at oncc.org before you apply. Candidates outside the United States, its territories and Canada follow a separate international process. ONCC expects applications for 2027 international testing to open January 1, 2027.

AOCNP content outline and where to practise each area

The content areas below are copied from the official AOCNP content outline published by Oncology Nursing Certification Corporation, with the share of the exam each area carries. The right-hand column shows which of our practice sets covers it.

Official content areaWeightPractice on this site
Cancer Continuum[4]28%AOCNP Cancer Diagnosis, Staging, and Workup
Practise prevention, screening choices, diagnostic workup and staging, and survivorship follow-up across the course of the disease.
Cancer Treatment and Supportive Care[4]45%AOCNP Cancer Pharmacology and Chemotherapy
Drill drug mechanisms, toxicities and dose-limiting effects for chemotherapy, immunotherapy, targeted therapy and radiation, and how to manage symptoms.
Oncologic Emergencies[4]12%AOCNP Oncologic Emergencies
For each emergency, know the warning signs, the confirming test and the first treatment step, including tumor lysis, spinal cord compression, hypercalcemia and neutropenic fever.
Professional Practice and Roles of the APRN[4]5%AOCNP Professional Role, Ethics, and Legal...
Practise ethics, legal duties, reporting channels, scope of practice and evidence-based practice questions where you choose the right order of actions.
Psychosocial Issues[4]10%AOCNP Psychosocial Oncology and Mental Hea...
Practise screening for distress, depression and anxiety, communication with patients and families, and when to refer to supportive services.

AOCNP Practice Test Questions

Prepare for the AOCNP - Advanced Oncology Certified Nurse Practitioner exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.

AOCNP Advanced Oncology Certified Nurse Pr...
AOCNP Exam Questions covering Advanced Oncology Certified Nurse Practitioner. Master AOCNP Test concepts for certification prep.
AOCNP Advance Oncology Nursing
Free AOCNP Practice Test featuring Advance Oncology Nursing. Improve your AOCNP Exam score with mock test prep.
AOCNP Cancer and Oncology Nursing
AOCNP Mock Exam on Cancer and Oncology Nursing. AOCNP Study Guide questions to pass on your first try.
AOCNP Cancer Diagnosis, Staging, and Workup
AOCNP Test Prep for Cancer Diagnosis, Staging, and Workup. Practice AOCNP Quiz questions and boost your score.
AOCNP Cancer Pharmacology and Chemotherapy
AOCNP Questions and Answers on Cancer Pharmacology and Chemotherapy. Free AOCNP practice for exam readiness.
AOCNP Cancer Screening and Early Detection
AOCNP Mock Test covering Cancer Screening and Early Detection. Online AOCNP Test practice with instant feedback.
AOCNP Cancer Screening and Prevention
Free AOCNP Quiz on Cancer Screening and Prevention. AOCNP Exam prep questions with detailed explanations.
AOCNP Clinical Trials and Evidence-Based O...
AOCNP Practice Questions for Clinical Trials and Evidence-Based Oncology Practice. Build confidence for your AOCNP certification exam.
AOCNP Genetics and Genomics in Oncology
AOCNP Test Online for Genetics and Genomics in Oncology. Free practice with instant results and feedback.
AOCNP Hematologic Malignancies
AOCNP Study Material on Hematologic Malignancies. Prepare effectively with real exam-style questions.
AOCNP Immunotherapy and Targeted Therapy
Free AOCNP Test covering Immunotherapy and Targeted Therapy. Practice and track your AOCNP exam readiness.
AOCNP Nutrition, Cachexia, and Supportive ...
AOCNP Exam Questions covering Nutrition, Cachexia, and Supportive Care in Oncology. Master AOCNP Test concepts for certification prep.
AOCNP Oncologic Emergencies
Free AOCNP Practice Test featuring Oncologic Emergencies. Improve your AOCNP Exam score with mock test prep.
AOCNP Palliative Care and Symptom Management
AOCNP Mock Exam on Palliative Care and Symptom Management. AOCNP Study Guide questions to pass on your first try.
AOCNP Professional Role, Ethics, and Legal...
AOCNP Test Prep for Professional Role, Ethics, and Legal Issues in Advanced Practice Oncology Nursing. Practice AOCNP Quiz questions and boost your score.
AOCNP Psychosocial Oncology and Mental Hea...
AOCNP Questions and Answers on Psychosocial Oncology and Mental Health Support. Free AOCNP practice for exam readiness.
AOCNP Radiation Oncology Nursing
AOCNP Mock Test covering Radiation Oncology Nursing. Online AOCNP Test practice with instant feedback.
AOCNP Radiation Therapy Principles and Sid...
Free AOCNP Quiz on Radiation Therapy Principles and Side Effects. AOCNP Exam prep questions with detailed explanations.
AOCNP Surgical Oncology and Perioperative ...
AOCNP Practice Questions for Surgical Oncology and Perioperative Care. Build confidence for your AOCNP certification exam.
AOCNP Survivorship and Long-Term Follow-Up
AOCNP Test Online for Survivorship and Long-Term Follow-Up. Free practice with instant results and feedback.

Worked examples: how to reason through AOCNP questions

These are practice questions written for this site, not questions from the real exam. Each explanation shows why the right answer is right and why the others are wrong.

Example 1

Question: Which validated screening tool is most widely recommended for identifying nutritional risk in hospitalized oncology patients?

  1. BMI calculation alone
  2. NRS-2002 (Nutritional Risk Screening 2002) or MUST (Malnutrition Universal Screening Tool)
  3. Serum albumin level as a sole indicator
  4. 24-hour dietary recall interview

Answer: B. NRS-2002 (Nutritional Risk Screening 2002) or MUST (Malnutrition Universal Screening Tool)

Explanation:

B is correct. NRS-2002 and MUST are validated screening tools built for exactly this job: finding which patients are at nutritional risk. They combine weight status, recent unintended weight loss, reduced intake and illness severity, so they catch patients that any lone measure would miss.

Rule: screen with a validated multi-factor tool, then assess. Never rely on a lone lab value or body measure.

Example 2

Question: A patient is diagnosed with acute promyelocytic leukemia (APL, AML-M3). Which agent is a cornerstone of induction therapy that induces differentiation of malignant promyelocytes?

  1. Cytarabine (ara-C)
  2. Daunorubicin
  3. All-trans retinoic acid (ATRA)
  4. Hydroxyurea

Answer: C. All-trans retinoic acid (ATRA)

Explanation:

C is correct. APL is driven by the PML-RARA fusion protein, which stops promyelocytes from maturing. ATRA acts on this abnormal retinoic acid receptor and lets the cells differentiate. That is why it is a cornerstone of induction, given with arsenic trioxide or an anthracycline.

Rule: in APL, think differentiation therapy first, and watch for differentiation syndrome after ATRA starts.

Example 3

Question: An oncology NP suspects a colleague is documenting chemotherapy administration that was not actually performed. Which action represents the NP's primary professional and legal obligation?

  1. Confront the colleague privately and give them the opportunity to self-report
  2. Report the concern through the institution's established reporting chain or compliance office
  3. Document personal observations carefully and wait for more evidence before acting
  4. Contact the patient's family to alert them to potential care discrepancies

Answer: B. Report the concern through the institution's established reporting chain or compliance office

Explanation:

B is correct. Documenting chemotherapy that was not given is falsification of the medical record. It can be healthcare fraud, and it puts patients at risk. The NP's duty is to report the concern without delay through the institution's established channels, such as a manager, the compliance office, a hotline or risk management.

Rule: when patient safety or record integrity is at stake, report through formal institutional channels. Do not investigate or settle it informally on your own.

How to use these practice tests

Start with the official ONCC content outline. Cancer Treatment and Supportive Care is the largest area, so give it the most time. Cancer Continuum is the next priority.

AOCNP Exam Flashcards

Tap a card to flip it. Facts are taken from the ONCC AOCNP page, Test Content Outline and Test Registration Manual.

📝 📝 How many questions are on the AOCNP exam?
The AOCNP exam has 165 four-option multiple-choice questions and a 3-hour time limit. Only 125 are scored; the other 40 are unmarked pretest items, so treat every question as if it counts.
📊 📊 What score do you need to pass the AOCNP exam?
ONCC reports a scaled score from 25 to 75, and the passing score is a scaled 55. You see an official pass/fail result on screen before leaving the test center, followed by an emailed results report.
💊 💊 Which AOCNP exam domain has the most questions?
Cancer Treatment and Supportive Care is 45% of the test, roughly 56 of the 125 scored questions. It covers systemic, radiation and surgical therapy, transplant, clinical trials and symptom management.
🔬 🔬 How much of the AOCNP exam is the cancer continuum?
The Cancer Continuum domain is 28% of the test, about 35 scored questions. It spans screening and prevention, hereditary risk, diagnosis and staging, survivorship and end-of-life planning.
🚨 🚨 How many oncologic emergency questions are on the AOCNP?
Oncologic Emergencies make up 12% of the test, about 15 scored questions, on risk factors, assessment and interventions. Psychosocial Issues add 10% and Professional Practice and APRN Roles 5%.
💲 💲 How much does it cost to take the AOCNP exam?
ONCC lists the AOCNP test fee as $300 for ONS or APHON members and $420 for non-members. Testing outside the US, its territories or Canada adds a $75 international fee.
🔁 🔁 What happens if you fail the AOCNP exam?
If you bought ONCC DoubleTake ($100, added at initial application), you can retake without paying the full fee again. You must apply for the second attempt within 180 days of the first.
📅 📅 How long do you have to take the AOCNP after applying?
Once ONCC confirms eligibility, PSI emails an Authorization to Test within about 6 weeks. The ATT is valid for 90 days, and you must schedule and sit the exam at a PSI center within that window.
🩺 🩺 How many clinical hours do you need to sit for the AOCNP?
Pathway 1 needs 500 supervised hours as an adult oncology NP after an oncology-focused NP degree. Pathway 2 needs 1,000 hours with an adult, family, gerontology or women’s health NP degree, within the past 5 years.
🧮 🧮 Can you bring a calculator to the AOCNP exam?
No. Personal calculators are not allowed, but a 4-function calculator is built into the test platform. You need two forms of ID, and ONCC tests use generic drug names only.

Sources & last verified

  1. Oncology Nursing Certification Corporation — time limit, exam fee, retake fee, delivery (official source). “ONCC test sessions are three hours, including 15 minutes for a computer-based testing tutorial before the exam and a post-test survey.” Verified Oct 25, 2026.
  2. Oncology Nursing Certification Corporation — validity (official source). “Once you pass the test, your certification is valid for four years.” Verified Oct 26, 2026 · source checked Oct 26, 2026.
  3. Oncology Nursing Certification Corporation — registration opens (official source). “Applications for 2027 international testing are expected to open January 1, 2027.” Verified Oct 26, 2026 · source checked Oct 26, 2026.
  4. Oncology Nursing Certification Corporation — other (official source). “cancer continuum - 28%” Verified Oct 28, 2026.

How we verify: editorial & fact-checking policy. Report an error: contact us.

AOCNP FAQ

How long is the AOCNP exam?

An ONCC test session is 3 hours. That time includes a 15-minute computer-based testing tutorial before the exam and a post-test survey at the end, so the time you have for the questions is a little shorter than the full session. Plan your pacing with that in mind, and check the ONCC Test Registration Manual for the current test-day rules.

How much does the AOCNP exam cost?

The fee is $420 for nonmembers and $300 for ONS/APHON members. ONCC also offers an optional $100 DoubleTake fee that covers a retake. You can only buy it at the time of your initial application, not later, so decide whether you want it before you submit. Confirm current fees in the ONCC Test Registration Manual.

When do I get my AOCNP results?

Right away. ONCC shows your result on screen as soon as you finish the exam. Within 1 hour of testing you also get an email with printable results. You do not need to wait for a mailed score report to know whether you passed. Details on how scores are reported are in the ONCC Test Registration Manual.

Where is the AOCNP exam given?

The exam is computer-based and given at PSI test centers. ONCC says its exams are offered at more than 1,500 PSI test centers worldwide, including centers across the United States. You choose a center and schedule your appointment after ONCC approves your application. Check the ONCC Test Registration Manual for the scheduling steps.

How long is the AOCNP certification valid?

After you pass, your AOCNP certification is valid for 4 years. ONCC sets the renewal requirements and options, which can change, so check the official AOCNP page on oncc.org well before your certification period ends. Keeping records of your practice and learning while certified makes renewal easier.

Can I take the AOCNP exam outside the United States?

Yes, through ONCC's international testing process for candidates outside the United States, its territories and Canada. ONCC expects applications for 2027 international testing to open January 1, 2027. Rules and timing for international candidates differ from those for US candidates, so read ONCC's page for candidates outside the United States before you plan your exam date.

▶ Start Quiz