(OCC) Oncology Chemotherapy Certification Practice Test

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OCC Practice Test

Updated for October 2026
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Oncology chemotherapy is a critical aspect of cancer treatment, requiring healthcare professionals to possess specialized knowledge and skills to provide safe and effective care. The Oncology Chemotherapy Certification (OCC) is designed to equip healthcare providers, especially nurses, with the expertise needed to safely administer chemotherapy and manage the complexities associated with cancer treatment. Practice with the free Oncology Chemotherapy Certification practice test on PracticeTestGeeks (7 questions with answer explanations).

This article explores the OCC certification, including its significance, the certification process, benefits, and career opportunities. We will also address frequently asked questions (FAQs) to help you better understand the certification journey and how it can enhance your professional expertise.

Key Takeaways

  • To earn the ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification, you must score 80% or higher on the course post-test and complete the course evaluation. (Oncology Nursing Society)
  • The ONS/ONCC Chemotherapy Immunotherapy Certificate course costs $325 for nonmembers and $234 for ONS members. (Oncology Nursing Society)
  • The ONS/ONCC Chemotherapy Immunotherapy Certificate Renewal course costs $93 for nonmembers and $70 for ONS members. (Oncology Nursing Society)
  • If you fail the ONS/ONCC Chemotherapy Immunotherapy Certificate post-test, you must repurchase the course to retake it; the separate Take 2 course is no longer used. (Oncology Nursing Society)
  • The ONS/ONCC Chemotherapy Immunotherapy Certificate Renewal course allows two attempts to score 80% or higher on the post-test before the course has to be repurchased. (Oncology Nursing Society)
  • The ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification is valid for two years. (Oncology Nursing Society)
  • Holders of the ONS/ONCC Chemotherapy Immunotherapy CAQ must renew it every two years through the Certificate Renewal course, and no more than 30 days after it expires. (Oncology Nursing Society)
  • The ONS/ONCC Chemotherapy Immunotherapy Certificate course is an on-demand online course, and access instructions are emailed right after registration. (Oncology Nursing Society)

Facts verified Oct 21, 2026 against Oncology Nursing Society. Dates that have passed are removed automatically.

OCC Exam at a Glance

ItemDetailOfficial source
Passing score80% or higher on the post-testOncology Nursing Society
Exam fee$325 nonmember / $234 ONS memberOncology Nursing Society
Exam fee (Renewal)$93 nonmember / $70 ONS memberOncology Nursing Society
Retake policyRepurchase the course to retake a failed post-testOncology Nursing Society
Retake policy (Renewal)2 post-test attempts at 80%, then repurchaseOncology Nursing Society
Validity2 yearsOncology Nursing Society
RenewalRenewal course every 2 years, no more than 30 days past expirationOncology Nursing Society
DeliveryOnline, on demandOncology Nursing Society
Late registration deadline (Renewal)Up to 30 days after expiration, with a $35 late feeOncology Nursing Society
Testing window180 days of access from purchaseOncology Nursing Society

Facts verified Oct 21, 2026 against Oncology Nursing Society. Dates that have passed are removed automatically.

Free Oncology Chemotherapy Certification Study Tools

Interactive Oncology Chemotherapy Certification resources on PracticeTestGeeks, free to start:

OCC Practice Test Questions

Prepare for the OCC - Oncology Chemotherapy Certification exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.

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What is Oncology Chemotherapy Certification (OCC)?

The Oncology Chemotherapy Certification (OCC) is a specialized credential for healthcare professionals involved in the administration of chemotherapy. The certification process ensures that healthcare providers, primarily registered nurses, are fully equipped to handle the intricacies of chemotherapy administration, including drug handling, patient care, and managing chemotherapy-related side effects. The certification reflects an advanced level of expertise, marking professionals as proficient in oncology nursing.

Chemotherapy is a potent and often risky treatment modality used in cancer care. It requires highly trained professionals to administer the treatment, monitor patients, and manage any adverse reactions. The OCC certification is crucial because it provides a structured, evidence-based approach to chemotherapy care, ensuring that patients receive the best possible treatment while minimizing risks.

Healthcare professionals with the OCC certification are well-prepared to deal with the complexities of chemotherapy administration, from preparing chemotherapy drugs to responding to side effects and managing patient concerns throughout the treatment process.

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The Process of Obtaining the OCC Certification

Obtaining the Oncology Chemotherapy Certification involves meeting specific eligibility requirements, completing required clinical hours, and passing a comprehensive exam. Below are the main components of the certification process:

Benefits of Obtaining the OCC Certification

Obtaining the OCC certification offers numerous benefits for healthcare professionals. Some of the key advantages include:

Challenges and Considerations

While the OCC certification offers significant career benefits, there are challenges to consider:

Conclusion

The Oncology Chemotherapy Certification (OCC) is an essential credential for healthcare professionals involved in chemotherapy administration. It not only ensures that professionals are equipped with the knowledge to provide safe and effective care but also opens up numerous career opportunities and enhances professional recognition. By obtaining this certification, healthcare providers demonstrate their commitment to excellence in oncology care, ultimately improving patient outcomes and advancing their careers.

Pros

  • Validates your knowledge and skills objectively
  • Increases job market competitiveness
  • Provides structured learning goals
  • Networking opportunities with other certified professionals

Cons

  • Study materials can be expensive
  • Exam anxiety can affect performance
  • Requires dedicated preparation time
  • Retake fees apply if you don't pass

Pros and Cons at a Glance

ProsCons
Validates your knowledge and skills objectivelyStudy materials can be expensive
Increases job market competitivenessExam anxiety can affect performance
Provides structured learning goalsRequires dedicated preparation time
Networking opportunities with other certified professionalsRetake fees apply if you don't pass

Sample Oncology Chemotherapy Certification Practice Questions

Try these questions from our free Oncology Chemotherapy Certification practice tests. The correct answer and an explanation follow each question.

  1. A nurse is assessing a patient 10 days after initiation of a myelosuppressive chemotherapy regimen. Which symptom requires the most urgent intervention?

    • A. Mild fatigue and decreased appetite
    • B. Oral temperature of 38.5°C (101.3°F)
    • C. Grade 1 alopecia noted on scalp
    • D. Mild constipation unrelieved by stool softeners

    Answer: B. Oral temperature of 38.5°C (101.3°F)

    Fever during the nadir period (days 7–14) is a medical emergency suggesting febrile neutropenia and requires immediate blood cultures, CBC, and broad-spectrum antibiotics.

  2. When obtaining informed consent for chemotherapy, which element is ESSENTIAL for the consent to be legally and ethically valid?

    • A. The patient must sign the form in the presence of two witnesses
    • B. The patient must demonstrate decision-making capacity at the time of consent
    • C. The oncologist must administer consent without nursing involvement
    • D. Consent must be obtained at least 48 hours before treatment

    Answer: B. The patient must demonstrate decision-making capacity at the time of consent

    Valid informed consent requires that the patient possess decision-making capacity, receive adequate information, and consent voluntarily.

  3. According to OSHA guidelines, chemotherapy spill kits must contain which item for absorbing liquid spills?

    • A. Standard paper towels
    • B. Plastic sheeting only
    • C. Absorbent pads or towels designed for chemotherapy spills
    • D. Cotton gauze squares

    Answer: C. Absorbent pads or towels designed for chemotherapy spills

    Chemotherapy spill kits must contain chemotherapy-specific absorbent materials that capture and contain the hazardous agent without spreading contamination.

  4. Which personal protective equipment (PPE) component is specifically required when administering aerosolized or nebulized hazardous drugs?

    • A. Standard surgical mask
    • B. N95 respirator or powered air-purifying respirator (PAPR)
    • C. Double nitrile gloves only
    • D. Face shield alone

    Answer: B. N95 respirator or powered air-purifying respirator (PAPR)

    Aerosolized hazardous drugs require respiratory protection beyond a surgical mask; an N95 respirator or PAPR is required to prevent inhalation exposure.

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(OCC) Oncology Chemotherapy Certification Questions and Answers

Who is eligible for the OCC certification?

To be eligible for the OCC certification, applicants must be registered nurses with at least 2 years of experience in oncology care and a specified number of clinical hours working with chemotherapy patients.

How long is the certification valid?

The OCC certification is typically valid for 4 years. To maintain certification, healthcare professionals must complete continuing education and meet other requirements set by the certifying body.

How can I prepare for the OCC certification exam?

Preparation for the OCC exam involves reviewing chemotherapy pharmacology, patient care protocols, and safety guidelines. Study guides, online courses, and review sessions can help ensure success.

What are the career benefits of obtaining the OCC certification?

Obtaining the OCC certification can lead to career advancement, higher salaries, and increased job security in oncology nursing. Certified professionals are recognized for their specialized expertise in chemotherapy care.

How often do I need to renew my certification?

The OCC certification is typically valid for 4 years. Healthcare professionals must complete continuing education and submit their recertification application to maintain their certification.

What is the passing score for the OCC?

To earn the ONS/ONCC Chemotherapy Immunotherapy Certificate of Added Qualification, you must score 80% or higher on the course post-test and complete the course evaluation. (Verified Oct 21, 2026 against Oncology Nursing Society.)

How much does the OCC cost?

The ONS/ONCC Chemotherapy Immunotherapy Certificate course costs $325 for nonmembers and $234 for ONS members. (Verified Oct 21, 2026 against Oncology Nursing Society.)
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