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Advanced Oncology Certified Nurse Practitioner (AOCNP®) — Requirements & Free Practice

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Advanced Oncology Certified Nurse Practitioner (AOCNP®)

ONCC specialty certification for graduate-prepared nurse practitioners practicing in adult oncology, earned by eligible initial applicants who pass the AOCNP examination.

Licensing authority: Oncology Nursing Certification Corporation · Application information

Initial by examination
Advanced Oncology Certified Nurse Practitioner (AOCNP®) certification examination
Applicant
Initial candidates, including formerly certified nurses whose certification lapsed; all criteria must be met at application and examination.
Eligibility Alternatives
[{"education":"Graduate degree from accredited NP program with concentration in oncology.","officialPathway":"Pathway 1","practice":"500 hours supervised adult oncology NP clinical practice, obtained within and/or following the graduate program, within the preceding five years."},{"education":"Graduate degree from accredited NP program with concentration in adult (primary or acute), family (across lifespan), gerontology, or women’s health.","officialPathway":"Pathway 2","practice":"1,000 hours adult oncology NP practice, obtained within and/or following the graduate program, within the preceding five years."}]
Licensure
Current, active, unencumbered RN license in the US, its territories or Canada; nurses educated and/or licensed outside these jurisdictions must have education and licensure evaluated for equivalency by a foreign credential evaluation service, and only those whose evaluation indicates U.S. equivalency are eligible to apply for certification.
Practice Definition
Direct and/or indirect patient care, administration, education, research or consultation in the credential specialty, in a position requiring RN/APRN; an employer job description is requested if the title does not clearly show a nursing role.
Result
Passing the same AOCNP examination after eligibility approval earns certification; eligibility pathways create no additional examinations.
Shared Education
At least one graduate-level oncology course of 2 credits OR 30 oncology nursing CE contact hours within five years (60 months) before application; contact hours must be provided or formally approved by an acceptable accredited CNE/NCPD provider or approver. Joint Accreditation/IPCE hours must specify ANCC, ACCME or ACPE.

Advanced Oncology Certified Nurse Practitioner (AOCNP®) certification examination

Provider
ONCC; computer-based delivery through PSI test centers
Format
Multiple choice, four options with one correct answer
Exam questions
Total questions: 165; Scored questions: 125; Unscored questions: 40; The total includes the scored and unscored questions.
Time limit
Three-hour test session, including 15 minutes for the tutorial and post-test survey
Passing score
Scaled score of 55 (scale 25-75)
Exam fee
ONS/APHON member: USD 300; nonmember: USD 420
Examination outline
  • Cancer Continuum (28%)
    • Screening and Prevention
    • Assessment and Diagnosis
    • Plan of care across the cancer continuum
  • Cancer Treatment and Supportive Care (45%)
    • Clinical trials and research studies
    • Systemic therapy
    • Localized therapy
    • Surgical interventions
    • Radiation therapy
    • Blood and marrow transplantation
    • Multimodal therapy
    • Complementary, alternative, and integrative therapies
    • Etiology, incidence, and patterns for treatment-related symptoms
    • Response to therapy
    • Palliative care
    • Pharmacologic interventions for symptom management
    • Nonpharmacologic interventions for symptom management
    • Interrelationship between disease, treatment, and comorbid conditions
    • Controlled substance safety
  • Oncologic Emergencies (12%)
    • Etiology, risk factors, and prevention strategies
    • Assessment strategies
    • Interventions for treatment
  • Psychosocial Issues (10%)
    • Psychosocial assessment instruments, tools, and questionnaires
    • Risk factors and at-risk populations
    • Psychosocial and emotional sequelae of disease and treatment
    • Psychiatric and psychosocial comorbidities
    • Community resources
  • Professional Practice and Roles of the APRN (5%)
    • Cultural competence and implicit bias
    • Legal and regulatory requirements
    • Accreditation standards
    • Ethical/legal issues
    • Advanced practice standards of care
    • Outcomes of APRN interventions and evidence-based care on individuals, groups, and systems
    • Quality improvement strategies
    • Competency evaluation of self and others
    • Peer education and support
Examination sources