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OCN Preparation and Resources

The Oncology Nursing Certification Corporation (ONCC) provides a list of recommended references to support candidates preparing for the Oncology Certified Nurse (OCN) exam. These references include essential textbooks and guides that provide valuable insights into oncology nursing practice, including cancer care, treatment modalities, symptom management, and professional practice standards.

BoardCerts integrates these recommended resources and the OCN exam blueprint into our question banks. This ensures the materials are accurate, relevant, and aligned with the competencies required for oncology nursing, providing a comprehensive preparation experience.

Key Concepts on the OCN Exam

Exam Categories: Percentage Distribution

OCN Blueprint and Focus Areas

Area of FocusSubtopicsPercent of Questions

Care Continuum

  • Health promotion and disease prevention
  • Screening and early detection
  • Navigation and coordination of care
  • Advance care planning
  • Epidemiology
  • Survivorship
  • Treatment-related considerations
  • End-of-Life Care

19%

Oncology Nursing Practice

  • Scientific basis
  • Site-specific cancer considerations
  • Scope and Standards of Practice

17%

Treatment Modalities

  • Surgical and procedural interventions
  • Blood and marrow transplant
  • Radiation therapy
  • Chemotherapy
  • Biotherapy
  • Immunotherapy
  • Vascular access devices (VADs) for treatment administration
  • Targeted therapies

19%

Symptom Management and Palliative Care

  • Etiology and patterns of symptoms (acute, chronic, late)
  • Anatomical and surgical alterations (e.g., lymphedema, ostomy, site-specific radiation)
  • Pharmacologic interventions
  • Complementary and integrative modalities (e.g., massage, acupuncture, herbal supplements)
  • Palliative care considerations
  • Alterations in functioning
  • Pain Management

21%

Oncologic Emergencies

  • Disseminated Intravascular Coagulation (DIC)
  • Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
  • Sepsis (Including Septic Shock)
  • Tumor Lysis Syndrome
  • Hypersensitivity
  • Anaphylaxis
  • Hypercalcemia
  • Cardiac Tamponade
  • Spinal Cord Compression
  • Superior Vena Cava Syndrome
  • Increased Intracranial Pressure
  • Obstructions (Bowel and Urinary)
  • Pneumonitis
  • Extravasations
  • Immune-Related Adverse Events
  • Venous Thromboembolism

12%

Psychosocial Dimensions of Care

  • Cultural, spiritual, and religious diversity
  • Financial concerns
  • Altered body image
  • Learning preferences and barriers to learning
  • Social relationships and family dynamics
  • Coping mechanisms and skills
  • Support
  • Psychosocial distress
  • Sexuality

12%

Reference: ONCC Exam Preparation

OCN Resources

The BoardCerts OCN question bank is meticulously designed to align with the official exam blueprint, ensuring candidates focus on the most relevant topics for success.

Additionally, the exam candidate handbook provides the following resources as supplemental materials to support exam preparation:

  • Access Device Guidelines: Recommendations For Nursing Practice And Education, Oncology Nursing Society
  • Core Curriculum for Oncology Nursing, Elsevier
  • Psychosocial Nursing Care along the Cancer Continuum, Oncology Nursing Society
  • Cancer Basics, Oncology Nursing Society
  • Cancer Survivorship: Interprofessional, Patient-Centered Approaches to the Seasons of Survival, Oncology Nursing Society
  • Understanding and Managing Oncologic Emergencies: A Resource for Nurses, Oncology Nursing Society
  • Breaking The Silence on Cancer And Sexuality: A Handbook for Healthcare Providers, Oncology Nursing Society
  • Understanding Genomic and Hereditary Cancer Risk: A Handbook for Oncology Nurses, Oncology Nursing Society
  • Mosby’s Oncology Nursing Advisor: A Comprehensive Guide to Clinical Practice, Elsevier
  • Manual for Radiation Oncology Nursing Practice and Education, Oncology Nursing Society
  • Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice, Oncology Nursing Society
  • Safe Handling of Hazardous Drugs, Oncology Nursing Society
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