2026 OCN Oncology Certified Nurse Exam New
Latest Version with All Questions from Actual
Exam 100% Correct Answers and Rationale
Cerebellum (or Brainstem) - answers -Controls coordination, motor learning, and the autonomic
nervous system.
Signs & Symptoms of Pancreatic Cancer - answers -Often no symptoms in early stages.
Symptoms typically begin once advanced and and spread to other organs. No screening tests.
Symptoms include fatigue, weight loss, anorexia, abd pain, jaundice, itchy skin, tea-colored
urine, back pain, ascites once advanced, loose foul smelling greasy stools, as well as late-onset
diabetes.
Signs & Symptoms of Hepatocellular Carcinoma - answers -Historically, no symptoms. If
symptomatic, typically advanced disease. These include unintentional weight loss, early satiety,
N/V, enlarged liver or spleen, abdominal pain or right shoulder pain, abdominal ascites, severe
itching, jaundice of skin or sclera, and coagulation alteration.
Anal Cancer Risk Factors - answers -Multiple sexual partners (>10 in lifetime); History of STDs,
HPV infection (squamous cell correlation); HIV infection; cigarette smoking.
Signs & Symptoms of Anal Cancer - answers -Rectal bleeding; Anal itching; Lump or mass at the
anal opening; Pain or feeling of fullness in the anal area; Narrow stools; Change in the bowel
habits; Discharge from the anus; Swollen lymph nodes in anal and groin area; Incontinent of
stool.
, Signs & Symptoms of Esophageal Ca - answers -Dysphagia, Weight loss/anorexia, Painful
swallowing, regurgitating food that has not yet been digested, deficiency anemia, Hoarseness,
and Hiccups.
Gastric CA Risk Factors - answers -Increased age; More common in males; Cigarette smoking;
Alcohol intake; Diet rich in salt, smoked foods; Diet low in fruits and vegetables; Vitamin
deficiency; First degree relative with cancer; Previous GI condition (H. plyori, chronic gastritis,
pernicious anemia, intestinal metaplasia, gastric polyps, Epstein-Barr virus).
Signs & Symptoms of Gastric CA - answers -Indigestion, Stomach discomfort/pain; Bloating;
Nausea/vomiting; Early satiety; Decreased or loss of appetite; Weight loss; Blood in stool.
Risk Factors for Renal Cancer - answers -Smoking; Obesity; Hypertension (controlled); Family
History; Exposure to trichloroethylene (TCE); Extended use of acetaminophen; Genetic
predispositions.
Risk Factors for Bladder Cancer - answers -Obesity, smoking, family history, genetic
predisposition, and age.
Exposure to chemicals, i.e. benzidine and beta-naphthylamine.
Occupational risk factors: printers, textile workers, painters, machinists, truck drivers, and
hairdressers.
Recurrent bladder infections, ingestion of arsenic, and decreased fluid intake.
Risk Factors of Testicular Cancer - answers -Primary risk factor = cryptorchidism (undescended
testicle).
Other risk factors include age; height (taller men); personal or family history; HIV infection; Race
and ethnicity (Europe and US are at increased risk).
Signs & Symptoms of Ovarian Cancer - answers -Most common symptoms include a decreased
appetite, abdominal distention and pain, unintentional weight loss, and frequent urination.
Latest Version with All Questions from Actual
Exam 100% Correct Answers and Rationale
Cerebellum (or Brainstem) - answers -Controls coordination, motor learning, and the autonomic
nervous system.
Signs & Symptoms of Pancreatic Cancer - answers -Often no symptoms in early stages.
Symptoms typically begin once advanced and and spread to other organs. No screening tests.
Symptoms include fatigue, weight loss, anorexia, abd pain, jaundice, itchy skin, tea-colored
urine, back pain, ascites once advanced, loose foul smelling greasy stools, as well as late-onset
diabetes.
Signs & Symptoms of Hepatocellular Carcinoma - answers -Historically, no symptoms. If
symptomatic, typically advanced disease. These include unintentional weight loss, early satiety,
N/V, enlarged liver or spleen, abdominal pain or right shoulder pain, abdominal ascites, severe
itching, jaundice of skin or sclera, and coagulation alteration.
Anal Cancer Risk Factors - answers -Multiple sexual partners (>10 in lifetime); History of STDs,
HPV infection (squamous cell correlation); HIV infection; cigarette smoking.
Signs & Symptoms of Anal Cancer - answers -Rectal bleeding; Anal itching; Lump or mass at the
anal opening; Pain or feeling of fullness in the anal area; Narrow stools; Change in the bowel
habits; Discharge from the anus; Swollen lymph nodes in anal and groin area; Incontinent of
stool.
, Signs & Symptoms of Esophageal Ca - answers -Dysphagia, Weight loss/anorexia, Painful
swallowing, regurgitating food that has not yet been digested, deficiency anemia, Hoarseness,
and Hiccups.
Gastric CA Risk Factors - answers -Increased age; More common in males; Cigarette smoking;
Alcohol intake; Diet rich in salt, smoked foods; Diet low in fruits and vegetables; Vitamin
deficiency; First degree relative with cancer; Previous GI condition (H. plyori, chronic gastritis,
pernicious anemia, intestinal metaplasia, gastric polyps, Epstein-Barr virus).
Signs & Symptoms of Gastric CA - answers -Indigestion, Stomach discomfort/pain; Bloating;
Nausea/vomiting; Early satiety; Decreased or loss of appetite; Weight loss; Blood in stool.
Risk Factors for Renal Cancer - answers -Smoking; Obesity; Hypertension (controlled); Family
History; Exposure to trichloroethylene (TCE); Extended use of acetaminophen; Genetic
predispositions.
Risk Factors for Bladder Cancer - answers -Obesity, smoking, family history, genetic
predisposition, and age.
Exposure to chemicals, i.e. benzidine and beta-naphthylamine.
Occupational risk factors: printers, textile workers, painters, machinists, truck drivers, and
hairdressers.
Recurrent bladder infections, ingestion of arsenic, and decreased fluid intake.
Risk Factors of Testicular Cancer - answers -Primary risk factor = cryptorchidism (undescended
testicle).
Other risk factors include age; height (taller men); personal or family history; HIV infection; Race
and ethnicity (Europe and US are at increased risk).
Signs & Symptoms of Ovarian Cancer - answers -Most common symptoms include a decreased
appetite, abdominal distention and pain, unintentional weight loss, and frequent urination.
