10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The OPN-CG exam has 120 questions and runs 3 hours.
These 10 free OPN-CG questions are organized by exam domain, so you can see how each part of the Oncology Patient Navigator-Certified Generalist (OPN-CG) blueprint is tested. Reveal the answer and explanation under each question.
Two radiation appointments have been missed despite an approved transportation benefit. The patient explains that the county van cannot reach the cancer center before 10 a.m., but treatment is booked for 8 a.m. each weekday. Four weeks of treatment remain, and the patient wants to attend. Which plan most directly addresses the recurring barrier?
Correct answer: C - Coordinate later treatment slots with confirmed van pickup and return arrangements.
Eight days after chemotherapy for lymphoma, a patient calls the navigator. His temperature was 38.6°C (101.5°F) an hour ago. He took acetaminophen without contacting the team; it is now 37.3°C (99.1°F), and he feels better. He asks whether he can wait for tomorrow's scheduled blood test. The navigator's immediate priority is to:
Correct answer: D - Connect him with urgent oncology assessment now, reporting the fever and acetaminophen use.
After external-beam radiation to the breast, a patient stops hugging her young grandchild because she fears exposing him to radiation. She has no radioactive implant and has received no radioactive medicine. Which fact belongs in the navigator's explanation?
Correct answer: A - External-beam treatment does not leave the patient radioactive after a session.
A 52-year-old with no gastrointestinal symptoms has a positive fecal immunochemical test (FIT). While awaiting the recommended colonoscopy, he repeats a home FIT and gets a negative result. He asks to cancel the colonoscopy because 'the second test cleared it up.' Under the USPSTF colorectal screening recommendation, what follow-up remains appropriate?
Correct answer: A - Complete the recommended colonoscopy to evaluate the original positive result.
Before a covered, in-network outpatient service, a patient receives an $8,000 provider estimate. The insurer confirms an allowed amount of $5,000, a remaining deductible of $500, and 20% coinsurance after the deductible. Only $1,100 remains before the patient's in-network out-of-pocket maximum is reached. Deductible and coinsurance payments count toward that maximum; there are no copayments, balance bills, or other charges. Under these terms, what patient responsibility should be used for financial planning before assistance?
Correct answer: D - $1,100
A navigation program measures the percentage of eligible patients who complete diagnostic evaluation by their assigned deadline. During one quarter, all 80 eligible patients have deadlines within that quarter: 48 complete evaluation on time, 12 complete it late but before quarter-end, and 20 have not completed it by quarter-end. Navigators document 120 patient contacts. What result belongs in the timely-completion measure?
Correct answer: B - 60%
For a cancer-treatment consent discussion, a patient requests a Somali interpreter. An in-person interpreter is unavailable today, but a qualified video interpreter can join at the scheduled time. The patient's adult son, who has no interpreter training, offers to translate. To provide timely, linguistically appropriate communication, the navigator should:
Correct answer: D - Arrange qualified video interpretation, with the son present if the patient wishes.
At a survivorship visit, a patient says, 'Everyone expects me to celebrate, but I feel less safe now that treatment is over.' She reports no new physical symptoms. Which response best opens a conversation about what she is experiencing?
Correct answer: A - It sounds as though regular visits helped you feel safe. What feels uncertain now?
An OPN-CG navigator without a clinical license is helping a patient prepare for an oncology visit. The patient asks, 'Are grade and stage just two names for the same thing?' Which reply provides useful education without interpreting the patient's results?
Correct answer: B - Grade describes how cells look; stage describes how far the cancer has spread.
Chemotherapy is scheduled to begin next week for a 26-year-old woman. She tells the navigator, 'No one has asked whether I want children. I would like to know my options.' Fertility counseling has not occurred. How can the navigator bring this priority into the treatment team's planning without independently changing treatment?
Correct answer: C - Ask oncology and a fertility specialist to coordinate counseling before the planned treatment start.
The OPN-CG exam also covers these domains. Drill them in the full free practice test:
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