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Exam (elaborations)

Ultimate CNOR Exam Study Guide 2025/2026: 320 Practice Questions with Detailed Answers

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Prepare for the CNOR certification exam with the most comprehensive and up-to-date test bank available. This guide includes 320 actual exam-style questions covering all key topics such as perioperative nursing, sterilization methods, patient safety, anesthesia, surgical procedures, legal and ethical principles, and more. Each question comes with a detailed answer and rationale to help you understand the reasoning behind the correct choice. Whether you're a first-time test-taker or refreshing your knowledge, this resource is designed to help you pass the CNOR exam with confidence. Perfect for OR nurses, surgical techs, and nursing students specializing in perioperative care.

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CNOR NEWEST
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Institution
CNOR NEWEST
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CNOR NEWEST

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Uploaded on
September 21, 2025
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Written in
2025/2026
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1 of 89


CNOR EXAM NEWEST 2025/2026 ACTUAL EXAM TEST BANK
COMPLETE 320 QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+

__________ pressure is also known as the "Sellek maneuver" and is used to PREVENT
VOMITING AND ASPIRATION (helps with visualization, but this is not why we do it on pts at
risk for aspiration) - ......ANSWER........cricoid

__________ safety includes:

-Hazard elimination (get rid of the sharp - use glue/staples) -Engineering controls (ex. blunt
tip suture) -Work practice (ex. use a neutral zone) -Administrative (ex. policies with peer
reviews) -PPE (ex. requiring double gloving - first glove removes 75% of contaminate from
surface of sharp and second glove removes 75% of contaminate from sharp, so even if still
exposed, it's less contaminate) - ......ANSWER........sharps

__________ skin prep is recommended as scrub for gram-positive MRSA (DOES NOT KILL
GRAM NEGATIVE, so must follow up with a paint after using this prep)
- ......ANSWER........hexachlorophene

__________ skin prep is the strongest prep and is used for VRE. It covers the broadest
spectrum, but more people get a reaction/rash from this prep
- ......ANSWER........chlorhexidine

__________ skin prep should be used for the perineum, eyes, or ears -If allergic to this, use
PCMX (Techni care) or 3% H2O2 for vaginal prep, normal saline for eyes, and normal saline
or PCMX for ears - ......ANSWER........betadine

__________ sterilization is the ONLY way we must sterilize long, narrow lumens inside of a
package (ex. foley catheters). This method is set to be banned in 2030.
- ......ANSWER........ethylene oxide

__________ sterilization is the preferred method of sterilization because of its efficacy
- ......ANSWER........steam

__________ tissue is tissue that came out of the patient and is going back into the same
person (from oneself). - ......ANSWER........autologous

_____________ is an herbal supplement that has been linked to an increased risk of
bleeding

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A. Valerian B. Kava C. Ginkgo D. Ephedra - ......ANSWER........c

__________: -Doing or not doing something a reasonable person would or would not do in
similar situation -Deviation from standard of care -Failure to use reasonable care -Act of
omission or commission -ex. not obtaining a consent form - ......ANSWER........negligence

__________: -Professional negligence -Can be tried as negligence -Misconduct or lack of
skill in carrying out job -Seen as almost purposeful - ......ANSWER........malpractice

__________: Sterility determined by how a package is handled rather than time elapsed; a
package is considered sterile until opened or the integrity of packaging material is
damaged

If package integrity and sterile controls are fine, it is sterile indefinitely

-Package integrity -Storage conditions -Transport -Handling -Environment control -Not
related to time - ......ANSWER........event related sterility

ABG Interpretation

__________ (respiratory/metabolic & acidosis/alkalosis): -acid loss -upper GI loss (most
common cause is hyperemesis) -treat the cause (stop the vomiting!, stop IV fluids with too
much bicarb) -this is why 24 hour post op phone call is important - make sure they're not
bleeding, pain is well controlled, and they're not throwing up - ......ANSWER........metabolic
alkalosis

ABG Interpretation

__________ (respiratory/metabolic & acidosis/alkalosis): -caused by decreased ventilation
(breathing too slow) -treat with ventilation (breathe faster! - turn vent up, add oral airway)
- ......ANSWER........respiratory acidosis

ABG Interpretation

__________ (respiratory/metabolic & acidosis/alkalosis): -caused by hyperventilation
(breathing too fast) -treat with sedation or decreased ventilation -usually happens when
weaning someone off ventilator - ......ANSWER........respiratory alkalosis

ABG Interpretation

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__________ (respiratory/metabolic & acidosis/alkalosis): -excess production of metabolic
acids -always caused by ischemic tissue (making lactic acid) -treat with bicarb
- ......ANSWER........metabolic acidosis

ABG Interpretation

What does CO2 represent in ABGs? (respiratory or metabolic)
- ......ANSWER........respiratory

ABG Interpretation

What does HCO3 represent in ABGs? (respiratory or metabolic)
- ......ANSWER........metabolic

ABG Interpretation

What is the normal value range for CO2? - ......ANSWER........35-45

ABG Interpretation

What is the normal value range for HCO3? - ......ANSWER........22-26

ABG Interpretation

What is the normal value range for pH? - ......ANSWER........7.35-7.45

Depolarizing agents: __________: -used primarily for induction to facilitate tracheal
intubation -rapid onset (1 min) -duration (5-10 min) -metabolized by pseudocholinesterase
-DO NOT GIVE TO PTS WITH GLAUCOMA/FAMILY HISTORY OF MALIGNANT
HYPERTHERMIA -NO REVERSAL AGENT - ......ANSWER........succinylcholine

Electrolytes

What is the normal value for calcium (not ionized)? - ......ANSWER........8.5-10.5

Electrolytes

What is the normal value for IONIZED calcium? - ......ANSWER........4.5-5.6

Electrolytes

What is the normal value for magnesium? (therapeutic range for labor pts on mag is 6-8)
- ......ANSWER........1.5-2.5

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Electrolytes

What is the normal value for phosphorus? - ......ANSWER........1-2

Electrolytes

What is the normal value for potassium? - ......ANSWER........3.5-5

Electrolytes

What is the normal value for PT (prothrombin time) in seconds?

(value used for warfarin/coumadin) - ......ANSWER........11-12.5

Electrolytes

What is the normal value for PTT (partial thromboplastin time) in seconds?

(value used for heparin) - ......ANSWER........30-40

Electrolytes

What is the normal value for sodium? - ......ANSWER........135-145

Endoscopes

__________ testing is performed on endoscopes before being placed in cleaning solutions
(the point of this is to protect the scope). Each endoscope is also VISUALLY INSPECTED
after each manual cleaning using 10x magnification and a borescope to look at the inside
of the lumen. - ......ANSWER........leak

Endoscopes

A scope cabinet must __________ into electricity if being used to store endoscopes.
- ......ANSWER........plug

Endoscopes

How long you can store endoscopes for depends on each facility. Each facility must do
cultures on every scope at least once a __________ by the infection control nurse. The
policy is written based on the results of these cultures. - ......ANSWER........year

Endoscopes
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