EXAM, SURGICAL NURSING CERTIFICATION, OPERATING ROOM NURSE
EXAM WITH VERIFIED CNOR ANSWERS, CNOR PREP 2025
You're loading the sterilizer with trays and wrapped towels. The correct configuration
would be:
a. The towels are on the bottom shelf and the trays on the top shelf
b. The towels are on the top shelf and the trays are on the bottom shelf
c. The trays and towels go on the top shelf and leave the bottom shelf empty
d. There is no specific configuration when there is a mixed load of trays and wrapped
textiles - CORRECT ANSWER-b
During the induction of anesthesia, the perioperative nurse may notice fasciculation as a
response to which of the following depolarizing muscle relaxants?
a. Tubocurarine chloride (curare)
, CNOR EXAM 2025, PERIOPERATIVE NURSING TEST, CNOR PRACTICE
EXAM, SURGICAL NURSING CERTIFICATION, OPERATING ROOM NURSE
EXAM WITH VERIFIED CNOR ANSWERS, CNOR PREP 2025
b. Succinylcholine chloride (Anectine)
c. Atracurium besylate (Tracrium)
d. Pancuronium bromide (Pavulon) - CORRECT ANSWER-b
The ER notifies you that it has an 18-yr-old patient who was in a sledding accident and
who is accompanied by his parents. The patient is alert, oriented, in pain, has a blood
pressure of 80/60, pulse of 120, and RR of 24. The abdomen is distended and tender.
After being transferred to the OR bed, the patient is very apprehensive and complains of
being cold. The nurse should confirm the patient's name, allergies, and operative
procedure by:
a. Speaking with the patient and reading the patient's chart
b. Telephone conversation with the ER nurse
c. Use of the ER record provided
d. Telephone conversation with a parent of the patient - CORRECT
ANSWER-a
A critically injured patient requires immediate surgery, but all unassigned personnel have
limited OR experience. In this situation, the charge nurse should:
, CNOR EXAM 2025, PERIOPERATIVE NURSING TEST, CNOR PRACTICE
EXAM, SURGICAL NURSING CERTIFICATION, OPERATING ROOM NURSE
EXAM WITH VERIFIED CNOR ANSWERS, CNOR PREP 2025
a. Assist the available personnel in caring for the patient
b. Reassign experienced personnel to the emergency procedure
c. Personally assume care for the critically injured patient
d. Call in additional personnel to handle the emergency - CORRECT
ANSWER-b
The nurse's initial response to a patient who develops signs of cyanosis during the
preoperative assessment is to:
a. Administer O2 and start an IV line
b. Begin CPR
c. Read the history and physical to determine health status
d. Assess for breath sounds and airway obstruction - CORRECT ANSWER-d
*SPAULDING CLASSIFICATION SYSTEM*
Critical, semi-critical, or non-critical?
-Must be sterile
-Will enter sterile tissue or the vascular system - CORRECT ANSWER-critical
, CNOR EXAM 2025, PERIOPERATIVE NURSING TEST, CNOR PRACTICE
EXAM, SURGICAL NURSING CERTIFICATION, OPERATING ROOM NURSE
EXAM WITH VERIFIED CNOR ANSWERS, CNOR PREP 2025
*SPAULDING CLASSIFICATION SYSTEM*
Critical, semi-critical, or non-critical?
-Instruments
-Cutting endoscopic accessories and endoscopes (ex. BIOPSY FORCEPS)
-Cardiac and urinary catheters (still fall into this category even though it does not meet
the TRUE definition) - CORRECT ANSWER-critical
*SPAULDING CLASSIFICATION SYSTEM*
Critical, semi-critical, or non-critical?
-SHOULD be sterile, but high-level disinfection (kills everything EXCEPT SPORES)
acceptable if manufacturers' instructions require (going to be sterilized unless
manufacturer specifically says not to)
-Contacts broken skin or mucous membrane - CORRECT ANSWER-semi-
critical
*SPAULDING CLASSIFICATION SYSTEM*
, CNOR EXAM 2025, PERIOPERATIVE NURSING TEST, CNOR PRACTICE
EXAM, SURGICAL NURSING CERTIFICATION, OPERATING ROOM NURSE
EXAM WITH VERIFIED CNOR ANSWERS, CNOR PREP 2025
Critical, semi-critical, or non-critical?
-Respiratory therapy
-Anesthesia equipment
-Bronchoscopes
-GI endoscopes - CORRECT ANSWER-semi-critical
*SPAULDING CLASSIFICATION SYSTEM*
Critical, semi-critical, or non-critical?
-Intermediate or low-level disinfection or cleaning
-Will come in contact with skin
-Ex. washing with soap and water/wiping equipment down/laundry - CORRECT
ANSWER-non-critical
*SPAULDING CLASSIFICATION SYSTEM*
Critical, semi-critical, or non-critical?
-OR bed
-Linens
, CNOR EXAM 2025, PERIOPERATIVE NURSING TEST, CNOR PRACTICE
EXAM, SURGICAL NURSING CERTIFICATION, OPERATING ROOM NURSE
EXAM WITH VERIFIED CNOR ANSWERS, CNOR PREP 2025
-EKG leads
-BP cuffs
-Tourniquets - CORRECT ANSWER-non-critical
TRUE OR FALSE
There needs to be a physical separation (or a wall) between a decontamination area and
processing area where instruments are processed - CORRECT ANSWER-true
*Sterile Processing*
Decontamination area or processing area?
-Has a high bioburden
-NEGATIVE airflow
-LOWER temperature - CORRECT ANSWER-decontamination
*Sterile Processing*
Decontamination area or processing area?
, CNOR EXAM 2025, PERIOPERATIVE NURSING TEST, CNOR PRACTICE
EXAM, SURGICAL NURSING CERTIFICATION, OPERATING ROOM NURSE
EXAM WITH VERIFIED CNOR ANSWERS, CNOR PREP 2025
-POSITIVE airflow
-HIGHER temperature - CORRECT ANSWER-processing
True or false
You can skip the decontamination process in sterile processing - CORRECT ANSWER-false
Can you walk through a decontamination area with sterile supplies in your hand? -
CORRECT ANSWER-no
Can you walk through a place with autoclaves with soiled instruments in your hand? -
CORRECT ANSWER-no
is the most CRITICAL step to prevent infection - CORRECT
ANSWER-decontamination (cleaning)
Is an enzymatic agent a disinfectant? - CORRECT ANSWER-no