CNOR Zander Complete Exam Set
Questions and Verified Answers
(solutions)
Name the 3 Spaulding Classification Systems -
correct answer ✅Critical
Semi-Critical
Non-Critical
Meaning of Critical Spaulding Classification System -
correct answer ✅Items MUST be sterile.
Items will enter -sterile tissue- or -vascular system-
Examples of items in Critical Spaulding Classification System -
correct answer ✅-Instruments-
-Laparoscopes- -Arthroscopes-
-*Cutting endoscope accessories for biopsy*-
-Cardiac Caths-
-IV caths- - Needles-
-*Urinary Caths-
Meaning of Semi-Critical Spaulding Classification System -
correct answer ✅Items SHOULD be sterile.
,CNOR Zander Complete Exam Set
Questions and Verified Answers
(solutions)
Items will contact -broken skin- or -MM-
If the manufacturers instructions say it WON'T tolerate sterilization,
they CAN be HLD (but only IF MF SAYS).
-Spores survive HLD-
Examples of items in Semi-Critical Spaulding Classification System -
correct answer ✅-Bronchoscopes
-GI Scopes/GI endoscopes
-RT equipment (laryngoscope blades)
-Anesthesia equipment
Meaning of Non Critical Spaulding Classification System -
correct answer ✅-Will be in contact with INTACT SKIN
-Intermediate or Low Level Disinfection or Cleaning.
-Disinfect with an FDA approved disinfectant that's effective against
HEP B.
Examples of items in Non Critical Spaulding Classification System -
correct answer ✅-Furniture
,CNOR Zander Complete Exam Set
Questions and Verified Answers
(solutions)
-Laundry/Linens
-OR bed
-BP Cuff/Leads/Monitors/Stethoscopes
-Tourniquets
Requirement for decontamination area: -
correct answer ✅-Must have a physical WALL or SEPARATION
between decontam and processing areas.
-This includes Immediate Use Areas.
-Why: Because decontam requires NEGATIVE PRESSURE
Sterile Processing Workflow -
correct answer ✅Decontamination (always 1st) --> Prep&Pack --
>Sterilization
-->Distribute/Store
Most important step to prevent infection: -
correct answer ✅Cleaning and Pre-treating with a non-drying
enzymatic solution in order to avoid biofilm, which encapsulates
spores.
, CNOR Zander Complete Exam Set
Questions and Verified Answers
(solutions)
Decontamination processes -
correct answer ✅-Disassemble everything
-Brush lumens/channels using a brush based on mfr instruction for
correct diameter and length of lumen
-Brush lumens/channels/crevices/joints UNDER WATER
-Automated (washers/ultrasonic) more effective than manual
cleaning.
Two Types of Steam Sterilization -
correct answer ✅-Pre-Vac Autoclave/Dynamic Air Removal
-Gravity Displacement
PreVac settings -
correct answer ✅270-276
3 min (NON porous instruments/regular instruments)
4 min (POROUS or LUMEN instruments, heavy plastic, rubber,
wooden handles, poole suction)
Questions and Verified Answers
(solutions)
Name the 3 Spaulding Classification Systems -
correct answer ✅Critical
Semi-Critical
Non-Critical
Meaning of Critical Spaulding Classification System -
correct answer ✅Items MUST be sterile.
Items will enter -sterile tissue- or -vascular system-
Examples of items in Critical Spaulding Classification System -
correct answer ✅-Instruments-
-Laparoscopes- -Arthroscopes-
-*Cutting endoscope accessories for biopsy*-
-Cardiac Caths-
-IV caths- - Needles-
-*Urinary Caths-
Meaning of Semi-Critical Spaulding Classification System -
correct answer ✅Items SHOULD be sterile.
,CNOR Zander Complete Exam Set
Questions and Verified Answers
(solutions)
Items will contact -broken skin- or -MM-
If the manufacturers instructions say it WON'T tolerate sterilization,
they CAN be HLD (but only IF MF SAYS).
-Spores survive HLD-
Examples of items in Semi-Critical Spaulding Classification System -
correct answer ✅-Bronchoscopes
-GI Scopes/GI endoscopes
-RT equipment (laryngoscope blades)
-Anesthesia equipment
Meaning of Non Critical Spaulding Classification System -
correct answer ✅-Will be in contact with INTACT SKIN
-Intermediate or Low Level Disinfection or Cleaning.
-Disinfect with an FDA approved disinfectant that's effective against
HEP B.
Examples of items in Non Critical Spaulding Classification System -
correct answer ✅-Furniture
,CNOR Zander Complete Exam Set
Questions and Verified Answers
(solutions)
-Laundry/Linens
-OR bed
-BP Cuff/Leads/Monitors/Stethoscopes
-Tourniquets
Requirement for decontamination area: -
correct answer ✅-Must have a physical WALL or SEPARATION
between decontam and processing areas.
-This includes Immediate Use Areas.
-Why: Because decontam requires NEGATIVE PRESSURE
Sterile Processing Workflow -
correct answer ✅Decontamination (always 1st) --> Prep&Pack --
>Sterilization
-->Distribute/Store
Most important step to prevent infection: -
correct answer ✅Cleaning and Pre-treating with a non-drying
enzymatic solution in order to avoid biofilm, which encapsulates
spores.
, CNOR Zander Complete Exam Set
Questions and Verified Answers
(solutions)
Decontamination processes -
correct answer ✅-Disassemble everything
-Brush lumens/channels using a brush based on mfr instruction for
correct diameter and length of lumen
-Brush lumens/channels/crevices/joints UNDER WATER
-Automated (washers/ultrasonic) more effective than manual
cleaning.
Two Types of Steam Sterilization -
correct answer ✅-Pre-Vac Autoclave/Dynamic Air Removal
-Gravity Displacement
PreVac settings -
correct answer ✅270-276
3 min (NON porous instruments/regular instruments)
4 min (POROUS or LUMEN instruments, heavy plastic, rubber,
wooden handles, poole suction)
