CNOR EXAM SAMPLE QUESTIONS – NURSING
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CLEANING,
DISINFECTING, PACKAGING, STERILIZATION, TRANSPORTING, AND STORING
INSTRUMENTATION AND SUPPLIES
What system is used to classify for
sterilization
Spaulding Classification System- Item will
come in contact with skin and will require intermediate or low level
disinfection:
Spaulding Classification System- item will
enter sterile tissue or the vascular system
Spaulding Classification System- item will
enter broken skin or mucous membrane
Spaulding Classification System- uses high
level disinfection immediately before use
Spaulding Classification System-item should be
sterile:
Critical
Spaulding Classification System: Examples of
critical
Instruments
Spaulding Classification System:
Semi-critical:
Spaulding Classification System:Non-critical
Spaulding Classification System: Cutting
Spaulding Classification System: Looking
Work flow for sterile processing
“
Most cirical step to prevent infection
Decontamination starts ?
Should all items be dissassembled?
T/F Brush lumens, channels, crevices and
joints
Examples of automated cleaners
Most common type of sterilization
Another name for PreVac
Pre-vac/Dynamic-Air Removal how long do you
run porous/lumen items
Pre-vac/Dynamic-Air Removal how long do you
run non-porous items
How does the Gravity Displacement autoclave
work
Gravity Displacement porous/lumen items should
run for
Gravity Displacement none porous
If condensation occurs, are the items
considered sterile or non sterile
Where should you place an instrument tray to
cool
IUS
T/F Biologicals should be read prior to
implant being put in patient
Another name of Cidex
How long does it take for an item to be
considered sterile using Gluteraldahyde?
Cons of using Gluteraldahyde
What type of sterilization is a known human
carcenogen
Main thing to remember about Ethylene Oxide
Another name for Sterrad
Dry Sterilization
Peracetic Acid
cons of using Steris
Steris/Peracetic Acid run time and temp
Sterilization where by product is O2 and H2O
Ozone
FDA has cleared __________ for sterilization
of metal and plastic
Uses temp only and is for powders and oils,
dental equipement, glass
Things to remember about endoscopes
sterilization
What do you use for ESU and laser plume
Items should be traceable from the method of
sterilization
What documentation should be done for quality
control when sterilizing
Sterile technique is founded in an
How often should a biological be ran on
autoclave to meet standard/minimal
How often should a biological be ran on
autoclave to be ideally/optimally
How often should biological be ran on implants
Type of spore to test Steam
Type of spore to test ethylene oxide
Type of spore to test plasma
Type of spore to test ozone
Type of spore to test Peracetic acid
Type of spore to test Dry Heat
GeobacillusSterarothermophilus is used for:
Test for pre-vac steam sterilization
Bacillus atropheus is used for:
Where should you place chemical indicator in
tray
Purpose of washing hands
Where is the highest microbial count on hands?
We wash our hands to decrease infection rate
by decreasing ________.
PPE
PPE include
Standards of practice says no home laundering:
true/false
What method is used to change contaminated
gloves?
Should you recap saline or sterile water
bottles to use later?
Weight limit on instrument trays
Why should instrument trays be no more than
25lbs?
Scrubbed persons should pass each other
Non sterile people should always face the
sterile field
non sterile people should stay at least _____
inches from sterile field
What do you use to prep gram-positive MRSA
What do you useto prep VRE
How do you remove hair
When should you remove hair
If pt is allergic to shellfish can you use
betadine
If pt is allergic to iodine can you use
betadine
Incision line for gallbladder
Incision forAppendectomy
Incision forlow reverse colon or c-section
Incision for colon
Pro for using midline incision
muscle, blood, nerve not in midline
Con for midline incision
Where do you find ingunalhernia
Incision for left colon and ventral hernia
pararectus
Incision for open prostate
Low transverse abdominal
Three areas in surgery
Retricted area is where
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