CNOR Test Breakdown

CNOR Certification Review [Infographic]

The CNOR exam (Certified Nurse Operating Room) is a Specialty Nursing Certificate that certifies a nurse to work in an operating room setting. The CNOR shows that a nurse is familiar with the best practices for patient care before, during, and after surgery. If you’re planning to take the CNOR exam, you’ll want to check out our CNOR Practice Test.

CNOR Certification

CNOR Test Breakdown

CNOR Exam Test Breakdown

Exam Administration
CNOR Exam Length
• 3 hours and 45 minutes to complete
• 200 questions long (multiple-choice)

Distribution of Content for the CNOR
• 12% – Preoperative Patient Assessment and Diagnosis
• 10% – Perioperative Plan of Care
• 27% – Intraoperative Care
• 10% – Communication
• 6% – Transfer of Care
• 9% – Instrument Processing and Supply Management
• 11% – Emergency Situations
• 6% – Management of Personnel, Services, and Materials
• 9% – Professional Accountability

Overview of the CNOR Exam Content

1.Preoperative Patient Assessment and Diagnosis
• Assess the health status of the patient
• Review of preoperative medications
• Initiation of the Universal Protocol
• Obtaining surgical consent
• Ensuring patient rights/advance directives, DNR
• Pain assessment
• Development of nursing diagnosis

2. Perioperative Plan of Care
• Develop measurable patient outcomes from patient assessment data and nursing diagnoses
• Develop an individualized plan of care
• Incorporate patient education into the plan of care

CNOR Secrets Study Guide
CNOR Secrets Study Guide

3. Intraoperative Care
• Introduction of the patient to the operative/procedure area
• Support safe practices regarding anesthesia provider, surgeon, and nurse administered medications
• Incorporate principles of safe positioning
• Prepare the surgical site
• Apply principles of asepsis
• Provide perioperative nursing care during operative and invasive procedures
• Identify and control environmental factors
• Monitor and intervene to reduce the risk of complications and adverse outcomes
• Prepare and label specimens
• Perform counts
• Maintain accurate patient records

4. Communication
• Verbal and nonverbal communication
• Written communication

5. Transfer of Care
• Transfer of care among team members
• Discharge planning for the patient leaving the facility

6. Instrument Processing and Supply Management
• Microbiological considerations related to infection control principles
• Cleaning and disinfecting instruments and supplies
• Packaging and sterilization of instruments and supplies
• Principles of transporting and storing sterile supplies
• Principles of biological and chemical monitoring
• Safe handling practices for hazardous and bio-hazardous materials

CNOR Flashcard Study System
CNOR Flashcard Study System

7. Emergency Situations
• Anaphylaxis
• Cardiovascular emergencies
• Respiratory complications
• Fire
• Malignant Hyperthermia
• Trauma
• Disasters

8. Management of Personnel, Services, and Materials
• Management of the interdisciplinary team
• Principles of product evaluation and cost containment
• Management of ancillary personnel in the perioperative setting

9. Professional Accountability
• Principles of social policy
• Resources for professional growth
• Participation in quality improvement activities
• Facilitating professional behavior

CNOR Exam Resources
• Official site: (link)
• CNOR Exam Secrets Study Guide: CNOR Test Review for the CNOR Exam: (link)
• CNOR Exam Practice Questions: CNOR Practice Tests & Review for the CNOR Exam: (link)

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Jay Willis

Jay Willis joined Mometrix as Vice President of Sales in 2009, and has developed several key strategic relationships that have enhanced the distribution of Mometrix products. With nearly 20 years of sales experience in the publishing industry, his dedication to providing the highest quality experience for customers, coupled with his sales and marketing expertise, has resulted in significant growth of the Institutional Sales division. Learn more