CNOR Preparation and Review Course Zander CNOR Exam Preparation Course Wendy Zander MSN/Ed, RN, CNOR [email protected] Instructor Wendy Zander MSN/Ed, RN, CNOR [email protected] 803-271-0744 This presentation is made with no known conflicts of interest and makes no recommendations for off-label uses of medication. This presentation is made with no commercial or in-kind support Test Taking Strategies Objectives: 1. Apply Test Taking Strategies for the CNOR exam 2. Create a Personal Study Plan • Registering for the exam • Exam Format • Time Management • Test Taking Strategies • AORN Recommended Practices www.periop-ed.com 1 CNOR Preparation and Review Course Exam Requirements • Currently working full- or part-time • Current RN license • 2 years perioperative experience ▫ At least 1 year must be intraoperative • 2400 hours of recent surgical practice • AORN membership is not required • Take 2 Program ▫ For initial certification ▫ Two chances to pass in a 12 month period Application Deadlines and Testing Windows Application Application Testing Months Testing Months Approved Approved January February, March, April July August, September, October September, October, February March, April, May August November October, November, March April, May, June September December November, December, April May, June, July October January December, January, May June, July, August November February June July, August, September December January, February, March www.cc-institute.org • CNOR Candidate Handbook • Free, monthly CNOR webinars • Online exam application CNOR® Credential Fees Price CNOR Exam Application Fee $395 CNOR Exam Take 2 $445 Recertification: Contact Hour 1/1-7/1 $325 7/2-12/31 $375 Recertification: Points 1/1-7/1 $325 7/2-12/31 $375 Recertification: Exam 1/1-7/1 $395 7/2-9/30 $445 Emeritus (Retired) Status $125 File for Extension $195 www.periop-ed.com 2 CNOR Preparation and Review Course After Application Approval • Authorization to test email • Scheduling the exam • Delaying the test The Day of the Exam • Arrive on time • What to bring with you ▫ Valid ID ▫ As little as possible • Lockers • The testing environment About the Exam • 200 questions / 3 hours and 45 minutes to complete • Multiple Choice only • Scaled Score ▫ Pass/fail notice immediately after test ▫ A score of 620 is passing www.periop-ed.com 3 CNOR Preparation and Review Course Subject Area Percent of Number of Exam Test Questions 1. Preoperative Patient Assessment and 12% 22 Diagnosis 2. Preoperative Plan of Care 10% 19 3. Intraoperative Care 27% 50 4. Communication 10% 18 5. Transfer of Care 6% 11 6. Instrument Processing and Supply 9% 17 Management 7. Emergency Situations 11% 20 8. Management of Personnel, Services, 6% 11 and Materials 9. Professional Accountability 9% 17 Total 100% 185 The Nursing Process • The exam is presented in the nursing process • Feel comfortable with it ▫ Assessment ▫ Nursing Diagnosis ▫ Identification of Outcomes ▫ Planning ▫ Implementation ▫ Evaluation Anatomy of a Question • The Case scenario is a description of the clinical situation • The Stem asks the question or directs what action you should take • Distracters are usually the wrong answer www.periop-ed.com 4 CNOR Preparation and Review Course What if you don’t know? • Umbrella answer • Same answers are ruled out • Opposite answers • Odd man wins • Repeated words • Absolutes Test taking tips • Read and follow directions carefully! • Think AORN’s Guidelines for Perioperative Practice • Nursing practice only! • Consider other options before calling the supervisor • Patient safety is top priority Study Tips • Assess your level of competency • Study according to your competency level in each area • Organize a study group if you study best that way • Take as many practice tests as you can www.periop-ed.com 5 CNOR Preparation and Review Course Choosing Study Aids • Utilizes same test question structure as CNOR exam • Covers all 9 subject areas of the exam • Utilizes Berry & Kohn’s, Alexander’s or AORN’s Guidelines as references Don’t Freak out Test Taking Strategies Quiz • 11 Questions • 13 Minutes www.periop-ed.com 6 Test Taking Strategies 1. During a procedure under local anesthesia, the patient complains of circumoral numbness, blurred vision, and dizziness. What should be the immediate action of the perioperative nurse monitoring this patient? A. Obtain a 6-second ECG strip. B. Ensure an airway. C. Set the IV line to full flow. D. Administer 50 mg of diazepam. 2. The circulating nurse reports that the needle count is incorrect. The surgeon continues to close the wound, stating, "I know it is not in the wound and I am not going to stop to look for it." The best plan of action is to: A. accept the surgeon's response without comment and fill out an incident report. B. inform the surgeon of hospital policy and document subsequent actions. C. order X-rays regardless of the surgeon's wishes. D. notify the OR supervisor and ask for advice. 3. A new employee unknowingly dispensed an unsterile solution to the sterile field. The following day, the supervisor learns of the incident. The supervisor's first action would be to: A. initiate an incident report. B. educate the employee. C. counsel the employee verbally. D. notify the surgeon of the break in technique. 4. Due to an emergency, the perioperative nurse is unable to conduct the sponge, sharps, and instrument counts. At the conclusion of the surgery, the nurse should: A. ask the surgeon to sign the count. B. immediately notify the OR supervisor. C. document the absence of counts. D. refuse to sign the sponge count record. 7 5. The optimum patient position provides: A. access and exposure, maintains circulatory and respiratory functions, and does not compromise neuromuscular structures. B. optimum access and exposure to surgical site, with no permanent compromise to neuromuscular structures. C. access for the surgeon, does not compromise the neuromuscular structures, and maintains an adequate airway for the anesthetist. D. sustained circulatory and respiratory functions, does not compromise neuromuscular structures, and maintains body alignment. 6. A patient who is 8 months pregnant is to undergo an emergency laparotomy. In planning nursing care for this patient, the perioperative nurse should have available a wedge cushion or pillow to place under the patient's: A. knees. B. left side. C. right side. D. shoulders. 7. Improper deflation of a pneumatic antishock garment (PASG) could result in: A. septic shock B. hypovolemic shock C. hypervolemia D. pulmonary edema 8. 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). B. Succinylcholine chloride (Anectine). C. Atracurium besylate (Tracrium). D. Pancuronium bromide (Pavulon). 8 9. 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. 10. A critically injured patient requires immediate surgery, but all unassigned personnel have limited OR experience. In this situation, the charge nurse should: 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 11. 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 9 CNOR Preparation and Review Course What is your learning style? • How do you figure things out in an unstructured learning situation? • Learning Style Quiz www.periop-ed.com 10 WHAT IS YOUR LEARNING STYLE? Here are some questions you can ask yourself to help determine the learning style you prefer. The questions are organized by which modality (kinesthetic, visual and auditory) a person prefers for different learning tasks: taking in and organizing new information, decision making, and remembering and creating. Questions to determine the taking in and organizing preference: 1. I learn new information best by: k ( ) participating in an activity myself after a short explanation v ( ) reading or looking at a diagram or demonstration a ( ) listening to a lecture or spoken instructions 2. When I am inactive but need to stay alert, I : k ( ) find ways to move v ( ) stare, watch something, or doodle a ( ) listen to sounds around me, hum, or talk to myself 3. I have these qualities: k ( ) Interact best by moving, doing, physical contact and like hands-on activity v ( ) Connect with others through eye contact and need visual order a ( ) Interact easily by talking and like lectures and discussions 4. The kind of language I most commonly use is: k ( ) how do you feel about this, I can’t grasp that, that is comfortable for me v ( ) look at it this way, I just can’t see the point, that is crystal clear to me a ( ) can I tell you how I think about that, do you hear me, that sounds right to me 5. My emotions are apparent to others by: k ( ) muscular state and movement v ( ) facial expression a ( ) voice tone Questions to determine the decision making or sorting preference: 1.