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AN INSIDER’S LOOK AT THE CNOR
EXAM
We are conducting a sound test. Please type in
the chat box if you CANNOT hear the speaker.
2
HOUSEKEEPING DETAILS
• Today’s webinar is being recorded and will be
available soon.
• Submit questions via the chat feature in the lower
right hand
corner of your screen.
• Questions will be answered during and at the end of
the webinar.
• If you need additional information
or support, please call us at
888-257-2667 8-4 MT.
3
YOUR HOSTS FOR TONIGHT’S WEBINAR
Julie Mower, MSN, RN, CNS, CNS-CP,CNOR
and
Dawn Whiteside, MSN, RN, CNOR, RNFA
Nurse Managers, Credentialing and Education
4
COURSE OBJECTIVES
1. Review study prep materials.
2. Discuss successful study strategies.
3. Identify the main components of a multiple-choice
question.
4. Apply test-taking strategies to sample test questions.
5
RESOURCES ON CCI WEBSITE
www.cc-institute.org
• Handbook
• CNOR Task and Knowledge Statements
• Study plan
• CNOR learner readiness survey
• Sample test questions
• Contact information for prep-for-cert courses
6
EXAM PREPARATION TEXT BOOKS
• Current edition of AORN’s Guidelines for
Perioperative Practice
• Perioperative reference books
• Phillips, N. (2017). Berry and Kohn’s Operating
room technique (13th ed.). St. Louis, MO:
Elsevier.
• Rothrock, J.C. (2015). Alexander’s care of the
patient in surgery (15th ed.). St. Louis, MO.
Elsevier.
7
CCI STUDY AIDS
Go to our bookstore at https://store.cc-institute.org for a list of all CCI study prep items.
NOTE: Purchase of any CCI products is not required to take the CNOR Exam and will not guarantee
an increase in your chances for passing the CNOR Exam.
8
The Official CNOR Exam Prep
• CCI’s latest exam prep product
• In depth content review
• 100 practice exam questions
• Over 150 key terms
• More than 45 exam tips
9
Go to our bookstore at https://store.cc-institute.org for a list of all CCI study prep items.
NOTE: Purchase of any CCI products is not required to take the CNOR Exam and will not guarantee an
increase in your chances for passing the CNOR Exam.
OPTIONAL REFERENCES
• Pathophysiology textbook
• Medical dictionary
• Lab/ diagnostic test reference manual
• Drug reference-check hospital formulary or Epocrates at
www.epocrates.com
• AORN Journal
• AAMI standards
• Websites
• The Joint Commission at www.jointcomission.org
• CDC at www.cdc.gov
10
CNOR EXAM CONTENT
11
The Candidate Handbook is found at
http://www.cc-institute.org/cnor/prepare/handbook-plan
See table to right for
subject area
breakdown on
the CNOR exam
(information is subject to change)
Subject Area % of
Questions
1. Preoperative Patient Assessment
and Diagnosis
12%
2. Develop Individualized Plan of Care 10%
3. Intraoperative Activities 27%
4. Communications 10%
5. Transfer of Care 6%
6. Cleaning, Disinfecting, Packaging
and Sterilization
9%
7. Emergency Situations 11%
8. Management of Personnel Services
and Materials
6%
9. Professional Accountability 9%
Total 100%
TIME-SAVING STRATEGIES
• Do a self-assessment; start and build on what you
already know, rather than from the beginning.
• Use the subject areas to organize your study plan.
• Start with the areas that have the highest % of
numbers
or
• With the subjects that are least familiar.
12
STUDY TIPS
• Average study time prior to exam: 3 months.
• Turn off text messages, TV and e-mail while you
study.
• Break content and time into bite-size chunks.
• Review, review, review.
• Be able to apply broad concepts versus memorizing
facts and figures.
From: Shellenbarger, S. Toughest Exam Question: What is the Best Way to Study? Wall Street
Journal, 26 OCT 2011, pp. D1, D2.
13
CNOR EXAM
• 200 multiple choice questions
• 3 hours and 45 minutes
• Tests ability to apply knowledge to perioperative
practice setting
• Questions are developed by pool of CNOR nurses
• Administered by Prometric
• May be taken Monday – Saturday, except holidays
14
COMPONENTS OF A MULTIPLE CHOICE
QUESTION
• Stem
• Will provide all the information needed to answer the
question.
• Question may be either:
• open-ended (fill in the blank)
or
• close-ended (ends with a question mark)
15
COMPONENTS OF A MULTIPLE CHOICE
QUESTION (cont.)
• 4 possible answers
• There is only one correct answer.
• The other 3 “distractors” are plausible but not correct.
• Question often contains a quantifier, such as first,
best, or most important.
16
ANALYZING THE QUESTION
• Eliminate the distractors by identifying why they are
incorrect.
• Question should be answered according to current
best practice as published in the literature, not
necessarily by past experience or facility’s present
practice.
17
CHOOSING THE CORRECT ANSWER
• Try to answer the question without looking at the
options.
• Eliminate distractors with absolutes such as “always”
or “never”.
• Review your answers at the end and change answers
judiciously.
18
COMMON ERRORS IN ANALYZING QUESTIONS
• “Reading into” the stem.
• “Overthinking”-using experience beyond 2 years
• Taking too much time/question.
• Missing the quantifier.
• Changing answers to multiple questions.
• Leaving questions blank.
• Looking for the same questions on the exam that
were on practice tests/flash cards.
19
SAMPLE QUESTION #1A
The patient population which accounts for the greatest
number of eye muscle procedures is:
A. Pediatric
B. Adolescent
C. Adult
D. Geriatric
20
ANALYSIS OF TEST QUESTION
• What did you need to know to answer this question?
• If you were unfamiliar with the content of this
question, where could you go to find out more
information ?
• Type answer in chat window.
21
ANSWER QUESTION #1A
Correct answer is: A. Pediatric
Rationale: Strabismus correction requires early
recognition and is the third most common performed
pediatric procedure between the ages of 6 months and
6 years.
• Reference: Phillips, Nancy. (2017). Berry and Kohn’s
Operating room technique, p. 142. St. Louis: Elsevier.
22
SAMPLE QUESTION #1B
The most effective way to evaluate a patient’s
comprehension of her upcoming surgery is to:
A. have the patient describe the procedure in her own
words.
B. witness her signing her consent form.
C. ask yes/no questions.
D. document that the patient has received a patient
education brochure.
23
ANALYSIS OF TEST QUESTION
• How did you choose which answer you thought was
correct?
• Type response in chat window.
24
ANSWER QUESTION #1B
Correct answer is: A. have the patient describe her
procedure in her own words.
Rationale: To evaluate understanding, have the patient
repeat in her own words what has been explained.
Reference: Phillips, N. (2017). Berry and Kohn’s
operating room technique, p. 371. St. Louis: Mosby.
25
SAMPLE QUESTION #1C
The perioperative nurse discovers that a sponge is
missing during the closing count for a left lung
lobectomy. The nurse’s first action would be to:
A. repeat the count.
B. notify the surgeon.
C. document the count as incorrect.
D. notify the supervisor.
26
ANALYSIS OF THE TEST QUESTION
Prioritization: All of the options could have been correct-
how did you choose your answer? (type answer in chat
window)
27
ANSWER QUESTION #1C
Correct answer is: B. notify the surgeon.
Rationale: The RN circulator should inform and receive
verbal acknowledgement from the surgeon and surgical
team as soon as a discrepancy in a surgical count is
identified.
Reference: AORN. (2016). Prevention of retained
surgical items. In Guidelines for perioperative practice,
p. 396. Denver, CO: Author.
28
UPCOMING CCI WEBINARS
• Dec. 14, 2016: Last Minute Tips for a Painless
Testing Experience
• Recorded sessions will be available via our YouTube
Channel at
https://www.youtube.com/channel/UC8qq9R2GcQls7
-KAytxqtJA (link at the top right hand side of our
website) and on our website at
http://bit.ly/CCIWebinars
• Slides will be available for download at
http://www.slideshare.net/OR_Nurses
29
QUESTIONS?
Type your questions in the chat window-we’re happy to
answer them!
30
Please know that the CCI staff is here to help
you achieve your goal of CNOR certification.
If you have questions, please contact us at
888-257-2667 or info@cc-institute.org
www.cc-institute.org

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An Insider's Look at the CNOR Exam

  • 1. AN INSIDER’S LOOK AT THE CNOR EXAM
  • 2. We are conducting a sound test. Please type in the chat box if you CANNOT hear the speaker. 2
  • 3. HOUSEKEEPING DETAILS • Today’s webinar is being recorded and will be available soon. • Submit questions via the chat feature in the lower right hand corner of your screen. • Questions will be answered during and at the end of the webinar. • If you need additional information or support, please call us at 888-257-2667 8-4 MT. 3
  • 4. YOUR HOSTS FOR TONIGHT’S WEBINAR Julie Mower, MSN, RN, CNS, CNS-CP,CNOR and Dawn Whiteside, MSN, RN, CNOR, RNFA Nurse Managers, Credentialing and Education 4
  • 5. COURSE OBJECTIVES 1. Review study prep materials. 2. Discuss successful study strategies. 3. Identify the main components of a multiple-choice question. 4. Apply test-taking strategies to sample test questions. 5
  • 6. RESOURCES ON CCI WEBSITE www.cc-institute.org • Handbook • CNOR Task and Knowledge Statements • Study plan • CNOR learner readiness survey • Sample test questions • Contact information for prep-for-cert courses 6
  • 7. EXAM PREPARATION TEXT BOOKS • Current edition of AORN’s Guidelines for Perioperative Practice • Perioperative reference books • Phillips, N. (2017). Berry and Kohn’s Operating room technique (13th ed.). St. Louis, MO: Elsevier. • Rothrock, J.C. (2015). Alexander’s care of the patient in surgery (15th ed.). St. Louis, MO. Elsevier. 7
  • 8. CCI STUDY AIDS Go to our bookstore at https://store.cc-institute.org for a list of all CCI study prep items. NOTE: Purchase of any CCI products is not required to take the CNOR Exam and will not guarantee an increase in your chances for passing the CNOR Exam. 8
  • 9. The Official CNOR Exam Prep • CCI’s latest exam prep product • In depth content review • 100 practice exam questions • Over 150 key terms • More than 45 exam tips 9 Go to our bookstore at https://store.cc-institute.org for a list of all CCI study prep items. NOTE: Purchase of any CCI products is not required to take the CNOR Exam and will not guarantee an increase in your chances for passing the CNOR Exam.
  • 10. OPTIONAL REFERENCES • Pathophysiology textbook • Medical dictionary • Lab/ diagnostic test reference manual • Drug reference-check hospital formulary or Epocrates at www.epocrates.com • AORN Journal • AAMI standards • Websites • The Joint Commission at www.jointcomission.org • CDC at www.cdc.gov 10
  • 11. CNOR EXAM CONTENT 11 The Candidate Handbook is found at http://www.cc-institute.org/cnor/prepare/handbook-plan See table to right for subject area breakdown on the CNOR exam (information is subject to change) Subject Area % of Questions 1. Preoperative Patient Assessment and Diagnosis 12% 2. Develop Individualized Plan of Care 10% 3. Intraoperative Activities 27% 4. Communications 10% 5. Transfer of Care 6% 6. Cleaning, Disinfecting, Packaging and Sterilization 9% 7. Emergency Situations 11% 8. Management of Personnel Services and Materials 6% 9. Professional Accountability 9% Total 100%
  • 12. TIME-SAVING STRATEGIES • Do a self-assessment; start and build on what you already know, rather than from the beginning. • Use the subject areas to organize your study plan. • Start with the areas that have the highest % of numbers or • With the subjects that are least familiar. 12
  • 13. STUDY TIPS • Average study time prior to exam: 3 months. • Turn off text messages, TV and e-mail while you study. • Break content and time into bite-size chunks. • Review, review, review. • Be able to apply broad concepts versus memorizing facts and figures. From: Shellenbarger, S. Toughest Exam Question: What is the Best Way to Study? Wall Street Journal, 26 OCT 2011, pp. D1, D2. 13
  • 14. CNOR EXAM • 200 multiple choice questions • 3 hours and 45 minutes • Tests ability to apply knowledge to perioperative practice setting • Questions are developed by pool of CNOR nurses • Administered by Prometric • May be taken Monday – Saturday, except holidays 14
  • 15. COMPONENTS OF A MULTIPLE CHOICE QUESTION • Stem • Will provide all the information needed to answer the question. • Question may be either: • open-ended (fill in the blank) or • close-ended (ends with a question mark) 15
  • 16. COMPONENTS OF A MULTIPLE CHOICE QUESTION (cont.) • 4 possible answers • There is only one correct answer. • The other 3 “distractors” are plausible but not correct. • Question often contains a quantifier, such as first, best, or most important. 16
  • 17. ANALYZING THE QUESTION • Eliminate the distractors by identifying why they are incorrect. • Question should be answered according to current best practice as published in the literature, not necessarily by past experience or facility’s present practice. 17
  • 18. CHOOSING THE CORRECT ANSWER • Try to answer the question without looking at the options. • Eliminate distractors with absolutes such as “always” or “never”. • Review your answers at the end and change answers judiciously. 18
  • 19. COMMON ERRORS IN ANALYZING QUESTIONS • “Reading into” the stem. • “Overthinking”-using experience beyond 2 years • Taking too much time/question. • Missing the quantifier. • Changing answers to multiple questions. • Leaving questions blank. • Looking for the same questions on the exam that were on practice tests/flash cards. 19
  • 20. SAMPLE QUESTION #1A The patient population which accounts for the greatest number of eye muscle procedures is: A. Pediatric B. Adolescent C. Adult D. Geriatric 20
  • 21. ANALYSIS OF TEST QUESTION • What did you need to know to answer this question? • If you were unfamiliar with the content of this question, where could you go to find out more information ? • Type answer in chat window. 21
  • 22. ANSWER QUESTION #1A Correct answer is: A. Pediatric Rationale: Strabismus correction requires early recognition and is the third most common performed pediatric procedure between the ages of 6 months and 6 years. • Reference: Phillips, Nancy. (2017). Berry and Kohn’s Operating room technique, p. 142. St. Louis: Elsevier. 22
  • 23. SAMPLE QUESTION #1B The most effective way to evaluate a patient’s comprehension of her upcoming surgery is to: A. have the patient describe the procedure in her own words. B. witness her signing her consent form. C. ask yes/no questions. D. document that the patient has received a patient education brochure. 23
  • 24. ANALYSIS OF TEST QUESTION • How did you choose which answer you thought was correct? • Type response in chat window. 24
  • 25. ANSWER QUESTION #1B Correct answer is: A. have the patient describe her procedure in her own words. Rationale: To evaluate understanding, have the patient repeat in her own words what has been explained. Reference: Phillips, N. (2017). Berry and Kohn’s operating room technique, p. 371. St. Louis: Mosby. 25
  • 26. SAMPLE QUESTION #1C The perioperative nurse discovers that a sponge is missing during the closing count for a left lung lobectomy. The nurse’s first action would be to: A. repeat the count. B. notify the surgeon. C. document the count as incorrect. D. notify the supervisor. 26
  • 27. ANALYSIS OF THE TEST QUESTION Prioritization: All of the options could have been correct- how did you choose your answer? (type answer in chat window) 27
  • 28. ANSWER QUESTION #1C Correct answer is: B. notify the surgeon. Rationale: The RN circulator should inform and receive verbal acknowledgement from the surgeon and surgical team as soon as a discrepancy in a surgical count is identified. Reference: AORN. (2016). Prevention of retained surgical items. In Guidelines for perioperative practice, p. 396. Denver, CO: Author. 28
  • 29. UPCOMING CCI WEBINARS • Dec. 14, 2016: Last Minute Tips for a Painless Testing Experience • Recorded sessions will be available via our YouTube Channel at https://www.youtube.com/channel/UC8qq9R2GcQls7 -KAytxqtJA (link at the top right hand side of our website) and on our website at http://bit.ly/CCIWebinars • Slides will be available for download at http://www.slideshare.net/OR_Nurses 29
  • 30. QUESTIONS? Type your questions in the chat window-we’re happy to answer them! 30
  • 31. Please know that the CCI staff is here to help you achieve your goal of CNOR certification. If you have questions, please contact us at 888-257-2667 or info@cc-institute.org www.cc-institute.org

Editor's Notes

  1. Script to Gary.