CNOR Certification Guide for Perioperative Travel Nurses
If you're a perioperative nurse looking to advance your career, the CNOR certification is a powerful credential that can help you stand out. Whether you're working in a hospital operating room or exploring high-paying travel assignments, becoming a Certified Perioperative Nurse (CNOR) demonstrates your surgical expertise and opens doors to exciting opportunities.
In this guide, we’ll walk through everything you need to know—eligibility, application steps, exam prep, renewal, and why this certification matters, especially in travel nursing.
What is CNOR certification?
CNOR certification is awarded by the Competency & Credentialing Institute (CCI) and recognizes a registered nurse’s advanced knowledge in perioperative practice. It’s a nationally respected credential that:
Serves as a benchmark of clinical excellence in surgical care
Is preferred by Magnet hospitals and academic medical centers
CNOR Exam Overview
Length of time to complete: 3 hours, 45 minutes
Format: Computer-based
Number of questions: 200 multiple-choice questions
Exam results: pass vs. no pass
Content Area | Breakdown |
Patient Care & Safety | 25% |
Infection Prevention, Instrumentation, Supplies, Environment | 16% |
Pre-/Post-operative Patient Assessment and Diagnosis | 15% |
Communication & Documentation | 11% |
Emergency Management | 10% |
Management of Personnel, Services, and Materials | 9% |
Nursing Process, Patient Care Plan | 8% |
Professional Accountability | 6% |
Who should pursue CNOR?
This certification is a great fit for:
Operating room nurses with at least two years of experience
Travel nurses in perioperative settings with at least two years of experience
RNs working in ambulatory surgery centers, inpatient surgical units, specialty ORs (neuro, ortho, cardiac), nursing education, administration or research
Nurses aiming for leadership, educator, or preceptor roles in surgery
CNOR exam requirements
To sit for the CNOR exam, candidates must:
Hold a current, unrestricted RN license (U.S. or equivalent)
Accumulate at least two years and 2,400 hours of perioperative experience
Have completed at least 1,200 hours in intraoperative nursing within the past two years
Eligibility checklist:
Active RN License
2,400 total perioperative hours
1,200 intraoperative hours (within two years)
How to apply for CNOR
The CNOR application process is straightforward:
Create a CCI account and confirm eligibility
Submit your application and pay the exam fee
Receive your Authorization to Test (ATT) via email
Schedule your exam at a Prometric testing center
Take the 3-hour exam (200 multiple-choice questions)
Passing score:
The score varies slightly each year based on exam difficulty
The 2024 average passing score was approximately 620 (scaled)
Join Nomad's travel nurse community
CNOR exam prep & study resources
Here are some proven ways to prepare:
Use the CCI Candidate Handbook and Content Outline
Enroll in AORN’s CNOR Prep Courses (boot camps, online modules) FAQs
Invest in CNOR study guides and flashcards
Follow an 8–10 week study plan with regular practice questions
Join CCI forums or nurse study groups
Take 2 program:
Optional $100 add-on
If you don’t pass, you get one free retake within 12 months
CNOR exam & renewal costs
Fee Type | Amount (USD) |
CNOR Exam (Standard) | $445 |
CNOR Exam (AORN Member) | $395 |
Take 2 Add-On | +$100 |
Renewal (Standard) | $350 |
Renewal (AORN Member) | $275 |
CNOR renewal & recertification
CNOR certification is valid for 5 years. To maintain it, you’ll need to:
Complete 300 hours of perioperative nursing practice
Earn 50 contact hours of perioperative-related continuing education
Submit your renewal application and fee before expiration
💡Pro Tip: Renew early to avoid fees or certification lapses.
Benefits of CNOR certification
- Establishes your expertise in surgical nursing
Meets credentialing requirements for some Magnet hospitals
Often preferred for top-paying OR travel assignments
Enhances eligibility for educator or leadership roles
Certified nurses may see increased job opportunities and higher pay, especially in high-demand travel contracts.
CNOR certification vs. other OR credentials
Credential | Focus Area | Best For |
CNOR | Perioperative nursing | OR nurses, travel RNs |
CSSM (Certified Surgical Services Manager) | OR management | Supervisors, nurse managers |
CRNFA | First Assist role | Advanced periop RNs |
Find top OR travel nurse jobs on Nomad
If you’re ready to elevate your career, CNOR certification can help you stand out in a competitive job market. Travel nurses in particular benefit from this credential, gaining access to top-tier roles and increased pay.
Nomad Health makes it easy to search for OR travel jobs—without recruiters or hidden pay packages.
Frequently Asked Questions
- CNOR is a surgical nursing credential for RNs in perioperative settings.
- Meet the eligibility criteria, apply via CCI, and pass the 200-question exam.
- $445 standard or $395 for AORN members.
- 5 years.
- Typically 65–70% depending on the year.
- Not always, but many facilities and travel roles prefer it.
- Absolutely—CNOR-certified nurses are more competitive, especially in Magnet hospitals.