CPNRE Exam Breakdown

CPNRE Exam Breakdown

The Canadian Practical Nurse Registration Examination (CPNRE) exam consist of 165 to 170 objective multiple-choice questions multiple choice questions. The exam will need to be completed in 4 hours or less.

The follow is a breakdown of the number of questions the candidate will see on the CPNRE exam breakdown:

Foundation of Practice

Plan and implement interventions based on assessment and desired outcomes.

• identify health goals and outcomes in collaboration with the client.
• engage client in developing and prioritizing the plan of care
• determine nursing diagnosis
• implement the plan of care.

Formulate decisions consistent with client needs and priorities

• develop individualized nursing interventions
• respond appropriately to changing situations
• organize and manage multiple priorities
• set priorities that reflect individual client needs.

Apply principles of safety

• assess needs and implement strategies to enhance infection prevention and control of communicable diseases.
• assess needs and implement strategies related to risk management and reduction of harm
• implement routine practices
• apply knowledge of principles and implications of immunization
• promote psychological health and safety

Facilitate health education

• plan and implement strategies to enhance client learning
• provide health education in collaboration with the client.
• evaluate client learning and revise strategies as necessary
• evaluate the quality of health-related resources

Engage in safe infusion therapy practices.

• apply principles of infusion therapy to assess and monitor central venous catheters (CVC)
• apply knowledge of pain management systems (e.g., patient-controlled analgesia (PCA), epidural).
• apply standards and principles when administering blood and blood products
• apply principles of infusion therapy when preparing and administering peripheral and subcutaneous infusions
• analyze clinical data
• evaluate and document client’s response to infusion therapy
• implement strategies to optimize infusion therapy safety.

Engage in safe medication practices.

• implement strategies to optimize medication safety
• evaluate and document client’s response to medication
• apply principles of medication administration and pharmacology when preparing and administering medications (not including IV push)
• analyze clinical data

Collaborative Practice

Demonstrate leadership in collaborative practice

• participate in quality improvement and risk management activities
• collaborative with the health-care team to coordinate the actions of others in emergency situations
• integrate best evidence in collaboration with the health-care team.
• seek, provide and reflect on constructive feedback
• lead, direct, assign or supervise unregulated health workers and others
• engage others to support effective teamwork
• practice collaboratively with the health-care team.
• participate in quality improvement and risk management activities
• promote a culture of safety

Develop and maintain collaborative relationships

• apply conflict management skills
• promote quality, healthy work environments
• develop partnerships based on trust and respect

Communicate collaboratively

• communicate in a respectful, timely, open and honest manner
• demonstrate effective communication techniques
• communicate relevant information to the appropriate person agency

Professional, Ethical and Legal Practice

Legal Practice

• recognize and respond to questionable orders, actions or decisions
• adhere to relevant abuse, communicable disease and mental health legislation
• practice within the confines of established policies, procedures and standards

Ethical Practice

• ensure that implied and/or informed consent is obtained
• maintain client’s confidentiality, privacy and dignity
• accommodate client diversity.
• identify and address situations involving moral and ethical challenges.
• recognize and adhere to the duty to provide care
• recognize and respect the values, opinions, needs and beliefs of clients, self and others
• establish and maintain respect, empathy, trust and integrity in interactions with clients and others.

Professional Practice

Develop the therapeutic nurse-client relationship

• provide client care without bias.
• respect client’s right to self-determination
• initiate, maintain and terminate the therapeutic nurse-client relationship

Demonstrate leadership in all aspects of practice

• advocate for best practices
• assess and develop professional competence.
• advocate for client, self and others.

Responsible and Accountable for their own decisions and actions

• determine when to seek assistance and guidance
• engage in critical inquiry, critical thinking and clinical judgment for decision making
• practice autonomously within legislated scope of practice

Demonstrate and model professional behaviour.

• assess and maintain own fitness to practice.
• respond to inappropriate behaviour and communication.
• respond to incidents of unsafe practice
• respond to incidents of professional misconduct
• adhere to standards of practice and ethics