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:

ExamFormatPassing GradeExam Duration
CPNRE165-170 Multiple Choice QuestionsDetails4 Hrs.
CategoryPercentage Weight
Foundation of Practice60%
Collaborative Practice15%
Professional, Ethical and Legal Practice 25%

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