BCCNM and the College of Nurses of Ontario (CNO) have partnered with the
National Council of State Boards of Nursing to develop a new entry-to-practice exam for practical nurses. The Regulatory Exam - Practical Nurse (REx-PN) will launch on Jan. 4, 2022. If you have questions about the exam, please contact us at PNExam@bccnm.ca.
The following resources will help you learn more about the REx-PN and how you can help prepare your students to write the exam. To learn more about the application process and other details, visit the
main REx-PN page.
The REx-PN practice exam provides an exam similar to the one candidates will take on test day. For $150 USD, candidates will receive two practice exams of 80 questions, available for a one-time use within 45 days of the date of purchase. The exams must be completed in one sitting. After they complete the exam, the candidate will receive a score report with the percentage of questions answered correctly.Students can purchase the practice exam individually, or you can purchase vouchers to give to your students that will give them access to take the practice exam. Visit the voucher store for details.
The REx-PN Candidate Tutorial provides instructions on how to answer the different REx-PN item types that exam writers will see during the REx-PN examination. Practice items will be provided to familiarize writers with each item type.
BCCNM and CNO have been committed to engaging with stakeholders throughout the exam development process. We thank stakeholders who contributed to the exam's development by providing feedback and/or participating in item writing and item review panels. For a full list of exam development activities, view the
exam development timeline.
In the year leading up to the launch of the REx-PN, BCCNM has been sharing information about the exam in a newsletter for educators. Each issue is distributed to leaders of B.C. practical nursing education programs for distribution as appropriate in their organizations.
Four key documents informed the development of the REx-PN:
Competencies are the integrated knowledge, skills, behaviours, attitudes, critical thinking, and clinical judgment expected of an entry-level LPN to provide safe, competent, and ethical care. Entry-level LPNs are at the point of initial registration, following graduation from a BCCNM-recognized practical nursing education program.
On Sept. 1, 2020, the Entry-Level Competencies for Licensed Practical Nurses, a set of national entry-to-practice competencies for LPNs across the country, came into effect. These competencies, approved by the BCCNM board, are based on input from educators in nursing programs, recent LPN graduates, current LPNs, and other stakeholders across Canada.
Practice analysis was conducted in early 2019 and included participants from both B.C. and Ontario. A panel of subject matter experts was assembled, and a list of LPN activities was created and incorporated into a survey that was sent to newly licensed LPNs. We then collected and analyzed the data.
The national entry-level/entry-to-practice competencies were also mapped to the practice analysis to ensure the exam includes competencies essential for safe nursing practice.
Because the Canadian health care industry is evolving rapidly, practice analysis studies will be conducted by BCCNM and CNO on a five-year cycle.
REx-PN Test Plan contains detailed information about the content areas to be tested by the REx-PN and describes how the exam is structured, including the exam’s length and how it is scored. The Test Plan can be used as a guide for students preparing to write the REx-PN and for educators looking to write REx-PN-style questions so they can help students prepare.