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New practical nurse exam for B.C. and Ontario will roll out in 2022


Sep 19, 2019

The BC College of Nursing Professionals (BCCNP) 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 NurseTM (REx-PNTM) is slated to launch in January 2022.

The REx-PN will test Canadian entry-level competencies. It’s based on current practice, focused on client safety, and will ensure nurses who enter practice have the knowledge, skills and judgment needed at the beginning of their careers.

Practice Analysis

One of the foundational pieces of the exam development is the Practice Analysis, which was conducted in early 2019, and included participants from both B.C. and Ontario. A panel of subject matter experts was assembled, 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 recently revised 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 BCCNP and CNO on a five-year cycle.

A collaborative process

BCCNP and CNO are committed to engaging with stakeholders throughout the exam development process. Opportunities to contribute and be involved, such as item writing and item review panels, are posted on the BCCNP and CNO websites. The colleges will be offering workshops for educators as well as information sessions in the coming months.

More information

Please visit our REx-PN web page for information and resources.