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REx-PN exam study guide

What's on the exam and how to study for it. Free to read, no sign-up.

The exam at a glance

Computer adaptive exam used by BCCNM (LPN) and CNO (RPN). Up to 4 hours.

Main topic areas

Area
AProfessional practice and ethics
BSafety and infection control
CClinical care across the lifespan

How to study

  1. Know your scope and when to consult the RN.
  2. Infection control and PPE order come up often.
  3. Expect questions on privacy (PHIPA) and consent.
  4. Practise every day in short sets. When you miss one, work out why each wrong option is wrong.

Try 3 sample questions

Original practice questions from our REx-PN bank, not real exam questions.

Question 1

Which client is most appropriate for a PN to care for independently?

  1. A. A client on a vasopressor infusion
  2. B. A client with stable, well-controlled diabetes recovering from a minor procedure
  3. C. A client being resuscitated
  4. D. A client in the first hour after a large heart attack who has new ventricular arrhythmias
Show the answer

B. A client with stable, well-controlled diabetes recovering from a minor procedure

PNs care independently for clients with less complex, more predictable needs.

Question 2

A PN notices a medication order that seems to exceed the safe dose. What should the PN do?

  1. A. Give half the dose
  2. B. Withhold the drug and clarify the order with the prescriber
  3. C. Give the drug as ordered
  4. D. Ask the client
Show the answer

B. Withhold the drug and clarify the order with the prescriber

Nurses are accountable for questioning orders that appear unsafe.

Question 3

A UCP reports that a client's respiratory rate is 28 and the client looks anxious. What should the PN do?

  1. A. Tell the UCP to give oxygen
  2. B. Assess the client right away
  3. C. Ask the UCP to recheck the vital signs again in an hour and report back at the end of shift
  4. D. Document the UCP's report
Show the answer

B. Assess the client right away

Abnormal findings need prompt nursing assessment.

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Source

Checked October 2026. Exam details change, so confirm with your provincial regulator before you write. MedTestCoach is an independent study tool and isn't affiliated with any exam owner or regulator.