Exam Preparation and Review

All applicants to the College of Nurses of Ontario must successfully complete the registration examination for their nursing designation, RN or RPN. Many internationally educated nurses contact CARE Centre to inquire about NCLEX and CPNRE preparation options. CARE Centre’s Exam Preparation and Review course continues to undergo extensive revisions and improvements in response to changes in the regulatory environment. CARE Centre offers an extensive course for both RN and RPN applicants, open to eligible members who are ready to begin the exam preparation process.If you are applying to practice as an RN, you will write the NCLEX-RN.

If you are applying to practice as an RPN, you will write the Canadian Practical Nurse Registration Examination (CPNRE).

Both tests consist of a series of questions designed to measure the competencies of nurses at the start of their practice. Both tests must be written at a designated testing facility within Canada.


The Exam Preparation and Review course is 10 full days of study (including a mock examination and feedback day) and while schedules may vary by location, classes are typically held one day per week. This allows for increased individual learning and preparation time between classes.
Because the course is stretched over months leading up to exam sessions, it is important to inform your case manager as soon as you know when you intend to write the exam. Your case manager can provide you with up-to-date schedules for the next session of Exam Preparation and Review at CARE Centre.


All Exam Preparation and Review courses cost $450. Tuition Assistance may be available to those who qualify and you are encouraged to speak to your case manager if you are concerned about the cost of this course. The cost of this course also includes a comprehensive study guide.

Jurisprudence Examination

In addition to the registration exam, applicants to the CNO must successfully complete a separate jurisprudence exam designed to evaluate knowledge and understanding of the laws, regulations, and College by-laws, practice standards and guidelines that govern the nursing profession in Ontario. The RN/RPN Jurisprudence Exam is written online and can be completed at any time. Once the application has been submitted and fees paid, the CNO will send information about how to access the secure testing site. You must provide an email address to the College to receive information about your jurisprudence exam. This email address must be unique to you (i.e., it cannot be a shared address with other applicants to the College).

Visit the CNO Examinations section for more about the registration and jurisprudence exams, including fees, refund policies and special accommodation requests.

Suggested Exam Preparation Resources

The College of Nurses of Ontario’s Standards and Guidelines are a series of online PDF resources nurses can access, download and print 24 hours a day, seven days a week, at no cost: http://www.cno.org/learn-about-standards-guidelines/standards-and-guidelines/

Code of Ethics for Registered Nurses

The Canadian Nurses Association’s Code of Ethics for Registered Nurses is a statement of the ethical values of nurses and of nurses’ commitments to persons with health-care needs and persons receiving care. It is intended for nurses in all contexts and domains of nursing practice and at all levels of decision-making. It is developed by nurses for nurses and can assist nurses in practicing ethically and working through ethical challenges that arise in their practice with individuals, families, communities and public health systems.

Purpose of the Code

The Code of Ethics for Registered Nurses serves as a foundation for nurses’ ethical practice. It provides guidance for ethical relationships, responsibilities, behaviours and decision-making, and it is to be used in conjunction with the professional standards, laws and regulations that guide practice. The code serves as a means of self-evaluation and self-reflection for ethical nursing practice and provides a basis for feedback and peer review. It also serves as an ethical basis from which nurses can advocate for quality work environments that support the delivery of safe, compassionate, competent and ethical care.

Nurses recognize the privilege of being part of a self-regulating profession and have a responsibility to merit this privilege. The code informs other health-care professionals as well as members of the public about the ethical commitments of nurses and the responsibilities nurses accept as being part of a self-regulating profession.

Canadian Practical Nurse Registration Examination

CPNRE Predictor Test

The Canadian Practical Nurse Registration Examination Predictor Test is a tool that will help candidates estimate how ready they are to take the exam. The Predictor Test is available online.
The Predictor Test is a short-version of the CPNRE and it is designed to help you gauge your readiness for the Canadian Practical Nurse Registration Examination and help focus your future studying.

CPNRE Prep Tools

Canadian Practical Nurse Exam Prep Guide, 4th Edition
This preparation guide was developed by the same people who create and score the CPNRE. The new and improved RPN Exam Prep Guide is a study guide in print format with an accompanying CD-ROM. It offers close to 230 practice questions based on the new competency profile that came into effect on January 1, 2007. The guide provides answers and explanations to help the student learn, a performance profile to identify areas of strength and weakness, and valuable test-taking strategies and study tips.
This prep guide is available to CARE Centre members for $85.