CPNRE / REx-PN study guide
CPNRE / REx-PN · Work through your exam, one topic at a time.
The REx-PN (Regulatory Exam – Practical Nurse) is a licensure examination for practical nurse candidates. The exam is developed by the National Council of State Boards of Nursing (NCSBN), the same organization that produces the NCLEX. The CPNRE / REx-PN study guide has 8 sections and about 3,146 words.
01Coordinated Care
The Coordinated Care domain tests how the practical nurse organizes and prioritizes care, communicates within the interprofessional team, delegates safely, obtains and documents consent, and plans transitions. Questions often ask for the first or best action when several tasks compete.
440 words, about 2 min02Safety and Infection Control
This domain tests routine practices, additional precautions, PPE, hand hygiene, sharps safety, restraint use, falls prevention, and environmental safety. The exam favours the action that breaks the chain of infection or prevents harm before it occurs.
428 words, about 2 min03Health Promotion and Maintenance
This domain tests health promotion, disease prevention, screening, immunization, growth and development, nutrition, and client teaching. Questions often ask what the nurse should teach or which screening is appropriate at a given age.
416 words, about 2 min04Psychosocial Integrity
This domain tests therapeutic communication, mental status assessment, crisis intervention, suicide risk, delirium versus dementia, abuse and neglect, grief, and culturally safe care. The exam rewards empathy, direct assessment, and safety over reassurance.
362 words, about 2 min05Basic Care and Comfort
This domain tests hygiene, mobility, skin integrity, nutrition and hydration, elimination, sleep, pain, and comfort measures. The exam asks what intervention best maintains function and dignity while preventing complications.
375 words, about 2 min06Pharmacological and Parenteral Therapies
This domain tests safe medication administration, dosage calculation, IV therapy, blood transfusion, high-alert medications, and monitoring for adverse effects. The exam prioritizes client identification, independent double-checks, and early recognition of harm.
396 words, about 2 min07Reduction of Risk Potential
This domain tests recognition of deterioration, prevention of complications, preoperative and postoperative care, laboratory monitoring, specimen collection, and safe transitions. The exam asks which finding is most concerning and what action prevents harm.
358 words, about 2 min08Physiological Adaptation
This domain tests the nurse's response to acute and chronic illness: respiratory, cardiac, metabolic, neurological, renal, and fluid and electrolyte problems. The exam expects ABC priorities, condition-specific monitoring, and recognition of complications.
371 words, about 2 min