CPNRE / REx-PN study plan
CPNRE / REx-PN · Give each week a clear focus.
8 weeks · About 6 hours per week
Coordinated Care & Reduction of Risk Potential
Map the CPNRE/REx-PN test blueprint to identify the five most frequently tested client-needs categories within Coordinated Care and Reduction of Risk Potential.
Explain the steps of the nursing process (assessment, diagnosis, planning, implementation, evaluation) and apply them to three written case scenarios involving delegation and prioritization.
Differentiate the roles of RN, RPN, and unlicensed assistive personnel in care coordination, listing two appropriate delegation tasks and two tasks that must remain with the regulated nurse.
Identify five early-warning indicators of client deterioration (e.g., changes in vital signs, level of consciousness, urine output) and describe the nurse's immediate response for each.
Your checkpoint
Create a one-page delegation and prioritization decision tree with at least six branch points, and score at least 80% on a 20-question self-made quiz covering coordinated care and risk-reduction concepts.
Safety and Infection Control & Physiological Adaptation
List the chain-of-infection steps and match five common healthcare-associated infections to their required transmission-based precautions (contact, droplet, airborne).
Demonstrate correct donning and doffing sequence for personal protective equipment by writing the ordered steps and identifying three common contamination errors.
Compare signs and symptoms of four physiological imbalances (hypoxia, hypovolemia, hyperglycemia, increased intracranial pressure) and state the first-line nursing intervention for each.
Describe safe medication administration practices including the eight rights and three high-alert medication safeguards.
Your checkpoint
Produce a two-column table of 15 safety and infection-control scenarios with the correct precaution or intervention listed, and achieve 100% on a PPE sequencing self-check.
Pharmacological and Parenteral Therapies & Basic Care and Comfort
Calculate drug dosages for oral, subcutaneous, intramuscular, and intravenous routes using dimensional analysis, completing at least 30 practice problems with 90% accuracy.
Explain the nurse's responsibilities for administering and monitoring four high-alert medications (insulin, heparin, opioids, potassium chloride) including double-check requirements and antidotes.
Identify five nursing interventions that promote comfort and rest, such as positioning, pain assessment using a validated scale, and environmental modification.
Describe the principles of safe enteral tube feeding and parenteral nutrition, listing three complications and their prevention strategies.
Your checkpoint
Complete a medication calculation worksheet of 30 mixed-route problems with a score of at least 90%, and write a one-page comfort-care checklist for a postoperative client.
Health Promotion and Maintenance & Psychosocial Integrity
Identify three primary, three secondary, and three tertiary prevention activities relevant to a Canadian adult population, and match each to a specific health-promotion scenario.
Explain the stages-of-change model and apply it to two client scenarios involving smoking cessation and weight management.
Describe therapeutic communication techniques and boundary-setting strategies for clients experiencing anxiety, grief, or aggression.
Recognize signs of elder abuse, intimate partner violence, and suicidal ideation, and state the nurse's legal reporting and safety-planning obligations in Canada.
Your checkpoint
Write two 200-word simulated nurse-client dialogues-one demonstrating therapeutic communication with an anxious client and one demonstrating de-escalation-and self-score each against a five-item communication rubric.
Pharmacological and Parenteral Therapies & Physiological Adaptation
Interpret arterial blood gas values to classify respiratory and metabolic acidosis or alkalosis, completing 15 interpretation exercises with rationale.
Explain the nurse's role in managing a client receiving blood products, including pre-transfusion checks, monitoring for transfusion reactions, and immediate actions for a suspected reaction.
Describe the pathophysiology and nursing management of three acute physiological conditions (hypoglycemia, sepsis, and acute kidney injury).
Apply the nursing process to a client with a chest tube or an intravenous infusion pump, identifying three potential complications and corresponding interventions.
Your checkpoint
Create a one-page ABG interpretation flowchart and correctly interpret 12 of 15 practice ABG scenarios with written rationale for each.
Reduction of Risk Potential & Safety and Infection Control
Conduct a mock root-cause analysis of a medication error or fall, identifying contributing factors and three system-level prevention strategies.
Describe the nurse's role in emergency preparedness, including fire safety (RACE/PASS), code blue response, and mass-casualty triage principles.
Explain safe use of restraints, including legal requirements, alternatives, and monitoring standards in Canadian practice.
Identify five environmental safety hazards for older adults and the corresponding modification for each.
Your checkpoint
Write a 300-word incident analysis of a simulated fall with a completed five-why root-cause diagram and a list of three measurable prevention actions.
Coordinated Care & Health Promotion and Maintenance & Psychosocial Integrity & Basic Care and Comfort
Integrate content from all eight domains by completing two full-length practice examinations under timed conditions.
Review every incorrect answer from the practice examinations, categorizing each error by domain and identifying the knowledge gap.
Revisit the weakest two domains based on practice-exam performance, completing targeted review and 20 focused questions per domain.
Practice 20 prioritization and delegation questions, articulating the rationale for each answer choice.
Your checkpoint
Submit a score report from two 100-question practice exams with a written remediation log listing at least 15 specific knowledge gaps and the resources used to address each.
Coordinated Care & Safety and Infection Control & Health Promotion and Maintenance & Psychosocial Integrity & Basic Care and Comfort & Pharmacological and Parenteral Therapies & Reduction of Risk Potential & Physiological Adaptation
Complete a final 150-question cumulative practice examination and achieve a score consistent with the passing standard.
Review high-yield summaries for each domain, focusing on the top five facts per domain.
Rehearse test-taking strategies for multiple-choice and case-based questions, including elimination and time management.
Finalize a personal exam-day plan covering logistics, rest, and anxiety-management techniques.
Your checkpoint
Achieve a score of at least 70% on the final 150-question cumulative exam and submit a one-page exam-day checklist.
Milestones
Week 2: Score at least 80% on a 20-question quiz combining Coordinated Care and Safety/Infection Control content, and correctly sequence PPE donning and doffing without error.
Week 4: Complete 30 medication calculation problems with at least 90% accuracy and submit two therapeutic communication dialogues scored against a rubric.
Week 6: Correctly interpret 12 of 15 ABG scenarios with rationale and submit a root-cause analysis of a simulated safety incident.
Week 8: Score at least 70% on a 150-question cumulative practice exam and demonstrate a remediation log covering all domains with no unreviewed incorrect answers.