CPNRE / REx-PN study materials
CPNRE / REx-PN study resources

CPNRE / REx-PN study plan

CPNRE / REx-PN · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

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.

Week 2

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.

Week 3

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.

Week 4

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.

Week 5

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.

Week 6

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.

Week 7

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.

Week 8

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.