*Nursing manthra’s review material for Canada-CPNRE (Practical nurse Examination)*

Nursing Manthra’s CPNRE Review Material is a comprehensive preparation resource developed for candidates preparing for the Canadian Practical Nurse Registration Examination (CPNRE). The book has been created by the Nursing Manthra academic team, which includes experienced Registered Nurses and healthcare professionals.

The content is arranged in a simple, exam-oriented format that focuses mainly on the most important entry-level practical nursing concepts. Complex topics are explained using illustrations, clinical images, flowcharts, tables, comparison charts, memory aids and concise revision points, making the material easier to understand and remember.

The CPNRE is an entry-to-practice competency examination that assesses whether a candidate can apply practical nursing knowledge safely, effectively and ethically. The current examination contains approximately 160–170 multiple-choice questions, with a four-hour examination time. Questions may be presented independently or as part of brief clinical case scenarios, and each standard multiple-choice question has four options with one best answer.

Main Features of the Book

• Developed by the Nursing Manthra team, including Registered Nurses.
• Based on the current CPNRE 2022–2026 Examination Blueprint and entry-level competencies.
• Covers the major high-yield practical nursing topics required for examination preparation.
• Contains thousands of original practice multiple-choice questions.
• Includes both independent questions and clinical case-based questions.

• Questions are written in the following format:

  Question
  Four answer options
  Correct answer
  Detailed rationale

• Rationales explain why the selected answer is correct and clarify the relevant nursing principle.
• Includes prioritization, safety, communication, delegation, scope-of-practice and clinical-judgment questions.
• Includes nursing calculations, medication-safety questions and interpretation of clinical findings.
• Uses illustrations, diagrams, tables and clinical charts to simplify difficult concepts.
• Provides quick revision points for candidates preparing close to their examination date.
• Helps candidates identify weak areas and improve their clinical reasoning and test-taking confidence.

Syllabus Included

The CPNRE Blueprint contains 76 entry-level competencies organized into three major examination categories: professional, ethical and legal practice; foundations of practice; and collaborative practice.

1. Professional, Ethical and Legal Practice

This section covers approximately 15–25% of the examination.

Important topics include:

• Professional accountability and responsibility
• Practical nurse scope of practice
• Standards of nursing practice
• Code of ethics and ethical decision-making
• Client rights, dignity and autonomy
• Informed consent and refusal of treatment
• Confidentiality, privacy and appropriate use of client information
• Professional boundaries
• Documentation and incident reporting
• Duty to report unsafe, incompetent or impaired practice
• Mandatory reporting responsibilities
• Safe assignment and delegation
• Maintaining competence and fitness to practise
• Evidence-informed nursing practice
• Quality improvement and risk management
• Cultural safety, diversity and non-discriminatory care
• Advocacy and protection of vulnerable clients
• Professional conduct and appropriate use of social media

2. Foundations of Practice

This is the largest content category and represents approximately 60–70% of the examination.

Important topics include:

• Nursing process and clinical judgment
• Health assessment and physical examination
• Collection and interpretation of clinical data
• Identification and prioritization of client needs
• Planning, implementing and evaluating nursing care
• Client safety and prevention of adverse events
• Infection prevention and control
• Standard and transmission-based precautions
• Medication administration and pharmacology
• Medication calculations and dosage safety
• Pain assessment and management
• Fluid, electrolyte and acid–base balance
• Nutrition, hydration and elimination
• Wound care and pressure-injury prevention
• Perioperative and postoperative nursing care
• Emergency nursing and first-response priorities
• Cardiovascular nursing
• Respiratory nursing
• Neurological nursing
• Gastrointestinal nursing
• Renal and urinary nursing
• Endocrine and metabolic disorders
• Musculoskeletal nursing
• Integumentary conditions
• Hematology and oncology nursing
• Communicable diseases
• Maternal and newborn nursing
• Pediatric and adolescent nursing
• Mental-health and psychiatric nursing
• Gerontological nursing
• Rehabilitation and restorative care
• Palliative and end-of-life care
• Chronic-disease management
• Health promotion and disease prevention
• Client education and discharge planning
• Recognition of deterioration and escalation of care
• Evaluation of nursing interventions and client outcomes

3. Collaborative Practice

This category represents approximately 10–20% of the examination.

Important topics include:

• Therapeutic communication
• Nurse–client relationship
• Interprofessional teamwork
• Collaboration with clients, families and healthcare professionals
• Communication during handover and transfer
• Care coordination and continuity of care
• Referral to appropriate healthcare professionals
• Conflict management and resolution
• Clarification of team members’ roles and responsibilities
• Client- and family-centred care
• Shared decision-making
• Teaching and supporting clients and caregivers
• Safe discharge and transition planning
• Communication of significant assessment findings
• Participation in quality and safety initiatives

Question Style and Cognitive Level

The material gives greater attention to application and critical-thinking questions, rather than relying mainly on simple recall. The current CPNRE Blueprint specifies a maximum of 5% for knowledge or comprehension questions, a minimum of 50% for application questions and a minimum of 45% for critical-thinking questions.

Questions therefore focus on:

• What the practical nurse should do first
• Which client should be assessed first
• The most appropriate nursing intervention
• Recognition of abnormal and urgent findings
• Safe medication administration
• Appropriate assignment and delegation
• Communication with clients and healthcare professionals
• Ethical and legal nursing decisions
• Evaluation of the effectiveness of care
• Identification of complications and changes in client condition

The book includes questions involving neonates, children, adolescents, adults and older adults, as well as clients from diverse cultural and social backgrounds and different healthcare settings.

Material Delivery and Access

• The study material will be provided to the purchaser’s registered Gmail address after payment confirmation.
• Nursing Manthra study materials are supplied as secure, read-only PDF files.
• The material cannot be downloaded, printed, copied, forwarded or shared.
• Access is intended only for the individual purchaser.
• Unauthorized distribution, screen recording, reproduction or resale of the material is strictly prohibited.
• Candidates should ensure that they provide the correct Gmail address before access is arranged.

Payment and Refund Policy

• Payment must be completed before the study material is issued.
• Due to the digital and immediate-access nature of the material, the amount paid is non-refundable once access has been provided.
• Refunds will not be issued because of examination postponement, change of plans, failure to study, technical issues on the purchaser’s device or an unsuccessful examination result.
• Candidates should confirm the material title, examination and applicable nursing category before making payment.