Canada · Licensing exam

Canada nursing exams: which one you write

It depends on your nursing title and where you want to register. There’s no single Canada nursing exam. Registered Nurses (RNs) write the NCLEX-RN, the National Council Licensure Examination for RNs. Registered Practical Nurses (RPNs) in Ontario and Licensed Practical Nurses (LPNs) in British Columbia write the Regulatory Exam for Practical Nurses (REx-PN). The National Council of State Boards of Nursing (NCSBN) writes the REx-PN. LPNs elsewhere write the Canadian Practical Nurse Registration Examination (CPNRE) in the regions on its list of regulators.

  • 2Provinces using the REx-PN
  • 10Provinces and territories using the CPNRE
  • OntarioOnly province with a French REx-PN

Which Canada nursing exam do you need?

NurseExamWhere
RNNCLEX-RNCanada, excluding Quebec
RPNREx-PNOntario
LPN in British ColumbiaREx-PNBritish Columbia
LPN in other regionsCPNRERegions listed below

Your regulator decides. Apply there first, even when another organization writes or delivers the exam. The RN row comes from the College of Nurses of Ontario (CNO), which describes the NCLEX-RN as the registration exam for anyone in Canada, excluding Quebec, applying to become an RN.

Where practical nurses write the CPNRE

The CPNRE’s own site lists regulators for these provinces and territories:

  • Alberta
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Northwest Territories and Nunavut, under one regulator
  • Nova Scotia
  • Prince Edward Island
  • Saskatchewan
  • Yukon

Quebec isn’t on this list and doesn’t use the REx-PN, so ask the regulator there. If you’re searching for the “CLPNA exam”, that’s the CPNRE: the clpna.com address of the College of Licensed Practical Nurses of Alberta opens the site of the College of LPNs and HCAs of Alberta (CLHA), which publishes CPNRE pass rates for Alberta’s programs.

How the REx-PN and CPNRE differ

FeatureREx-PNCPNRE
FormatAdaptive, 90 to 150 itemsLinear on the fly: a different equivalent form for each writer
Developed byNCSBNIn collaboration with Yardstick Assessment Strategies
Delivered byPearson test centresOnline, with remote proctoring by Meazure Learning
WhenAny time a seat is openSet windows in January, March, May, July, September and November

The CPNRE column uses what the Nova Scotia and Newfoundland and Labrador regulators publish, so check with your own for its details. Passing one exam doesn’t always settle things when you move: B.C.’s rule on CPNRE results is on the LPN exam page.

Is the REx-PN the same as the NCLEX-PN?

No. NCSBN wrote both, and both use computerized adaptive testing, but the British Columbia College of Nurses and Midwives (BCCNM) says the REx-PN is its own exam, built for BCCNM and CNO, and that candidates won’t write the NCLEX-PN. REx-PN items are written by Canadian nursing educators who teach in Ontario and B.C. practical nurse programs, and they’re reviewed against the legal scope of practice there.

The NCLEX-PN has its own page in the NCLEX course here, which compares it with the NCLEX-RN.

The exam for registered nurses

If you’re looking for the registered nurse exam, you want the NCLEX-RN and not the REx-PN. In Ontario and B.C., the regulator that handles your practical nurse application also handles RN applications, but the exam, the test plan and the fee are separate. The NCLEX-RN has its own course on this site, including how it works in Canada.

Sources: CNO · BCCNM · NCSBN and 7 more. Checked November 2026.

Rules and fees can change, so check the official site before your test.