REx-PN practice questions, study guides and prep

REx-PN study options compared

Option	Price	Free to use	Links
Official
REx-PN exam previewA downloadable set of 125 items similar to the real exam, from the National Council of State Boards of Nursing (NCSBN)In English and French. It’s static and not scored, it doesn’t predict your result, and its items won’t appear on the exam.	Free	Yes. NCSBN calls it a free download, and the Ontario and B.C. regulators call it free	NCSBN: Exam preview ↗NCSBN: Prepare for the REx-PN ↗
REx-PN test planNCSBN’s description of what’s tested, with activities for each of the eight areas and sample itemsThe 2022 plan applies through December 31, 2026, and the 2027 plan from January 1, 2027. Both are published in English and French.	No cost	Yes. The bulletin says it can be downloaded at no cost	NCSBN: Test plan page ↗
REx-PN candidate tutorialA walk-through of Pearson’s exam software and each item type, with practice itemsIn English and French. It teaches the screen and item types and doesn’t test your nursing knowledge.	No cost	Yes. NCSBN’s FAQ lists it among resources available free of charge	NCSBN: Candidate tutorial ↗
Books
Mosby’s Prep Guide for the Canadian PN ExamA practice-question book for the REx-PN and the Canadian Practical Nurse Registration Examination (CPNRE), by Marianne Langille and Karen Katsademas, with REx-PN format questions on EvolveFirst edition, copyright 2022, so it predates the 2027 test plan. Prices are Elsevier’s, on its U.S. store.	US$59.99 for the book on Elsevier’s U.S. store; the eBook shows US$35.69, reduced from US$50.99	No free version listed	Elsevier: Mosby’s Prep Guide ↗
Apps and websites
ExamPrepHeroAn independent Canadian exam-prep site with REx-PN practice exams, flashcards and a study guideIts practice exams have 150 questions each, with unlimited attempts and one year of access. It says it isn’t affiliated with or endorsed by any regulator. Its guide is labelled 2025, and its breakdown shows the 2022 plan’s ranges.	$77.95 CAD on sale (from $97.95) for 8 practice exams; $97.95 CAD on sale (from $137.95) with 300 flashcards and the study guide	Sample questions and sample flashcards are on its site, with no price shown	ExamPrepHero: REx-PN practice exams ↗ExamPrepHero: Exams, flashcards and guide ↗
Archer ReviewA nursing and medical exam prep company. Its REx-PN article sends readers to its program for the National Council Licensure Examination for Practical Nurses (NCLEX-PN)The article points to a program sold for the NCLEX-PN, a different exam, not to a REx-PN product, so compare it with the REx-PN test plan before you buy. Prices are as shown on its page, which doesn’t say which currency.	Question bank from $59 for one month; combos start from $79	No free plan on the page	Archer Review: REx-PN article ↗Archer Review: NCLEX-PN plans ↗

Prices and ratings checked November 2026.

Where do official REx-PN practice questions come from?

NCSBN’s Prepare page offers the exam preview as a free download, and CNO and BCCNM also call it free. It’s a static set that you download. It isn’t scored, and it doesn’t predict whether you’ll pass. Its 125 items won’t appear on the exam, so a good result on the preview tells you about those items and nothing more.

Two more official resources give you practice of a different kind:

• The candidate tutorial, which shows you Pearson’s exam software and how to answer each item type
• The test plan, which includes sample items and, in an appendix, item-writing exercises meant for educators

NCSBN’s Prepare page lists no paid practice exam. CNO’s resource list also mentions “a practice exam” in English and French, and that link goes to the home page of NCSBN’s REx-PN site, where the exam preview is the download on offer.

The REx-PN study guide: use the test plan

The closest thing to an official study guide is the test plan. BCCNM says it’s the same guide used by the people who write and review the exam questions. It defines each client needs area and lists the nursing activities behind it.

Two plans are published, so pick by your exam date. The 2022 plan applies through December 31, 2026, and the 2027 plan from January 1, 2027. BCCNM says to prepare from the plan in effect on the day you write.

You’ll see a lot of terms, but only some lab values need memorizing. The 2027 plan names these:

• Arterial blood gases (pH, PO2, PCO2, SaO2, HCO3)
• Blood urea nitrogen (BUN), creatinine and glucose
• Total cholesterol and glycosylated hemoglobin (HgbA1C)
• Hematocrit, hemoglobin and platelets
• International normalized ratio (INR), prothrombin time, partial thromboplastin time and activated partial thromboplastin time
• Potassium, sodium and white blood cell count

CNO and BCCNM say all other values are given to you in the question.

How to build your REx-PN exam prep

CNO and BCCNM both say your nursing program covers what’s tested, so this is mostly about finding gaps and learning the format.

1. Read the test plan for your exam date and mark the activities you feel least sure of.
2. Take the candidate tutorial so you know how each item type works on screen.
3. Work through the exam preview, then go back to the areas where you struggled.
4. Review CNO’s practice documents if you’re writing in Ontario. CNO also suggests a nursing peer support group, and a language course if you aren’t fully fluent in English or French.
5. If you buy a book or question bank, check that it matches the plan for your exam date, and treat its score as that seller’s own measure.

Already wrote it and didn’t pass? Your Candidate Performance Report shows which areas to work on first.