|Canadian Registered Nurse Examination (CRNE)
Purpose of the CRNE
Each Canadian provincial and territorial
regulatory authority for nurses is responsible for ensuring that all
entry-level registered nurses within its jurisdiction meet an acceptable level
of competence before they begin to practise. This level of competence is
measured partly by the Canadian Registered Nurse Examination administered by
all provincial and territorial regulatory authorities, except in Québec. This
exam ensures that all nurses practising in these jurisdictions meet a common
Examination Length and
The examination will consist of between 180 and 200 operational questions. This number does not include the experimental questions that will appear on the CRNE.
The examination consists of multiple-choice questions only, presented either as case-based or as independent questions. Case-based questions include a set of approximately three to five questions associated with a brief health-care scenario. Independent questions contain all the information necessary to answer the question.
is Tested with the RN Exam -The following is
taken from the LeaRN Canadian Registered Nurse Exam Prep Guide (2010).
There are 148 competencies that make up the content domain for the CRNE. Each
question on the CRNE is linked to one of these competencies.
A framework was developed to identify and organize the competencies the CRNE
should assess. The resulting framework reflects a primary health-care nursing
model. The framework and definitions of the four framework categories are
presented below. The number of competencies in each category is indicated in
parentheses following the category name. The number of competencies in each
category does not necessarily reflect the importance each area of competency
has in the practice of nursing.
Professional Practice (28 competencies)
Registered nursing competencies in this category focus on personal professional growth, as well as intraprofessional, interprofessional and intersectoral practice responsibilities. Each registered nurse is accountable for safe, compassionate, competent and ethical nursing practice. Professional practice occurs within the context of the Code of Ethics for Registered Nurses (CNA, 2008), provincial/territorial standards of practice and scope of practice, legislation and common law. Registered nurses are expected to demonstrate professional conduct as reflected by the attitudes, beliefs and values espoused in the Code of Ethics for Registered Nurses.
Professional registered nurse practice is self-regulating. Nursing practice requires professional judgment, interprofessional collaboration, leadership, management skills, cultural safety, advocacy, political awareness and social responsibility. Professional practice includes awareness of the need for, and the ability to ensure, continued professional development. This ability involves the capacity to perform self-assessments, seek feedback and plan self-directed learning activities that ensure professional growth. Registered nurses are expected to use knowledge and research to build an evidence-informed practice.
Nurse-Client Partnership (14 competencies)
Registered nursing competencies in this category focus on therapeutic use of self, communication skills, nursing knowledge and collaboration to achieve the client’s identified health goals. The nurse-client partnership is a purposeful, goal-directed relationship between nurse and client that is directed at advancing the best interest and health outcome of clients. The therapeutic partnership is central to all nursing practice and is grounded in an interpersonal process that occurs between the nurse and client (Registered Nurses’ Association of Ontario, 2002). The nurse approaches this partnership with self-awareness, trust, respect, openness, empathy and sensitivity to diversity, reflecting the uniqueness of the client.
Health and Wellness (27 competencies)
Registered nursing competencies in this category focus on recognizing and valuing health and wellness. The category encompasses the concept of population health and the principles of primary health care. Registered nurses partner with clients to develop personal skills, create supportive environments for health, strengthen community action, reorient health services and build healthy public policy. Nursing practice is influenced by continuing competency, determinants of health, life phases, demographics, health trends, economic and political factors, evidence-informed knowledge and research.
Changes in Health (79 competencies)
Registered nursing competencies in this category focus on care across the lifespan of the client who is experiencing changes in health. The competencies in this category thus focus on health promotion and illness prevention activities, as well as on acute, chronic, rehabilitative, palliative and end-of-life care. Such nursing actions may be delivered across a range of settings. Essential aspects of nursing care include critical inquiry, safety, solution-focused approaches, reflective practice and evidence-informed decision-making. Registered nurses collaborate with clients and other health-care professionals to identify health priorities and empower clients to improve their own health. In responding to and managing health situations, nurses promote optimal quality of life and development of self-care capacity and dignity during illness and during the dying and death process.