Free REx-PN Practice Test 2026
210 practical nursing questions with rationales, written for RPNs in Ontario and LPNs in BC, with SI units and Canadian drug names. Tuned for mobile. No account needed.
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The REx-PN exam at a glance
The REx-PN (Regulatory Exam - Practical Nurse) is the entry-to-practice exam for Registered Practical Nurses in Ontario and Licensed Practical Nurses in British Columbia, built by NCSBN for those regulators. It is computerized adaptive: you answer 90 to 150 questions, 30 of them unscored pretest items, within four hours, with no going back, and the exam stops once it is 95% certain you are above or below the passing standard. The result is pass or fail, and since January 2026 select all that apply items earn partial credit. Management of Care (18 to 24%) and Pharmacological and Parenteral Therapies (14 to 20%) carry the most questions.
Tigertest has 210 REx-PN practice questions with explanations, all free with no account required.
- Questions
- 90 to 150 (30 unscored)
- Time
- Up to 4 hours, including breaks
- Format
- Computerized adaptive, no going back
- Result
- Pass or fail
- Fee
- 350 CAD plus tax per attempt (paid to Pearson VUE)
- Retakes
- Wait at least 60 days between attempts
- Who writes it
- RPN applicants (CNO, Ontario) and LPN applicants (BCCNM, British Columbia)
Updated by the Tigertest team. Practice questions follow the NCSBN REx-PN Test Plan (effective January 2022, revised 2025). Exam rules change, so confirm current details with NCSBN REx-PN.
How It Works
Client Needs Drills on Your Phone
Eight drills, one per Client Needs category, from Management of Care to Physiological Adaptation. Check each answer and read the rationale on the spot; every miss comes back until you have mastered it.
Practice Tests
90 questions at the real exam's minimum length, answered in order with no going back, like the REx-PN. Practice Test 2 questions do not appear in the drills, so you can check your progress on a separate set of questions. Finish with a score by Client Needs category and a plan for what to drill next.
Built on the REx-PN Test Plan
Every practice test follows the REx-PN Client Needs weights, so Management of Care and Pharmacological and Parenteral Therapies carry the most questions, just as they do on exam day. Lab values are in SI units, drugs go by their Canadian names, and consent, privacy and scope of practice questions follow Canadian law, with provincial differences stated as such.
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Share FeedbackHow to Practise for the REx-PN
1. Answer as an entry-level practical nurse
The REx-PN tests safe, entry-level practice. The practical nurse cares for clients whose condition is stable and predictable and consults the RN or health care provider as a client becomes more complex or unstable. When a client suddenly deteriorates, the right answer usually keeps the nurse with the client while getting help.
2. Learn the priority rules
Airway, breathing, circulation. Acute before chronic, unstable before stable, actual before potential, physical before psychosocial. Most "which client first" and "what first" questions fall to one of these, so say the rule out loud before you pick.
3. Know your numbers in SI units
Potassium 3.5 to 5.0 mmol/L, sodium 135 to 145 mmol/L, hypoglycemia below 4.0 mmol/L, hemoglobin in g/L and platelets in × 10⁹/L. Practise dosage and IV flow rate math until it is automatic: fill-in-the-blank calculations are scored right or wrong, so round only at the end and only as the question asks.
4. Treat every SATA option as true or false, then drill your weakest area
Read each select all that apply option against the stem as its own true or false question, and do not hunt for a set number of answers. Tigertest shows practice scores by Client Needs category: review the rationales in the area you miss most, then use Practice Test 2 to check your progress on a separate set of questions. These scores do not predict your result on the real adaptive exam.
For practical nursing faculty
Practical nursing programs in Ontario and British Columbia can set Tigertest as REx-PN practice for a whole class and see which Client Needs areas and questions the class misses most, free. Set up a class at /teach.
REx-PN Frequently Asked Questions
How many questions are on the REx-PN?
Between 90 and 150, with a four-hour limit that includes the tutorial and any breaks. The exam is computerized adaptive: it stops once it is 95% certain your ability is above or below the passing standard, so the number of questions you get says nothing on its own about passing or failing. Thirty of the questions are unscored pretest items you cannot tell apart from the rest, and you cannot go back to an earlier question.
What score do I need to pass the REx-PN?
There is no percentage pass mark. The REx-PN compares your ability estimate with a passing standard and reports pass or fail. Since January 2026, select all that apply items earn partial credit; every other item is right or wrong. Tigertest reports percent correct on fixed practice items, scored all or nothing, so use it to track practice progress and choose topics to review, not to predict your result.
What is on the REx-PN test plan?
Eight Client Needs categories: Management of Care (18 to 24%), Safety and Infection Control (10 to 16%), Health Promotion and Maintenance (6 to 12%), Psychosocial Integrity (8 to 14%), Basic Care and Comfort (6 to 12%), Pharmacological and Parenteral Therapies (14 to 20%), Reduction of Risk Potential (8 to 14%) and Physiological Adaptation (6 to 12%). Question types are multiple choice, multiple response, fill-in-the-blank calculation, exhibit and graphic items.
Who writes the REx-PN?
Practical nursing graduates applying to become Registered Practical Nurses with the College of Nurses of Ontario or Licensed Practical Nurses with the British Columbia College of Nurses and Midwives. It is one of several registration requirements. Practical nurses in other provinces and territories write a different exam, so check with your regulator.
How is the REx-PN different from the NCLEX-PN?
Both are built by NCSBN with adaptive testing, but the REx-PN is written for Canadian practice: SI units such as mmol/L, Canadian drug names, Canadian law and regulation, and unregulated care providers such as PSWs. Its test plan keeps Management of Care and Pharmacological and Parenteral Therapies as categories, it has no Next Generation case studies, and it runs 90 to 150 questions in four hours. Tigertest's REx-PN bank is separate from its NCLEX-PN bank.
Is the Tigertest REx-PN practice test free?
Yes. Both practice tests and all eight drills are free, with no account required. Create a free account to keep your progress in step between your phone and your computer.
I teach a practical nursing program. Can my students use Tigertest?
Yes, for free. Make a class at tigertest.io/teach, post one link, and students join with just their name. You see who practiced, their test scores and the topics your class misses most.
Related practice tests
Every test on Tigertest is free and needs no account to start.
Start Your REx-PN Practice
Free to start. No account required. 210 questions across all eight Client Needs areas, written for Canadian practical nurses.
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