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[Virtual Presenter] As an instructor in Higher Education, I am pleased to present the REx-PN® Test Plan training video. This video will guide you through the test plan for the Regulatory Exam – Practical Nurse, which will be implemented in January 2022. It will provide all the necessary information for a successful exam. Let's begin!.

[Audio] Today, we will discuss the mission statements of two regulatory bodies, the National Council of State Boards of Nursing (NCSBN) and the British Columbia College of Nurses and Midwives (BCCNM), which are vital to the nursing profession. The mission statement of NCSBN, adopted in 2019, demonstrates their commitment to protecting the public through nursing regulation. BCCNM is the regulatory body for all nurses in British Columbia, including LPNs, NPs, RNs, and RPNs, and carries out its duty of public protection by setting practice standards, assessing nursing education programs, and handling complaints. Let's now turn our attention to the College of Nurses of Ontario (CNO), the governing body for RNs, RPNs, and NPs in the province, whose mission is to regulate nursing in the public's interest by establishing requirements for entry to practice, promoting practice standards, administering their Quality Assurance Program, and enforcing standards of practice and conduct. Please note that NCSBN holds all rights to this document, and using or reproducing it for commercial or for-profit purposes is strictly prohibited. However, approved or recognized nursing education programs in British Columbia and Ontario may use or reproduce parts of this document for educational purposes. Thank you for listening to this brief overview of these regulatory bodies' mission statements. Stay tuned for more information as we continue our discussion on the REx-PN® Test Plan for the Regulatory Exam - Practical Nurse..

[Audio] The REx-PN® Test Plan for the Regulatory Exam – Practical Nurse will be implemented in January 2022. This plan has been developed by the National Council of State Boards of Nursing in British Columbia and Ontario to ensure that future practical nurses are equipped with the knowledge and skills to provide safe and effective patient care. The test plan covers topics such as basic nursing care, pharmacology, and legal and ethical principles. The exam will consist of 100 multiple-choice questions and will be administered in a computer-adaptive format, with a passing score of 75% required to become a licensed practical nurse. Additionally, the skills assessment will evaluate the candidate's hands-on skills in a clinical setting to determine their ability to provide safe and competent patient care. The REx-PN® test plan was created in collaboration with subject matter experts and reflects current healthcare trends and best practices. It is designed to ensure practical nurses are prepared for the demands of the healthcare industry. In summary, the REx-PN® test plan is a vital step in becoming a licensed practical nurse and accurately assesses the necessary knowledge and skills for quality patient care..

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[Audio] The fifth slide of our Effective January 2022 REx-PN® Test Plan for the Regulatory Exam – Practical Nurse discusses the table of contents and structure of the test plan. The table of contents provides an organized outline of the content covered, with sections that will be discussed in detail later in the presentation. This 2022 test plan aims to evaluate the knowledge and skills of practical nurses in providing safe and effective care to their clients. It is based on the assumption that practical nurses possess a certain level of education, experience, and training. The test plan is divided into four main categories that reflect client care needs: management of care, safety and infection control, health promotion and maintenance, and psychosocial integrity. Each category is further divided into subcategories, and the content of the test plan is distributed and weighted to ensure equal importance is placed on all areas of practical nursing. The safe and effective care environment section focuses on a practical nurse's ability to manage care and maintain a safe and clean environment for clients. The health promotion and maintenance section assesses skills and knowledge in promoting and maintaining overall client health. The psychosocial integrity section evaluates a practical nurse's ability to provide emotional and social support to clients and address any psychosocial concerns. Ultimately, the 2022 REx-PN® Test Plan for the Regulatory Exam – Practical Nurse aims to ensure that practical nurses have the necessary knowledge and skills to provide safe and effective care..

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[Audio] Slide number 7 of the presentation on the 2022 REx-PN® Test Plan for the Regulatory Exam – Practical Nurse provides background and purpose information. The REx-PN® Test Plan is a comprehensive list of content areas that will be tested in the Regulatory Exam in both British Columbia and Ontario. Its main purposes are to guide candidates preparing for the exam, direct exam content writers, and ensure the fairness and relevance of the exam to the role of a practical nurse. The booklet includes the 2022 REx-PN Test Plan with detailed content lists, testing requirements, and sample exam items, as well as a guide for nurse educators. It is developed in collaboration with the National Council of State Boards of Nursing and reviewed every five years to ensure it is consistent with nursing acts and legislation and reflects current information on the REx-PN exam. For more information, please visit the NCSBN website at rexpn.com. Thank you and stay tuned for more detailed discussions on specific content areas and sample exam items. Good luck with your exam preparation!.

2 2022 REx-PN® Test Plan.

[Audio] We are currently on slide 9 of our presentation, discussing the second part of the 2022 REx-PN® Test Plan, which is used by the British Columbia College of Nurses and Midwives and the College of Nurses of Ontario for regulating the entry into the practice of nursing. The purpose of the REx-PN® is to evaluate the knowledge, skills, and judgment of candidates in order to safely meet the needs of clients within their first year of practice. This plan was developed based on data from the 2019 REx-PN Practice Analysis, which surveyed 6,625 newly registered PNs in British Columbia and Ontario. The information collected was used to create a framework for entry-level nursing practice that considers individual client needs. The REx-PN® Test Plan was then created to guide the content and behaviors tested in the exam. It is important to note that the exam assumes that people are unique and have their own values, beliefs, and cultures, and that nursing is a collaborative process that involves the individual, family, and community in promoting health and wellness. This understanding is reflected in the content of the exam. Please refer to the next slide for more information on the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse..

[Audio] This presentation will cover key components of the 2022 REx-PN Test Plan for the Regulatory Exam - Practical Nurse, effective January 2022. We will focus on the client care needs and the test plan's aim to prepare practical nurses for the evolving demands of the nursing profession. Through various learning experiences, including theory courses, lab, simulation, and practice placements, practical nurses will be equipped to provide care across the lifespan and continuum of clients' care as essential members of the healthcare team. It is crucial for practical nurses to recognize and respect the cultural and spiritual preferences of their clients while adhering to provincial standards, regulations, legislation, and employer policies. Critical thinking is a necessary skill for nurses to integrate complex knowledge, skills, technologies, and client care activities into evidence-based nursing practice. The ultimate goal of nursing in client care is to prevent illness and potential complications while also promoting comfort, health, and dignity in dying. The REx-PN test plan is organized based on client care needs, with specific percentages allocated for each category and subcategory. These percentages were determined through a practice analysis and expert review. Management of care, safety and infection control, health promotion and maintenance, psychosocial integrity, and basic care and comfort are allocated 18-24%, 10-16%, 6-12%, 8-14%, and 6-12%, respectively. Pharmacological and parenteral therapies make up 14-20% of the test items, while reduction of risk potential and management of health alterations are 8-14% and 6-12%, respectively..

[Audio] In this slide, we will be discussing the distribution of content for the REx-PN® Test Plan. The content is divided into different categories with varying percentages. The categories include Physiological Adaptation, Management of Care, Reduction of Risk Potential, Safety and Infection Control, Pharmacological and Parenteral Therapies, Health Promotion and Maintenance, Psychosocial Integrity, and Basic Care and Comfort. Each category has a specific percentage that corresponds to its importance. The REx-PN® Test Plan is administered adaptively to accommodate each candidate's abilities, making the exam personalized and accurate. The REx-PN® Test Plan also integrates three key processes - Nursing Process, Caring, and Communication and Documentation - which are essential for providing quality care to clients. Please continue to the next slide for more information on the REx-PN® Test Plan for the Regulatory Exam for Practical Nurses, effective January 2022..

[Audio] This training video focuses on the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse. In this segment, we will be discussing slide number 12 out of 50, which covers the 2022 REx-PN® Test Plan. This plan assesses the competencies of entry-level nurses in preventing illness and promoting health and well-being. It also emphasizes the importance of considering a client's culture, spirituality, and preferences, as well as legal considerations. The nurse's role in ensuring client safety and the use of the 2019 REx-PN Practice Analysis to develop this test plan is also highlighted. This analysis is conducted every five years and can be found at rexpn.com. The REx-PN® Test Plan requires nurses to apply clinical decision-making and critical thinking, as well as integrate concepts from various sciences. Its goal is to ensure that all entry-level nurses are competent and well-prepared to provide safe and effective care to their clients. Stay tuned for more valuable information on the REx-PN® Test Plan..

[Audio] This training video is focused on slide number 13 out of 50, which covers the Management of Care portion of the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse effective January 2022. As a nurse in Higher Education, it is crucial to create a safe and effective care environment for clients and healthcare personnel. This includes providing and directing nursing care to enhance the care delivery setting and protect clients and healthcare personnel. The Management of Care section consists of important statements from the 2019 REx-PN Practice Analysis, such as integrating advance directives into client care plans, advocating for client rights and needs, delegating and supervising care, and managing workload to optimize time. Nurses must also initiate, evaluate, and update care plans, educate clients and staff about client rights and responsibilities, involve clients in decision making, and collaborate with the interprofessional team. Additionally, nurses in Higher Education may provide support and facilitate learning for new staff and students, participate in conflict resolution, maintain confidentiality and privacy, use approved abbreviations and terminology when reporting on assigned clients, prioritize client care, and address ethical dilemmas in accordance with a code of ethics. Nurses must also assess and improve professional competence, obtain consent for care and procedures, and educate clients appropriately. Lastly, nurses must accurately and promptly transcribe healthcare provider orders. This concludes our overview of the Management of Care section of the REx-PN® test plan. Stay tuned for more information on the other sections of the test plan..

[Audio] As a nurse, it is vital for you to be familiar with the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse, which will come into effect in January 2022. This test plan is designed to evaluate your knowledge and skills in various areas of patient care. Slide number 14 will cover the topic of Advance Directives, Self-Determination, and Life Planning. The 2022 REx-PN® Test Plan includes these topics and many more. Understanding these concepts is crucial in providing high-quality care to your clients. This involves incorporating advance directives into a patient's care plan, ensuring their awareness of their options and ability to make informed decisions about their healthcare. As a nurse, it is your responsibility to advocate for your clients' rights and needs, respecting their decisions and discussing different treatment options with them. Not only should you advocate for your clients, but you should also educate and inform your staff about the importance of advocacy and how they can contribute. This may involve utilizing resources like social workers or interpreters to ensure your clients' voices are heard and their needs are met. Another significant element of your role as a nurse is delegating and supervising the care of your clients, as well as managing your workload effectively. This includes identifying tasks that can be delegated, ensuring their proper completion, and evaluating staff members' competency and decision-making skills. As a case manager, you play a critical part in initiating, evaluating, and updating the client's care plan. This involves assessing their individual needs and utilizing available resources to support their independence. In some cases, this may also include determining the need for specific equipment or materials, such as oxygen or suction machines. In summary, it is essential for you, as a nurse, to have a comprehensive understanding of Advance Directives, Self-Determination, and Life Planning when preparing for the REx-PN® Test. By incorporating these topics into your practice, advocating for your clients, effectively managing your workload, and performing case management, you will be better prepared for the exam..

[Audio] We will be discussing the 2022 REx-PN® Test Plan for the Regulatory Exam - Practical Nurse, which will go into effect in January of 2022. It is crucial for all practical nurses to familiarize themselves with the changes. On slide number 15, we will be focusing on the 9th competency in the test plan, which is client rights. As a practical nurse, it is important to educate both clients and staff about their rights and responsibilities, including discussing treatment options and decisions and involving the client in care decision-making. It is also necessary to evaluate the client's understanding of their rights, including the right to refuse treatment or procedures. Additionally, collaboration with interprofessional team members is essential, including identifying the need for interdisciplinary conferences and reporting important information to other healthcare professionals. It is also important to review the plan of care to ensure continuity across all teams. Understanding concepts of management is another crucial aspect of being a practical nurse, including providing support and facilitating learning for new staff and healthcare students, serving as a resource person, and participating in conflict resolution. Confidentiality and information security are also vital components of the test plan, and it is our responsibility to maintain client confidentiality, assess understanding of confidentiality requirements, and appropriately intervene in the event of a breach. Lastly, we must ensure continuity of care for our clients by providing and receiving hand-off of care, documenting and communicating client information accurately, and following up on any unresolved issues. It is important to use approved abbreviations and standard terminology when documenting..

[Audio] Slide 16 focuses on the 2022 REx-PN® Test Plan for the Regulatory Exam – Practical Nurse, which will be implemented in January 2022. This plan evaluates the skills and knowledge of practical nurses to ensure they meet regulatory board standards. The first area covered is performing procedures for admitting and discharging clients and prioritizing care. Nurses must also be proficient in ethical practice, including recognizing and addressing ethical dilemmas. Informed consent is another key area, including obtaining consent and providing education in the client's language. Nurses must also be proficient in using information technology and understanding legal rights and responsibilities. These are all essential areas for practical nurses to excel in their profession..

[Audio] The REx-PN® Test Plan for the Regulatory Exam – Practical Nurse has a goal to ensure that all practical nurses are prepared and competent to practice safely and effectively. This new test plan will be implemented in January 2022 and it is crucial to understand its components. Slide number 17 out of 50 introduces the topic of quality improvement. As a practical nurse, it is important to recognize your limitations and seek assistance when needed, including reporting any client information as required by law. This may include instances of abuse or neglect, or communicable diseases. It is also vital to respond to any unsafe practice from a healthcare provider, whether it involves intervening or reporting the issue. As a practical nurse, participating in performance improvement projects and quality improvement processes is a crucial aspect of your role. This involves identifying areas for improvement, reporting any issues or problems with client care, and utilizing research and references to inform your actions. It is necessary to evaluate the impact of these measures on client care and resource use. Referrals are another important aspect of a practical nurse's responsibilities. This involves assessing the need for referrals, obtaining necessary orders, and identifying opportunities to refer clients for assistance with their physical or potential problems. Being knowledgeable about community resources for clients, such as respite care or social services, and understanding the necessary documents for referrals is crucial. To help prepare for the exam, here is a sample question. You have received information about four assigned clients and the first step should be to assess the client with atrial fibrillation, who has an irregular pulse of 90. This is an example of using critical thinking, which will be utilized throughout the exam to determine the correct answer. As a practical nurse, understanding the importance of critical thinking in your practice is vital. This overview of the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse is complete. Stay updated for further presentations on different components of the exam and remember to stay up-to-date with the latest information and guidelines..

[Audio] The topic we will now focus on is Safety and Infection Control for the REx-PN® Test Plan for the Regulatory Exam - Practical Nurse. Starting in January 2022, nurses are expected to prioritize the protection of their clients and health care personnel from potential hazards. This requires them to be knowledgeable and proactive in preventing risks and maintaining a safe environment. According to the 2019 REx-PN Practice Analysis, nurses must be proficient in various activities related to Safety and Infection Control. These include assessing clients for allergies and sensitivities, promoting safety and preventing injuries, following health care provider orders, and participating in emergency response plans. It is also important for nurses to use ergonomic principles when providing care, follow proper procedures for handling biohazardous and hazardous materials, and be alert for errors or near misses. Adhering to security measures and safely using equipment is crucial for the safety of both clients and staff. When it comes to infection control, nurses must apply essential principles such as hand hygiene, aseptic technique, and universal precautions. They also have a responsibility to educate clients and staff on infection control measures and follow policies and procedures for the use of restraints. Another related topic in this section is Accident/Error/Injury Prevention, where nurses must assess clients for allergies and sensitivities, promote safety and injury prevention, and ensure that clients and staff are knowledgeable about safety procedures. Additionally, nurses should identify any factors that may impede client safety and verify orders for treatments that may pose potential risks. Our next topic will be Medication Administration, so stay tuned. Thank you for your attention to this presentation on Safety and Infection Control. We look forward to seeing you next time..

[Audio] This slide discusses the skills and knowledge required for practical nurses to demonstrate during the regulatory exam for practical nurses, effective January 2022. These skills and knowledge are essential for providing safe and effective care to clients and promoting their well-being. Practical nurses must be able to communicate with clients using appropriate methods such as call buttons and intercom systems. They must also be able to implement seizure precautions for at-risk clients and consider factors such as their level of independence, mobility, and medical needs when making room assignments for cognitively impaired clients. Proper client identification is crucial when providing care, and practical nurses must verify their identity before administering treatments or medications. In emergency situations, practical nurses must be prepared to participate in internal and external emergency response plans, prioritize clients for discharge, and understand their role in disaster planning. Ergonomic principles are essential, and practical nurses must use safe client handling techniques and assess their clients' ability to balance, transfer, and use assistive devices. They must also be knowledgeable in handling hazardous and infectious materials and follow specific procedures for safe handling and implementing internal radiation therapy. In the home setting, practical nurses must assess and make necessary modifications to ensure the safety of their clients, such as addressing lighting, handrails, and kitchen safety. They must also encourage clients to use protective equipment when using devices that can cause injury. Finally, practical nurses must evaluate the client care environment..

[Audio] Today, we will be discussing slide number 20 out of 50, which covers reporting of incidents, safe use of equipment, security planning, and infection control for the 2022 REx-PN® Test Plan for the Regulatory Exam – Practical Nurse. The first part of this slide emphasizes the importance of being aware of practice errors and near misses as a practical nurse. It is crucial to intervene and report any incidents or irregular occurrences. We must also assess and ensure the safety of our clients. Moving on, the next part addresses the safe use of equipment. As practical nurses, we must inspect and educate clients on the safe use of equipment, and report any malfunctioning equipment to the appropriate personnel. The security plan is also important for practical nurses, who must adhere to procedures and use clinical decision-making and critical thinking skills. The final part covers infection control, where we must use principles such as hand hygiene, aseptic technique, and universal precautions. It is vital to follow correct policies and procedures for reporting communicable diseases and taking precautions for immunocompromised clients. We must also educate clients and staff, evaluate infection control measures, and ensure proper aseptic technique. Lastly, we will discuss the use of restraints and safety devices. It is essential to follow policies and assess the appropriateness and monitor the use of restraints..

[Audio] In today's lesson, we will be discussing slide number 21, which covers the content area of infection control. As a nurse, it is important to stay updated and knowledgeable about common infections and how to prevent their spread. One such infection that is frequently encountered is Clostridium difficile or C. diff. This sample item from the 2022 REx-PN® Test Plan highlights the importance of education in preventing the spread of C. diff. The nurse is planning a staff education program about Clostridium difficile infection and should include information about cleaning items with a household bleach solution and avoiding the use of alcohol-based hand rubs, as they are not effective against C. diff spores. It is important for nurses to always follow proper infection control measures to prevent the spread of infections. These activity statements are taken from the 2019 British Columbia and Ontario PN Practice Analysis and are essential for practical nurses to know for the REx-PN® exam. Continuously studying and practicing for the REx-PN® Test Plan is crucial in preparation for the exam in January 2022. Stay tuned for our next video where we will cover more important content areas..

[Audio] In this section, we will be discussing the Health Promotion and Maintenance category, which is an important aspect of nursing care. Our role as nurses involves providing and directing care for clients of all age groups, utilizing our knowledge of expected growth and development and strategies for achieving optimal health. The 2019 REx-PN Practice Analysis identified several related activity statements for this category, including providing care and education for clients at different stages of life, from newborns to older adults. One of our responsibilities is to provide prenatal care and education for expectant mothers, as well as care and education for those in the antepartum and laboring stages. Postpartum care and education are also crucial to ensure the well-being of both the mother and newborn. Additionally, we must assess clients' growth and development throughout their lifespan, identifying any barriers to effective communication. It is also our role to assess clients' determinants of health and implement interventions. Consideration must also be given to the client's readiness to learn, their learning preferences, and any potential barriers to learning. As nurses, we may also plan and participate in healthcare activities for clients in community settings, educating them on health promotion and maintenance recommendations such as physician visits and immunizations. Furthermore, we must perform preventative screening assessments for clients, including vision, hearing, cognitive, and nutrition assessments. It is our responsibility to educate clients on the prevention and treatment of high-risk health behaviors such as smoking cessation, safe sexual practices, and needle exchange. As part of our nursing care, we must also assess the client's ability to manage their care in a home environment and plan their care accordingly. In summary, the Health Promotion and Maintenance category plays a crucial role in nursing care, and as nurses, it is our responsibility to provide education and support to clients of all age groups for the promotion of optimal health and well-being. Thank you for listening..

[Audio] In this training video, we will be discussing slide number 23 out of 50, which covers the Aging Process and Ante/Intra/Postpartum and Newborn Care that will be included in the 2022 test plan for the REx-PN® Regulatory Exam for Practical Nurses. Understanding these areas is crucial for practical nurses. Firstly, providing care and education for various age groups is important, including newborns, infants, toddlers, preschoolers, school-aged children, and adolescents, as well as adults and older adults. It is vital to consider the specific needs of each group and provide appropriate care and education. Additionally, we will cover Ante/Intra/Postpartum and Newborn Care, which involves prenatal care and education, identifying and managing potential complications, assisting in labor, assessing for postpartum complications, and caring for newborns. These are all crucial skills for ensuring the well-being of both the mother and baby. Finally, we will discuss Community Resources, which includes identifying and accessing resources for clients, participating in community health education, and reinforcing health education based on family, population, and community characteristics. These activities are all essential for practical nurses to be proficient in, as identified in the 2019 British Columbia and Ontario PN Practice Analysis. This concludes our discussion on slide number 23. Thank you for watching and stay tuned for the remaining slides in our training video..

[Audio] Let's move on to the next section of the REx-PN® Test Plan for the Regulatory Exam for Practical Nurses. Slide number 24 out of 50 focuses on health promotion and disease prevention. It is essential for practical nurses to assess clients' determinants of health and implement appropriate interventions. This includes identifying risk factors for disease and promoting complementary therapies for overall wellness. Follow-up with clients after participation in a health promotion program, such as diet counseling, helps to maintain optimum health. It is the responsibility of practical nurses to assess clients' readiness to learn, learning preferences, and any barriers to learning in order to effectively educate them on health promotion and disease prevention. Additionally, we must evaluate clients' understanding of health promotion behaviors and the impact on their overall health and well-being. This may include identifying barriers to communication that could hinder effective education. As practical nurses, we play a critical role in promoting the health and well-being of our clients, and our knowledge and skills in health promotion and disease prevention are essential for providing quality care. The next slide in our REx-PN® Test Plan is coming up..

[Audio] During the discussion on the REx-PN® Test Plan for the Regulatory Exam for Practical Nurses, we are currently on slide number 25 out of 50. This slide focuses on the practical nurse's role in promoting health and providing education in a community setting. Starting in 2022, the REx-PN® Test Plan will include evaluating the ability to plan and participate in health care activities for clients in a community setting. This includes educating clients about health promotion and maintenance recommendations, such as physician visits and immunizations. As a practical nurse, it is crucial to be knowledgeable about appropriate immunization schedules and inform clients of their options. Identifying and preventing health issues through health screenings is also an important aspect of the practical nurse's role. This may involve performing screening assessments for vision, hearing, cognitive function, and nutrition, and using knowledge of pathophysiology to inform and assist clients. It is also essential to identify and address risk factors, such as hypertension and diabetes, that may be linked to ethnicity. Additionally, assessing clients' health histories and risks, including lifestyle, family, and genetic history, requires using appropriate procedures and interviewing techniques. Educating clients about preventing and treating high-risk health behaviors, such as smoking, safe sexual practices, and needle exchange, is another crucial part of the practical nurse's role. This may also involve assessing clients' lifestyle practices and identifying any behaviors that may impact their health, such as excessive sun exposure or lack of regular exercise. As practical nurses, we also need to assess clients' attitudes and perceptions on sexuality and their need for contraception. It is important to identify any contraindications to chosen contraceptive methods, such as smoking, compliance, or medical conditions. Additionally, practical nurses must be knowledgeable about alternative or homeopathic health care practices, such as massage therapy and acupuncture..

[Audio] In the training video on the REx-PN® Test Plan for the Regulatory Exam - Practical Nurse, we will discuss some key skills and techniques that are essential for effective nursing care. When developing a care plan for a client, it is crucial to consider their self-care needs and involve them in the decision-making process. Working closely with primary caregivers is also important in helping the client achieve their self-care goals. It is necessary for us, as healthcare professionals, to be able to identify different family structures and roles of family members, as this can greatly impact the client's care. We must also be proficient in physical and psychosocial assessment techniques to provide a comprehensive health assessment. This includes utilizing appropriate equipment and techniques for the client's specific needs, such as vital sign measurements. As a sample item, let's consider a scenario where a client is at risk of hypertension. As a nurse, we must educate them on recommended lifestyle modifications. The correct answer is number 4, performing aerobic physical activity for at least 30 minutes, five days a week. This information is supported by the 2019 British Columbia and Ontario PN Practice Analysis. In the next slide, we will further explore essential skills for effective nursing care..

[Audio] The section on Psychosocial Integrity is an important part of nursing care, as it focuses on the emotional, mental, and social well-being of the client. This is especially crucial for those experiencing stressful events or with mental illness. The related activities in the practice analysis involve assessing for abuse or neglect, managing emotional or behavioral issues, and evaluating the client's ability to cope with life changes. It is also necessary for nurses to assist clients in adapting to stressful events and assess the potential for violence or aggression. Additionally, cultural competency is vital, as nurses should consider cultural practices and beliefs when providing care. It is also essential to incorporate Indigenous health knowledge for Indigenous clients. End-of-life care and assessing family dynamics are other important aspects of psychosocial integrity. Nurses must also be prepared to care for clients experiencing grief, cognitive impairments, and mental health disorders. This includes exploring reasons for non-adherence and addressing sensory and cognitive distortions. Nurses must also be able to recognize client stressors and nonverbal cues for physical and psychological stressors. It is crucial for them to be aware of stressors that may affect their care. Additionally, they must be able to assess for substance misuse and intervene when necessary. The use of therapeutic communication techniques is also highlighted, as it can help build trust and rapport with clients. This includes assessing for abuse and neglect, identifying risk factors, and intervening when necessary..

[Audio] As healthcare professionals, Practical Nurses must have a thorough understanding of behavioural interventions. This includes managing and supporting clients with emotional and behavioural issues, as well as coping mechanisms and crisis intervention. During client interactions, it is essential to assess their appearance, mood, and behavior in order to identify and respond to any inappropriate or abnormal behavior. This could involve using techniques such as behavior modification to assist clients in achieving and maintaining self-control. Additionally, we will discuss strategies for helping clients decrease anxiety and orient them to reality. Group sessions, like support groups, can be an effective way to support clients in managing their mental health. As Practical Nurses, we must evaluate the client's response to their treatment plan and make necessary adjustments. In addition to behavioural interventions, we will also cover coping mechanisms. This involves assessing their ability to cope with life changes and providing necessary support. We will also discuss evaluating their support systems and available resources, as well as their ability to adapt to role changes. It is important to consider how clients react to a diagnosis of mental illness and assess their use of defense mechanisms. We will also discuss how to assist clients in coping with and adapting to stressful events and changes in their health. Crisis intervention is a crucial part of a Practical Nurse's role. We will address how to assess the potential for violence and aggression, use safety precautions, and identify clients in crisis. This may involve using intervention techniques to help them cope. With knowledge of client psychopathology, we can guide them to resources for recovery from the crisis, such as social support..

[Audio] As a practical nurse, it is important to be aware of how cultural influences impact health. Starting in January 2022, the REx-PN® Test Plan will include a focus on cultural awareness. This means that you must incorporate the cultural practices and beliefs of your clients into your care plans. It is crucial to recognize and respect the cultural backgrounds and practices of your clients. Additionally, their language needs must also be taken into consideration when providing care, and these needs should be evaluated and documented. Understanding the importance of a client's culture and ethnicity is essential when planning and providing care, as it can greatly impact their understanding and acceptance of psychiatric diagnoses. The responsibility of providing end-of-life care to our clients also falls on practical nurses. This includes supporting them in coping with end-of-life interventions and identifying their end-of-life needs, such as financial concerns and changes in roles. Providing psychosocial support to the family and caregivers is also a crucial aspect of this process. When it comes to family dynamics, it is important to assess the dynamics of the family in order to create a suitable care plan. This involves identifying any barriers or stressors that may affect family functioning. You may also need to address parental techniques related to discipline and encourage clients to participate in group or family therapy. It is also necessary to assist clients in integrating new family members into the family structure and evaluate available resources to support family functioning. Finally, as a practical nurse, you should be prepared to provide care to clients experiencing grief and loss. This may involve supporting them through anticipatory grieving and informing them about the expected reactions to grief and loss. It is also crucial to provide resources to help them cope with their loss, such as individual counseling or support groups. It is essential to evaluate the client's coping and fears related to grief and loss in order to provide the best possible care. This concludes the discussion on slide number 29 of the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse. We hope this information has been helpful in preparing for the exam..

[Audio] " Slide number 30 of our presentation on the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse focuses on Mental Health Concepts. It is important for practical nurses to be able to identify signs and symptoms of impaired cognition, such as memory loss and poor hygiene, and recognize signs and symptoms of mental illness. Our responsibility as nurses includes providing care and support to clients with disorders such as schizophrenia, depression, and bipolar disorder. We must also be able to identify a client's use of defense mechanisms and assess for alterations in mood, judgment, cognition, and reasoning, as well as evaluate their response to the aging process and explore reasons for non-adherence to treatment plans. Additionally, we must consider the influence of religion and spirituality on a client's health and identify any emotional problems or needs related to their beliefs. To properly care for clients experiencing sensory and/or cognitive distortions, we must identify triggers and help them develop coping strategies. Lastly, stress management is an important aspect for practical nurses to understand, as we must recognize stressors that affect a client's care..

[Audio] In January 2022, the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse will go into effect. This slide focuses on Substance Use and Other Disorders and Dependencies. As a practical nurse, it is important to have knowledge and skills in assessing and providing care for clients with substance misuse, dependencies, withdrawal, and toxicities. Your role also includes assessing clients for substance use, providing care for withdrawal or toxicity, educating them on their diagnosis and treatment, and offering support for non-substance related dependencies. You must also assist families in planning care for clients with impaired cognition and involve clients in their healthcare decisions. Therapeutic communication is crucial in this context, and involves assessing the client's communication needs and respecting their personal values and beliefs. It is important to allocate time for communication, encourage expression of feelings, and evaluate the effectiveness of your communication. Additionally, it is crucial to identify and address external factors that may hinder client recovery, and to assign them therapeutic rooms. These are key points to keep in mind when preparing for the REx-PN® Exam. Watch out for more information on upcoming slides as we cover different aspects of the REx-PN® Test Plan. Thank you for watching and see you on the next slide..

[Audio] Slide 32 of our REx-PN® Test Plan for the Regulatory Exam - Practical Nurse discusses effective care for clients with moderate Alzheimer's disease. When providing care for clients with cognitive impairments, such as Alzheimer's disease, it is crucial to prioritize their basic physiological needs. This includes closely monitoring their food and fluid intake to ensure they are receiving proper nutrition and hydration. To provide the best care, there are specific interventions that should be included in the plan of care, such as monthly weight check-ups and monitoring of food and fluid intake. Offering a variety of food choices at mealtimes can help to increase appetite and promote intake, and finger foods that can be taken away from the table can offer more independence and control for clients with Alzheimer's. It is also important to minimize distractions and noise during mealtimes to ensure the client's ability to eat. It is essential to individualize care and consider each client's unique needs. In the next slide, we will further discuss effective care for clients with Alzheimer's disease..

[Audio] This slide, number 33 out of 50, will cover the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse, effective as of January 2022. It focuses on the Physiological Integrity section, which includes the nurse's role in promoting physical health and wellness, reducing client risk potential, and managing health alterations. The first topic is Basic Care and Comfort, which refers to the nurse's responsibility in providing comfort and assistance with daily living for clients. Specific tasks, as outlined in the 2019 REx-PN Practice Analysis, include educating and assisting clients with physical or sensory impairments, assessing elimination, and using orthopedic devices. Skin assessments, maintaining skin integrity, and promoting circulation are also important, along with non-pharmacological comfort measures such as massage and music therapy. The nurse should also assess and manage pain, perform irrigations, and be aware of alternative therapies and contraindications. Additional duties include monitoring nutrition and providing enteral nutrition, as well as caring for clients with enteral tubes. Other important aspects are monitoring intake and output, assessing the client's ability to perform daily activities, and providing postmortem care. The nurse should also assess sleep and rest patterns and intervene as necessary. The slide also covers Assistive Devices, which involves educating and assisting clients with impairments using devices, positioning, and compensatory techniques. Thank you for listening and stay tuned for the next slide discussing the REx-PN® Test Plan..

[Audio] Today, we will be discussing slide number 34 which centers on non-pharmacological comfort interventions. These interventions are crucial for providing quality care and promoting well-being of clients. It is important for nurses to be knowledgeable about these interventions, such as distraction, relaxation, and therapeutic touch, in order to alleviate pain and discomfort. Nurses have the responsibility to assess the clients' response to these interventions and make any necessary adjustments. It is also important to consider the client's specific condition and its pathophysiology when implementing these interventions to ensure individualized and effective care. By utilizing non-pharmacological interventions, we can help clients manage their pain and increase overall comfort. Educating clients on these techniques is also important, as they can continue to use them in their homes for self-care. It is essential to continuously monitor the effectiveness of these interventions and incorporate any necessary adjustments into the care plan. Staying up-to-date with evidence-based non-pharmacological interventions is crucial for providing the best care. Thank you for watching and see you in the next slide..

[Audio] Our presentation now covers slide number 35, focusing on end-of-life care and client comfort in the field of nursing. As nurses, it is our responsibility to assess and address client pain, as well as plan interventions for those experiencing impaired comfort. These interventions can include both physical and emotional measures. Additionally, it is vital to respect the client's choices for palliative care or non-curative treatments. We play a crucial role in managing physical symptoms at the end of life and must evaluate the effectiveness of our interventions. Moving on to other responsibilities, nurses must also be proficient in performing various irrigations, including those for the bladder, wounds, and eyes. It is important to be aware of any contraindications for alternative therapies, such as aroma therapy, acupressure, and supplements, and incorporate them into the client's care plan. Nutrition and oral hydration are also crucial aspects of our role. We must monitor the client's nutritional status and consider their food and medication interactions, as well as their choices and dietary restrictions. It is our duty to also monitor their hydration status and initiate calorie counts as needed. Using our knowledge of mathematics, we can determine the client's nutritional needs, including their body mass index. We should also promote their independence in eating and provide special diets based on their diagnosis and cultural considerations. Lastly, we must be prepared to provide nutritional supplements and evaluate the impact of any illness on the client's nutritional status. That concludes our discussion on this slide. Let's move on to the next topic in our presentation..

[Audio] Slide number 36 of our training video for the REx-PN® Test Plan for the Regulatory Exam for Practical Nurses, effective January 2022, discusses the importance of personal hygiene, postmortem care, and rest and sleep. As a nurse in higher education, understanding these areas is crucial in providing high-quality care to clients. One of our key responsibilities is to assess a client's ability to perform daily living activities and intervene when necessary, including evaluating personal hygiene habits and routines and providing necessary adaptations. We must also be knowledgeable and prepared to provide postmortem care, which includes performing care, offering psychosocial support, incorporating cultural practices, and ensuring proper identification before transporting the client. It is also important to assess a client's sleep and rest pattern and intervene when needed, including scheduling activities to allow for adequate rest. Additionally, we must educate clients on reporting and relieving pain, and regularly ask about their pain and use pain scales to determine severity and quality. It is crucial for clients to report when experiencing pain so we can provide appropriate interventions, but not always necessary to give the strongest pain medication, as safety must also be considered..

[Audio] In this training video for the REx-PN® Test Plan, we will be focusing on the section regarding Pharmacological and Parenteral Therapies, which will go into effect in January 2022. Slide number 37 contains the related activity statements outlined in the 2019 REx-PN Practice Analysis. As a nurse, it is crucial to understand and be competent in administering medications and parenteral therapies for patient care. Some key responsibilities in this section include administering blood products and evaluating client response, as well as monitoring client response to medication. It is also necessary for nurses to be able to perform calculations for medication dosages and educate patients about their medications. Adhering to the rights of medication administration and reviewing relevant data before administering medication is essential. Nurses must also be knowledgeable about potential interactions and contraindications. Furthermore, they should be familiar with administering medications through oral, enteral, and parenteral routes. Nurses should also be able to initiate, maintain, and remove continuous subcutaneous infusions and participate in medication reconciliation. Additionally, they may need to adjust medication dosages based on assessment and ordered parameters. It is vital for nurses to have a thorough understanding of handling and maintaining medications in a safe and controlled environment, as well as handling high-alert and controlled substances in accordance with legislation. They should also have the ability to access and monitor peripheral venous access devices, calculate and monitor intravenous flow rates, and manage pain control devices. Lastly, this section covers the administration of parenteral nutrition and evaluating patient response. Nurses must be familiar with adverse effects and how to manage them. That concludes our discussion on the Pharmacological and Parenteral Therapies section. Thank you for watching and stay tuned for the remainder of our presentation on the REx-PN® Test Plan..

[Audio] This training video focuses on the REx-PN® Test Plan for the Regulatory Exam for Practical Nurses. In slide number 38, we will discuss effective preparation for the exam in January 2022. Our focus will be on medication administration, specifically identifying symptoms of an allergic reaction. As nurses, it is important to assess clients for potential side effects and adverse effects of their medications, including prescribed, over-the-counter, and herbal supplements. It is also our responsibility to educate clients on common side effects, potential interactions, and when to notify their primary healthcare provider. In the event of side effects, it is crucial to inform the primary healthcare provider and document the incident. Additionally, we must monitor for any interactions between the client's medications and oral, topical, subcutaneous, IM, and IV fluids. We must also evaluate and document the client's response to any actions taken to address side effects or adverse effects. Furthermore, we will discuss the administration of blood and blood products, including proper identification and documentation. We will also cover the role of providing care for clients receiving blood products and evaluating their response. In conclusion, it is important to assess the client's response to medication, gather information on their prescribed medications, and use critical thinking to make informed decisions. Thank you for your attention and best of luck on the REx-PN® Test in January 2022..

[Audio] Nurses working in Higher Education must be knowledgeable and prepared to follow the latest regulations and guidelines for administering medication. The REx-PN® Test Plan is essential for practical nurses to become familiar with. As the updated REx-PN® Test Plan will take effect in January 2022, it is crucial for nurses to understand the roles and responsibilities associated with medication administration. Slide 39 of the presentation will discuss the various tasks and procedures related to medication administration. The 2022 REx-PN® Test Plan highlights the importance of carefully preparing and administering medication, following the "rights" of medication administration. Before administering any medication, it is important to review all relevant data, such as contraindications, lab results, allergies, and potential interactions. Practical nurses must also be competent in administering medication through various routes, including oral, enteral, gastrointestinal, subcutaneous, intradermal, and intramuscular. Additionally, they must be able to use alternative methods, such as administering medication through the ear, eye, nose, inhalation, rectum, vagina, and skin. The REx-PN® Test Plan also covers the proper handling and maintenance of medication in a safe and controlled environment. It is crucial for nurses to know about high-alert medications and controlled substances and to follow legislative guidelines when handling and administering them. Slide 39 also includes a section on parenteral and intravenous therapies, where nurses must accurately access peripheral venous access devices and educate their clients on their purpose and proper care. They must also be able to identify the appropriate veins for various therapies and monitor intravenous infusions while maintaining the site. Furthermore, slide 39 covers evaluating a client's response to intermittent parenteral fluid therapy and the use of an infusion pump. Nurses have the responsibility of educating their clients on the need for this therapy and accurately calculating and monitoring the intravenous flow rate. The final element of slide 39 focuses on pharmacological pain management devices. Nurses must have knowledge on this topic..

[Audio] In this section, we will be discussing the 2022 REx-PN® Test Plan's focus on Total Parenteral Nutrition, or TPN. It is important for nurses to have a thorough understanding of administering parenteral nutrition and evaluating the client's response. This includes identifying and intervening in any side effects or adverse events, as well as educating the client on the purpose and use of TPN. We must also utilize our knowledge of nursing procedures, psychomotor skills, and client pathophysiology to effectively care for a client receiving TPN. Let's look at a sample question from the 2019 British Columbia and Ontario PN Practice Analysis. The question is, how many gtt/min should the client receive? The correct answer is 56 gtt/min. This demonstrates the importance of utilizing mathematical skills and understanding TPN interventions to provide safe and effective care for our clients. With changes to the REx-PN® Test Plan coming soon, it is crucial for healthcare professionals to continually enhance their skills and knowledge in this area. Apply critical thinking and problem-solving skills when it comes to TPN. See you on the next slide..

[Audio] Having a thorough understanding of the REx-PN® test plan is crucial for nurses. This not only helps in passing the exam, but also ensures the ability to provide safe and effective care to clients. Slide number 41 focuses on the Reduction of Risk Potential, which is a significant aspect of the REx-PN® test plan. This means that nurses must have the skills to reduce the likelihood of complications or health problems related to existing conditions, treatments, or procedures. The 2019 REx-PN Practice Analysis gives a clear idea of the activity statements in this area. Nurses must be able to assess and respond to changes in a client's vital signs, including monitoring blood pressure, pulse, and respiratory rate. They should also have proficient skills in performing diagnostic tests, such as bladder scanning, oxygen saturation monitoring, and glucose monitoring. It is essential to intervene based on the results of these tests. In addition, nurses must be able to monitor and intervene in the results of diagnostic testing and obtain specimens other than blood for diagnostic purposes. This may include collecting specimens for wound, stool, or urine testing. Precautions must also be taken to prevent injury or complications associated with a procedure or diagnosis, such as inserting a nasal/oral gastrointestinal tube or a urinary catheter. Nurses must also evaluate a client's response to procedures and treatments and intervene when necessary. This may involve inserting a peripheral intravenous line, maintaining or removing a feeding tube, or monitoring the continuous or intermittent suction of a nasogastric tube. It is important for nurses to recognize trends and changes in a client's condition and respond appropriately, such as performing focused assessments, educating clients about treatments and procedures, and providing preoperative or postoperative care. The related content of this area also includes the ability to recognize..

[Audio] This training video focuses on the 2022 REx-PN® Test Plan for the Regulatory Exam - Practical Nurse. Slide number 42 covers diagnostic tests and the necessary knowledge and skills for performing them, as well as monitoring results. As a practical nurse, it's important to know how to perform and intervene with testing, such as bladder scanning, oxygen saturation, and glucose monitoring. It's also crucial to be knowledgeable in fetal heart monitoring and related nursing procedures. Monitoring and comparing test results with pre-test results is essential, especially for maternal and fetal tests. The video also covers obtaining non-blood specimens for testing and understanding laboratory values. It's important to compare these values with normal levels and inform the healthcare team of any abnormalities. As a practical nurse, it's important to be aware of potential complications in various body systems and take preventative measures. Educating clients on preventing these complications and comparing current data with baseline data is also necessary. This concludes slide number 42, and thank you for watching this informative training video on the 2022 REx-PN® Test Plan for Diagnostic Tests..

[Audio] Slide 43 of our presentation on the 2022 REx-PN® Test Plan for the Regulatory Exam - Practical Nurse focuses on system-specific assessments. As a practical nurse, it is essential to have a thorough understanding of various nursing procedures and psychomotor skills to care for clients who may experience complications. This includes monitoring for signs of bleeding and properly positioning clients following tests, treatments, or procedures. Evaluating responses to procedures and treatments, managing circulatory and neurological complications, and preventing postoperative complications are also critical skills. Education on electroconvulsive therapy and the insertion and maintenance of various tubes and lines is necessary. Lastly, performing focused assessments for abnormalities in peripheral pulses and neurological status is crucial. This concludes our coverage of the system-specific assessments in the test plan..

[Audio] As we approach the new year, it is important for all practical nurses to familiarize themselves with the updated 2022 REx-PN® Test Plan, specifically slide number 44, which focuses on therapeutic procedures. As nurses, it is our responsibility to educate and care for our clients, including providing information on managing their care at home and providing pre and postoperative education. Additionally, it is our duty to monitor and manage clients undergoing procedures with moderate sedation. Let's review a sample question from the 2019 British Columbia and Ontario PN Practice Analysis which asks about expected findings after a colonoscopy. The correct answer is flatulence and abdominal cramps, which may initially be concerning for the client but are normal side effects. It is crucial for practical nurses to have a thorough understanding of therapeutic procedures and their role in educating and caring for clients. This concludes slide number 44 of the REx-PN® Test Plan. Stay updated for upcoming changes in 2022..

[Audio] As a higher education teacher, it is important for you to be aware of the upcoming changes in the nursing profession. Specifically, the REx-PN® test plan for the Regulatory Exam – Practical Nurse will be effective in January 2022. This video will discuss slide number 45 out of 50, which focuses on the 2022 REx-PN® Test Plan for Physiological Adaptation. This refers to a nurse's ability to manage and care for clients with acute, chronic, or life-threatening physical health conditions. This includes assisting with procedures, monitoring client temperature, drainage equipment, suctioning, wound care, ostomy care and education, and postoperative care. Additionally, nurses should be able to handle clients with fluid and electrolyte imbalances, alterations in hemodynamics and tissue perfusion, and those with a permanent pacing device. They should also be able to recognize and intervene in client complications and handle emergency care. It is essential for nurses to have a thorough understanding of the pathophysiology of acute and chronic conditions and recognize related signs and symptoms, while also being able to assist with procedures, monitor temperature, and maintain devices. Overall, the 2022 REx-PN® Test Plan for Physiological Adaptation is a crucial aspect of the nursing profession, and it is essential for all nurses to possess a deep understanding of related procedures and content..

[Audio] To prepare for the REx-PN® Regulatory Exam, practical nurses must have a thorough understanding of the topics we will discuss in this presentation. Specifically, we will cover effective strategies for managing common nursing responsibilities, such as performing wound care and dressing changes, monitoring for signs of infection, and evaluating a client's response to surgery. We will also discuss managing fluid and electrolyte imbalances and recognizing signs and symptoms. Additionally, we will cover managing alterations in hemodynamics and tissue perfusion, recognizing abnormal hemodynamics, and providing strategies for managing decreased cardiac output. It is essential for practical nurses to have knowledge and skills in educating clients on acute or chronic conditions, managing care for clients with impaired ventilation and oxygenation, and evaluating treatment plans. Ultimately, practical nurses must possess the necessary skills and knowledge to excel in their profession and provide the best care for their clients..

[Audio] The 2022 REx-PN® Test Plan for the Regulatory Exam – Practical Nurse will be discussed on slide number 47. This plan will take effect in January of 2022 and it is crucial for practical nurses to familiarize themselves with its contents. Our next topic will focus on promoting continuity of care in managing illness, which includes promptly reporting necessary client data and utilizing knowledge of client pathophysiology to effectively manage their illness. We will also cover implementing interventions for managing side and adverse effects of radiation therapy, such as dietary modifications and avoiding sunlight. In addition, we will discuss assessing a client's adaptation to health alterations and recognizing signs and symptoms of radiation therapy's adverse effects. It is essential to apply knowledge of nursing procedures, pathophysiology, and psychomotor skills while caring for a client with a body system alteration. Medical emergencies are a critical aspect of nursing and will be thoroughly discussed. This includes performing emergency care procedures such as cardio-pulmonary resuscitation, respiratory support, and using an automated external defibrillator. A comprehensive understanding of pathophysiology is essential when dealing with a client experiencing a medical emergency. We will also cover emergency interventions and the importance of promptly notifying the primary healthcare provider in case of unexpected client responses or emergency situations. Furthermore, we will go over the procedures for providing emergency care for wound disruptions and how to evaluate and document the client's response to emergency interventions. Additionally, understanding pathophysiology related to acute or chronic conditions, as well as the general principles of pathophysiology, including injury and repair, immunity, and cellular structure, is crucial. Lastly, we will discuss unexpected responses to therapies, which involves recognizing signs and symptoms of client complications, intervening, and assessing the client for unexpected adverse responses to therapy, such as increased intracranial pressure. Practical nurses must have a thorough understanding of these topics in order to excel in their profession..

[Audio] In this training video, we will be discussing a sample item for the 2022 REx-PN® test plan. The topic is gout and the nurse's role in educating and managing clients with this condition. The nurse is teaching a client with gout and must reinforce several key points: the use of medications and a low-purine diet, the metabolic nature of gout, and potential triggers for gout attacks. The nurse should also correct the incorrect options that gout can be painless and that supplemental vitamins and herbs must be eliminated. As a nurse, it is important to effectively educate clients on managing their conditions. Thank you for your attention and we will continue with the REx-PN® test plan in the next slide..

[Audio] We are almost at the end of our presentation on the REx-PN® Test Plan for the Regulatory Exam – Practical Nurse. Let's now focus on the administration of the REx-PN® exam. Starting January 2022, the exam will be conducted through computerized adaptive testing (CAT), which uses computer technology and measurement theory. With CAT, each candidate's exam is unique and tailored to their abilities. The exam items are chosen from a large item pool, categorized by test plan and difficulty level. After each item, the computer calculates the candidate's ability estimate and selects the next item accordingly. This process ensures that all test plan requirements are fulfilled. Unlike traditional fixed-length exams, CAT adjusts the difficulty level based on the candidate's abilities, resulting in a more accurate evaluation. This approach also produces precise and efficient results by targeting specific items. This means that fewer items are needed to assess a candidate's knowledge, skills, and judgment. The REx-PN® exam follows the CAT approach to provide an accurate evaluation of a candidate's abilities. Thank you for watching and we hope this information has been helpful for your preparations. See you on the last slide!.

[Audio] Welcome to the final slide of our training video on the REx-PN® Test Plan for the Regulatory Exam - Practical Nurse. Throughout this presentation, we have discussed the key components of the test plan and its implementation, which will begin in January 2022. As we reach the last slide, let's focus on the examination length for the 2022 REx-PN® Test Plan. This exam is a computerized adaptive test with a variable length, ranging from 90 to 150 items. Of those, 30 are pretest items that will not be scored. The allotted time for the exam remains four hours, including the tutorial, sample items, breaks, and the actual exam itself. The length of the exam is determined by the candidate's responses, as the test adjusts based on their performance. This means that each candidate will receive a different number of items and may use varying amounts of time. It's important for candidates to maintain a steady pace in order to complete the exam within the given time frame, should the maximum number of items be administered. We recommend spending one to two minutes per item to maintain this pace. It is important to note that the length of the exam does not determine whether a candidate passes or fails. This is because the exam adheres to the test plan and provides each candidate with an opportunity to demonstrate their abilities. Further information on passing and failing rules can be found in this section. Moving on to the scoring of the REx-PN® exam, pretest items play a crucial role. These items are used to determine the difficulty of each question and are given to a large sample of REx-PN® candidates. Although they are not included in the scoring of the exam, pretest items are essential for the exam to function properly. In conclusion, the 2022 REx-PN® Test Plan will offer an improved and enhanced exam experience for candidates. We hope that this training video has provided you with a comprehensive understanding of the test plan and its implementation. Thank you for watching..