Page 1 of 46
CANADIAN PN EXAM 2026|ORIGINAL
500+QUESTIONS AND ANSWERS WITH
RATIONALES|A+GRADE|BRAND NEW
CANADIAN PN EXAM
Question 1
A PN is asked by a client to keep a secret about a minor
medication error that caused no harm. The PN’s best action is:
A) Agree to keep the secret to maintain trust.
B) Report the error to the supervising RN or manager
immediately. ✅
C) Ignore the error since no harm occurred.
D) Document the error but not report it.
Rationale: PNs have a legal and ethical duty to report all
medication errors, regardless of harm. Failure to report violates
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accountability standards (e.g., CNO, CLPNA, BCCNM). Secrecy
undermines patient safety.
Question 2
Which statement best defines the scope of practice for a
Practical Nurse in Canada?
A) Independently manage unstable, complex clients in any
setting.
B) Perform controlled acts delegated by a physician only.
C) Provide nursing care for stable clients with predictable
outcomes under the supervision of an RN or regulated health
professional. ✅
D) Prescribe medications and order diagnostic tests.
Rationale: PN scope is for clients with stable, predictable
conditions, within a collaborative team. Controlled acts are
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authorized by regulatory colleges and often require
delegation/orders (varies by province).
Question 3 (Scenario)
A PN suspects that a colleague is impaired (smelling of alcohol)
on shift. What is the first action?
A) Confront the colleague privately.
B) Report the concern to the immediate supervisor or manager.
✅
C) Ignore it unless the colleague makes an error.
D) Call the police.
Rationale: Reporting to a supervisor is the professional
obligation; the supervisor will assess and take action per
employer and regulatory college policies. Confrontation may
escalate risk.
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Question 4
A client refuses a bed bath. The PN should:
A) Perform the bath anyway because hygiene is essential.
B) Document the refusal and attempt again later. ✅
C) Force the client to explain why they refuse.
D) Tell the family the client is being uncooperative.
Rationale: Clients have the right to refuse care (informed
consent). The PN respects autonomy, documents refusal, and
reassesses later.
Question 5
Which piece of Canadian legislation protects the privacy of a
client’s health information?
CANADIAN PN EXAM 2026|ORIGINAL
500+QUESTIONS AND ANSWERS WITH
RATIONALES|A+GRADE|BRAND NEW
CANADIAN PN EXAM
Question 1
A PN is asked by a client to keep a secret about a minor
medication error that caused no harm. The PN’s best action is:
A) Agree to keep the secret to maintain trust.
B) Report the error to the supervising RN or manager
immediately. ✅
C) Ignore the error since no harm occurred.
D) Document the error but not report it.
Rationale: PNs have a legal and ethical duty to report all
medication errors, regardless of harm. Failure to report violates
,Page 2 of 46
accountability standards (e.g., CNO, CLPNA, BCCNM). Secrecy
undermines patient safety.
Question 2
Which statement best defines the scope of practice for a
Practical Nurse in Canada?
A) Independently manage unstable, complex clients in any
setting.
B) Perform controlled acts delegated by a physician only.
C) Provide nursing care for stable clients with predictable
outcomes under the supervision of an RN or regulated health
professional. ✅
D) Prescribe medications and order diagnostic tests.
Rationale: PN scope is for clients with stable, predictable
conditions, within a collaborative team. Controlled acts are
,Page 3 of 46
authorized by regulatory colleges and often require
delegation/orders (varies by province).
Question 3 (Scenario)
A PN suspects that a colleague is impaired (smelling of alcohol)
on shift. What is the first action?
A) Confront the colleague privately.
B) Report the concern to the immediate supervisor or manager.
✅
C) Ignore it unless the colleague makes an error.
D) Call the police.
Rationale: Reporting to a supervisor is the professional
obligation; the supervisor will assess and take action per
employer and regulatory college policies. Confrontation may
escalate risk.
, Page 4 of 46
Question 4
A client refuses a bed bath. The PN should:
A) Perform the bath anyway because hygiene is essential.
B) Document the refusal and attempt again later. ✅
C) Force the client to explain why they refuse.
D) Tell the family the client is being uncooperative.
Rationale: Clients have the right to refuse care (informed
consent). The PN respects autonomy, documents refusal, and
reassesses later.
Question 5
Which piece of Canadian legislation protects the privacy of a
client’s health information?
