College of Nurses of Ontario. Nursing Registration Exams Report 2017

College of Nurses of Ontario Nursing Registration Exams Report 2017

VISION Leading in regulatory excellence MISSION Regulating nursing in the public interest Nursing Registration Exams Report 2017 Pub 45058 ISSN 2368-8599 Copyright College of Nurses of Ontario, 2018. Commercial or for-profit redistribution of this document in part or in whole is prohibited except with the written consent of CNO. This document may be reproduced in part or in whole for personal or educational use without permission, provided that: due diligence is exercised in ensuring the accuracy of the materials reproduced; CNO is identified as the source; and the reproduction is not represented as an official version of the materials reproduced, nor as having been made in affiliation with, or with the endorsement of, CNO. Copies of this booklet can be downloaded, free of charge, from the CNO website at www.cno.org. College of Nurses of Ontario 101 Davenport Rd. Toronto, ON M5R 3P1 www.cno.org

Table of Contents 1 Introduction 1 2 Methods and Notes 2 2.1 Who is included in this report?... 2 2.2 Registration exam requirements... 2 2.3 Location of nursing education... 3 2.4 s... 4 3 Registered Nurse Exam Writers 5 3.1 RN exam pass s by attempt... 5 3.1.1 Ontario-educated RN exam writers: s by attempt... 5 3.1.2 RN exam writers educated in other Canadian provinces or territories: s by attempt... 6 3.1.3 Internationally-educated RN exam writers: s by attempt... 6 3.1.4 First-attempt pass s for French-language RN programs in Ontario... 7 3.2 s of RN applicants by Ontario university and program... 9 3.2.1 Program definition guide... 9 4 Registered Practical Nurse Exam Writers 15 4.1 RPN exam pass s by attempt... 15 4.1.1 Ontario-educated RPN exam writers: s by attempt...15 4.1.2 RPN exam writers educated in other Canadian provinces or territories: s by attempt...15 4.1.3 Internationally-educated RPN exam writers: s by attempt...16 4.1.4 First-attempt pass s for French-language RPN programs in Ontario...17 4.2 First-attempt pass s of RPN applicants by Ontario college, program and site... 18 5 Nurse Practitioner Exam Writers 21 5.1 NP exam pass s by attempt... 21 5.1.1 Ontario-educated NP exam writers: s by attempt...21 5.1.2 NP exam writers educated in other Canadian provinces or territories: s by attempt...21 5.1.3 Internationally-educated NP exam writers: s by attempt...22 5.1.4 First-attempt pass s for French-language NP programs in Ontario...22 5.2 First-attempt pass s of NP applicants by Ontario university and specialty... 23 College of Nurses of Ontario Nursing Registration Exams Report 2017 i

1 INTRODUCTION The College of Nurses of Ontario (the College) is the regulatory body for nursing in Ontario. Its mission is to regulate nursing in the public interest. The College sets the requirements for becoming a nurse in Ontario and the standards of practice that nurses must meet to maintain that designation. Only a person with a valid Certificate of Registration from the College can practise as a nurse in Ontario and use the protected titles: nurse, Registered Nurse (RN), Registered Practical Nurse (RPN) or Nurse Practitioner (NP). The College publishes annual statistics reports to provide data for stakeholders about the nurses it registers. The College continually enhances its reports based on stakeholder feedback. To find out more about the College s statistical resources or to sign up for its statistics announcements, please visit www.cno.org/stats. College of Nurses of Ontario Nursing Registration Exams Report 2017 1

2 METHODS AND NOTES 2.1 Who is included in this report? Most applicants who register with the College must successfully complete two examinations: a registration examination and a jurisprudence examination. The registration exam tests the writer s knowledge of nursing skills. The jurisprudence exam tests the writer s knowledge of nursing and health care legislation in Ontario. These exams help the College ensure that new nurses in Ontario are safe to practise. This report includes the results of only the registration examinations and only applicants to the College. Three types of applicants require successful completion of a registration examination when applying to the College: 1. Registered Nurses in the General Class (RNs) 2. Registered Practical Nurses in the General Class (RPNs) 3. Nurse Practitioners (NPs) 2.2 Registration exam requirements Applicants complete the following Council-approved 1 registration exams: RN applicants complete the National Council Licensure Examination for Registered Nurses (NCLEX-RN), 2 which replaced the Canadian Registered Nurse Examination (CRNE) on Jan. 1, 2015. 3 o o In 2015, the College (along with all other Canadian nursing regulators except Yukon and Québec) adopted the NCLEX-RN as the registration exam for RN applicants. The NCLEX-RN is a computer-adaptive exam that determines a writer s knowledge of entry-level nursing skills. Previously, applicants wrote the CRNE, which was a paper-based multiple-choice exam. RN applicants used to have three attempts to write the NCLEX- RN and the CRNE. However, since Jan. 9, 2017, when the College implemented a registration regulation change, RN applicants now have an unlimited number of writes for the NCLEX-RN. 1 Visit www.cno.org/en/what-is-cno/councils-and-committees/council for more information about the College s Council. 2 Visit www.ncsbn.org/nclex.htm for more information about the NCLEX-RN. 3 Visit www.cno.org/en/become-a-nurse/entry-to-practice-examinations/nclex-rn for more information about the administration of the NCLEX-RN at the College. College of Nurses of Ontario Nursing Registration Exams Report 2017 2

RPN applicants complete the Canadian Practical Nurse Registration Examination (CPNRE). o o In May 2016, the CPNRE changed from a paper-based test to a computer-based test. The CPNRE s content remained the same. The change allowed the CPNRE to be offered more often and at more sites across Canada. RPN applicants have three attempts to write their registration exam. NP applicants complete a registration exam for the NP specialty they are applying to: Adult, Paediatrics or Primary Health Care. o o NP applicants have three attempts to write their registration exam. In 2017, Ontario applicants had the following NP registration exams available to them: 4 NP-Adult: The American Academy of Nurse Practitioners Certification Board s Adult-Gerontology Primary Care Nurse Practitioner Certification Examination NP-Paediatrics: The Pediatric Nursing Certification Board s Pediatric Nurse Practitioner Primary Care Certification Examination or the Ordre des infirmières et infirmiers du Québec s Certification Examination for Nurse Practitioners Specializing in Neonatology NP-Primary Health Care: The Canadian Nurses Association s Canadian Nurse Practitioner Examination 2.3 Location of nursing education Location of nursing education is the province or country of an applicant s education. This report groups locations into the following: Ontario; other Canadian provinces or territories; and international. Ontario: This group is for writers who applied to the College after completing an approved Ontario nursing program. o An Ontario nursing program is one that is offered at an Ontario university or college, and is approved by the College s Council 5 for registering as a nurse in Ontario. 4 Council has approved other exams that fulfil the NP registration exam requirement, but applicants would have written them in other provinces or countries. 5 Council may also authorize a third party to provide approval of nursing programs for registration purposes (e.g., the Canadian Association of Schools of Nursing approves Ontario RN nursing programs). College of Nurses of Ontario Nursing Registration Exams Report 2017 3

o In Ontario, nursing programs approved for RN registration grant university baccalaureate degrees in nursing. Nursing programs approved for RPN registration grant diplomas in practical nursing from a college of applied arts and technology (CAAT). Nursing programs approved for NP registration grant postbaccalaureate certificates, master s degrees or post-master s diplomas. Other Canadian provinces or territories: This group is for writers who applied to the College after completing a nursing program in another Canadian province or territory. International: This group is for writers who applied to the College after completing a nursing program outside of Canada. 2.4 s This report provides pass statistics, sepad by attempt number. An attempt pass is the percentage of writers who passed the exam on that given attempt of the exam. College of Nurses of Ontario Nursing Registration Exams Report 2017 4

3 REGISTERED NURSE EXAM WRITERS In 2017, 5,969 Registered Nurse (RN) applicants to the College wrote the National Council Licensure Examination for Registered Nurses (NCLEX-RN) at least once. 3.1 RN exam pass s by attempt Table 3.1: Overall RN exam pass s by attempt Attempt First 4,433 77.2% 4,662 79.0% 4,072 67.6% 4,351 79.2% 5,253 75.8% Second 1,014 46.4% 1,037 55.4% 1,057 64.4% 914 63.2% 1,178 52.9% Third 447 41.2% 526 53.6% 219 39.3% 304 60.2% 487 46.4% Fourth 185 38.4% Fifth 56 33.9% Sixth 13 30.8% Seventh 2 0.0% 3.1.1 Ontario-educated RN exam writers: s by attempt Table 3.2: Ontario-educated RN exam writers: s by attempt Attempt First 3,852 82.8% 4,095 84.7% 3,800 69.4% 4,133 80.3% 4,445 79.5% Second 656 55.5% 699 67.0% 899 70.0% 779 66.1% 912 57.1% Third 305 44.9% 308 59.4% 142 38.0% 222 64.0% 368 48.4% Fourth 147 38.8% Fifth 49 30.6% Sixth 12 33.3% Seventh 2 0.0% College of Nurses of Ontario Nursing Registration Exams Report 2017 5

3.1.2 RN exam writers educated in other Canadian provinces or territories: s by attempt Table 3.3: RN exam writers educated in other Canadian provinces or territories: s by attempt Attempt First 9 100% 7 100% 38 76.3% 43 65.1% 109 83.5% Second 0-1 100% 8 37.5% 14 57.1% 21 33.3% Third 1 100% 0-6 83.3% 2 50.0% 12 50.0% Fourth 5 20.0% Fifth 1 0.0% 3.1.3 Internationally-educated RN exam writers: s by attempt Table 3.4: Internationally-educated RN exam writers: s by attempt Attempt First 572 39.3% 560 37.0% 234 35.9% 175 57.1% 699 51.1% Second 358 29.9% 337 31.5% 150 32.7% 121 45.5% 245 38.8% Third 141 32.6% 218 45.4% 71 38.0% 80 50.0% 107 39.3% Fourth 33 39.4% Fifth 6 66.7% Sixth 1 0.0% College of Nurses of Ontario Nursing Registration Exams Report 2017 6

3.1.4 First-attempt pass s for French-language RN programs in Ontario Two Ontario universities offer RN programs in French: Laurentian University and University of Ottawa. Exam writers can choose to write their registration exam in either English or French and can change their choice on subsequent attempts. In 2015, the College revised the names and definitions of RN nursing programs in Ontario. Due to these revisions, it became possible to track the performance of graduates of French or bilingual programs sepaly from graduates of English programs at the same university. However, comparison to pre-2015 data is not possible. Table 3.5 shows 2015-2017 first-attempt pass s for applicants from Frenchlanguage RN programs in Ontario and the languages in which the applicants wrote their exams. College of Nurses of Ontario Nursing Registration Exams Report 2017 7

Table 3.5: Graduates of Ontario French-language RN programs: Firstattempt pass s by program and language of exam Ontario RN university, program, collaborative partner, and language of instruction Exam written in: 2015 2016 2017 French 1 0.0% 0-2 0.0% Laurentian University Full (French) English 18 55.6% 19 78.9% 40 62.5% Total 19 52.6% 19 78.9% 42 59.5% University of Ottawa Full with La Cité collégiale (French) University of Ottawa Specified for RPN with La Cité collégiale (French) University of Ottawa Compressed (English and French)* University of Ottawa Compressed (French)* French 29 41.4% 13 38.5% 7 57.1% English 20 80.0% 56 80.4% 49 83.7% Total 49 57.1% 69 72.5% 56 80.4% French 7 0.0% 2 50.0% 4 25.0% English 2 50.0% 1 0.0% 5 80.0% Total 9 11.1% 3 33.3% 9 55.6% French 9 44.4% 1 0.0% 1 0.0% English 25 88.0% 27 100% 0 - Total 34 76.5% 28 96.4% 1 0.0% French 0-1 0.0% English 1 100% 8 87.5% Total 1 100% 9 77.8% French 46 34.8% 16 37.5% 15 33.3% Grand total English 65 75.4% 104 84.6% 102 75.5% Total 111 58.6% 120 78.3% 117 70.1% * In 2016, the College split the University of Ottawa Compressed (English and French) program into two programs: University of Ottawa Compressed (English) University of Ottawa Compressed (French) Now the College will only use the original combined program for applicants who graduated when the original combined program was still in effect. College of Nurses of Ontario Nursing Registration Exams Report 2017 8

3.2 s of RN applicants by Ontario university and program In Ontario, 15 universities offer RN nursing programs. Some universities offer more than one nursing program and some offer nursing programs in collaboration with a college. Table 3.6 shows Ontario RN applicants first-attempt pass s by university, program and collaborative partner for 2015-2017. 3.2.1 Program definition guide In 2015, the College revised Ontario RN nursing program names and definitions. The following RN program types are available in Ontario: Full: Direct entry A program for students who meet standard admission criteria. They complete a structured nursing curriculum in its entirety and attain an academic credential (a university degree or CAAT diploma). Compressed: Second-level entry A program for students who meet admission criteria based on pre-determined university credits. They complete a shorter curriculum than the direct-entry full program and attain an academic credential (a university degree or CAAT diploma). Specified: Pre-health related A program for students who meet admission criteria based on pre-determined health-related credentials. They complete a specific nursing curriculum and attain an academic credential (a university degree, CAAT diploma or NP specialty certificate). College of Nurses of Ontario Nursing Registration Exams Report 2017 9

Table 3.6: First-attempt pass s of RN applicants by Ontario university, program and collaborative partner Ontario university 2015 2016 2017 Program Collaborative partner Brock University 99 52.5% 87 74.7% 101 75.2% Brock University Full 99 52.5% 87 74.7% 101 75.2% Brock University Full 54 63.0% 55 81.8% 58 86.2% Brock University Full with Loyalist College 45 40.0% 32 62.5% 43 60.5% Lakehead University 132 50.8% 159 71.7% 164 75.6% Lakehead University Full for regional-community 0-0 - 0 - Lakehead University Full for regional-community with Confederation College 0-0 - 0 - Lakehead University Full 63 60.3% 67 82.1% 62 88.7% Lakehead University Full 63 60.3% 67 82.1% 62 88.7% Lakehead University Full with Confederation College 69 42.0% 92 64.1% 102 67.6% Lakehead University Full with Confederation College 69 42.0% 92 64.1% 102 67.6% Laurentian University 321 64.2% 360 75.8% 383 70.2% Laurentian University Full (French) 19 52.6% 19 78.9% 42 59.5% Laurentian University Full (French) 19 52.6% 19 78.9% 42 59.5% Laurentian University Full 302 64.9% 341 75.7% 341 71.6% Laurentian University Full 57 64.9% 51 82.4% 54 77.8% Laurentian University Full with Cambrian College 60 68.3% 71 60.6% 63 63.5% Laurentian University Full with Northern College 23 82.6% 36 77.8% 30 76.7% Laurentian University Full with Sault College 43 58.1% 43 79.1% 42 69.0% Laurentian University Full with St. Lawrence College 119 62.2% 140 79.3% 152 72.4% McMaster University 447 72.0% 495 83.2% 548 83.4% McMaster University Full 323 70.0% 339 84.4% 349 83.4% McMaster University Full 143 78.3% 130 88.5% 131 89.3% McMaster University Full with Conestoga College 83 66.3% 108 84.3% 106 79.2% McMaster University Full with Mohawk College 97 60.8% 101 79.2% 112 80.4% McMaster University Specified for RPN 79 67.1% 91 76.9% 131 76.3% College of Nurses of Ontario Nursing Registration Exams Report 2017 10

Ontario university 2015 2016 2017 Program Collaborative partner McMaster University Specified for RPN 0-1 0.0% 0 - McMaster University Specified for RPN with Conestoga College 34 76.5% 35 74.3% 55 80.0% McMaster University Specified for RPN with Mohawk College 45 60.0% 55 80.0% 76 73.7% McMaster University Compressed 45 95.6% 65 86.2% 68 97.1% McMaster University Compressed 45 95.6% 65 86.2% 68 97.1% Nipissing University 119 61.3% 186 69.9% 241 78.0% Nipissing University Full 88 59.1% 88 65.9% 94 75.5% Nipissing University Full with Canadore College 88 59.1% 88 65.9% 94 75.5% Nipissing University Specified for RPN blended learning 30 70.0% 50 60.0% 94 74.5% Nipissing University Specified for RPN blended learning 30 70.0% 50 60.0% 94 74.5% Nipissing University Specified for RPN on-campus learning 0-10 90.0% 7 85.7% Nipissing University Specified for RPN on-campus learning 0-10 90.0% 7 85.7% Nipissing University Compressed 1 0.0% 38 86.8% 46 89.1% Nipissing University Compressed 1 0.0% 38 86.8% 46 89.1% Queen's University 108 96.3% 117 95.7% 105 97.1% Queen's University Full 74 94.6% 73 93.2% 70 98.6% Queen's University Full 74 94.6% 73 93.2% 70 98.6% Queen's University Compressed 34 100% 44 100% 35 94.3% Queen's University Compressed 34 100% 44 100% 35 94.3% Ryerson University 528 63.6% 539 77.2% 577 77.5% Ryerson University Full 419 60.1% 432 76.4% 465 77.2% Ryerson University Full 157 66.9% 152 79.6% 173 84.4% Ryerson University Full with Centennial College 134 55.2% 131 74.0% 134 70.9% Ryerson University Full with George Brown College 128 57.0% 149 75.2% 158 74.7% Ryerson University Specified for internationally-educated nurses, RNs and RPNs 109 77.1% 107 80.4% 112 78.6% Ryerson University Specified for internationally-educated nurses, RNs and RPNs 109 77.1% 107 80.4% 112 78.6% Trent University 193 69.9% 229 76.9% 241 70.5% College of Nurses of Ontario Nursing Registration Exams Report 2017 11

Ontario university 2015 2016 2017 Program Collaborative partner Trent University Full 79 58.2% 104 73.1% 117 67.5% Trent University Full with Fleming College 79 58.2% 104 73.1% 117 67.5% Trent University Specified for RPN 39 71.8% 47 68.1% 51 64.7% Trent University Specified for RPN with George Brown College 39 71.8% 47 68.1% 51 64.7% Trent University Compressed 75 81.3% 78 87.2% 73 79.5% Trent University Compressed 75 81.3% 78 87.2% 73 79.5% University of New Brunswick 210 73.3% 189 86.2% 205 85.9% University of New Brunswick Full with Humber College 141 63.8% 103 80.6% 118 77.1% University of New Brunswick Full with Humber College 141 63.8% 103 80.6% 118 77.1% University of New Brunswick Full for RPN with Humber College 28 92.9% 19 89.5% 27 96.3% University of New Brunswick Full for RPN with Humber College 28 92.9% 19 89.5% 27 96.3% University of New Brunswick Compressed with Humber College 41 92.7% 67 94.0% 60 98.3% University of New Brunswick Compressed with Humber College 41 92.7% 67 94.0% 60 98.3% University of Ontario Institute of Technology 153 66.7% 171 76.0% 181 79.0% UOIT Full 93 64.5% 88 77.3% 87 77.0% UOIT Full with Durham College 93 64.5% 88 77.3% 87 77.0% UOIT Specified for RPN 60 70.0% 83 74.7% 94 80.9% UOIT Specified for RPN with Durham College 34 70.6% 59 74.6% 51 74.5% UOIT Specified for RPN with Georgian College 26 69.2% 24 75.0% 43 88.4% University of Ottawa 324 70.7% 303 85.8% 353 84.4% University of Ottawa Full 266 71.8% 255 84.7% 304 85.5% University of Ottawa Full 101 73.3% 85 87.1% 113 86.7% University of Ottawa Full with Algonquin College (English)* 116 76.7% 92 92.4% 2 100% University of Ottawa Full with Algonquin College (English) - Pembroke campus* 2 100% 22 81.8% University of Ottawa Full with Algonquin College (English) - Woodroffe campus* 7 71.4% 111 87.4% University of Ottawa Full with La Cité collégiale (French) 49 57.1% 69 72.5% 56 80.4% University of Ottawa Specified for internationally-educated nurses 0-0 - 0 - College of Nurses of Ontario Nursing Registration Exams Report 2017 12

Ontario university 2015 2016 2017 Program Collaborative partner University of Ottawa Specified for internationally-educated nurses with Algonquin College 0-0 - 0 - University of Ottawa Specified for RPN 24 50.0% 19 84.2% 23 73.9% University of Ottawa Specified for RPN with Algonquin College (English) Woodroffe campus 15 73.3% 16 93.8% 14 85.7% University of Ottawa Specified for RPN with La Cité collégiale (French) 9 11.1% 3 33.3% 9 55.6% University of Ottawa Compressed 34 76.5% 29 96.6% 26 80.8% University of Ottawa Compressed (English and French)** 34 76.5% 28 96.4% 1 0.0% University of Ottawa Compressed (English)** 0-16 87.5% University of Ottawa Compressed (French)** 1 100% 9 77.8% University of Toronto 169 94.7% 163 95.7% 166 94.6% University of Toronto Compressed 169 94.7% 163 95.7% 166 94.6% University of Toronto Compressed 169 94.7% 163 95.7% 166 94.6% University of Windsor 280 67.9% 297 78.8% 328 83.8% University of Windsor Full 280 67.9% 297 78.8% 328 83.8% University of Windsor Full 96 79.2% 102 83.3% 116 90.5% University of Windsor Full with Lambton College 37 64.9% 32 87.5% 48 85.4% University of Windsor Full with St. Clair College 147 61.2% 163 74.2% 164 78.7% Western University 275 74.2% 276 85.5% 291 87.6% Western University Full 207 72.0% 221 81.9% 214 84.6% Western University Full 92 77.2% 114 86.8% 106 90.6% Western University Full with Fanshawe College 115 67.8% 107 76.6% 108 78.7% Western University Compressed 68 80.9% 55 100% 77 96.1% Western University Compressed 68 80.9% 55 100% 77 96.1% York University 442 69.0% 562 78.8% 561 70.8% York University Full 288 57.3% 382 73.6% 394 63.5% York University Full*** 0-0 - 1 0.0% York University Full with Georgian College 105 53.3% 162 69.8% 139 64.7% York University Full with Seneca College 183 59.6% 220 76.4% 254 63.0% College of Nurses of Ontario Nursing Registration Exams Report 2017 13

Ontario university 2015 2016 2017 Program Collaborative partner York University Specified for internationally-educated nurses 25 80.0% 48 89.6% 34 70.6% York University Specified for internationally-educated nurses 25 80.0% 48 89.6% 34 70.6% York University Compressed 129 93.0% 132 90.2% 133 92.5% York University Compressed 129 93.0% 132 90.2% 133 92.5% Grand total 3,800 69.4% 4,133 80.3% 4,445 79.5% * In 2016, the College split the University of Ottawa Full with Algonquin College (English) program into two programs: University of Ottawa Full with Algonquin College (English) - Pembroke campus University of Ottawa Full with Algonquin College (English) - Woodroffe campus Now the College will only use the original combined program for applicants who graduated when the original combined program was still in effect. ** In 2016, the College split the University of Ottawa Compressed (English and French) program into two programs: University of Ottawa Compressed (English) University of Ottawa Compressed (French) Now the College will only use the original combined program for applicants who graduated when the original combined program was still in effect. *** The College is using the York University Full program for this applicant because the applicant graduated when this program was still in effect. College of Nurses of Ontario Nursing Registration Exams Report 2017 14

4 REGISTERED PRACTICAL NURSE EXAM WRITERS In 2017, 5,827 Registered Practical Nurse (RPN) applicants to the College wrote the Canadian Practical Nurse Registration Examination (CPNRE) at least once. 4.1 RPN exam pass s by attempt Table 4.1: Overall RPN exam pass s by attempt Attempt First 5,640 78.7% 5,936 77.3% 5,096 81.1% 4,290 88.5% 5,490 86.4% Second 937 47.2% 1,107 47.6% 1,110 44.0% 602 53.2% 573 63.2% Third 373 37.3% 377 43.8% 449 37.0% 317 43.5% 182 62.6% 4.1.1 Ontario-educated RPN exam writers: s by attempt Table 4.2: Ontario-educated RPN exam writers: s by attempt Attempt First 3,533 89.4% 3,663 90.0% 3,833 91.3% 3,975 91.1% 3,922 92.1% Second 418 60.0% 387 58.1% 347 66.6% 350 63.4% 299 69.6% Third 171 45.0% 156 49.4% 117 44.4% 103 50.5% 72 61.1% 4.1.2 RPN exam writers educated in other Canadian provinces or territories: s by attempt Table 4.3: RPN exam writers educated in other Canadian provinces or territories: s by attempt Attempt First 5 40.0% 3 100% 1 100% 5 100% 23 95.7% Second 2 0.0% 1 100% 0-0 - 0 - Third 1 0.0% 0-1 0.0% 0-1 100% College of Nurses of Ontario Nursing Registration Exams Report 2017 15

4.1.3 Internationally-educated RPN exam writers: s by attempt Table 4.4: Internationally-educated RPN exam writers: s by attempt Attempt First 2,102 60.7% 2,270 56.8% 1,262 50.1% 310 53.9% 1,545 71.8% Second 517 36.9% 719 41.9% 763 33.7% 252 38.9% 274 56.2% Third 201 30.8% 221 39.8% 331 34.4% 214 40.2% 109 63.3% College of Nurses of Ontario Nursing Registration Exams Report 2017 16

4.1.4 First-attempt pass s for French-language RPN programs in Ontario Two Ontario colleges offer RPN programs in French: La Cité collégiale and Collège Boréal. Exam writers can choose to write their registration exam in either English or French and can change their choice on subsequent attempts. Table 4.5 shows 2013-2017 first-attempt pass s for applicants from Frenchlanguage RPN programs in Ontario and the languages in which the applicants wrote their exams. Table 4.5: Graduates of Ontario French-language RPN programs: Firstattempt pass s by program and language of exam Ontario RPN program Collège Boréal Exam written in: French 32 87.5% 46 91.3% 41 78.0% 23 87.0% 32 81.3% English 7 85.7% 12 83.3% 4 50.0% 13 76.9% 4 100% Total 39 87.2% 58 89.7% 45 75.6% 36 83.3% 36 83.3% French 40 67.5% 58 65.5% 33 72.7% 7 100% 28 100% La Cité collégiale English 0-0 - 0-2 100% 10 100% Total 40 67.5% 58 65.5% 33 72.7% 9 100% 38 100% French 72 76.4% 104 76.9% 74 75.7% 30 90.0% 60 90.0% Grand total English 7 85.7% 12 83.3% 4 50.0% 15 80.0% 14 100% Total 79 77.2% 116 77.6% 78 74.4% 45 86.7% 74 91.9% College of Nurses of Ontario Nursing Registration Exams Report 2017 17

4.2 First-attempt pass s of RPN applicants by Ontario college, program and site In Ontario, 24 colleges offer RPN nursing programs. Some colleges offer more than one nursing program and some offer nursing programs at different sites of the same college. Table 4.6 shows Ontario RPN applicants first-attempt pass s by college, program and site. Table 4.6: First-attempt pass s of RPN applicants by Ontario college, program and site Ontario college program 2015 2016 2017 Site/campus Algonquin College 193 96.4% 198 92.9% 204 98.0% Algonquin College - Woodroffe campus 159 95.6% 171 91.8% 173 97.7% Algonquin College - Pembroke campus 34 100% 27 100% 31 100% Cambrian College 73 93.2% 54 90.7% 63 88.9% Canadore College 87 93.1% 72 93.1% 83 92.8% Centennial College 213 95.3% 321 89.7% 328 90.9% Centennial College Internationally-educated nurses 32 93.8% 63 84.1% 81 92.6% Collège Boréal (French) 45 75.6% 36 83.3% 36 83.3% Collège Boréal - campus de Hearst 0-0 - 0 - Collège Boréal - campus de Kapuskasing 0-0 - 0 - Collège Boréal - campus de Nipissing 10 70.0% 9 77.8% 8 62.5% Collège Boréal - campus de Sudbury 11 90.9% 5 100% 10 90.0% Collège Boréal - campus de Timmins 6 83.3% 12 91.7% 4 100% Collège Boréal - campus de Toronto 18 66.7% 10 70.0% 14 85.7% Conestoga College 365 95.6% 310 96.8% 319 94.7% Confederation College 103 94.2% 45 93.3% 78 94.9% Durham College 152 94.7% 139 92.8% 167 95.8% Fanshawe College 133 94.0% 129 91.5% 134 94.0% Fanshawe College - London campus 89 92.1% 96 90.6% 88 93.2% Fanshawe College - Woodstock campus 44 97.7% 33 93.9% 46 95.7% Fleming College 151 92.7% 149 89.9% 133 89.5% George Brown College 168 96.4% 206 93.7% 262 97.3% College of Nurses of Ontario Nursing Registration Exams Report 2017 18

Ontario college program 2015 2016 2017 Site/campus Georgian College 333 87.1% 365 91.0% 274 88.7% Georgian College - Barrie campus 211 91.5% 197 90.4% 176 89.8% Georgian College - Bracebridge campus 0-12 100% 0 - Georgian College - Midland/Penetanguishene campus 0-0 - 0 - Georgian College - Orangeville campus 55 78.2% 54 88.9% 35 77.1% Georgian College - Owen Sound campus 67 80.6% 102 92.2% 63 92.1% Humber College 246 81.7% 232 88.8% 207 93.7% La Cité collégiale (French) 33 72.7% 9 100% 38 100% Lambton College 57 98.2% 66 95.5% 72 98.6% Loyalist College 39 100% 59 100% 42 97.6% Mohawk College 203 95.6% 234 94.4% 212 97.2% Mohawk College 203 95.6% 234 94.4% 212 97.2% Mohawk College - Aboriginal communities 0-0 - 0 - Niagara College 151 92.1% 189 91.5% 201 87.1% Northern College 42 97.6% 25 96.0% 40 97.5% Northern College - Kirkland Lake campus 24 100% 0-17 94.1% Northern College - Moosonee campus 0-0 - 0 - Northern College - Timmins campus 18 94.4% 25 96.0% 23 100% Sault College 48 93.8% 54 90.7% 52 88.5% Seneca College 324 84.0% 449 83.1% 417 83.5% Seneca College 164 88.4% 196 87.8% 149 94.6% Seneca College - Continuing education 160 79.4% 253 79.4% 268 77.2% Sheridan College 164 93.3% 142 88.7% 153 92.2% St. Clair College 232 90.1% 209 92.3% 170 90.0% St. Clair College - Chatham campus 92 82.6% 82 87.8% 68 86.8% St. Clair College - Windsor campus 140 95.0% 127 95.3% 102 92.2% St. Clair College - Anishinabek Educational Institute 0-0 - 0 - St. Lawrence College 179 88.8% 165 94.5% 141 94.3% College of Nurses of Ontario Nursing Registration Exams Report 2017 19

Ontario college program 2015 2016 2017 Site/campus St. Lawrence College - Brockville campus 77 80.5% 56 89.3% 39 87.2% St. Lawrence College - Cornwall campus 41 95.1% 44 95.5% 2 100% St. Lawrence College - Kingston campus 61 95.1% 65 98.5% 100 97.0% Total writes from applicants who graduated from Ontario RPN programs 3,766 91.4% 3,920 91.1% 3,907 92.1% Total writes from applicants who graduated from Ontario RN programs 6 67 88.1% 55 94.5% 15 86.7% Grand total 3,833 91.3% 3,975 91.1% 3,922 92.1% 6 This row refers to RPN applicants who completed an Ontario RN baccalaureate program but who applied for RPN registration. Applicants do this for a variety of reasons, for example, if they have been unsuccessful registering as an RN or if they want to be registered in both nursing categories. College of Nurses of Ontario Nursing Registration Exams Report 2017 20

5 NURSE PRACTITIONER EXAM WRITERS 7 In 2017, 283 Nurse Practitioner (NP) applicants to the College wrote one of the NP exams at least once. 5.1 NP exam pass s by attempt Table 5.1: Overall NP exam pass s by attempt Attempt First 223 91.5% 250 92.8% 273 96.3% 274 90.5% 274 98.2% Second 15 80.0% 13 69.2% 17 94.1% 8 50.0% 11 90.9% Third 1 0.0% 0-4 100% 1 100% 1 100% 5.1.1 Ontario-educated NP exam writers: s by attempt Table 5.2: Ontario-educated NP exam writers: s by attempt Attempt First 197 91.9% 219 92.2% 248 97.2% 248 91.5% 228 97.8% Second 13 76.9% 9 66.7% 15 93.3% 5 60.0% 9 88.9% Third 0-0 - 3 100% 1 100% 1 100% 5.1.2 NP exam writers educated in other Canadian provinces or territories: s by attempt Table 5.3: NP exam writers educated in other Canadian provinces or territories: s by attempt Attempt Rate Rate First 20 85.0% 30 100% 23 91.3% 26 80.8% 31 100% Second 0-3 100% 1 100% 2 50.0% 2 100% Third 1 0.0% 0-0 - 0-0 - Rate Rate Rate 7 In this report, the term Nurse Practitioner or NP refers to applicants seeking registration as a Registered Nurse in the Extended Class. College of Nurses of Ontario Nursing Registration Exams Report 2017 21

5.1.3 Internationally-educated NP exam writers: s by attempt Table 5.4: Internationally-educated NP exam writers: s by attempt Attempt First 6 100% 1 0.0% 2 50.0% 0-15 100% Second 2 100% 1 0.0% 1 100% 1 0.0% 0 - Third 0-0 - 1 100% 0-0 - 5.1.4 First-attempt pass s for French-language NP programs in Ontario Two Ontario universities offer NP programs in French: Laurentian University and University of Ottawa. Exam writers can choose to write their registration exam in either English or French and can change their choice on subsequent attempts. Table 5.5 shows 2013-2017 first-attempt pass s for applicants from Frenchlanguage NP programs in Ontario and the languages in which the applicants wrote their exams. Table 5.5: Graduates of Ontario French-language NP programs: Firstattempt pass s by program and language of exam Ontario NP program Laurentian University University of Ottawa Exam written in: French 4 100% 1 100% 3 100% 1 100% 0 - English 12 91.7% 21 85.7% 16 100% 9 88.9% 8 100% Total 16 93.8% 22 86.4% 19 100% 10 90.0% 8 100% French 2 100% 6 83.3% 0-3 100% 7 85.7% English 16 93.8% 14 92.9% 22 100% 20 100% 11 100% Total 18 94.4% 20 90.0% 22 100% 23 100% 18 94.4% French 6 100% 7 85.7% 3 100% 4 100% 7 85.7% Grand total English 28 92.9% 35 88.6% 38 100% 29 96.6% 19 100% Total 34 94.1% 42 88.1% 41 100% 33 97.0% 26 96.2% College of Nurses of Ontario Nursing Registration Exams Report 2017 22

5.2 First-attempt pass s of NP applicants by Ontario university and specialty In Ontario, 10 universities offer NP nursing programs. There are three NP specialties: Primary Health Care, Adult and Paediatric, and some universities offer programs for more than one specialty. Table 5.6 shows Ontario NP applicants first-attempt pass s by university and specialty. Table 5.6: First-attempt pass s of NP applicants by Ontario university and specialty Specialty 2015 2016 2017 Ontario university Primary Health Care programs 185 98.9% 185 93.5% 167 98.2% Lakehead University 18 100% 13 100% 17 100% Laurentian University 19 100% 10 90.0% 8 100% McMaster University 13 100% 15 100% 17 100% McMaster University - Post-Master's 1 0.0% Queen s University 13 100% 20 95.0% 9 100% Queen s University - Post-Master's 1 100% Ryerson University 26 100% 32 90.6% 17 100% Ryerson University - Post-Master's 1 100% University of Ottawa 22 100% 23 100% 18 94.4% University of Ottawa - Post-Master's 1 100% University of Toronto 20 95.0% 21 95.2% 25 96.0% Western University 22 100% 27 88.9% 17 100% Western University - Post-Master's 2 100% University of Windsor 11 100% 12 100% 12 100% University of Windsor - Post-Master's 2 100% York University 21 95.2% 12 75.0% 19 100% Adult programs 45 91.1% 51 82.4% 46 95.7% University of Toronto 45 91.1% 47 80.9% 44 95.5% University of Toronto - Post-Master's 4 100% 2 100% Paediatrics programs 18 94.4% 12 100% 15 100% McMaster University 3 100% 1 100% 0 - University of Toronto 15 93.0% 11 100% 14 100% University of Toronto - Post-Master's 1 100% Grand total 248 97.2% 248 91.5% 228 97.8% College of Nurses of Ontario Nursing Registration Exams Report 2017 23

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