Nursing Categories in Canada
Registered Nurses (RNs)
Education Requirements:
A Bachelor of Science in Nursing (BScN), typically a 4-year program from an approved nursing education program in Canada. Internationally educated nurses may be required to complete a competency assessment or additional nursing education. In Ontario, current options may include the Registered Nurses Canadian Competency Assessment Program (RNCCAP) or a CNO-approved IEN Education Pathway, when directed by CNO.
Scope of Practice:
RNs provide comprehensive care, including patient assessments, medication administration, care planning, and collaboration with healthcare teams.
Regulatory Bodies: Each province has its own regulatory body for RNs. Some examples include:
- Ontario: College of Nurses of Ontario (CNO)
- British Columbia: British Columbia College of Nurses and Midwives (BCCNM)
- Alberta: College of Registered Nurses of Alberta (CRNA)
- Saskatchewan: College of Registered Nurses of Saskatchewan (CRNS)
- Manitoba: College of Registered Nurses of Manitoba (CRNM)
- New Brunswick: Nurses Association of New Brunswick (NANB)
- Newfoundland and Labrador: College of Registered Nurses of Newfoundland and Labrador (CRNNL)
- Nova Scotia: Nova Scotia College of Nursing (NSCN)
- Prince Edward Island: College of Registered Nurses of Prince Edward Island (CRNPEI)
- Quebec: Ordre des infirmières et infirmiers du Québec (OIIQ)
- Yukon: Yukon Registered Nurses Association (YRNA)
- Northwest Territories & Nunavut: Registered Nurses Association of the Northwest Territories and Nunavut (RNANT/NU)
Examination:
Most Canadian provinces and territories use the NCLEX-RN as the RN entry-to-practice examination. Québec currently requires the OIIQ professional examination instead. Applicants must confirm the required examination with their regulator.
Licensing Requirements:
After passing the NCLEX-RN, Canadian-educated nurses must register with their provincial regulatory body. Internationally educated nurses must meet the education, evidence-of-practice, language, examination, suitability, and other requirements established by their provincial or territorial regulator. Additional assessment or education is required only when directed by the regulator.
To maintain licensure, RNs must:
- Registration renewal and continuing-competence requirements are established by each provincial or territorial regulator.
- Adhere to the Professional Standards of Practice set by their regulatory body, which includes ethical and safe patient care.
- Renew registration annually (e.g., in Ontario, annual registration with the CNO is required).
Licensed Practical Nurses (LPNs) or Registered Practical Nurses (RPNs) in Ontario
Education Requirements:
A diploma in practical nursing, typically a 2-year program from an approved institution. In some provinces, bridging programs may be required for Internationally Educated Nurses (IENs).
Scope of Practice:
LPNs and RPNs are regulated nursing professionals who provide nursing care within their authorized scope of practice. Their level of autonomy and need for consultation or collaboration depend on their competence, the client’s condition, the practice setting, and provincial or territorial requirements.
Regulatory Bodies: LPNs and RPNs are regulated by provincial bodies. Some examples include:
- Ontario (RPNs): College of Nurses of Ontario (CNO)
- British Columbia (LPNs): British Columbia College of Nurses and Midwives (BCCNM)
- Alberta (LPNs): College of Licensed Practical Nurses of Alberta (CLPNA)
- Saskatchewan (LPNs): Saskatchewan Association of Licensed Practical Nurses (SALPN)
- Manitoba (LPNs): College of Licensed Practical Nurses of Manitoba (CLPNM)
- New Brunswick (LPNs): Association of New Brunswick Licensed Practical Nurses (ANBLPN)
- Newfoundland and Labrador (LPNs): College of Licensed Practical Nurses of Newfoundland and Labrador (CLPNNL)
- Nova Scotia (LPNs): Nova Scotia College of Nursing (NSCN)
- Prince Edward Island (LPNs): College of Licensed Practical Nurses of Prince Edward Island (CLPNPEI)
- Quebec (LPNs): Ordre des infirmières et infirmiers auxiliaires du Québec (OIIAQ)
- Yukon (LPNs): Yukon Government – Licensed Practical Nurse Licensing
- Northwest Territories & Nunavut: As of November 1, 2023, LPNs are regulated by the Registered Nurses Association of the Northwest Territories and Nunavut (RNANT/NU).
Examination:
The practical-nurse examination depends on the jurisdiction. Ontario and British Columbia use the REx-PN. Many other participating jurisdictions use the CPNRE. Québec nursing assistants follow the separate OIIAQ admission and examination process. Confirm the required examination with the applicable regulator.
Licensing Requirements:
LPNs/RPNs must:
- Meet the registration-renewal and continuing-competence requirements established by their provincial or territorial regulator.
- Adhere to provincial Practice Standards (e.g., the CNO Practice Standards for RPNs in Ontario).
Nurse Practitioners (NPs)
Education Requirements:
A Master’s degree in Nursing with a specialization (such as family practice, pediatrics, or adult care). Nurse Practitioners must first be registered as Registered Nurses (RNs) in their respective jurisdiction before applying for NP licensure.
Scope of Practice:
NPs provide independent care, including diagnosing and treating illnesses, prescribing medications, and ordering diagnostic tests. They can work autonomously in many provinces and often collaborate with other healthcare professionals.
Regulatory Bodies:
NPs are regulated by provincial and territorial nursing bodies across Canada. Here’s the complete list for each province and territory:
- Ontario: College of Nurses of Ontario (CNO)
- British Columbia: British Columbia College of Nurses and Midwives (BCCNM)
- Alberta: College of Registered Nurses of Alberta (CRNA)
- Saskatchewan: College of Registered Nurses of Saskatchewan (CRNS)
- Manitoba: College of Registered Nurses of Manitoba (CRNM)
- New Brunswick: Nurses Association of New Brunswick (NANB)
- Newfoundland and Labrador: College of Registered Nurses of Newfoundland and Labrador (CRNNL)
- Nova Scotia: Nova Scotia College of Nursing (NSCN)
- Prince Edward Island: College of Registered Nurses of Prince Edward Island (CRNPEI)
- Quebec: Ordre des infirmières et infirmiers du Québec (OIIQ)
- Yukon: Yukon Registered Nurses Association (YRNA)
- Northwest Territories & Nunavut: Registered Nurses Association of the Northwest Territories and Nunavut (RNANT/NU)
Examination:
Nurse-practitioner examinations are changing across Canada. The Canadian Nurse Practitioner Licensure Examination (CNPLE) launched in 2026, with its first administration in May 2026. Implementation dates differ by jurisdiction, and the CNPE remains available in some jurisdictions during the transition. Applicants must check their regulator’s current examination requirements.
Licensing Requirements:
To maintain licensure, NPs must:
- Register as both RNs and NPs with their provincial regulatory body.
- Complete annual continuing education and professional development to stay up-to-date with clinical practice and competencies.
| Nurse Type | Education | Scope of Practice | Career Progression | Work Environment | Patient Interaction |
|---|---|---|---|---|---|
| Registered Nurse (RN) | 4-year BScN from an approved program | Comprehensive care—patient assessments, care planning, medication administration, and leadership roles | Progress to NP, leadership, or administrative roles | Hospitals, clinics, home care, long-term care | Direct patient care, high interaction |
| Licensed Practical Nurse (LPN) / Registered Practical Nurse (RPN) | 2-year Diploma in Practical Nursing | Basic nursing care—administering medications, monitoring vital signs, under RN supervision | May advance to RN with further education | Long-term care, home care, hospitals | Moderate patient care under RN/physician supervision |
| Nurse Practitioner (NP) | Master’s degree in Nursing | Independent practice—diagnose illnesses, prescribe medications, and order diagnostic tests | Progress into leadership, policy-making, teaching, or specialized NP roles | Outpatient clinics, primary care, hospitals | High patient interaction, especially in primary care |
