How to Become a Nurse Practitioner in Ontario
How to become a nurse practitioner in Ontario: the CNO Extended Class, the approved NP program, the CNPLE and jurisprudence exams, and registration.
Ontario RN registration through CNO: approved nursing program, NCLEX-RN, jurisprudence exam, Temporary Class, and the internationally educated nurse route.
Applies in: Ontario
To practise as a Registered Nurse in Ontario you must be registered with the College of Nurses of Ontario (CNO) — there is no legal way around the regulator. The standard route: finish a 4-year Bachelor of Science in Nursing at an approved Ontario university, open an application on CNO's portal in your final year, write the NCLEX-RN registration exam and the online jurisprudence exam, clear the background and documentation checks, and register in the General Class. New graduates can enter the Temporary Class and work while the last requirements land; internationally educated nurses follow a credential-assessment route that CNO streamlined in April 2025.
Ontario's Nursing Act makes "Registered Nurse" (and "RN") a protected title: you may not use it, or practise nursing, without CNO registration. The CNO sets the registration requirements, approves the exams, and maintains the public register employers check. Every path in this guide — domestic graduate, internationally educated, interprovincial — runs through the same registration requirements, and the fees are staged as you move through them.
For Ontario applicants, this means a Bachelor of Science in Nursing (BScN) from an Ontario university whose program CNO approves — typically four years, blending classroom theory with clinical placements in hospitals, long-term care, and community settings. RPNs upgrading can use college-to-university RPN-to-BScN bridging programs rather than starting over. PSWs looking at the longer ladder should read our PSW guide, which covers the PSW-to-Practical-Nursing bridge as the first rung.
One useful detail for final-year students: your school sends CNO a Verification of Course Completion directly. Schools vary in how fast they process these, so ask yours about timing — it is the most common avoidable delay in a new graduate's file.
Start your application on CNO's "Maintain your Membership" portal — ideally in your final year. The application steps:
From here, CNO messages you through the portal telling you what remains: exam eligibility, and evidence for each remaining requirement.
Every Ontario RN applicant must pass the registration exam — the NCLEX-RN (called the Next Generation NCLEX since the 2023 update, built around clinical judgment). The mechanics, from CNO's exam page:
There is no limit on attempts, though mandatory waiting periods separate sittings. Critical nuance: if you already passed the NCLEX-RN for another jurisdiction, do not pay and rewrite — have that regulator send your official result to CNO, which decides whether the requirement is met.
Separate from the NCLEX, every applicant must pass CNO's jurisprudence examination: an online, open-book-style assessment of Ontario's nursing laws, regulations, by-laws, and practice standards. After you submit your application and fee, CNO gives you access to the secure testing site; pass results are valid for five years. It is the same exam for RN and RPN applicants, so category-changers with a current pass do not rewrite.
The file is not complete until every box is ticked:
Once CNO is satisfied, you pay the registration fee and join the General Class — the full RN registration. Note that Ontario Health is currently reimbursing the General and Temporary Class registration costs; check CNO's site for how to claim.
New graduates who have the degree but are still waiting on exams or paperwork can register in the Temporary Class and start working. Requirements: completed nursing education (Ontario students included, once the school's verification lands), evidence of practice, the jurisprudence exam, language proficiency, work authorization, clean offences/conduct record — and an offer of employment from an approved facility (hospitals, long-term care homes, psychiatric facilities, public health boards, community health centres, and similar). Two caveats: applicants who have already failed the registration exam twice or more cannot use the Temporary Class, and you must complete all remaining requirements — including TTP — before moving to the General Class.
If you trained outside Canada, the April 2025 changes materially improved the route:
Internationally educated nurses should also read our foreign credentials guide for the broader recognition machinery that sits alongside CNO's process.
Job Bank's June 2026 wage report for registered nurses (NOC 31301) puts the Toronto Region median at $40.59 per hour, with job prospects rated "very good." Real postings bear that out: hospital and public-service RN roles in Ontario currently advertise roughly $35 to $50+ per hour depending on setting and seniority. Most Ontario hospital RNs work under ONA collective agreements with seniority steps, shift and weekend premiums, and full benefits — the published hourly rate understates total compensation. Long-term care, community, and correctional settings hire steadily too, often with signing incentives in harder-to-staff regions.
The fee answer above is deliberately vague because the fees are staged and some go to other organizations. The College of Nurses of Ontario publishes its own fees, and they are specific enough to budget from. All CNO fees below are in Canadian dollars, non-refundable, and subject to 13% HST. Annual fees are not pro-rated for partial years.
| Fee | 2026 | 2027 |
|---|---|---|
| Application fee, General Class (RN or RPN) | $433 | $454 |
| Jurisprudence exam fee | $40 | $42 |
| Initial registration fee (to December 31 of the year you register) | $69 | $72 |
| Annual renewal fee, General Class | $368 | $386 |
The NCLEX-RN exam fee is separate and is paid to the exam provider, not to CNO. It is about $360 CAD now. The National Council of State Boards of Nursing has announced that, effective February 1, 2027, the Canadian NCLEX registration fee rises to $570 CAD — the first change since 2000. The fee you pay is set by your registration date, not your exam date: registrations completed before February 1, 2027 are charged the current fee, and registrations on or after that date are charged $570, including retakes. If your exam registration will fall after February 1, budget the higher figure. The Ontario Health reimbursement of registration costs mentioned above is described in this guide as temporary; check whether it still applies when you pay, rather than assuming it.
The domestic path: graduate from an approved nursing program (a 4-year Bachelor of Science in Nursing at an Ontario university), apply to the College of Nurses of Ontario (CNO), pass the NCLEX-RN registration exam, pass the online jurisprudence exam, meet the evidence-of-practice, language, criminal-record-check, and work-authorization requirements, and register in the General Class. New graduates can register in the Temporary Class to work while finishing the remaining requirements.
A nursing baccalaureate. Since the April 1, 2025 registration changes, CNO accepts nursing education recognized or approved in any jurisdiction, as long as it was designed to prepare you for the RN category and meets the baccalaureate credential. In Ontario that means a Bachelor of Science in Nursing (BScN) from an approved Ontario university program — typically four years including clinical placements. College-to-university bridging programs exist for RPNs upgrading to RN.
The NCLEX-RN is the registration exam every Ontario RN applicant must pass. The sequence: apply to CNO first, wait for CNO to message you that you are eligible, then register with Pearson Professional Assessments (using the same name as on your CNO application), pay the exam fee (about $360 CAD for a Canadian-registration candidate), receive your Authorization to Test, and book a Pearson VUE testing centre. There is no limit on attempts, but mandatory waiting periods apply between sittings. If you already passed the NCLEX-RN in another jurisdiction, do not automatically re-register — arrange for that authority to send your result to CNO for review.
An online exam on Ontario's nursing laws, regulations, by-laws, practice standards, and ethics — every RN, RPN, and Temporary Class applicant must pass it, on top of the NCLEX. You take it through a secure site CNO gives you access to after you apply, and pass results are valid for five years. The same exam covers both RN and RPN applicants, so moving between categories does not mean rewriting it (unless it has been more than five years).
Yes, through the Temporary Class. It is for applicants who meet all General Class requirements except the nursing education, transition-to-practice, and registration-exam pieces — which covers many new graduates. You need an offer of employment from an approved facility (hospitals, long-term care homes, public health units, and similar), plus the jurisprudence exam, language proficiency, work authorization, and a clean offences/conduct record. Note: if you have already failed the registration exam twice or more, you are not eligible for the Temporary Class.
Since April 2025, CNO accepts an approved credential assessment from WES, ICAS, ICES, or NNAS (not just NNAS), and recognizes nursing education from any jurisdiction that meets the baccalaureate level for RNs. After the education assessment comes a transition-to-practice requirement — most applicants meet it by completing a CNO-approved Transition to Practice course (typically 7 to 14 weeks, online, no clinical component), though Canadian-educated and currently-Canadian-registered applicants meet it automatically. Then: evidence of practice within the last 3 years, NCLEX-RN, jurisprudence exam, language proof, Sterling criminal record check (valid 6 months), and work authorization.
Expect several hundred dollars across the process, staged as you go: a non-refundable application fee when you open your CNO file, the NCLEX-RN exam fee (about $360 via Pearson, plus taxes), the jurisprudence exam fee, and the initial registration plus first-year annual membership fee when you register in the General Class. One piece of good news: the Ontario government is temporarily covering the General and Temporary Class registration costs through Ontario Health — check CNO's site for the current reimbursement process.
For Ontario graduates who apply during their final year, the timeline is usually weeks to a few months after graduation — most of the delay is schools submitting Verification of Course Completion and the exam scheduling queue. For internationally educated applicants, plan on roughly a year, driven by document verification, credential assessment, and exam completion; CNO closes applications with no progress after two years, which restarts the fees and documents.
Job Bank's 2026 wage report for registered nurses (NOC 31301) puts the Toronto Region median at $40.59 per hour, with Job Bank rating the province's job prospects 'very good.' Hospital postings commonly advertise $35 to $50+ per hour depending on role, setting, and experience. RN pay is heavily collective-agreement driven in Ontario — most hospital nurses work under ONA contracts with step increases, shift premiums, and benefits baked in.
Several Ontario universities run RPN-to-BScN bridging programs that compress the degree for diploma-holding RPNs. After graduation, the CNO path is the standard one (NCLEX-RN, jurisprudence exam), and since the jurisprudence exam is the same for both categories, you will not rewrite it if yours is current. Your RPN registration can satisfy the evidence-of-practice and transition-to-practice requirements.