Nurse Practitioner Practice Assessment (NPPA)



The Nurse Practitioner Practice Assessment (NPPA) is a component of the College of Nurses of Ontario’s (CNO) Quality Assurance (QA) Program for which members are selected to complete. The NPPA is an assessment that evaluates the clinical competence of Ontario nurse practitioners as a component of quality assurance programming.

Examinees for the NPPA are selected and referred to Touchstone Institute By the College of Nurses of Ontario (CNO).

Nurse Practitioners will receive a participant guide and additional resources from the CNO.

Please contact the CNO for further information on this assessment.

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Participation for this exam is managed by the CNO. Please contact the CNO for information on when the next administration will be held.

Visualize the Exam

Medical office

A typical exam room at Touchstone Institute

A person in scrubs talking to a patient

An interaction between a simulated client and an examinee

People looking at screens showing camera footage

Live announcements are made from a central location on the exam floor


Touchstone Institute has collaborated with the following organization to develop and administer this practice assessment.

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