I didn't take their CPNE, I did the two clinicals for the BSN program, but I do know this, study the way THEY have things documented in the samples in your study guide. Forget whatever is in your head already, the way you do it, that the very latest research may indicate a better way of doing something, just DO IT THEIR WAY!! Document it THEIR WAY. I know someone who failed for not signing out meds on medex immediately after giving them.
Have you registered in the EPN chat room? TONS of ADN students chat there, many of whom have taken the exam, or know of someone who has, they are a great source for info, but also a source of stress, since you may hear scary, or at times exaggerated stories. Just remember, you CANNOT think you can go into this test w/o studying and memorizing that study guide. There is NO WAY you can "wing it" no matter how experienced you are, b/c as I said, they want things done THEIR WAY and if you don't read that book and study it, you will not know what their way is, it may be very different from how you practice.
Also, they really like to see you send in practice modules if there are any in your book. They also really like you to contact instructors prior to the exams to ask questions and clarify things. It's almost as if, if you don't communicate with them, in a humble fashion, asking questions, they think you are cocky and in my personal opinion, they hold it against you.
My advice is, put your pride aside, be humble, ask questions of the instructors frequently via e-mail or phone , even if you really understand the material, FIND some questions (some of them are actually quite helpful, others, well.... I won't go there), send in practice modules (BIG brownie points here, they quote higher pass rates for the BSN final if this is done), and sign on into that chat room, make some friends, suck up all you can there, with a grain of salt. I had one person tell me how she failed the BSN final, all the inconsistencies she experienced with the instructors, etc... only to have her admit in the end that she had thought she could "wing it" and didn't really study (the study guide)!! TO get to the chat room, go to the site, I don't know what it is since the new name, but then you will see if you surf around a little a link for EPN or Electronic Peer Network. It helped me enormously to have the support of all those other students. WE then shared e-mails to discuss more sensitive things (remember the EPN is owned and MONITORED by the school, refrain from any anti-regents remarks on there, it WILL haunt you if you do). All together I was in communication with about 14 people, we shared our typed notes, and in the end we had phone calls, and 3-way calls for mini study groups. It truly helps, b/c it feels very lonely and isolated when you are getting your degree by mail, this way you are connected, it was great. I now have friends in Alaska, Colorado, California, Missouri, you name it, it was great. I would NOT however share the fact that you are studying with other students, they want you to study with THEM, and they are very paranoid that other student give out answers, which in a clinical is quite difficult to do! Be sure to read the academic honesty policy, code of ethics, etc... read EVERY PAGE in that book!! Also, read about exactly how many items you can miss (if any) and how they score, so if necessary, you can decide to work on your strong areas, and decide not to worry about another area. Ex. in my first BSN clinical, I may have had to perform a reflex exam, no matter how hard I tried, I could not get the brachial reflex down, after much work with a nurse prac, still a bust, so I decided, since I could miss one area, that would be it, and worked to get every other part of the exam perfectly.
Best of luck to you!!