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Hi, I emailed excelsior a few days ago asking this question this is what they responded with:
The Clinical Performance in Nursing Exam sites are as follows:
Albany, Schenectady, Utica, Queens and Syracuse, New York
Plano, Lubbock and Amarillo, Texas
Atlanta, Lawrenceville, Riverdale and Savannah, Georgia
Madison, Janesville, Milwaukee and Racine, Wisconsin
Chambersburg and York, Pennsylvania
I've heard its simulation to ensure you can properly do the tasks but I've also read that some people had real pt's. Hope the locations help.
You do actual patient care/assessment scenarios with actual patients at a hospital. You can access this info about the CPNE on the EC website. On the nursing school page, go down about two thirds and look for the links about the CPNE. All of this is there.