The CPCA online assessment is available in other countries outside of the United States. The NBCRNA advises that (like all other CPCA online assessment candidates) you will need to perform a System Test with your equipment in the remote setting of your choice. This is to assure that your equipment meets the requirements for remote online proctoring and that the internet connections are acceptable to accommodate audio and visual transmissions. A private room in a secure setting is also required for successful exam delivery.