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Updated: Sep 05, 2026
No. of Questions: 195 Questions & Answers with Testing Engine
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Medical Tests CEN Exam Overview:
| Certification Vendor: | Board of Certification for Emergency Nursing (BCEN) |
|---|---|
| Exam Name: | Certified Emergency Nurse Examination |
| Exam Number: | CEN |
| Available Languages: | English |
| Related Certifications: | CBRN CTRN TCRN CPEN CFRN |
| Exam Duration: | 180 minutes |
| Certificate Validity Period: | 4 years |
| Exam Price: | $285 (members) / $380 (non-members) / $195 (military) |
| Passing Score: | 106 out of 150 scored items (~71%) |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| Exam Format: | Computer-Based Test (CBT), Multiple-choice questions |
| Recommended Training: | BCEN CEN Review Resources ENA Emergency Nursing Core Curriculum |
| Exam Registration: | BCEN Official Registration |
| Sample Questions: | Medical Tests CEN Sample Questions |
| Exam Way: | In-person at PSI testing centers or Live Remote Proctoring (LRP) |
| Pre Condition: | Current unrestricted RN license in US, US Territory, Canada, Australia or equivalent; 2 years emergency nursing experience recommended |
| Official Syllabus URL: | https://bcen.org/cen/about-the-exam/ |
Medical Tests CEN Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Medical Emergencies | 9% | - Infectious diseases - Hematologic & oncologic issues - Electrolyte imbalances - Endocrine disorders |
| Neurological Emergencies | 11% | - Intracranial hypertension - Spinal cord injury - Seizures & status epilepticus - Stroke & TIA - Traumatic brain injury |
| Professional Issues | 10% | - Triage principles - Documentation & confidentiality - Legal & ethical standards - Patient safety & quality improvement |
| Respiratory Emergencies | 11% | - Respiratory failure - Airway management - Pneumothorax - Pulmonary embolism - Asthma & COPD |
| Cardiovascular Emergencies | 12% | - Dysrhythmias - Heart failure - Vascular emergencies - Acute coronary syndrome - Shock states |
| Mental Health Emergencies | 7% | - Substance abuse & withdrawal - Anxiety & psychosis - Suicide risk assessment - Violence & aggression |
| Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - Gynecologic emergencies - Renal failure & urologic issues - Hepatic & biliary disorders - Pregnancy-related emergencies - GI bleeding & obstruction |
| Musculoskeletal & Wound Emergencies | 9% | - Soft tissue injuries - Wound care & infection control - Fractures & dislocations - Compartment syndrome |
| Maxillofacial & Ocular Emergencies | 7% | - Eye injuries & infections - Facial trauma - Dental & ENT emergencies |
| Environment, Toxicology & Communicable Diseases | 10% | - Poisoning & overdose - Heat/cold-related illness - Infection control & isolation - Bites & envenomation |
Medical Tests Certified Emergency Nurse Sample Questions:
Question 1
You are caring for a patient who has been in a multiple trauma that has lead to severe blood loss. What
type of device will you need to acquire to transfuse several units of blood quickly?
A. Cardiac monitor
B. Blood warming device
C. Pulse oximetry
D. Infusion controller
Question 2
You are caring for a patient in hypovalemic shock who will require plasma expansion. What do you
suspect the physician will order?
A. Platelets
B. Albumin
C. Cryoprecipitate
D. Packed red blood cells
Question 3
You are caring for a patient in cardiogenic shock who has a multilumen pulmonary artery catheter in place.
What cardiac output (CO) and pulmonary capillary wedge pressure (PCWP) would you see if the patient
were unstable?
A. CO 4 L/min, PCWP high
B. CO 3 L/min, PCWP high
C. CO 5 L/min, PCWP low
D. CO 2 L/min, PCWP low
Question 4
Your patient in the emergency department has been sexually assaulted. The patient is withdrawn,
confused and at times physically withdrawn. You realize that these behaviors are:
A. An indication of the patient's need for admission
B. Sign of the patients increased risk for suicide
C. Normal reactions to sexual assault
D. Signs of depression
Question 5
You are caring for a patient who has been involuntarily admitted to the hospital because of violent
behavior. The patient is demanding to leave the hospital. The nurse understands that keeping the patient
will lead to:
A. Charges of imprisonment
B. Charges of assault
C. Charges of slander
D. No charges because the nurse's actions are reasonable.
Solutions:
| Question 1 Answer: B | Question 2 Answer: B | Question 3 Answer: B | Question 4 Answer: C | Question 5 Answer: D |
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