Certified Emergency Nurse Practice Test
CEN test Format | Course Contents | Course Outline | test Syllabus | test Objectives
Exam Code: CEN
Exam Name: BCEN Certified Emergency Nurse
Number of Questions: The test consists of 175 multiple-choice questions, of which 150 are scored and 25 are unscored pretest questions.
Passing Marks: 106 out of the 150 scored questions correctly, which corresponds to approximately 70.67%.
Time Allotted: 180 minutes (3 hours), including 5 practice questions at the start for functionality familiarization.
The CEN test is for nurses in the emergency department setting who want to demonstrate their expertise, knowledge and versatility in emergency nursing.
Killexams is the only source for emergency nursing professionals and their employers to obtain recognized certification with proven results for greater knowledge and performance. Enhance your knowledge, your career, and patient care with specialty certification in emergency nursing.
One of the more common questions we get from our customers is about the difference between a certification and a certificate. Here is the difference in a nutshell:
A certificate comes from an educational program where a certificate is awarded after the individual successfully completes the offering. Examples of certificates are Advanced Cardiac Life Support (ACLS) or Trauma Nursing Core Course (TNCC).
A certification, like the Certified Emergency Nurse (CEN) is an earned credential that demonstrates the individuals specialized knowledge and skills. Certification is awarded by a third-party organization, such as Board of Certification for Emergency Nursing. Individuals receive their certification after meeting strict eligibility requirements and successfully completing the required examination. In addition, certifications have ongoing requirements that must be meant to maintain the credential, ensuring the holder has maintained their level of expertise in the specialty area. Certifications are nationally recognized and are often utilized as part of the earners signature.
Earning professional certifications such as the CEN, CPEN, CFRN, CTRN and TCRN offered by BCEN, and completing certificate programs such as ACLS, PALS, ENCP and TNCC, are critical to the work emergency nurses do, but there are significant differences.
1. Cardiovascular Emergencies 20
A. Acute coronary syndrome
B. Aneurysm/dissection
C. Cardiopulmonary arrest
D. Dysrhythmias
E. Endocarditis
F. Heart failure
G. Hypertension
H. Pericardial tamponade
I. Pericarditis
J. Peripheral vascular disease (e.g., arterial, venous)
K. Thromboembolic disease (e.g., deep vein thrombosis [DVT])
L. Trauma
M. Shock (cardiogenic and obstructive)
2. Respiratory Emergencies 16
A. Aspiration
B. Asthma
C. Chronic obstructive pulmonary disease (COPD)
D. Infections
E. Inhalation injuries
F. Obstruction
G. Pleural effusion
H. Pneumothorax
I. Pulmonary edema, noncardiac
J. Pulmonary embolus
K. Respiratory distress syndrome
L. Trauma
3. Neurological Emergencies 16
A. Alzheimer's disease/dementia
B. Chronic neurological disorders (e.g., multiple sclerosis, myasthenia gravis)
C. Guillain-Barré syndrome
D. Headache (e.g., temporal arteritis,migraine)
E. Increased intracranial pressure (ICP)
F. Meningitis
G. Seizure disorders
H. Shunt dysfunctions
I. Spinal cord injuries, including neurogenic shock
J. Stroke (ischemic or hemorrhagic)
K. Transient ischemic attack (TIA)
L. Trauma
4. Gastrointestinal, Genitourinary, Gynecology, and Obstetrical Emergencies 21
A. Gastrointestinal
1. Acute abdomen (e.g., peritonitis, appendicitis)
2. Bleeding
3. Cholecystitis
4. Cirrhosis
5. Diverticulitis
6. Esophageal varices
7. Esophagitis
8. Foreign bodies
9. Gastritis
10. Gastroenteritis
11. Hepatitis
12. Hernia
13. Inflammatory bowel disease
14. Intussusception
15. Obstructions
16. Pancreatitis
17. Trauma
18. Ulcers
B. Genitourinary
1. Foreign bodies
2. Infection (e.g., urinary tract infection, pyelonephritis, epididymitis, orchiitis, STDs)
3. Priapism
4. Renal calculi
5. Testicular torsion
6. Trauma
7. Urinary retention
C. Gynecology
1. Bleeding/dysfunction (vaginal)
2. Foreign bodies
3. Hemorrhage
4. Infection (e.g., discharge, pelvic inflammatory disease, STDs)
5. Ovarian cyst
6. Sexual assault/battery
7. Trauma
D. Obstetrical
1. Abruptio placenta
2. Ectopic pregnancy
3. Emergent delivery
4. Hemorrhage (e.g., postpartum bleeding)
5. Hyperemesis gravidarum
6. Neonatal resuscitation
7. Placenta previa
8. Postpartum infection
9. Preeclampsia, eclampsia, HELLP syndrome
10. Preterm labor
11. Threatened/spontaneous abortion
12. Trauma
5. Psychosocial and Medical Emergencies 25
A. Psychosocial
1. Abuse and neglect
2. Aggressive/violent behavior
3. Anxiety/panic
4. Bipolar disorder
5. Depression
6. Homicidal ideation
7. Psychosis
8. Situational crisis (e.g., job loss, relationship issues, unexpected death)
9. Suicidal ideation
B. Medical
1. Allergic reactions and anaphylaxis
2. Blood dyscrasias
a. Hemophilia
b. Other coagulopathies (e.g., anticoagulant medications, thrombocytopenia)
c. Leukemia
d. Sickle cell crisis
3. Disseminated intravascular coagulation (DIC)
4. Electrolyte/fluid imbalance
5. Endocrine conditions:
a. Adrenal
b. Glucose related conditions
c. Thyroid
6. Fever
7. Immunocompromise (e.g., HIV/AIDS, patients receiving chemotherapy)
8. Renal failure
9. Sepsis and septic shock
6. Maxillofacial, Ocular, Orthopedic and Wound Emergencies 21
A. Maxillofacial
1. Abscess (i.e., peritonsillar)
2. Dental conditions
3. Epistaxis
4. Facial nerve disorders (e.g., Bells palsy, trigeminal neuralgia)
5. Foreign bodies
6. Infections (e.g., Ludwig'sangina, otitis, sinusitis, mastoiditis)
7. Acute vestibular dysfunction (e.g., labrinthitis, Ménière's disease)
8. Ruptured tympanic membrane
9. Temporomandibular joint (TMJ) dislocation
10. Trauma
B. Ocular
1. Abrasions
2. Burns
3. Foreign bodies
4. Glaucoma
5. Infections (e.g., conjunctivitis, iritis)
6. Retinal artery occlusion
7. Retinal detachment
8. Trauma (e.g., hyphema, laceration, globe rupture)
9. Ulcerations/keratitis
C. Orthopedic
1. Amputation
2. Compartment syndrome
3. Contusions
4. Costochondritis
5. Foreign bodies
6. Fractures/dislocations
7. Inflammatory conditions
8. Joint effusion
9. Low back pain
10. Osteomyelitis
11. Strains/sprains
12. Trauma (e.g., Achilles tendon rupture, blast injuries)
D. Wound
1. Abrasions
2. Avulsions
3. Foreign bodies
4. Infections
5. Injection injuries (e.g., grease gun, paintgun)
6. Lacerations
7. Missile injuries (e.g., guns, nail guns)
8. Pressure ulcers
9. Puncture wounds
10. Trauma (i.e., including degloving injuries)
7. Environment and Toxicology Emergencies, and Communicable Diseases 15
A. Environment
1. Burns
2. Chemical exposure (e.g., organophosphates, cleaning agents)
3. Electrical injuries
4. Envenomation emergencies (e.g., spiders, snakes, aquatic organisms)
5. Food poisoning
6. Parasite and fungal infestations (e.g., giardia, ringworm, scabies)
7. Radiation exposure
8. Submersion injury
9. Temperature-related emergencies (e.g., heat, cold, and systemic)
10. Vector borne illnesses:
a. Rabies
b. Tick-borne illness (e.g., Lyme disease, Rocky Mountain spotted fever)
B. Toxicology
1. Acids and alkalis
2. Carbon monoxide
3. Cyanide
4. Drug interactions (includingalternative therapies)
5. Overdose and ingestions
6. Substance abuse
7. Withdrawal syndrome
C. Communicable Diseases
1. C. Difficile
2. Childhood diseases (e.g., measles, mumps, pertussis, chicken pox,
diphtheria)
3. Herpes zoster
4. Mononucleosis
5. Multi-drug resistant organisms (e.g., MRSA, VRE)
6. Tuberculosis
8. Professional Issues 16
A. Nurse
1. Critical Incident Stress Management
2. Ethical dilemmas
3. Evidence-based practice
4. Lifelong learning
5. Research
B. Patient
1. Discharge planning
2. End of life issues:
a. Organ and tissue donation
b. Advance directives
c. Family presence
d. Withholding, withdrawing, and palliative care
3. Forensic evidence collection
4. Pain management and procedural sedation
5. Patient safety
6. Patient satisfaction
7. Transfer and stabilization
8. Transitions of care
a. external handoffs
b. internal handoffs
c. patient boarding
d. shift reporting
9. cultural considerations (e.g., interpretive services, privacy, decision making)
C. System
1. Delegation of tasks to assistive personnel
2. Disaster management (i.e., preparedness, mitigation, response, and recovery)
3. Federal regulations (e.g., HIPAA, EMTALA)
4. Patient consent for treatment Performance improvement
6. Risk management
7. Symptom surveillance
a. recognizing symptom clusters
b. mandatory reporting of diseases
D. Triage
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Certified Emergency Nurse 2025
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QUESTION: 1
An elderly female client presents to the ED with complaints of chest pain and a history of angina. After the initial triage, what would be the next appropriate interventions?
1. cardiac monitor, oxygen, and sublingual nitroglycerin
2. cardiac monitor, sublingual nitroglycerin, and Foley catheter
3. cardiac monitor, IV, oxygen, and sublingual nitroglycerin
4. oxygen, sublingual nitroglycerin, and Foley catheter
Answer: C
QUESTION: 2
A 7-year-old child is brought to the emergency department after multiple bee stings about 30 minutes previously. He complains of itching, swollen lips, and difficulty breathing. Wheezing and stridor are heard. What is the most immediate treatment required?
1. epinephrine 0.1 mg intramuscularly
2. intravenous corticosteroid
3. intravenous antihistamine
4. broad-spectrum antibiotic
Answer: A
QUESTION: 3
After an auto accident, x-rays of the patient's leg show a transverse fracture of the midfemur with several bone fragments surrounding the fracture site. The skin of the leg is intact. This type fracture is called:
1. compression fracture
2. comminuted fracture
3. avulsion fracture
4. open fracture Answer: B QUESTION: 4
A cancer patient is seen in the emergency department with high fevers and malaise for 2 days. She received chemotherapy about 10 days ago. Her physical test is not revealing but her temperature is 103F A CBC shows a hemoglobin of 10 g/dL, WBC 4000 with 10% polys, 5% bands, 70% lymphs, 10% monos, and 5% other white or unidentified cells. Platelets are 60,000/mm3. Which of the following is NOT immediately appropriate?
1. blood cultures from different sites
2. electrolytes, liver and renal function tests
3. eask if she has been receiving granulocyte colony-stimulating factor (G-CSF)
4. white blood cell transfusion
Answer: D
QUESTION: 5
Which statement best describes acute respiratory distress syndrome (ARDS)?
1. ARDS is caused by trauma only.
2. ARDS is sudden, progressive, and severe.
3. ARDS is caused by an illness only.
4. ARDS never results in lung scarring.
Answer: B
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