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Updated: Jul 29, 2026

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Medical Tests CEN Exam Overview:

Certification Vendor:Board of Certification for Emergency Nursing (BCEN)
Exam Name:Certified Emergency Nurse (CEN)
Exam Number:CEN
Available Languages:English
Passing Score:106 of 150 scored questions answered correctly
Real Exam Qty:175 (150 scored + 25 unscored pretest questions)
Exam Format:Computer-based, Multiple Choice
Exam Duration:180 minutes
Related Certifications:CPEN (Certified Pediatric Emergency Nurse)
TCRN (Trauma Certified Registered Nurse)
CFRN (Certified Flight Registered Nurse)
CTRN (Certified Transport Registered Nurse)
Certificate Validity Period:4 years
Exam Price:USD 380 (standard individual fee; discounts may apply)
Sample Questions:Medical Tests CEN Sample Questions
Exam Way:Computer-based examination available at authorized PSI testing centers or through live remote online proctoring where available.
Pre Condition:Candidate must hold a current, unrestricted Registered Nurse (RN) license or an internationally equivalent credential accepted by BCEN. Two years of emergency nursing experience is recommended but not required.
Official Syllabus URL:https://bcen.org/cen/about-the-exam/

Medical Tests CEN Exam Syllabus Topics:

SectionObjectives
Topic 1: Obstetrical, Gynecological and Psychosocial Emergencies- Special Populations
  • 1. Behavioral and psychiatric emergencies
  • 2. Gynecologic conditions
  • 3. Pregnancy-related emergencies
Topic 2: Professional Issues- Emergency Nursing Practice
  • 1. Ethics and legal considerations
  • 2. Communication and disaster preparedness
  • 3. Patient safety
Topic 3: Medical Emergencies- Systemic Conditions
  • 1. Endocrine emergencies
  • 2. Hematologic and oncologic disorders
  • 3. Infectious diseases
Topic 4: Gastrointestinal and Genitourinary Emergencies- Abdominal and Renal Disorders
  • 1. Renal and urinary emergencies
  • 2. Acute abdominal conditions
  • 3. Gastrointestinal bleeding
Topic 5: Neurological Emergencies- Neurologic Assessment
  • 1. Altered mental status
  • 2. Stroke
  • 3. Seizures
Topic 6: Trauma Emergencies- Trauma Care
  • 1. Blunt and penetrating trauma
  • 2. Musculoskeletal injuries
  • 3. Burns
Topic 7: Toxicological and Environmental Emergencies- Poisoning and Exposure
  • 1. Hazardous material exposure
  • 2. Environmental injuries
  • 3. Drug overdose
Topic 8: Respiratory Emergencies- Respiratory Disorders
  • 1. Airway management
  • 2. Pulmonary conditions
  • 3. Respiratory failure
Topic 9: Cardiovascular Emergencies- Assessment and Management
  • 1. Acute coronary syndromes
  • 2. Cardiac dysrhythmias
  • 3. Heart failure and shock

Medical Tests Certified Emergency Nurse Sample Questions:

1. Which of the following would be associated with detached retina?

A) Total loss of vision
B) Feeling like a curtain had fallen over their eyes
C) Yellow discoloration of the scleroses
D) Pain in the affected eye


2. What causes neurological deficiencies associated with long-term alcohol abuse?

A) Impaired metabolism
B) Alcohol's interference with folate delivery
C) Poor general nutrition
D) Nervous system damage by the alcohol


3. What is a distinctive sign that a patient has flail chest?

A) Dyspnea, especially on exhalation
B) Hypotension
C) Cyanosis
D) Paradoxical chest movement


4. Your patient has been diagnosed with a hyphema following hitting their head on the steering wheel during
a car accident. What position would you want to place this patient in?

A) Trendelenburg
B) Supine
C) Semi- fowlers
D) Lateral


5. You are about to administer blood to a patient. You have verified that it is the correct blood for the patient
with another nurse. What do you need to assess before you start the blood?

A) Hemoglobin level
B) Vital signs
C) Skin color
D) Creatinine level


Solutions:

Question # 1
Answer: B
Question # 2
Answer: D
Question # 3
Answer: D
Question # 4
Answer: C
Question # 5
Answer: B

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