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Updated: Jul 21, 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 (CEN) |
| Exam Number: | CEN |
| Passing Score: | 106 of 150 scored questions answered correctly |
| Available Languages: | English |
| Related Certifications: | CPEN (Certified Pediatric Emergency Nurse) TCRN (Trauma Certified Registered Nurse) CFRN (Certified Flight Registered Nurse) CTRN (Certified Transport Registered Nurse) |
| Exam Duration: | 180 minutes |
| Exam Price: | USD 380 (standard individual fee; discounts may apply) |
| Real Exam Qty: | 175 (150 scored + 25 unscored pretest questions) |
| Exam Format: | Computer-based, Multiple Choice |
| Certificate Validity Period: | 4 years |
| 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:
| Section | Objectives |
|---|---|
| Cardiovascular Emergencies | - Assessment and Management
|
| Toxicological and Environmental Emergencies | - Poisoning and Exposure
|
| Neurological Emergencies | - Neurologic Assessment
|
| Gastrointestinal and Genitourinary Emergencies | - Abdominal and Renal Disorders
|
| Professional Issues | - Emergency Nursing Practice
|
| Medical Emergencies | - Systemic Conditions
|
| Trauma Emergencies | - Trauma Care
|
| Obstetrical, Gynecological and Psychosocial Emergencies | - Special Populations
|
| Respiratory Emergencies | - Respiratory Disorders
|
Medical Tests Certified Emergency Nurse Sample Questions:
1. You are caring for a patient who has been assaulted. The patient is agitated, trembling, and
hyperventilating. What would be the priority nursing intervention?
A) Remain with the patient.
B) Teach relaxation techniques.
C) Place the patient in a quiet room alone.
D) Encourage the patient to discuss the assault.
2. You are caring for a patient with frostbite on the hand. What assessment finding do you expect to find on
the hand?
A) Edema in the nailbeds with fiery red skin
B) Erythematous rash and black fingertips
C) The hand is pink and edematous.
D) Decreased sensitivity to touch with white color to the skin
3. What is a distinctive sign that a patient has flail chest?
A) Paradoxical chest movement
B) Dyspnea, especially on exhalation
C) Hypotension
D) Cyanosis
4. You have drawn an arterial blood gas on your patient. In reviewing the results you note the following: pH
7 .45, PCO2 of 30 mm Hg, and bicarbonate of 22mEq/L. What do you interpret these results to mean?
A) Metabolic acidosis, compensated
B) Metabolic alkalosis, compensated
C) Respiratory acidosis, compensated
D) Respiratory alkalosis, compensated
5. After a tonsillectomy, your patient begins to vomit. What intervention should be your priority?
A) Administer an antiemetic
B) Notify the physician
C) Turn the patient to the side
D) Maintain the patient's "nothing by mouth" status
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: C |
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