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Updated: Sep 11, 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 |
| Passing Score: | 106 out of 150 scored items (~71%) |
| Exam Format: | Multiple-choice questions, Computer-Based Test (CBT) |
| Available Languages: | English |
| Related Certifications: | CTRN CBRN CFRN CPEN TCRN |
| Exam Price: | $285 (members) / $380 (non-members) / $195 (military) |
| Certificate Validity Period: | 4 years |
| Exam Duration: | 180 minutes |
| Real Exam Qty: | 175 (150 scored, 25 unscored pretest) |
| 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 |
|---|---|---|
| Topic 1: Musculoskeletal & Wound Emergencies | 9% | - Fractures & dislocations - Wound care & infection control - Soft tissue injuries - Compartment syndrome |
| Topic 2: Cardiovascular Emergencies | 12% | - Vascular emergencies - Dysrhythmias - Heart failure - Shock states - Acute coronary syndrome |
| Topic 3: Maxillofacial & Ocular Emergencies | 7% | - Dental & ENT emergencies - Eye injuries & infections - Facial trauma |
| Topic 4: Gastrointestinal, Genitourinary, Gynecology & Obstetric Emergencies | 12% | - GI bleeding & obstruction - Renal failure & urologic issues - Hepatic & biliary disorders - Gynecologic emergencies - Pregnancy-related emergencies |
| Topic 5: Respiratory Emergencies | 11% | - Respiratory failure - Pulmonary embolism - Pneumothorax - Airway management - Asthma & COPD |
| Topic 6: Professional Issues | 10% | - Documentation & confidentiality - Legal & ethical standards - Triage principles - Patient safety & quality improvement |
| Topic 7: Environment, Toxicology & Communicable Diseases | 10% | - Bites & envenomation - Heat/cold-related illness - Infection control & isolation - Poisoning & overdose |
| Topic 8: Neurological Emergencies | 11% | - Intracranial hypertension - Stroke & TIA - Spinal cord injury - Seizures & status epilepticus - Traumatic brain injury |
| Topic 9: Medical Emergencies | 9% | - Infectious diseases - Endocrine disorders - Hematologic & oncologic issues - Electrolyte imbalances |
| Topic 10: Mental Health Emergencies | 7% | - Suicide risk assessment - Anxiety & psychosis - Substance abuse & withdrawal - Violence & aggression |
Medical Tests Certified Emergency Nurse Sample Questions:
You are assisting the physician with removal of a chest tube. The nurse should instruct the patient to:
- A. Remain very still.
- B. Exhale slowly.
- C. Inhale and exhale quickly.
- D. Perform the Valsalva's maneuver.
Correct Answer: D 🗳️
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You are caring for a patient who has been receiving a blood transfusion for the last 30 minutes. On
assessment, you find the patient to be dyspneic and show bilateral crackles and a heart rate of 110.
Which of the following complications do you suspect the patient is experiencing?
- A. Immune response
- B. Polycythemia vera
- C. Hypovolemia
- D. Fluid overload
Correct Answer: D 🗳️
Explanation: Only visible for ActualTestsQuiz members. You can sign-up / login (it's free).
You are providing an education session for you unit on abuse of older patients. Which of the following
patients is most likely to be an abused patient?
- A. A 68-year-old patient with early Lyme disease
- B. A 70-year old-patient with newly diagnosed cataracts
- C. A 75-year-old patient with moderate hypertension
- D. A 90-year-old patient with advanced Parkinson's disease
Correct Answer: D 🗳️
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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 2 L/min, PCWP low
- B. CO 5 L/min, PCWP low
- C. CO 3 L/min, PCWP high
- D. CO 4 L/min, PCWP high
Correct Answer: C 🗳️
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You are preparing an in-service for the staff on delegation. What would you want to include on how
delegation impacts safety and quality of patient care?
- A. It utilizes appropriate resources, getting the job done in the most effective way.
- B. It creates team work on the unit,
- C. It prevents staff from becoming ineffective and nonproductive.
- D. It gives nursing tasks to the staff members who can best understand the goals of treatment,
Correct Answer: A 🗳️
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