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Updated: Sep 08, 2026
No. of Questions: 195 Questions & Answers with Testing Engine
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Medical Tests CEN Exam Overview:
| Certification Vendor: | BCEN (Board of Certification for Emergency Nursing) |
|---|---|
| Exam Name: | Certified Emergency Nurse (CEN) Examination |
| Exam Number: | CEN |
| Available Languages: | English |
| Exam Duration: | 180 minutes |
| Passing Score: | Scaled score 109 (on a 100–150 scale) |
| Exam Format: | Computer-based test, Multiple-choice questions |
| Certificate Validity Period: | 4 years |
| Exam Price: | USD $230–$370 (varies by membership/status and region) |
| Related Certifications: | CPEN (Certified Pediatric Emergency Nurse) TCRN (Trauma Certified Registered Nurse) CFRN (Certified Flight Registered Nurse) |
| Real Exam Qty: | 175 (150 scored + 25 unscored pretest items) |
| Recommended Training: | BCEN Exam Preparation Resources Emergency Nurses Association (ENA) Training Resources |
| Exam Registration: | BCEN Official Certification Portal |
| Sample Questions: | Medical Tests CEN Sample Questions |
| Exam Way: | Computer-based testing at authorized testing centers (or remote proctoring where available via testing partners) |
| Pre Condition: | Active Registered Nurse (RN) license recommended; typically 2 years of emergency nursing experience or ~2000 hours in emergency department practice within the last 3 years recommended. |
| Official Syllabus URL: | https://bcen.org/cen-certification/ |
Medical Tests CEN Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Trauma and Environmental Emergencies | |
| Topic 2: Respiratory Emergencies | |
| Topic 3: Obstetric and Gynecologic Emergencies | |
| Topic 4: Integumentary Disorders and Wound Management | |
| Topic 5: Neurological Emergencies | |
| Topic 6: Endocrine and Metabolic Disorders | |
| Topic 7: Pediatric Emergency Care | |
| Topic 8: Renal and Genitourinary Disorders | |
| Topic 9: Gastrointestinal and Hepatic Disorders | |
| Topic 10: Musculoskeletal and Soft Tissue Injuries | |
| Topic 11: Geriatric Emergency Care | |
| Topic 12: Cardiovascular Emergencies | |
| Topic 13: Psychiatric and Behavioral Emergencies | |
| Topic 14: Professional Issues, Ethics, and Emergency Nursing Practice |
Medical Tests Certified Emergency Nurse Sample Questions:
Question 1
What would you want to assess your patient for if they have a myocardial infarction that is developing into
cardiogenic shock?
A. Falling central venous pressure
B. Ventricular dysrhythmia
C. Bradycardia
D. Rising diastolic blood pressure
Question 2
You are caring for a patient who has been sexually assaulted. The patient has become quiet and calm.
What defense mechanism does this indicate to the nurse?
A. Projection
B. Intellectualization
C. Denial
D. Rationalization
Question 3
Which of the following would not encourage effective communication between a dying patient and his
family?
A. Assisting family and patient in performing spiritual practices
B. Acceptance when family and patient express anger
C. Making decisions for the family and patient
D. Discussing feelings openly
Question 4
You are monitoring a child who had a tonsillectomy. On assessment, which findings would indicate to you
that the child might be bleeding?
A. Elevation in blood pressure
B. Frequent swallowing
C. Decreased pulse
D. Complaints of discomfort
Question 5
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 alkalosis, compensated
D. Respiratory acidosis, compensated
Solutions:
| Question 1 Answer: B | Question 2 Answer: C | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: C |
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