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  • Total Questions: 195
  • Updated on: Sep 12, 2026
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Reading notes is one thing; sitting a timed exam is another. The desktop test engine from PrepAwayExam recreates the pressure of the real CEN exam with two practice modes, letting you rehearse the Medical Tests Certified Emergency Nurse offline until it feels routine in 2026.

Medical Tests CEN Exam Overview:

Certification Vendor:BCEN (Board of Certification for Emergency Nursing)
Exam Name:Certified Emergency Nurse (CEN) Examination
Exam Number:CEN
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)
Available Languages:English
Exam Price:USD $230–$370 (varies by membership/status and region)
Passing Score:Scaled score 109 (on a 100–150 scale)
Exam Format:Multiple-choice questions, Computer-based test
Certificate Validity Period:4 years
Exam Duration:180 minutes
Recommended Training:Emergency Nurses Association (ENA) Training Resources
BCEN Exam Preparation Resources
Exam Registration:BCEN Official Certification Portal
Sample Questions: DOWNLOAD DEMO
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:

SectionObjectives
Gastrointestinal and Hepatic Disorders
Renal and Genitourinary Disorders
Obstetric and Gynecologic Emergencies
Musculoskeletal and Soft Tissue Injuries
Cardiovascular Emergencies
Integumentary Disorders and Wound Management
Psychiatric and Behavioral Emergencies
Geriatric Emergency Care
Pediatric Emergency Care
Endocrine and Metabolic Disorders
Neurological Emergencies
Respiratory Emergencies
Trauma and Environmental Emergencies
Professional Issues, Ethics, and Emergency Nursing Practice

CEN Exam FAQ: Prep, Registration, and Policies Explained

Yes. PrepAwayExam offers a free PDF demo of the CEN practice questions so you can check the quality, the format, and the difficulty level before you spend anything. After you purchase, you also receive 365 days of free updates, and if the product expires you can extend the update service at a 50% discount from your member zone.

The CEN exam contains 175 (150 scored + 25 unscored pretest items) questions and gives you 180 minutes to complete them. That works out to a brisk pace, so you cannot afford to stall on a single tricky item — flag it, move on, and circle back if time allows. Before exam day, run at least two timed mock sessions with the PrepAwayExam desktop or online test engine; practicing against a real clock turns the official time limit into a comfortable rhythm instead of a source of panic.

The CEN exam (full name: Certified Emergency Nurse) is a Medical Tests certification exam that leads to the Certified Emergency Nurse (CEN) credential, positioned at the Professional level. It validates the skills Medical Tests expects from professionals working with its technologies, and passing it is the key step toward getting certified. It also sits within a broader certification path that includes CPEN (Certified Pediatric Emergency Nurse), TCRN (Trauma Certified Registered Nurse), CFRN (Certified Flight Registered Nurse).

The Medical Tests Certified Emergency Nurse exam is organized into 14 domains. The main areas include Professional Issues, Ethics, and Emergency Nursing Practice, Respiratory Emergencies, and Psychiatric and Behavioral Emergencies. Scroll up to the exam syllabus section on this page for the complete topic-by-topic outline.

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.

Eligibility requirements can change, so before you register, confirm the latest criteria on the official Medical Tests exam page.

To pass the CEN exam you need a score of Scaled score 109 (on a 100–150 scale), and the official registration fee is USD $230–$370 (varies by membership/status and region). Keep in mind that a failed attempt comes at full price: retaking the exam means paying the entire fee again. A smart way to protect that investment is to self-test first — work through the 195 practice questions at PrepAwayExam until your timed scores sit comfortably above the passing line before you book a seat.

Medical Tests recommends the following training resources for the Medical Tests Certified Emergency Nurse:

Official courses build the theory; pair them with the 195 practice questions from PrepAwayExam to turn that knowledge into exam-ready speed and accuracy.

Delivery is instant: you can download your purchase right after payment, and a copy is sent to your email within one minute. If nothing arrives within 2 hours, check your spam folder and contact our support team. There is no limit on how many computers you can install the software on.

If you take the CEN exam within 60 days of your purchase and do not pass, you can apply for a full refund under the PrepAwayExam money back guarantee. To file a claim, submit a scan of your exam enrollment slip together with the official score report (PDF) within 2 days of taking the exam, and your claim will be processed within 7 days. The candidate name must match the payer name, and the policy does not apply to exams taken within 3 days of purchase, to purchases where the exam was never actually taken, or to free materials and expired orders. Prefer an alternative? Instead of a refund, you can exchange your purchase for two free exam products of equal value while keeping the update service on your original product.

You can register for the Medical Tests Certified Emergency Nurse through the official channels below:

The CEN exam is delivered Computer-based testing at authorized testing centers (or remote proctoring where available via testing partners), so choose the option that best fits your schedule when you book.

Medical Tests Certified Emergency Nurse Sample Questions:

Your patient with emphysema is receiving oxygen. What flow rate would you not want to exceed for this
patient?

  • A. 10 L/min
  • B. 2 L/min
  • C. 6 L/min
  • D. 1 L/min
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for PrepAwayExam members. You can sign-up / login (it's free).

You are caring for a child who will have a tonsillectomy. Which of the following would increase the child's
risk of aspiration during surgery?

  • A. Difficulty swallowing
  • B. Loose teeth
  • C. Exudate in the throat
  • D. Bleeding
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for PrepAwayExam members. You can sign-up / login (it's free).

You are caring for an older patient who is on complete bedrest. What interventions would you take to
prevent respiratory complications?

  • A. Monitoring vital signs routinely
  • B. Turning the patient every two hours
  • C. Instructing the patient to bear down every hour and hold their breath
  • D. Decreasing oral fluid intake
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for PrepAwayExam members. You can sign-up / login (it's free).

Your patient is scheduled to go for cataract surgery. What nursing diagnosis should you include in the
patients plan of care?

  • A. Self care deficit
  • B. Imbalanced nutrition
  • C. Disturbed sensory perception
  • D. Anxiety
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

Explanation: Only visible for PrepAwayExam members. You can sign-up / login (it's free).

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. Discussing feelings openly
  • C. Acceptance when family and patient express anger
  • D. Making decisions for the family and patient
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for PrepAwayExam members. You can sign-up / login (it's free).

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