CEN Practice Exam

Try our free CEN Practice Exam below written by CEN expert Eileen Johnson, RN, MSN. Your results will be scored automatically and will display your strengths and weaknesses.

A nurse who wishes to obtain the Certified Emergency Nurse (CEN) credential must take and pass the CEN exam which is administered by the Board of Certification of Emergency Nursing (BCEN). The CEN exam is composed of 175 multiple choice questions and you are given three hours to complete the exam.There are twelve areas tested on the CEN exam: Cardiovascular - Respiratory - Medical Emergencies and Infections - Neurological - Orthopedics and Wounds - Gastrointestinal - Genitourinary, Gynecological and Obstetrical - Environment and Toxicology - Professional issues - Shock - Maxillofacial and Ocular – Psychosocial.The CEN exam tests your ability to use the Nursing Process within the context of Emergency nursing.  Throughout the test, you can expect to see questions that will test your assessment, analysis, intervention and evaluation knowledge.

For complete practice, check out the CEN Practice Exam Kit with 300 questions and fully explained answers.

Cardiovascular Emergencies

1. Preload refers to:
2. When suctioning during a cardiac arrest, suctioning should be limited to which of the following?

Respiratory Emergencies

3. According to American Heart Association ACLS guidelines, cricoid pressure during intubation:
Practice Exam - CEN Certfied Emergency Nurse
4. According to American Heart Association ACLS guidelines, when available, the best way to confirm and maintain tracheal tube position is by:

Shock Emergencies

5. You are on the ED team caring for a 10-year-old child with a normal systolic blood pressure, increased heart rate, slightly delayed capillary refill and cool, pale skin. What severity of shock is the child likely in?
6. You are caring for a 10-year-old child with normal blood pressure, increased heart rate, and cool pale skin. As you perform your primary assessment, you note that respirations are clear and not labored. What is the probable first intervention for this child?

Neurological Emergencies

7. To quickly evaluate a child's neurological status, all of the following standard evaluations can be used EXCEPT:
8. The National Institute of Neurological Disorders and Stokes (NINDS) has set the goal for immediate general assessment by a stroke team or emergency physician as:

Genitourinary, Gynecological and Obstetrical Emergencies

9. A 24-year-old woman is seen in the emergency department complaining of urinary frequency, pain with urination and urgency. Vital signs are stable and within normal limits. When you obtain a urine specimen, you note that it is cloudy and foul smelling. You should prepare the patient for:
10. When evaluating a patient for Acute Renal Failure, it is helpful to use the RIFLE criteria for classification. This acronym refers to:

Medical and Infectious Disease Emergencies

11. An eight-year-old child is brought to the emergency department by his parents after receiving multiple fire ant bites at his home. His lips are swollen, and he is complaining of itching. During your assessment, you note that he is wheezing. The most appropriate immediate treatment for this child is:
12. Patient placement in the emergency department should be based on:

Gastrointestinal Emergencies

13. A 12-year-old patient is brought to the emergency department by his parents after accidentally swallowing a disk battery while changing the battery in his watch. A chest x-ray reveals that the battery is in the patient's esophagus. He is able to swallow and breathe without difficulty. The most appropriate intervention for this patient is to:
14. An alcoholic patient well known to the emergency department staff presents to the department with complaints of generalized weakness, low-grade fever off and on for the last month, new onset ankle edema, anorexia, right upper quadrant abdominal pain and vomiting. He denies any bloody or coffee ground emesis. This patient should be evaluated for esophageal varices.

Maxillofacial and Ocular Emergencies

15. A patient presents to the ED with complaint of ear and jaw pain. Upon assessment, you note that his tympanic membranes are non-bulging, pearly gray. You look in his mouth and see this: The primary diagnosis for this patient will be:
16. A baseball coach calls the emergency department after a 15-year-old boy had a tooth knocked out during a baseball game. The baseball coach found the intact tooth on the ground and has rinsed off the dirt. What should the coach be advised to do?

Orthopedic and Wound Emergencies

17. The child pictured on the right is seen in the ED for a left forearm fracture. The orthopedic surgeon reduces the fracture in the ED and applies the cast. The discharge instructions have not been understood because:
18. A seventeen-year-old is brought to the emergency department complaining of leg pain after a motor vehicle crash. X-rays show a fracture of the femur with several bone fragments at the fracture site. You note that the skin above the fracture site is intact but bruised. This type of fracture is called:

Environment and Toxicological Emergencies

19. A 36-year-old African American man presented to the emergency department with burns to his hands that were suffered when his car radiator boiled over onto his hands. He has run cool water over his hands but he is still experiencing what he describes as "horrible" pain. He does not have burns on any other area of his body. How should this burn be classified according to the American Burn Association's guidelines?
20. A patient in the ED is diagnosed with West Nile virus. Which of the following is the mode of transmission for this disease?

Psychosocial Emergencies

21. You are working in the pediatric emergency department. Parents bring their 6-year-old child in with what is diagnosed as a fracture of the left ulna. The mother states that the child fell off his bike. The child appears withdrawn and states "I fell" when you ask how his arm was broken. Which of the following would be an improper intervention with this family at this point?
22. As an emergency department nurse, you must report suspected child abuse or neglect.

Professional Issues

23. The ENA Code of Ethics expects the emergency nurse to do all of the following EXCEPT:
24. Emergency nurses are encouraged to use evidence based practices (EBP) in the practice of emergency nursing. Which of the following practices is not recommended by the Emergency Nurse's Association?