Certified Emergency Nurse Exam — Information & Free Practice
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Certified Emergency Nurse Exam
- Provider
- PSI Exams
- Format
- computer examination at PSI center or by live remote proctoring
- Exam questions
- Total questions: 175; Scored questions: 150; Unscored questions: 25; The total includes the scored and unscored questions.
- Time limit
- 3 hours
- Passing score
- 99 of 150 scored items
Examination outline
Cardiovascular Emergencies (12%)
- Acute coronary syndrome
- Aneurysm and dissection
- Cardiopulmonary arrest
- Dysrhythmias
- Endocarditis, Myocarditis, Pericarditis
- Heart failure
- Hypertension
- Pericardial tamponade
- Peripheral vascular disease
- Thromboembolic disease
- Cardiovascular trauma
- Cardiogenic shock and obstructive shock
Respiratory Emergencies (11.33%)
- Aspiration
- Asthma
- Chronic obstructive pulmonary disease
- Infections
- Inhalation injuries
- Obstruction
- Pleural effusion
- Pneumothorax
- Noncardiac pulmonary edema
- Pulmonary embolus
- Respiratory distress syndrome
- Respiratory trauma
- Pulmonary hypertension
- Croup
Neurological Emergencies (11.33%)
- Neurological disorders
- Headache
- Increased intracranial pressure
- Meningitis
- Seizure disorders
- Stroke
- Transient ischemic attack
- Head and spinal cord trauma
- Neurogenic shock
Gastrointestinal Emergencies (9.33%)
- Appendicitis
- Peritonitis
- Bowel perforation
- Cyclic vomiting syndrome
- Bleeding
- Cholecystitis
- Cirrhosis
- Diverticulitis
- Esophageal varices
- Foreign bodies
- Hepatitis
- Intussusception
- Obstructions
- Pancreatitis
- Gastrointestinal trauma
- Gastrointestinal disorders
Genitourinary, Gynecology, and Obstetrical Emergencies (6.67%)
- Genitourinary
- Gynecology
- Obstetrical
Mental Health Emergencies (8.67%)
- Aggressive and violent behavior
- Anxiety disorders
- Depressive disorders
- Homicidal and suicidal ideation
- Intentional overdose and ingestions
- Psychotic disorders
- Bipolar disorders
Medical Emergencies (10%)
- Allergic reactions and anaphylaxis
- Hematologic disorders
- Electrolyte and fluid imbalance
- Endocrine disorders
- Immunocompromise
- Sepsis
- Hypovolemic and distributive shock
- Substance use and abuse
- Withdrawal syndrome
Musculoskeletal and Wound Emergencies (7.33%)
- Musculoskeletal
- Wound
Head, Eye, Ear, Nose, Throat Emergencies (6.67%)
- Head
- Eye
- Ear
- Nose
- Throat
Environment and Toxicology Emergencies, and Communicable Diseases (8.67%)
- Environment
- Toxicology
- Communicable Diseases
Professional Issues (8%)
- Prioritization
- Legal and ethical issues
Examination sources
- Certified Emergency Nurse (CEN) Examination Content Outline
page 1, title
- Certified Emergency Nurse (CEN) Examination Content Outline
page 5, total row
- Evolving Excellence: Updating the CEN Exam
What Nurses Need to Know About the Updated CEN Exam & Content Outline
- FAQs About the CEN Exam
Exam Scoring Questions, item count
- FAQs About the CEN Exam
Exam Scoring Questions, scoring
- Evolving Excellence: Updating the CEN Exam
2026 CEN Exam Scoring Update, effective date
- Evolving Excellence: Updating the CEN Exam
2026 CEN Exam Scoring Update, passing score
- Apply & Schedule Your CEN Exam
Submit Your CEN Application
- Apply & Schedule Your CEN Exam
Schedule Your CEN Exam
Related license preparation
This examination may be required or accepted as an alternative, depending on the license and application pathway.