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Certified Emergency Nurse — Requirements & Free Practice

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Certified Emergency Nurse

BCEN specialty certification for registered nurses working in emergency care.

Licensing authority: Board of Certification for Emergency Nursing · Application information

Initial by examination
Certified Emergency Nurse Exam
Eligibility
A current, unrestricted Registered Nurse license in the United States, a U.S. Territory, Canada, or Australia is required; a nursing certificate equivalent to a United States Registered Nurse is also acceptable. Candidates licensed or certified outside those locations must complete the BCEN Internal Credential Evaluation. Two years of emergency department experience is recommended, not required.

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