Certified Emergency Nurse

Exam at a glance

Questions

175

Duration

180 minutes

Pass mark

not published

Sections

Cardiovascular · Respiratory · Neuro · GI/GU/OB · Psych · Medical · Maxillofacial/ocular · Orthopedic/wound · Environment/toxicology · Communicable diseases · Professional issues

Exam type

Written

Language

English

Authority

BCEN

Curriculum

Built from the question bank and updated automatically when new questions are added. 10 modules · 320 questions · Last updated: 30 October 2026

1. 01Cardiovascular emergencies57 questions · 17.8 % of the bank

   Chapters

   • Foundations: anatomy of the heart
   • Foundations: conduction system and cardiac cycle
   • Foundations: circulation and blood vessels
   • Foundations: ABCDE approach and airway basics
   • Foundations: life-threatening chest emergencies
   • Foundations: shock, burns and sepsis

   Sample question

   Sample question1 / 1 · 0 correct

   A patient with a recent anterior STEMI is hypotensive at 76/48 mmHg with cool, mottled extremities, bilateral crackles and urine output of 5 mL in 2 hours. Which condition does the nurse suspect?

   AHypovolemic shock from occult hemorrhageBSeptic shock with warm vasodilationCCardiogenic shock from pump failureDAnaphylactic shock from a recent medication

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
2. 02Environmental, toxicological and communicable disease emergencies11 questions · 3.4 % of the bank

   Chapters

   • Foundations: skin structure, primary lesions and burn depth

   Sample question

   Sample question1 / 1 · 0 correct

   A patient ingested acetaminophen 5 hours ago. The level plots above the treatment line. What is the treatment?

   AFlumazenilBActivated charcoal onlyCN-acetylcysteineDNaloxone

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
3. 03Gastrointestinal, genitourinary, gynecological and obstetrical emergencies52 questions · 16.3 % of the bank

   Chapters

   • Foundations: female pelvic anatomy
   • Foundations: placenta, pregnancy physiology and fetal circulation
   • Foundations: labour and the fetal skull
   • Foundations: the male urinary tract, prostate and testis

   Sample question

   Sample question1 / 1 · 0 correct

   A woman at 37 weeks reports sudden painless bright red vaginal bleeding without contractions. Fetal heart rate is reassuring. What must the nurse avoid?

   AStarting two large-bore IV linesBContinuous fetal monitoringCTyping and crossmatching bloodDA digital vaginal examination

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
4. 04Maxillofacial, ocular, ear, nose and throat emergencies10 questions · 3.1 % of the bank

   Chapters

   • Foundations: the eye and the visual pathway
   • Foundations: the ear and the larynx
   • Foundations: paranasal sinuses and neck lymph nodes

   Sample question

   Sample question1 / 1 · 0 correct

   A worker splashed drain cleaner into both eyes. What is the first action?

   AWait for ophthalmologyBBegin continuous irrigation immediatelyCApply a pressure patchDMeasure visual acuity in each eye first, then start irrigation

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
5. 05Medical emergencies: endocrine, hematologic, renal, allergy and sepsis52 questions · 16.3 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   A patient with diabetic ketoacidosis has glucose 612 mg/dL (34 mmol/L), heart rate 124/min and dry mucous membranes. What is the first priority in treatment?

   ASubcutaneous long-acting insulin glargine nowBSodium bicarbonate IV push to correct the pHCIsotonic crystalloid to restore volumeDOral fluids with carbohydrate as tolerated

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
6. 06Neurological emergencies54 questions · 16.9 % of the bank

   Chapters

   • Foundations: spinal cord tracts and the cranial nerves
   • Foundations: the circle of Willis and intracranial haemorrhage
7. 07Orthopedic, wound and multisystem trauma emergencies12 questions · 3.8 % of the bank

   Chapters

   • Foundations: the skeleton, spine and pelvis
   • Foundations: shoulder, wrist and hand
   • Foundations: hip fractures, knee and ankle ligaments
   • Foundations: ABCDE approach and airway basics
   • Foundations: life-threatening chest emergencies
   • Foundations: shock, burns and sepsis
8. 08Professional issues: triage, disaster, legal and patient safety8 questions · 2.5 % of the bank
9. 09Psychosocial and behavioral emergencies10 questions · 3.1 % of the bank
10. 10Respiratory emergencies54 questions · 16.9 % of the bank

    Chapters

    • Foundations: anatomy of the respiratory tract
    • Foundations: alveoli and gas exchange
    • Foundations: mechanics and control of breathing

What you get

• Question bank with a detailed explanation for every answer
• Timed mock exams in the real exam format, with score report by topic
• Personal study plan up to your exam date and review of weak topics
• AI tutor that explains any question in plain words
• One account for the app (iPhone, iPad) and the browser

From registration to licence

The usual steps with BCEN. Details can change; check the current rules with BCEN before you register.

1. Check eligibility and collect your documents (degree, experience, good standing).
2. Create an account with BCEN and submit the application.
3. Receive the exam eligibility and book a date with the test centre.
4. Sit the exam. Results usually come within days.
5. After passing: complete licensing (for example primary source verification) and receive your licence.

Frequently asked questions