CEN Review Study Guide PDF | 100 Practice Questions | Triage, Trauma, Toxicology | Emergency Nurse ER Certification Exam Printable

Study for the CEN the way the new exam is weighted: triage, priorities, classic traps, and every category of the July 2026 outline.

This 70-page review guide is made for working emergency nurses preparing for the CEN (Certified Emergency Nurse) exam. It follows the new BCEN content outline that took effect in July 2026 and covers all 11 categories, with the most space on the topics worth the most points. Every page has tables, priority boxes, exam traps and memory tricks, written in plain language, with adult, pediatric and older adult pearls built in. I'm Anna, RN, BSN, PHN, a nurse educator who has been helping nurses pass their exams through NurseStudy.Net since 2012.

What's Inside

• About the exam: format, eligibility in brief, the July 2026 blueprint and what changed
• 8-week study plan, test-day strategy, and how CEN questions think
• ESI triage: the five levels, resources, danger-zone vitals, plus a 20-patient triage drill
• Trauma primary and secondary survey, shock states, hemorrhage and massive transfusion
• ACS and 12-lead territories, dysrhythmias, cardiac arrest and post-ROSC care, heart failure, hypertensive emergency, tamponade, aortic dissection, PE
• Airway, oxygen, RSI and ABGs, asthma, COPD, ARDS, chest trauma and chest tubes, croup vs epiglottitis
• Stroke and lytic rules, head and spinal cord injury, ICP, seizures, meningitis, headache red flags
• GI: surgical abdomen, GI bleeding, liver emergencies, swallowed button batteries, abdominal trauma
• GU, GYN and OB: torsion, stones, ectopic, previa vs abruption, preeclampsia, emergency delivery, postpartum hemorrhage
• Mental health: suicide risk, de-escalation, restraint rules, withdrawal, overdose, NMS vs serotonin syndrome
• Medical: DKA, HHS, adrenal crisis, thyroid storm, electrolytes, sickle cell, neutropenic fever, sepsis, anaphylaxis
• Orthopedic and wound: compartment syndrome, fractures, bites, tetanus, rabies, pain control and procedural sedation
• Eye, ear, nose, throat, face and dental emergencies
• Environmental: heat stroke, hypothermia, drowning, lightning, snakebites, burns and inhalation injury
• Toxicology: toxidromes, antidotes, acetaminophen, salicylates, toxic alcohols, plus communicable diseases and isolation
• Pediatric and older adult considerations, child and elder abuse
• Professional issues: EMTALA, consent and capacity, START and JumpSTART, forensic evidence, end-of-life care
• Who-do-you-see-first drill, ED labs, high-alert drips and a blank recall worksheet
• Must-know numbers page and all memory tricks on one page
• 100 original CEN-style practice questions with rationales, grouped by outline category
• Score-yourself page and a printable miss log
• Hyperlinked: clickable contents page and bookmarks

Good For

• ED nurses preparing for the CEN exam
• Nurses renewing CEN by exam
• Triage nurses, new ER nurses and travel nurses who want a high-yield emergency review
• Nurse educators and preceptors

Details

• Instant digital download
• One PDF, 70 pages
• US letter size, 8.5 x 11 in
• Print at home or use on your iPad or tablet in GoodNotes or Notability

Please Note

• This is a digital product. Nothing will be shipped.
• Due to the nature of digital files, all sales are final.
• For personal use only. Please do not share or resell.
• This guide is for exam study and is not medical advice. Always follow your facility's policies, protocols and provider orders.

CEN® is a registered trademark of the Board of Certification for Emergency Nursing, which does not endorse this product.