You have a CEN date. Hold it. Between now and then: 555 questions with every option explained, two timed 175-question practice exams, an 11-day plan with one day for each BCEN domain. No login, no expiry.
We built this the way a charge nurse teaches triage on a busy night, not the way a shelf gets filled. BCEN's content outline changed on 6 July 2026, and this book is built to that version. The exam runs 175 items in three hours: 150 scored and 25 unscored pretest items you cannot tell apart. Cardiovascular carries 18 of the scored items, Respiratory 17, Neurological 17. Each of the eleven domains gets a day, and each day's quiz is the size of that domain on the real exam. Check us against BCEN's published content outline. We would rather you did.
What's inside
One day for each of BCEN's eleven domains. Cardiovascular, respiratory and neurological open the plan and run longest, carrying roughly 37 percent of the scored items between them.
Gastrointestinal on a day of its own. The July 2026 outline pulled it out of the genitourinary and obstetric group, and this book teaches it the new way.
555 original questions, every option explained. You'll see why the safe, defensible action wins, and why the clinically tempting one costs the point.
Two practice exams at 175 items, the whole sitting, pretest items included, because on the day you cannot tell which item is which.
Triage and rhythm vignettes in every domain. Mass-casualty triage and everyday ESI triage sit side by side, so one read tells you which rule set the stem wants.
A 25-question diagnostic at the back, proportioned across all eleven domains, for a last calibration check in the final week. Maybe the review book on your shelf was written for the outline BCEN replaced in July 2026. Give this one three evenings. If the first days tell you nothing about your gaps, put it down. An hour is all it cost.
Three readers find their way here. An emergency nurse sitting the CEN for the first time. A nurse back after an attempt that ran out of clock. A certified nurse in the four-year renewal cycle. If cardiac and respiratory emergencies are your strongest ground, start at Day 3.
Day 11 is the one nobody looks forward to: triage rules, throughput, consent, end-of-life documentation. You will finish it anyway, and you'll find those items stop being the ones you lose. Downloaded once, yours to keep.
— The Passmark Publishing Team
An independent study guide from Passmark Publishing. Not affiliated with or endorsed by the Board of Certification for Emergency Nursing. BCEN and CEN are trademarks of the Board of Certification for Emergency Nursing. For exam preparation only; not medical or nursing advice.
You have a CEN date. Hold it. Between now and then: 555 questions with every option explained, two timed 175-question practice exams, an 11-day plan with one day for each BCEN domain. No login, no expiry.
We built this the way a charge nurse teaches triage on a busy night, not the way a shelf g...