CEN Exam Focus and Collaboration

Aug 22, 2025

Overview

This lecture explains why CEN exam questions may appear medically focused, emphasizing the collaborative role of emergency nurses in patient care and the exam's expectations.

Exam Question Focus

  • Some CEN exam questions seem technical or medically diagnostic in nature.
  • Recent revisions of the CEN exam blueprint include more medicine-related content.
  • The intent is not to have nurses practice medicine but to demonstrate shared knowledge for quality patient care.
  • Exam questions are designed to reflect real-world nurse-provider collaboration in emergencies.

Nurse-Provider Collaboration

  • Emergency nurses work closely with providers and share a common knowledge base.
  • Nurses are expected to understand and anticipate physician orders, not create them.
  • Example: A nurse should know to expect a troponin order for chest pain, not to order it themselves.

Studying for the CEN Exam

  • Questions will ask what actions or orders to expect, not what a nurse would independently decide.
  • Understanding common orders and treatments helps ensure patient safety and care accuracy.
  • The exam evaluates recognition and understanding, not making medical diagnoses or detailed medical decision-making.

Key Terms & Definitions

  • CEN (Certified Emergency Nurse) Exam — A certification exam for emergency nurses to validate their knowledge and skills.
  • Troponin Level — A blood test that helps diagnose heart attacks, often ordered for chest pain.
  • BCEN (Board of Certification for Emergency Nursing) — Organization that develops the CEN exam and its blueprint.

Action Items / Next Steps

  • Continue practicing with CEN-style questions, focusing on recognizing expected provider actions and orders.
  • Review common emergency scenarios and the expected nursing interventions and provider orders.