CEN^® study guide,
illustrated, with a practice app.

A study app for phone, tablet or laptop: install it on your home screen or open it in the browser. It has 300 CEN-style questions with explanations, timed mock exams, a readiness score, a daily study plan, spaced-repetition flashcards and the full ebook.

Right after checkout you receive an email with your personal access code. Open the link, enter the code and you're in. No password, no account to create. Your code also works on a new device.

Right after checkout you get an email with your download link and, with the app, your personal access code. It works on any device. When we add or update questions, you get them too.

Yes. The book and the Coach follow the CEN Examination Content Outline that BCEN made effective in July 2026: 11 categories, 150 scored questions, from Cardiovascular (18 questions) to Professional Issues (12), which includes triage and mass casualty.

No, and nobody can honestly sell you those: the official questions are secure and owned by BCEN. Our questions are original ED scenarios written to the BCEN content outline, in the same proportions, and in the same style as BCEN's published sample questions: the priority, the most likely cause, the best location after triage.

BCEN currently states that you need 99 of the 150 scored questions right to pass; the 25 pretest questions don't count, and you can't tell which they are. BCEN sets the passing score with the Angoff method and statistical equating, so it can vary slightly between exam forms. Our readiness score is our own estimate of how prepared you are, from 0 to 100, based on your recent answers, how much of the outline you've covered and your mock exams. No practice tool can predict your result: 99 of 150 is 66%, so aim for a readiness of 80+ and mock scores comfortably above that line.

No. Questions and pages use generic drug names and teach what a drug does and when to anticipate it, never doses, infusion rates or titration ranges. Always follow your department's protocols and orders.

BCEN requires a current, unencumbered RN license in the United States, a US territory, Canada or Australia (licenses from other countries go through a credential evaluation). BCEN recommends two years of ED experience but does not require it. After you apply you have a 90-day window to schedule and sit the exam, so check the current rules on bcen.org before you book.

According to BCEN, the exam fee is $285 for members of a professional association and $380 for non-members. If you don't pass, you can retest after a 90-day wait, and BCEN offers a discounted retest fee within one year of your first attempt. Your score report shows how you did in each content category, and the Coach can start from there.

Yes. Email us with your order number and we'll send you a link to upgrade by paying only the difference.

The bundle and the Coach are written for the CEN. The CEN covers patients of all ages, so pediatric and trauma topics are inside, but the CPEN (pediatric emergency) and TCRN (trauma) have their own outlines with a different depth, so treat it as a head start, not a full prep.

Any PDF app: GoodNotes, Notability, Apple Books, Adobe, Xodo. The PDF is 8.5 × 11, full color, and prints cleanly at home.

Email us within 30 days and we refund you. No questions, no forms.