CEN Exam Practice Test and Questions

Certification Exam

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Questions

Just like the actual exam

Aligned with the Board of Certification for Emergency Nursing format. Authored & peer-reviewed by Certified Emergency Nurses.

Each question is written to resemble the format and topics on the exam, meaning you won’t see any negatively phrased questions, no “all of the following except,” no “A and B”…you know what we mean. Most importantly, all questions include selective distractors (incorrect answer choices), which will help you think critically.

Must address important content
Must be well structured

Question

A 42-year-old man presents with low back pain. Which of the following history or exam findings should raise concern for a serious cause of his pain?

A Pain that is exacerbated by twisting

B Pain that is worse after a long workday

C Paraspinal tenderness on exam

D Postvoid residual > 200 mL

Correct Answer Distractors

Red flags of back pain should immediately alert the emergency team to a serious cause of a patient’s back pain. Back pain that is unremitting, associated with fevers or chills, in an immunocompromised patient (such as a patient with HIV or diabetes), or associated with an elevation in inflammatory markers (such as an elevated ESR or CRP) all raise concern for infection such as an epidural abscess, vertebral osteomyelitis, or discitis. Concerning findings for back pain… Read More

Explanations

Written with a purpose

Understanding why an answer choice is incorrect is just as important as knowing why one is correct. That’s why every Rosh Review question includes detailed explanations for the correct and incorrect answer choices. These comprehensive summaries link the most important components of a topic—from risk factors to diagnostics and treatment—giving you the context to build relationships between them.

Created for optimal learning and recall
Help reinforce your knowledge
Focus on the essential information

Illustrations

Created to enhance learning

Custom illustrations and tables help further clarify the core concepts. When information is presented visually, you can focus on meaning, easily reorganize and group similar ideas, and make better use of your memory.

Powerful Analytics

Track progress, performance, & predictions

Your personal analytics allow you to see your progress at all times, so you can create an efficient and effective learning strategy and stay on pace with your plan.

Focus your learning

Deep insights to determine your strengths and weaknesses so you can spend your time on the subjects that matter

Compare with your peers

Discover how your answer choices align with those selected by learners across the country.

Find out your probability of passing

Using data generated by previous users, your Qbank gives a prediction of how likely you are to pass your exam.

One Step Further

Taking your learning to the next level

After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.

Strengthens your knowledge
Stands alone from the main explanation so you’re not rereading content

Question

What is the most appropriate diagnostic test for supporting a diagnosis of infectious back pain (epidural abscess, vertebral osteomyelitis, or discitis)?

Reveal Answer

Back Pain

Night pain, weight loss: malignancy
Back pain + fever + neurological deficits: epidural abscess
Acute bony tenderness: fracture
Young, morning stiffness: seronegative spondyloarthropathy
Urinary retention: cauda equina syndrome
Pain with extension, relief with flexion: spinal stenosis
Image if red flags present

Rapid Review

Keeping things simple

These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.

Cover the fundamentals in one list
Allow you to quickly scan the must-know information

FAQs

Get a little more clarification

How do I earn CME with Rosh Review?

If you sign up for an account that is linked to CME, here’s what you need to do:

Complete either all the questions or 1,000 questions in your Qbank (depending on your package)

Once that’s complete, here’s how to claim and download your certificate:

Go to the Account Settings tab (only on desktop/laptop)
Select Claim next to the subscription package name (see an example)
Complete the survey
Download your certificate

You’ll earn up to 100 AMA PRA Cat 1 CME credits.

What forms of payment do you accept?: Visa, Mastercard, American Express, and gold bars (just kidding—please don’t try this. It sounds heavy.

What is the pass guarantee?: We believe in you, and if you use Rosh Review, we're confident you will pass your board exam.

If you complete 100% of the questions in your package and don't pass, you will be refunded the full amount of your subscription costs. Guaranteed. Your score report with your name and numerical score must be emailed Rosh Review at refund@roshreview.com within 60 days of the score report being published.

If you haven't completed all the questions or if you want to prepare to retake your exam, your subscription can be extended through the next exam date free of charge.

Who writes the questions and explanations?: The finest people around! Question writers are board-certified clinicians who have all performed well on their certification exams. Answer explanations are derived from the specialty’s authoritative resources with some personal input to simplify the material and synthesize it for greatest comprehension and recall.

If you’re interested in becoming a question writer, tell us a bit about yourself and we'll be in touch.

Can I use my subscription from multiple devices and locations?: Phone...laptop...tablet...yep! You can access your subscription from as many locations and as many devices as you want and have. However, we recommend starting and completing exams on a single device.

Keep in mind that sharing accounts is not allowed, so simultaneous logins are not allowed. Any abuse of the Terms & Conditions will result in cancellation of your account.

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“I just received comfortably above passing score on the Initial Certification Exam! When I started using Rosh Review last year for the In-Service, my scores started rising considerably. Thanks again!”

Matthew DeAugustinis, MD

Attending Physician

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