CPEN Practice Test : Free Exam Questions & Study Guide

Professional female CPEN nurse in pediatric emergency room

Achieving your CPEN Certification is a definitive step toward mastering pediatric emergency nursing. The Certified Pediatric Emergency Nurse (CPEN) credential validates your specialized knowledge in triaging, assessing, and treating critically ill or injured children. Our comprehensive CPEN Study Guide and free practice tools are designed to help you confidently prepare for this challenging exam administered by the Board of Certification for Emergency Nursing (BCEN).

Whether you are a seasoned RN CPEN candidate or new to the field, understanding the exam structure is crucial. This guide covers essential topics like CPEN Practice Questions, detailed score breakdowns, and renewal requirements. Start your preparation today with our realistic CPEN Exam Questions to ensure you are ready to excel on test day.

⏱️
3 Hours
Time Limit
📝
175
Total Questions
150
Scored Items
💵
$230
Member Cost
📊
Pass/Fail
Score Format
🖥️
PSI
Test Provider
🔄
4 Years
Renewal Cycle
🏢
BCEN
Certifying Body
📍
In-Person
Test Centers
🩺
Clinical
Exp Required
💻
CBT
Format
🎓
RN
Prerequisite

CPEN Nurse Tip: Focus heavily on triage prioritization and developmental milestones. Our CPEN Practice Exam materials simulate real-world pediatric scenarios to sharpen your critical thinking skills for the exam.

Compassionate CPEN nurse checking on pediatric patient in hospital

Free CPEN Practice Questions

Test your knowledge with our free CPEN Practice Questions. These quizzes cover essential pediatric emergency topics, from trauma to medical emergencies, helping you identify areas for improvement. Start practicing now to boost your confidence and passing potential.

CPEN Flashcards

Quick review of key pediatric emergency concepts.

👶
What is the primary assessment priority in pediatric trauma?
Airway with C-spine control is the first priority in the primary survey for all trauma patients.
START CPEN PRACTICE TEST
🚑
Define "compiling shock" in infants.
Compensated shock is characterized by tachycardia and varying perfusion signs but a maintained normal blood pressure.
TRY CPEN EXAM MCQ
💊
What is the standard fluid bolus dose for peds?
The standard isotonic crystalloid fluid bolus for pediatric resuscitation is 20 mL/kg.
TAKE CPEN BASIC EXAM
🌡️
Signs of epiglottitis include?
Drooling, dysphagia, distress, and a "tripod" position are classic signs of epiglottitis.
START CPEN PRACTICE TEST
🦴
What fracture is specific to child abuse?
Metaphyseal corner fractures (bucket handle) are highly specific for non-accidental trauma.
TAKE CPEN BASIC EXAM
⚖️
What is the focus of EMTALA?
EMTALA ensures public access to emergency services regardless of ability to pay.
START CPEN PRACTICE TEST

CPEN Study Guide

Our CPEN Study Guide breaks down the essential components of the certification process. From understanding the exam content to navigating registration and renewal, these tabs provide the answers you need to succeed as a Certified Pediatric Emergency Nurse.

What is the CPEN exam?The CPEN Exam is a certification test for registered nurses who specialize in pediatric emergency nursing, validating their expertise in this field.
Who administers the CPEN?The exam is administered by the Board of Certification for Emergency Nursing (BCEN) in partnership with the Pediatric Nursing Certification Board (PNCB).
Is the CPEN exam hard?Yes, the CPEN Exam is considered challenging, requiring specialized knowledge in pediatric triage, trauma, and medical emergencies beyond general nursing skills.
Why get CPEN certified?Earning your CPEN Certification demonstrates clinical excellence, can lead to higher CPEN Nurse salary potential, and enhances career advancement opportunities.
How many questions are on the CPEN?The exam consists of 175 questions, of which 150 are scored and 25 are unscored pretest items.
What is the time limit for the CPEN?Candidates have 3 hours to complete the computer-based CPEN Exam Questions.
What topics are covered?Key domains include Triage & Assessment, Medical Emergencies (Respiratory, Cardiovascular), Trauma, and Professional Issues.
Is the CPEN exam computer-based?Yes, the test is a computer-based assessment administered at PSI testing centers or via live remote proctoring.
What are the CPEN requirements?You must hold a current, unrestricted RN license. While not mandatory, 1,000 hours of pediatric emergency experience is strongly recommended.
How much does the CPEN cost?The exam fee is approximately $230 for ENA/nursing society members and $370 for non-members.
Where can I take the CPEN exam?You can take the exam at any authorized PSI testing center worldwide or online through Live Remote Proctoring.
How do I register for the CPEN?Registration is completed online through the BCEN website, where you can submit your application and schedule your exam date.
What is the passing score for CPEN?The exam uses a scaled score. Candidates typically need to answer a specific number of questions correctly (often around 95-100 raw score) to pass.
When do I get my CPEN results?Results are usually provided immediately upon completion of the computer-based exam at the testing center.
What is the CPEN pass rate?The CPEN Pass Rate varies annually but generally hovers around 70-75% for first-time test takers.
Can I retake the CPEN if I fail?Yes, you can retake the exam after a waiting period, usually 90 days, by submitting a re-exam application and fee.
How should I prepare for the CPEN?Use a comprehensive CPEN Study Guide, take multiple CPEN Practice Exams, and review clinical guidelines for pediatric emergencies.
Are there free CPEN practice questions?Yes, our site offers free CPEN Practice Questions to help you gauge your readiness and identify weak areas.
What is the best study method?Combine content review with active recall using flashcards and timed practice tests to simulate the real exam environment.
Does experience help with the CPEN?Absolutely. Clinical experience in a pediatric ER provides the practical context needed to answer scenario-based CPEN Exam Questions.

CPEN Test Format

The CPEN Exam content is divided into specific clinical and professional domains. Understanding this structure is key to prioritizing your study time. Below is a breakdown of the primary content areas you will encounter.

🏥Triage & Assessment18%

Focuses on the initial intake and evaluation of pediatric patients.

Primary SurveyHistoryPain ScaleFamily Dynamics
  • Topics: Physical assessment, prioritization, family presence.
  • Questions: Approx. 27 items
🫁Medical Emergencies: Resp/CV22%

Critical care for respiratory and cardiovascular conditions.

AsthmaShockCroup
  • Topics: Respiratory distress, congenital heart defects, arrhythmias.
  • Questions: Approx. 33 items
🧠Medical Emergencies: Neuro/Other26%

Covers neurological, GI, GU, and infectious diseases.

SeizuresDKAMeningitisDehydration
  • Topics: Altered mental status, metabolic disorders, toxicology.
  • Questions: Approx. 39 items
🚑Trauma & Environment16%

Management of traumatic injuries and environmental exposures.

BurnsHead TraumaDrowningBites
  • Topics: Multi-system trauma, child maltreatment, heat/cold injuries.
  • Questions: Approx. 24 items
💉Procedural Sedation8%

Protocols and monitoring for sedation and analgesia.

MonitoringMedsDischargeSafety
  • Topics: Pre-sedation assessment, intra-procedure monitoring, recovery.
  • Questions: Approx. 12 items
⚖️Professional Issues10%

Legal, ethical, and regulatory aspects of pediatric care.

ConsentPrivacyLegalEthics
  • Topics: EMTALA, mandatory reporting, patient safety.
  • Questions: Approx. 15 items
💡 CPEN Study Tip

Focus on developmental stages! A significant portion of CPEN Practice Exam questions will require you to differentiate normal vs. abnormal vitals and behaviors based on the child's age group.

CPEN Score Calculator

Estimate your score based on the 150 scored questions on the CPEN exam.

Total Scored Questions: 150
0150
110 out of 150 correct
73%
✓ PASS
Required to Pass:~70% (105 Correct)
Your Score:110 correct
Questions Wrong:40

CPEN Nurse Salary

Earning your CPEN Certification can significantly increase your earning potential as a pediatric emergency nurse.

$84,000
Median Annual Salary (Certified)
📊 Pediatric ER Nurse Salary Progression
$62k
Entry
$74k
Early
$84k
Mid
$105k
Late
$115k+
Exp
Entry
$62k
Early
$74k
Mid
$84k
Late
$105k
Exp
$115k+
*Salaries vary by location and experience. CPEN Certification typically adds a premium.
Experience LevelAnnual SalaryMonthly IncomeTypical Timeline
👶 Entry Level RN$62,000~$5,1600-2 Years
🏥 Experienced RN$78,000~$6,5002-5 Years
🎓 CPEN Certified$98,000~$8,1603+ Years
🚁 Flight Nurse$92,000~$7,660Specialty
👨‍🏫 Nurse Educator$105,000~$8,750Adv. Degree
💰 Career Boost

Hospitals often provide a differential or bonus for nurses who hold the CPEN Certification, recognizing the advanced expertise required for pediatric emergency care.

How to Become a CPEN

The journey to becoming a Certified Pediatric Emergency Nurse involves clinical experience and rigorous study.

🎓
Year 1-4
RN License
BSN/ADN
🏥
Year 4-6
Experience
1,000 Hrs Peds
📚
Month 1-3
Study
Prep Courses
🏆
Test Day
Pass Exam
Get CPEN
Step-by-Step Registration
  1. Verify Eligibility - Ensure you have a current RN license and recommended experience.
  2. Create BCEN Account - Visit the BCEN website to create your candidate profile.
  3. Submit Application - Complete the CPEN Exam application and pay the fee.
  4. Schedule Exam - Once approved, schedule your test at a PSI center or online.
  5. Prepare - Use a CPEN Study Guide and CPEN Practice Questions.
  6. Take the Test - Bring valid ID to the testing center.
  7. Receive Results - Get your score report immediately after testing.

CPEN Certification Costs

Budgeting for your CPEN Certification includes exam fees and preparation materials.

💵
$230
Member Exam Fee
For ENA/Society members
💳
$370
Non-Member Fee
Standard exam price
📚
$50 - $150
Study Materials
Books & practice tests
🔄
$200
Renewal Fee
Every 4 years
💻
$150
Review Course
Optional online prep
🔁
$200
Retake Fee
If exam is failed
💰 Total Investment

Expect to invest between $300 and $600 total for your CPEN Certification, depending on membership status and study materials used.

Nursing student studying for CPEN Exam with study guide

CPEN Career Opportunities

Earning your credential opens doors to specialized roles in pediatric emergency care.

🏥
Pediatric ER Nurse
Specialize in high-acuity care for infants and children in dedicated pediatric emergency departments.
🚁
Flight Nurse
Provide critical care transport for pediatric patients requiring transfer to level 1 trauma centers.
🏫
Nurse Educator
Teach pediatric emergency protocols and prepare new nurses for the CPEN Exam.
🚑
Trauma Nurse
Manage severe pediatric trauma cases in high-volume trauma centers.
🩺
Clinical Leader
Lead nursing teams and develop policies for pediatric emergency care units.

CPEN Contact Information

Contact these organizations for registration, testing, and renewal questions.

🏢
BCEN
Certifying Board

Website: bcen.org

Services: Registration, Renewal

Contact: 877-302-2236

🖥️
PSI Exams
Testing Provider

Website: psiexams.com

Services: Scheduling, Testing

Contact: 800-733-9267

🚑
ENA
Nursing Association

Website: ena.org

Services: Membership, Resources

Contact: 800-900-9659

🎓
PNCB
Partner Board

Website: pncb.org

Services: Pediatric Certs

Contact: 888-641-2767

🔍 Find CPEN Jobs Near Me

Search for "Pediatric Emergency Nurse Jobs near me" or "CPEN jobs near me" on major job boards to find hospitals seeking certified professionals in your area.

CPEN Test Day Checklist

Ready to Pass the CPEN?

Join thousands of pediatric emergency nurses who have used our free resources to succeed. Start your preparation today!

START FREE CPEN QUIZ

CPEN Recertification

To maintain your CPEN Certification, you must renew every 4 years. This ensures you remain current with evolving pediatric emergency standards.

🔄
Cycle
4 Years
📚
CE Hours
100 Hrs
💻
Method
Online Log
✅ Stay Certified

Keep track of your continuing education (CE) credits annually. BCEN allows you to attest to your 100 contact hours online for seamless CPEN Renewal.

CPEN Exam Questions and Answers

A CPEN (Certified Pediatric Emergency Nurse) is an RN who has demonstrated expertise in pediatric emergency care by passing the CPEN certification exam.

The exam fee is $230 for members of the Emergency Nurses Association (ENA) and $370 for non-members.

The exam contains 175 questions total, with 150 scored items and 25 unscored pretest items.

While the exact score varies by test version, candidates generally need to answer approximately 105 out of 150 questions correctly to pass.

Many hospitals offer review courses, or you can find online CPEN Review courses and webinars through ENA or BCEN.

The certification is valid for four years. Renewal requires completing 100 contact hours of continuing education or retaking the exam.

We offer free CPEN Practice Questions on our website to help you prepare. Check the "Free Practice Tests" section above.

Yes, BCEN offers Live Remote Proctoring (LRP), allowing you to take the CPEN exam from home or a private location.

You must hold a current, unrestricted RN license. BCEN recommends (but does not require) 1,000 hours of pediatric emergency experience.

Difficulty is subjective, but CPEN is more focused on pediatric nuances (congenital issues, development), while CEN covers a broader lifespan.

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