The CEN exam, by the numbers
Facts checked against bcen.orgLast checked Nov 4, 2026
The CEN exam puts 175 questions on a screen and gives you 3 h of seat time. Of those, 150 are scored; get 99/150 right and you pass. This page covers the format, where the cut comes from, the score report, pass counts and the retest rules.
On this page
CEN exam facts and where they come from
| Fact | CEN | Source |
|---|---|---|
| Question format | Four-option, single-best-answer multiple choice, computer-basedFive practice questions before the timer starts show how the test screen works.BCEN: CEN sample questions, 2024 (PDF) +1, Sep 2026 | BCEN: CEN sample questions, 2024 (PDF) +1, Sep 2026 |
| Questions | 175 questionsBCEN: CEN FAQs, Nov 2026 | BCEN: CEN FAQs, Nov 2026 |
| Scored questions | 150 scored questionsBCEN: CEN FAQs +1, Nov 2026 | BCEN: CEN FAQs +1, Nov 2026 |
| Unscored questions | 25 unscored pretest questionsBCEN: CEN FAQs, Nov 2026 | BCEN: CEN FAQs, Nov 2026 |
| Exam time | 3 hours (180 minutes) of seat timeBCEN: CEN FAQs, Nov 2026 | BCEN: CEN FAQs, Nov 2026 |
| Passing score | 99 of 150 scored questions correct (66%)A raw score, not curved. BCEN sets the cut with a modified Angoff study and equating, so it may differ slightly by form; this cut took effect with the outline on July 6, 2026.BCEN: CEN FAQs +2, Nov 2026 | BCEN: CEN FAQs +2, Nov 2026 |
| Score scale | Raw score out of 150BCEN: CEN FAQs +1, Nov 2026 | BCEN: CEN FAQs +1, Nov 2026 |
| Results | Pass or fail right after the exam, with a breakdown by content area; failing candidates see raw scores by areaAt a test center the report is printed and emailed; with remote proctoring the result shows on screen.BCEN Candidate Handbook, 2024, Nov 2026 | BCEN Candidate Handbook, 2024, Nov 2026 |
| Wait before a retake | 90 days after a failed attemptBCEN: CEN FAQs +1, Nov 2026 | BCEN: CEN FAQs +1, Nov 2026 |
| Retake limit | Unlimited attempts, each with a new retest applicationBCEN: CEN FAQs, Nov 2026 | BCEN: CEN FAQs, Nov 2026 |
| Retake fee | $200 retest fee within 1 year of the first examBCEN: CEN cost, Nov 2026 | BCEN: CEN cost, Nov 2026 |
| Pass rate | About 51% in 2025 (4,198 passed, 3,974 failed)Calculated from BCEN's 2025 exam statistics as passes divided by passes plus fails. Passes were 47% of all 8,889 exams delivered.as of Nov 4, 2026 · calculated from BCEN's 2025 countsBCEN: certification exam statistics (ABSNC…, Nov 2026 | BCEN: certification exam statistics (ABSNC…, Nov 2026 |
| Content outline in force | Content outline effective July 6, 2026, from the 2025 role delineation study (11 content areas)New in July 2026: GI and GU/GYN/OB became separate areas, and Maxillofacial and Ocular became HEENT. Added topics include myocarditis, croup, pulmonary hypertension, bipolar disorder, STIs, respiratory viruses, uterine rupture, patient throughput, cultural humility and continuity of care; renal failure moved to GU, and epiglottitis and peritonsillar abscess to HEENT. Envenomation, procedural sedation, delegation, evidence-based practice, quality improvement and disaster management are no longer listed.BCEN: CEN Examination Content Outline,…, Nov 2026 | BCEN: CEN Examination Content Outline,…, Nov 2026 |
| Largest area | Cardiovascular Emergencies (18 of 150 scored questions)BCEN: CEN Examination Content Outline,…, Nov 2026 | BCEN: CEN Examination Content Outline,…, Nov 2026 |
All facts: bcen.org, checked Nov 4, 2026.
Format
Each question has four options and one best answer. Before the clock starts, a few practice items show how the test screen works.
The 25 pretest items sit among the scored ones without a label; BCEN collects data on them for later forms. Nothing marks them, so give each question full effort.
The passing score: 99/150
The board sets the cut with a modified Angoff study: a panel of emergency nurses rates each item by how a just-competent candidate would fare, and equating keeps forms comparable, so the cut can shift slightly between forms.
Your score is simply the number right, with no curve. All scored items count equally, and guessing carries no penalty, so answer all of them. Prep material that quotes a higher cut predates the July 2026 outline.
Results and the score report
The verdict comes the moment you submit: on a printed report at a test center, on screen with remote proctoring. A failing report lists your raw score in each content area, the most useful part of the report. Compare each one with the area's item count on the study guide to see where the missing points sit.
How many CEN attempts pass
BCEN's disclosure lists raw counts rather than a percentage. The figure in the table divides passes by passes plus fails from its 2025 disclosure, which comes to about half; measured against every exam delivered, including those with no result, the share is lower.
The statistic counts exams, not people: a nurse who sat twice in the year appears twice. Read it as a property of the exam, not a forecast for you; your own score on the practice test, taken against the clock, says more.
Sitting the CEN again
- Wait: 90 days after a fail.
- Attempts: no cap, but each one needs a new retest application.
- Fee: $200 for a retest booked inside twelve months of the first sitting.
A second attempt can also be bought upfront with Test Assurance; prices are on registration and cost.
Other CEN pages
- CENWhat the CEN is, who can sit it, renewal and the July 2026 outline
- CEN practice testFree CEN questions across the July 2026 content areas, each option explained
- CEN registration and costWhat the CEN costs, how to apply with BCEN and book PSI
- CEN study guideAll content areas of the July 2026 outline with traps and samples
Sources
- [1]BCEN: CEN FAQs bcen.org. Checked Nov 4, 2026.
- [2]BCEN: CEN sample questions, 2024 (PDF) bcen.org. Checked Sep 25, 2026.
- [3]BCEN: CEN Examination Content Outline, effective July 2026 (PDF) bcen.org. Checked Nov 4, 2026.
- [4]BCEN Candidate Handbook, 2024 (PDF) bcen.org. Checked Nov 4, 2026.
- [5]BCEN blog: Evolving Excellence, Updating the CEN Exam (Feb 10, 2026) bcen.org. Checked Nov 4, 2026.
- [6]BCEN: CEN cost bcen.org. Checked Nov 4, 2026.
- [7]BCEN: certification exam statistics (ABSNC disclosure, 2025) bcen.org. Checked Nov 4, 2026.
CEN exam: short answers
How many questions are on the CEN exam?
175 in all; 150 are scored and the rest are pretest items.
What share of CEN candidates pass?
From BCEN's 2025 counts, about half of the attempts that ended in a pass or fail were passes.
When do I get my result?
As soon as you finish: pass or fail on screen or on a printed report, with a breakdown by content area.