CPEN Practice Test 2026 — Free CPEN Exam Prep Questions
The CPEN is the specialty certification for registered nurses who care for infants, children and adolescents in emergency settings. Our practice questions follow BCEN's CPEN Examination Content Outline (effective August 2023), with pediatric triage, resuscitation and weight-based dosing vignettes across all six content areas, from the Pediatric Assessment Triangle to sepsis, maltreatment and professional issues.
A school nurse brings in a 12-year-old with throat tightness, hives, and wheezing after a bee sting. ED staff cannot reach either parent. What is the appropriate action?
CPEN format, scoring & key facts
Computer-based at PSI testing centers or by Live Remote Proctoring (LRP).
Facts last verified Oct 5, 2026. Source: bcen.org/wp-content/uploads/2026/02/BCEN-CPEN-ECO-2022_FINAL-effective-August-2023_Public.pdf. Always confirm details with BCEN before your exam.
When can you take the CPEN?
Plan backwards from your exam date
What the CPEN covers
Every PrepBanq CPEN test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Triage Process20 items: emergency intake (Pediatric Assessment Triangle, acuity, immunization and isolation status, behavioral risk, culture and language) and emergency preparedness (decontamination, mass casualty). | 13.3% | ~20 | 3 questions → |
Assessment25 items: primary and secondary survey, developmental milestones, children with special needs, caregiver perception of baseline, family dynamics, and developmentally appropriate pain assessment and management. | 16.7% | ~25 | 4 questions → |
System-Focused Emergencies56 items: respiratory, cardiovascular, neurological, GI, GU/OB, maxillofacial/ocular/ENT, musculoskeletal, integumentary, hematology/oncology and endocrine/metabolic emergencies. | 37.3% | ~56 | 10 questions → |
Special Considerations25 items: neonatal emergencies, behavioral health, maltreatment and human trafficking, environmental emergencies, toxicology and communicable diseases. | 16.7% | ~25 | 4 questions → |
Multi-System Considerations12 items: submersion injuries, sepsis, anaphylaxis, post-resuscitative care and procedural sedation. | 8% | ~12 | 2 questions → |
Professional Issues12 items: consent, forensic evidence, EMTALA/HIPAA/mandatory reporting, risk management, workplace violence, culture of safety, delegation, discharge planning, end-of-life care and transitions of care. | 8% | ~12 | 2 questions → |
Your path to passing the CPEN
Diagnostic
Free test across every content areaTargeted practice
Drill your weakest areas firstReview
Every option explainedFull simulation
Real format and timingReady
Book your exam with confidenceCPEN practice tests
All CPEN tests →The full CPEN question bank is on its way
All CPEN practice tests here are free right now. Leave your email and we'll tell you when the complete question bank, full-length simulations and readiness tracking launch.
CPEN FAQ
How many questions are on the CPEN?
The CPEN has 175 questions (150 of them scored) and you have 3 hours to finish. Question types: Multiple choice (150 scored and 25 unscored pretest items).
How long is the CPEN exam?
Testing time for the CPEN is 3 hours.
What is on the CPEN?
The CPEN covers Triage Process (about 13.3%), Assessment (about 16.7%), System-Focused Emergencies (about 37.3%), Special Considerations (about 16.7%), Multi-System Considerations (about 8%), Professional Issues (about 8%).
Who administers the CPEN?
The Certified Pediatric Emergency Nurse (CPEN) Exam is administered by BCEN. Delivery: Computer-based at PSI testing centers or by Live Remote Proctoring (LRP).
Is there a free CPEN practice test?
Yes. PrepBanq has 3 free CPEN practice tests with 25 exam-style questions in the real CPEN formats, and every answer is explained. No credit card is needed.
CPEN practice test reviews
No reviews yet. Took a free CPEN practice test? Tell other test-takers how it went.
Related nursing exams
Your CPEN prep starts with one free test.
Instant score report · no credit card.