1. Introduction
This manual serves as a comprehensive study guide for individuals preparing for the Certified Emergency Nurse (CEN) examination. Developed by the Emergency Nurses Association (ENA), it is designed to provide a structured approach to reviewing critical content areas and practicing exam-style questions.
The 6th Edition includes updated content aligned with the latest BCEN detailed content outline for the CEN exam, along with access to two online practice exams to simulate the actual testing environment.
2. About This Manual
The CEN Review Manual is structured to facilitate effective self-study. It features a question, answer, and rationale format, providing detailed explanations for both correct and incorrect answers. This approach helps reinforce understanding of the material and identifies areas requiring further review.
Key features include:
- Hundreds of new and updated practice questions.
- Rationales for all answers, referencing evidence-based practice.
- Content aligned with the BCEN detailed content outline.
- Access to two online practice exams for a realistic testing experience.

Figure 1: Front cover of the CEN Review Manual, 6th Edition. The cover features the title "CEN Review Manual Plus 2 Online Exams Sixth Edition" and the ENA logo.
3. Setup and Online Access
To utilize the full benefits of this manual, including the two online practice exams, follow these steps to activate your online access:
- Locate Access Code: An access code is typically found on the inside front cover or a scratch-off card within your physical manual. Look for a section labeled "NAVIGATE PREFERRED ACCESS" or similar.
- Visit the Publisher's Website: Go to the website specified by the publisher, Jones & Bartlett Learning, for online resource activation. This URL is usually printed near the access code or in the introductory pages of the book.
- Create/Log In to Account: If you do not have an existing account with the publisher's online platform, you will need to create one. Otherwise, log in with your existing credentials.
- Redeem Access Code: Follow the on-screen prompts to enter your unique access code. Ensure accurate entry to avoid errors.
- Access Online Exams: Once the code is successfully redeemed, you should gain access to the online practice exams and any other supplementary digital resources associated with the 6th Edition.
Note: Keep your access code in a safe place as it is typically for single-user, one-time activation.
4. Operating and Study Strategies
Effective use of the CEN Review Manual involves integrating both the print content and the online exams. Consider the following strategies:
- Content Review: Begin by reviewing the chapters corresponding to the BCEN content outline. Focus on understanding the core concepts before attempting practice questions.
- Practice Questions: Utilize the hundreds of practice questions provided in the manual. Answer questions and then immediately review the rationales for both correct and incorrect answers. This reinforces learning and clarifies misconceptions.
- Online Exam Simulation: Use the two online exams to simulate the actual CEN exam environment. Take these exams under timed conditions to practice pacing and test-taking strategies.
- Performance Analysis: After completing an online exam, analyze your performance. Identify weak areas based on the topics where you scored lower. Revisit the corresponding sections in the manual for further study.
- Active Recall: Instead of passively reading, engage in active recall by quizzing yourself or explaining concepts in your own words.
- Regular Review: Schedule regular review sessions to reinforce previously learned material and prevent forgetting.
5. Maintenance and Care
To ensure the longevity of your CEN Review Manual and preserve its condition, please observe the following guidelines:
- Storage: Store the manual in a dry place, away from direct sunlight and extreme temperatures, to prevent warping or fading of pages.
- Handling: Handle the book with clean hands to avoid transferring oils or dirt to the pages.
- Protection: Avoid bending the covers or spine excessively, which can damage the binding.
- Marking: Use pencils for notes if you intend to erase them, or highlighters that do not bleed through pages.
- Online Access: Keep your online access code secure and do not share it, as it is typically for single-user use.
6. Troubleshooting Common Issues
| Issue | Possible Cause | Solution |
|---|---|---|
| Online access code not working. | Incorrect entry, code already used, or expired code. | Double-check the code for typos. Ensure it hasn't been previously activated. Contact the publisher's technical support if the issue persists. |
| Cannot access online exams after activation. | Browser compatibility issues, internet connectivity problems, or account specific issues. | Try a different web browser (e.g., Chrome, Firefox). Verify your internet connection. Clear browser cache and cookies. Log out and log back into your account. |
| Missing or damaged pages in the physical book. | Manufacturing defect or shipping damage. | Contact the retailer or publisher for a replacement. Provide details of the damage or missing content. |
7. Product Specifications
- Title: CEN Review Manual: Plus 2 Online Exams 6th Edition
- Author: ENA (Emergency Nurses Association)
- Publisher: Jones & Bartlett
- Publication Date: January 1, 2022
- Language: English
- Print Length: 672 pages
- ISBN-10: 1284280691
- ISBN-13: 978-1284280692
- Item Weight: 3.31 pounds
- Dimensions: 11 x 8.5 x 2 inches
- Format: Perfect Paperback
8. Support and Contact Information
For technical support regarding online access codes, platform issues, or content discrepancies, please contact the publisher directly:
Publisher: Jones & Bartlett Learning
Refer to the publisher's official website or the introductory pages of your manual for the most current contact information, including customer service phone numbers and support email addresses.
For general inquiries about the CEN certification or the Emergency Nurses Association (ENA), please visit the official ENA website.