Updated
BCEN certifications, all six in one place
The Board of Certification for Emergency Nursing awards six credentials, from the emergency department to the burn unit, and runs them on one rulebook: the same list price, the same four-year cycle, the same 100-hour renewal. What differs is the association that gets the member discount and, from 2027, how much of your continuing education must be accredited.
The six credentials
All six programs are accredited by ABSNC, per BCEN's statistics page.
- 01
Awarded by
Board of Certification for Emergency Nursing (BCEN) - 02
CEN · emergency nursing
175 questions (150 scored), cut 99 of 150 on the outline in use from July 6, 2026. Member price through ENA.bcen.org/cen/faqschecked
- 03
CPEN · pediatric emergency
175 questions (150 scored), cut 110 of 150. Member price through ENA.bcen.org/cpen/faqschecked
- 04
TCRN · trauma
bcen.org/tcrn/faqschecked
- 05
CFRN · flight transport
bcen.org/cfrn/faqschecked
- 06
CTRN · ground transport
bcen.org/ctrn/faqschecked
- 07
CBRN · burn care
Board certification for RNs caring for burn patients across all phases of treatment. Member price through ABA.bcen.org/cbrnchecked
TNCC, often mentioned alongside these, is not a BCEN credential: it is a course run by the Emergency Nurses Association. How it compares with the TCRN is on trauma nurse certifications.
One price list, six discount partners
The cost pages for all six exams show the same three initial prices: $380 list, $285 for members of the partner association named below, and $195 for active-duty service members, reservists and veterans (CEN, CPEN, CBRN cost pages, read November 11, 2026). The partner is what changes:
- ENA for CEN and CPEN;
- STN for TCRN;
- ASTNA for CFRN and CTRN;
- ABA for CBRN.
ENA membership does not discount the TCRN, a mix-up that is easy to make because ENA discounts the two emergency exams. Retest pricing and the optional Test Assurance add-on are the same across the six and are worked through on the TCRN cost page and the CFRN cost page.
changed in the last 12 months change ahead steady coming
| Exam | Exam fee | Discount through | Renewal fee | Outline status |
|---|---|---|---|---|
| TCRNTrauma Certified Registered Nurse exam · BCEN | $380 | STN | $280 | Changed |
| CFRN · CTRNCertified Flight and Certified Transport Registered Nurse exams · BCEN | $380 | ASTNA | $280 | Changed |
Recertifying a BCEN credential
Each of the six runs for four years and renews one of two ways: pass the current exam again, or attest to 100 contact hours earned during the four years (exam or 100 CE hours). Of the 100 hours, at least 75 must be clinical content in the specialty and up to 25 may be non-clinical (BCEN recertification, read November 11, 2026).
The accredited share rises in 2027. Today at least 50 of the hours must come from an accredited provider; for any application filed from January 1, 2027, the floor becomes 75 accredited. Nurses renewing in 2027 or later should check which of their banked hours carry provider accreditation before the cycle ends, because hours cannot be added after the application goes in.
BCEN no longer asks for a log at application, only an attestation, but it audits, so keep certificates. The recertification fee is $280 for every credential, $210 through the partner association named above and $195 for military candidates.
2025 results: counts, not rates
The board posts, for each calendar year, how many exams were delivered, passed and failed, and how many certificants hold each credential (BCEN exam statistics, 2025, read November 11, 2026). It does not post a pass rate. Dividing passes by passes plus fails gives the shares below; they are our arithmetic and include repeat attempts. Delivered exams run a little above passes plus fails, and the page does not say why.
- CEN: 4,198 passes and 3,974 fails, 51.4%; 41,636 certificants.
- CPEN: 689 passes and 447 fails, 60.7%; 5,827 certificants.
- TCRN: 1,260 passed, 884 failed, 58.8%; 8,741 certificants.
- CFRN: 57.8% of exams with a result; 7,769 certificants.
- CTRN: 98 passes and 75 fails, 56.6% of exams with a result; 669 certificants, the smallest of the six.
- CBRN: 184 passes and 126 fails, 59.4%; 722 certificants.
Study material from the board itself
For each credential the board posts the exam content outline, sample questions and practice exams, and its BCEN Learn platform offers CE that counts toward renewal. The outline is the document to study from: this site's TCRN study guide and CFRN study guide are built on the outlines in force since November 29, 2025 and August 31, 2026.
Verifying a BCEN credential
There are two routes for every credential (BCEN certification verification, read November 11, 2026). Each certified nurse receives a digital badge through Credly that shows status, issue and expiration dates and can be shared with an employer. Alternatively, the nurse logs in to the BCEN dashboard and sends a credential verification request, and the board emails the employer the credential type, status and expiration date. In both cases the certified nurse starts the process.
Common questions about BCEN credentials
How much does a BCEN exam cost?
$380 for any of the six, $285 for members of the partner association and $195 for military candidates, on the cost pages as of November 11, 2026.
What changes in BCEN recertification in 2027?
The accredited minimum goes up from 50 hours: the rule becomes 75 of 100 hours from accredited providers from January 1, 2027.
Does BCEN publish pass rates?
No. It publishes yearly counts of exams delivered, passed and failed. Any percentage, including the ones on this page, is calculated from those counts.
Can EMS continuing education count toward BCEN renewal?
Not when it is EMS-only CE. The recertification page rejects activities approved only by an EMS provider such as CAPCE or NAEMT, and courses taken for paramedic or EMT renewal; hours approved by both an EMS and a nursing provider do count.
Is TNCC a BCEN certification?
No. TNCC is a provider course from the Emergency Nurses Association with its own four-year verification; BCEN's trauma credential is the TCRN.
Sources
all read Nov 11, 2026
- [1]BCEN: About the TCRN exam bcen.org
- [2]BCEN: Candidate Handbook (PDF), pp. 5–7, 15 bcen.org
- [3]BCEN: TCRN cost bcen.org
- [4]BCEN: Recertify (requirements and pricing) bcen.org
- [5]BCEN: CFRN cost bcen.org
- [6]BCEN: CTRN cost bcen.org
- [7]ASTNA: membership levels astna.org