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100+ Free CNA Emergency Nursing (ENC(C)) Practice Questions

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2026 Statistics

Key Facts: CNA Emergency Nursing (ENC(C)) Exam

~165 MCQs

Length of the ENC(C) certification exam

CNA Emergency Nursing Exam Blueprint

30%

Blueprint weight for medical and surgical emergencies

CNA Emergency Blueprint Table 1

CAD $588/$780

Member/non-member exam application fee before appointment fees

CNA Initial Exam Fees

5 years

Certification validity before renewal

NENA / CNA certification program

60–70% independent

Share of independent (non-case) questions on the exam

CNA Emergency Blueprint structural variables

ENC(C) is CNA's specialty certification exam for Canadian emergency nursing. Expect about 165 multiple-choice questions in roughly 4 hours, mixing independent and case-based items, with criterion-referenced pass/fail scoring. 2026 application fees are CAD $588 (member) or $780 (non-member) plus a $85–$110 writing appointment fee. This free 100-question bank follows the official six-category blueprint weights.

Sample CNA Emergency Nursing (ENC(C)) Practice Questions

Try these sample questions to test your CNA Emergency Nursing (ENC(C)) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 55-year-old male presents to the emergency triage desk complaining of substernal crushing chest pain radiating to his left arm, accompanied by diaphoresis and nausea. According to the Canadian Triage and Acuity Scale (CTAS), what level should this patient be assigned?
A.CTAS Level 1 (Resuscitation)
B.CTAS Level 2 (Emergent)
C.CTAS Level 3 (Urgent)
D.CTAS Level 4 (Less Urgent)
Explanation: This patient presents with classic cardiac ischemic chest pain, which is classified as CTAS Level 2 (Emergent) under the Canadian Triage and Acuity Scale. Level 2 conditions are potential threats to life, limb, or function and require immediate medical attention (target time to physician is <= 15 minutes). If the patient was actively in cardiac arrest, hemodynamically unstable, or had an obstructed airway, they would be categorized as Level 1 (Resuscitation).
2A 4-month-old infant is brought to the emergency department with a history of fever, poor feeding, and severe respiratory distress characterized by chest indrawing, grunting, and a respiratory rate of 75 breaths/minute. What is the appropriate CTAS level for this patient?
A.CTAS Level 1 (Resuscitation)
B.CTAS Level 2 (Emergent)
C.CTAS Level 3 (Urgent)
D.CTAS Level 4 (Less Urgent)
Explanation: This pediatric patient presents with severe respiratory distress (indrawing, grunting, tachypnea > 70) and fever, which categorizes them as CTAS Level 2 (Emergent). Infant patients with severe physiological distress are at high risk of rapid deterioration. Level 2 indicates that the patient needs to be assessed by a physician within 15 minutes to prevent respiratory failure.
3What is the official target time to see a physician for a patient triaged as CTAS Level 3 (Urgent)?
A.Immediately
B.Within 15 minutes
C.Within 30 minutes
D.Within 60 minutes
Explanation: The target time to physician assessment for CTAS Level 3 (Urgent) is within 30 minutes. This level is for conditions that could deteriorate or are associated with significant discomfort. CTAS target response times are: Level 1 (immediate), Level 2 (<= 15 minutes), Level 3 (<= 30 minutes), Level 4 (<= 60 minutes), and Level 5 (<= 120 minutes).
4During a primary survey of a trauma patient who was ejected from a vehicle, the emergency nurse notes massive, spurting arterial hemorrhage from a groin wound. Which sequence of the primary survey should the nurse follow in this scenario?
A.A-B-C-D-E (Airway first, then Breathing, then Circulation)
B.C-A-B-C-D (Control of catastrophic hemorrhage first, then Airway, Breathing, Circulation)
C.B-A-C-D-E (Breathing first, then Airway, then Circulation)
D.D-A-B-C-E (Disability first, then Airway, Breathing, Circulation)
Explanation: When catastrophic external hemorrhage is identified, the emergency primary survey must be modified to C-A-B-C-D (or C-A-B). Catastrophic bleeding can lead to exsanguination and cardiac arrest within minutes, prioritizing immediate direct pressure or tourniquet application before managing the airway. Once bleeding is controlled, the nurse immediately returns to assessing the airway (with c-spine restriction) and breathing.
5Which of the following is the most appropriate initial method to assess airway patency in an unresponsive patient who was found lying on the ground?
A.Perform a head-tilt, chin-lift maneuver
B.Perform a jaw-thrust maneuver while maintaining manual cervical spine stabilization
C.Immediately insert a nasopharyngeal airway
D.Perform a blind finger sweep to check for foreign bodies
Explanation: For an unresponsive patient with an unknown mechanism of injury, trauma must be assumed. The jaw-thrust maneuver is the preferred method to open the airway because it minimizes movement of the cervical spine. Manual cervical spine stabilization must be maintained during this maneuver to prevent spinal cord injury.
6A 22-year-old female presents to the triage desk with a 2 cm superficial laceration on her forearm. The bleeding has stopped, pain is rated 2/10, and vital signs are within normal limits. What is the correct CTAS level for this patient?
A.CTAS Level 2 (Emergent)
B.CTAS Level 3 (Urgent)
C.CTAS Level 4 (Less Urgent)
D.CTAS Level 5 (Non-Urgent)
Explanation: A patient with a minor laceration requiring suturing, with normal vital signs and well-controlled pain, is classified as CTAS Level 4 (Less Urgent). Level 4 conditions are chronic or less acute, with low risk of deterioration. The target time to be seen by a physician for a Level 4 patient is within 60 minutes.
7What is the primary focus of the secondary survey in a trauma patient?
A.Identifying and treating immediate life-threatening injuries
B.Obtaining a detailed history and performing a comprehensive head-to-toe physical examination
C.Setting up the patient for a computed tomography (CT) scan
D.Securing definitive airway management through endotracheal intubation
Explanation: The secondary survey is performed only after the primary survey (A-B-C-D-E) is completed and any immediate life-threatening conditions have been stabilized. Its focus is to obtain a detailed patient history (e.g., using the AMPLE mnemonic) and perform a systematic, head-to-toe physical assessment to identify all other injuries.
8An emergency nurse is assessing a patient brought in after a motor vehicle collision. The patient opens their eyes only in response to verbal commands, answers questions with confused and disoriented conversation, and localizes painful stimuli. What is the patient's Glasgow Coma Scale (GCS) score?
A.GCS 10
B.GCS 11
C.GCS 12
D.GCS 13
Explanation: The Glasgow Coma Scale (GCS) score is calculated as follows: Eye opening to speech = 3; Verbal response (confused) = 4; Motor response (localizes pain) = 5. Adding these components (3 + 4 + 5) equals a GCS score of 12.
9When using the OPQRST mnemonic for pain assessment in the emergency department, what does the letter 'P' stand for?
A.Pattern
B.Provocation and Palliation
C.Progression
D.Precipitating factor
Explanation: In the OPQRST pain assessment mnemonic, 'P' stands for Provocation and Palliation. This component evaluates what makes the pain worse (provokes it) and what makes the pain better (palliates it), which helps differentiate cardiac, musculoskeletal, and abdominal etiologies.
10A patient presents with a closed mid-shaft femur fracture. The emergency nurse is monitoring the affected extremity. Which of the following signs is the earliest indicator of compartment syndrome or neurovascular compromise?
A.Absence of a distal pedal pulse
B.Severe pain out of proportion to the injury that is not relieved by analgesics
C.Cool, pale, and cyanotic skin of the foot
D.Paresthesia and loss of sensation in the toes
Explanation: Severe pain out of proportion to the clinical findings, especially pain that is unrelieved by narcotics and aggravated by passive stretch of the muscle, is the earliest and most reliable indicator of compartment syndrome. Compartment syndrome is a surgical emergency requiring immediate fasciotomy.

About the CNA Emergency Nursing (ENC(C)) Exam

The Certified in Emergency Nursing (Canada) — ENC(C) — credential is the Canadian Nurses Association specialty certification for emergency nurses. The computer-based exam assesses competencies of a fully competent practising emergency nurse with substantial specialty experience. Content is organized into six blueprint categories: triage and assessment; medical and surgical emergencies; trauma care; resuscitation and critical interventions; special populations; and professional practice and safety. Practice settings include emergency departments, urgent care centers, and pre-hospital environments, with clients ranging from neonates to geriatric patients. This practice bank provides original questions weighted to the official Emergency Nursing Certification Exam Blueprint.

Assessment

Approximately 165 MCQs; about 60–70% independent items and 30–40% case-based sets. Items target knowledge/comprehension (10–20%), application (50–60%), and critical thinking (25–35%).

Time Limit

Approximately 4 hours for the specialty certification sitting.

Passing Score

Criterion-referenced pass/fail; CNA/Meazure Learning standard-setting determines the cut for each form.

Exam Fee

CAD $588 member / $780 non-member application fee, plus $85 ProctorU or $110 in-person appointment fee; rewrite $378 / $500 (taxes extra). (Canadian Nurses Association (CNA), with exam delivery via ProctorU (online) and Meazure Learning (in-person).)

CNA Emergency Nursing (ENC(C)) Exam Content Outline

15%

Triage and Assessment

Canadian Triage and Acuity Scale (CTAS) application, primary/secondary survey sequence, Glasgow Coma Scale (GCS), history taking, and pain assessment.

30%

Medical and Surgical Emergencies

Cardiovascular, respiratory, neurological, gastrointestinal, renal/genitourinary, endocrine/metabolic, toxicological, environmental, infectious disease, and obstetrical/gynecological emergencies.

20%

Trauma Care

Mechanisms of injury, head/spinal cord injury, chest/abdominal trauma, burns (Rule of Nines, Parkland formula), orthopedic trauma, and shock states.

15%

Resuscitation and Critical Interventions

Airway management, mechanical ventilation troubleshooting, ACLS/PALS/NRP protocols, defibrillation, vasoactive drugs, and vascular access (including IO).

12%

Special Populations

Pediatric emergency nursing (ENPC-based), geriatric emergencies (Beers criteria, delirium CAM screen), psychiatric/mental health emergencies, and vulnerable populations.

8%

Professional Practice and Safety

NENA standards, ethical/legal issues (consent, capacity, MAiD), infection control, disaster management, workplace violence prevention, and forensic evidence collection.

How to Pass the CNA Emergency Nursing (ENC(C)) Exam

What You Need to Know

  • Passing score: Criterion-referenced pass/fail; CNA/Meazure Learning standard-setting determines the cut for each form.
  • Assessment: Approximately 165 MCQs; about 60–70% independent items and 30–40% case-based sets. Items target knowledge/comprehension (10–20%), application (50–60%), and critical thinking (25–35%).
  • Time limit: Approximately 4 hours for the specialty certification sitting.
  • Exam fee: CAD $588 member / $780 non-member application fee, plus $85 ProctorU or $110 in-person appointment fee; rewrite $378 / $500 (taxes extra).

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

CNA Emergency Nursing (ENC(C)) Study Tips from Top Performers

1Download the official Emergency Nursing Exam Blueprint and map study time to the six competency-category weights.
2Master the Canadian Triage and Acuity Scale (CTAS) guidelines, including adult and pediatric physiological parameters and target physician assessment times.
3Review ACLS, PALS, and ENPC guidelines thoroughly, particularly fluid resuscitation volumes, defibrillation energy levels, and drug doses.
4Focus on trauma management: mechanisms of injury, spinal clearing (NEXUS), Beck's Triad, tension pneumothorax treatment, and burn calculations (Rule of Nines, Parkland formula).
5Incorporate Canadian-specific legal/ethical issues, such as Consent to Treatment acts, involuntary holds, and the nursing scope in MAiD.
6Take advantage of practice exams to get used to the clinical vignette style, as 30-40% of the exam is case-based.

Frequently Asked Questions

What is ENC(C)?

ENC(C) stands for Emergency Nurse Certified (Canada). It is the Canadian Nurses Association (CNA) specialty credential for emergency nurses who pass the national certification exam.

How many questions are on the CNA Emergency Nursing exam?

The official Emergency Nursing Certification Exam Blueprint specifies approximately 165 multiple-choice questions, including independent items and case-based sets.

How long is the ENC(C) exam?

Specialty CNA certification exams are commonly completed in an approximately 4-hour sitting, either online with ProctorU during a two-week window or at select Meazure Learning centres.

What does the exam cost in 2026?

CNA lists an exam application fee of CAD $588 for members and $780 for non-members, plus $85 for a ProctorU online appointment or $110 for an in-person appointment. Rewrite fees are $378 / $500. Taxes are extra.

What topics are weighted most heavily?

Medical and surgical emergencies are the largest domain at 30% of the exam. Trauma care is 20%, triage and assessment is 15%, resuscitation is 15%, special populations is 12%, and professional practice is 8%.

How long is certification valid?

CNA certification is valid for five years and can be renewed by continuous learning hours or by rewriting the certification exam, while maintaining eligibility and practice requirements.