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200+ Free TCRN Practice Questions

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Questions by Category

Tcrn-Continuum-Care53 questions
Tcrn-Head-Neck35 questions
Tcrn-Trunk-Pelvis34 questions
Tcrn-Musculoskeletal-Wound29 questions
Tcrn-Special-Populations29 questions
Tcrn-Professional-Practice20 questions
2026 Statistics

Key Facts: TCRN Exam

175

Total Items

BCEN TCRN exam page

150 + 25

Scored + Unscored

BCEN TCRN exam page

96/150

Passing Standard

BCEN TCRN exam page (effective 2025-11-29)

3h

Exam Time

BCEN TCRN exam page

$285/$380

Member / Nonmember Fee

BCEN TCRN exam page

Nov 29, 2025

Current Content Outline Effective Date

BCEN TCRN Exam Content Outline

4 years

Recertification Cycle

BCEN TCRN FAQ

BCEN lists the TCRN exam at 175 total items (150 scored + 25 unscored pretest), 3-hour test time, and a passing standard of 96 scored items. The updated TCRN Content Outline (effective November 29, 2025) includes 6 domains: Head and Neck (20.7%), Trunk and Pelvis (25.3%), Musculoskeletal and Wound (8.7%), Special Populations (14.7%), Continuum of Care (24%), and Professional Practice (6.7%). BCEN recommends 2+ years of trauma nursing experience before testing.

About the TCRN Exam

TCRN is BCEN's specialty certification for nurses providing trauma care across the continuum. The exam tests clinical judgment in head/neck trauma, trunk/pelvis injuries, musculoskeletal and wound management, special populations considerations, continuum of care, and professional trauma nursing practice.

Questions

175 scored questions

Time Limit

3 hours

Passing Score

96 out of 150 scored items

Exam Fee

$285 ENA/BCEN members / $380 non-members (BCEN (Board of Certification for Emergency Nursing))

TCRN Exam Content Outline

20.7%

Clinical Practice: Head and Neck

Traumatic brain injury, spinal cord injury, secondary brain injury prevention, ocular trauma, maxillofacial injuries, and neck trauma

25.3%

Clinical Practice: Trunk and Pelvis

Thoracic trauma, abdominal trauma, pelvic trauma, and genitourinary trauma management

8.7%

Clinical Practice: Musculoskeletal and Wound

Long bone fractures, compartment syndrome, amputations, soft tissue injuries, and burn trauma

14.7%

Special Populations

Pediatric, geriatric, pregnant, and bariatric trauma considerations; victims of violence; substance use; and comorbidities

24%

Continuum of Care for Trauma

Resuscitation, shock management, acute care, complications, psychosocial issues, rehabilitation, injury prevention, and patient transfer

6.7%

Professional Practice

Quality improvement, disaster management, patient safety, team well-being, regulations, education, and ethical issues

How to Pass the TCRN Exam

What You Need to Know

  • Passing score: 96 out of 150 scored items
  • Exam length: 175 questions
  • Time limit: 3 hours
  • Exam fee: $285 ENA/BCEN members / $380 non-members

Keys to Passing

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

TCRN Study Tips from Top Performers

1Study by the 2025 BCEN domain weighting - prioritize Trunk and Pelvis (25.3%) and Continuum of Care (24%) as the largest sections
2Use first-action drills for trauma scenarios (airway protection, hemorrhage control, shock recognition) because TCRN heavily tests priority decisions
3Master head and neck trauma management - understand ICP, secondary brain injury prevention, and spinal cord injury priorities
4Practice mixed, timed 50-question blocks to match exam pacing and transition quickly between trauma domains
5Review special populations considerations - pediatric, geriatric, and pregnant trauma patients have unique assessment and management needs
6Add a weekly professional practice review block (quality improvement, disaster, regulations) to protect points in the non-clinical domain

Frequently Asked Questions

How many questions are on the TCRN exam?

BCEN lists 175 total items: 150 scored items and 25 unscored pretest items. You have 3 hours to complete the exam.

What score do I need to pass TCRN?

BCEN lists the TCRN passing standard as 96 correct out of 150 scored items.

How long is the TCRN exam?

BCEN lists a 3-hour testing appointment for TCRN.

What changed for TCRN in November 2025?

BCEN released an updated TCRN Exam Content Outline effective November 29, 2025. Key changes include: Trunk and Pelvis are now combined (25.3%), Extremity/Wound is now Musculoskeletal and Wound (8.7%), Special Considerations is now Special Populations (14.7%), and Professional Issues is now Professional Practice (6.7%). The passing score is now 96/150.

How much does TCRN cost?

BCEN's current TCRN fees are $285 for ENA/BCEN members and $380 for non-members.

Who can take the TCRN exam?

BCEN requires active unrestricted RN licensure. Two years of trauma nursing experience is recommended before testing. TCRN is ideal for emergency, trauma ICU, and surgical nurses involved in trauma care.

How often do I renew TCRN?

BCEN certifications follow a 4-year recertification cycle. You can recertify by continuing education hours or by retaking the exam.