The #1 Emergency Nurse Practitioner Exam Review & CNE Resource

Med-Challenger ENP


Med-Challenger ENP is the highest quality, easiest to use, and most-trusted emergency nurse practitioner exam review question bank and knowledge improvement suite for ENP knowledge review, ANCC & AAENP Initial Certification exams, and annual ANCC & AAENP Maintenance of Certification “contact hours” and pharmacotherapy CE requirement compliance. Med-Challenger’s emergency nurse practitioner review course is 100% pass-guaranteed and provides over 3600 case-based Q&A following the American Association of Emergency Nurse Practitioners and American Nurses Credentialing Center exam blueprints, media banks, and ongoing content updates.

What’s more, with 267 ANCC “contact hour” CNEs built-in including 70 Pharmacotherapy CEs, Med-Challenger’s ENP exam review Qbank gives emergency nurse practitioners everything needed to ace ENP exams and fulfill “contact hour” CNE requirements year after year with less time, labor, and worry.

Join the emergency nurse practitioners who’ve used Med-Challenger to outperform on exams – and protect their practice. Try it for free today.

Useful year after year for Exams, MOC & CE requirements.
With Med-Challenger, it’s well in hand.

Challenger always presents up-to-date information that I can access from anywhere and any device. A couple of years ago I purchased the lifetime update package and I am glad that I did. It was well worth the investment!Deborah Honeycutt
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Emergency Nurse Practitioner Board Review, Med-Challenger NP, Complete Review, Ongoing Updates, CNE Credits

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ENP emergency nurse practitioner review

Pass the ENP exams, guaranteed.

Earn ANCC “contact hour” CNEs too.

See why Med-Challenger ENP is the #1 Emergency Nurse Practitioner Exam Review in addition to having the MOST Q&A and HIGHEST pass-rate.

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    Time-saving adaptive learning engine leaves nothing behind

    Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content so you get every ounce of value from your review purchase.

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    Automatic prescriptive remediation takes you where you need to go next

    Automatic prescriptive remediation guidance offers “deeper dives” to repair your weak areas of knowledge.

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    Adaptive, AAENP blueprint-based exam simulation

    Simulate the board examination instantly, while taking Q&A in the right subject areas and in the right amounts, everytime.

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    Practice, Review & Assessment modes for enhanced retention

    Work the way you want. No pressure practice mode, read-friendly Review mode, and CE credit assessments

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    Create your own custom exams!

    Create your own exams with our Custom Exam Builder. Save your custom exams and re-use them for study or routine self-assessment.

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    Earn CNE "contact hours" as you study

    Earn CNE “contact hours” within assets quickly. Manage credit claims and produce CNE certificates.

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    Dashboards, analytics & reports keep things on track

    Track your progress and scores, compare against global averages, maximize your purchases, and maximize your time.

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    Daily content updates & new Q&A, plus peer-to-peer fun

    With your Med-Challenger account, you can play our weekly Quick Quiz game with new content and peer leaderboards

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    Work anywhere, anytime, on any device - in less time

    Work on any device from anywhere. 100% responsive design and time-saving adaptive tools.

Proven ENP Exam Success

After 25 years in exam review, we know how to get results – and fast.

Exam Pass-rate
Avg. Score Improvement
Avg. Study Time Saved

Included Content & Questions

For Med-Challenger ENP Emergency Nurse Practitioner Exam Review Qbank

Over 0
Topics Covered
Over 0
AAENP-style Questions

Emergency Nurse Practitioner Question Topics

AAENP & AANP publishes a content blueprint of the material that will appear on the exam.

This is how we determine which material appears in your adaptive Qbank.

Eyes, Ears, Nose, and Throat7%
Neurologic System6%
Infectious Diseases3%

Emergency Nurse Practitioner

Developed by the American Academy of Nurse Practitioners Certification Board (AANPCB) in collaboration with the American Academy of Emergency Nurse Practitioners (AAENP).

The following eligibility requirements established by AAENPCB include:

Option 1

  • Minimum of 2,000 direct, emergency care clinical practice hours as a Family NP in the past 5 years.
  • Evidence of 100 hrs of continuing emergency care education
  • Minimum of 30 continuing emergency care education hours in emergency care procedural skills within those 5 yrs.

Option 2

  • Completion of an academic emergency care graduate/post-graduate NP program from an accredited nursing program, or
  • Completion of a dual FNP/ENP graduate/post-graduate certificate program from an accredited nursing program.

Option 3

  • Completion of an approved emergency fellowship program.

Med-Challenger ENP, Emergency Nurse Practitioner (ENP-C) Question Bank, was created specifically to help you receive your ENP-C designation.

  • Over 3600 Questions and Comprehensive Explanations
  • Designed with the AANPCB Examination Blueprint for Emergency Care
  • Receive 100 Continuing Education Credits

High-Yield ENP Exam Review Questions

AAENP-style, blueprint-based Q&A.
Just like you’ll see on the actual AAENP exam.

Positively-stated, Case-based Question Stems

No “negatively phrased” questions, no “A and B”…you know what we mean. Our questions always address important “key point” blueprint-based content in a well structured manner.

A 32-year old man is brought in by ambulance after a high-speed motorvehicle accident. He was the unrestrained driver in a car traveling approximately 70 miles per hour, when his vehicle slid on ice and careened into a concrete barrier. There was extensive damage to the vehicle, and he was ejected out the windshield.

Upon arrival, he is awake and answering questions appropriate, but pale and diaphoretic. Temperature 96.1 °F (35.6 °C), heart rate 135/min, blood pressure 90/60 mm Hg, respiratory rate 28/min, oxygen saturation 98% on 2 liters face mask. Physical examination is notable for a scalp laceration without active bleeding, midline cervical spine tenderness, diffuse abdominal tenderness with guarding, and external rotation and foreshortening of the right leg.

X-rays of the chest, pelvis, and right leg are performed as well as a FAST exam. The hepatorenal view of the FAST is shown below.

hepatorenal view of FAST

What is the most appropriate management of the FAST exam finding?

Clear Answer Options

A question’s difficulty is defined by the choice of distractors. Good distractors determine the difficulty level of a question. Therefore, good distractors are one of the most important features of a high quality question.

serial abdominal examinations
serial ultrasonography
computed tomography (CT) with triple contrast

High-yield Remediation

Understanding why an answer choice is incorrect is just as important as knowing why it is correct. Med-Challenger questions contain detailed explanations for the correct and incorrect answer choices along with integrated media for those that learn best by visual stimuli.

Educational Objective:

Describe the workup and management for fluid in the Morison pouch on FAST exam.

Key Point:

When blood is present on imaging in the Morison pouch in an unstable patient after trauma, laparotomy is required.


This sonographic image demonstrates the presence of hemoperitoneum. A Morison pouch is normally only a potential space between the liver and kidney. In this patient, fluid is visible in the Morison pouch as a black (anechoic) stripe between the kidney and liver. In the setting of trauma, this represents blood. Among stable trauma patients, the finding of hemperitoneum mandates further interrogation with a CT scan. In patients with hemodynamic instability or peritonitis, however, it mandates exploratory laparotomy for control of hemorrhage and contamination.


Henderson SO, Sung J Mandavia D. Serial abdominal ultrasound in the setting of trauma. J Emerg Med. 2000;18(1):79-81.
Miller MT, Pasquale MD, Bromberg WJ, Wasser TE, Cox J. J Trauma. 2003;54(1):52-60.

Puskarich MA, Marx JA. Abdominal trauma. In: Marx JA, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 8th ed., 2014:459-478.

Table of Contents

Everything you need to know for ENP exams and current ENP practice.

Abdominal Pain
Acute Pelvic Pain in Women
Acute Vaginal Bleeding
Back Pain
Chest Pain
Depressed Consciousness and Coma
Dizziness and Vertigo
Fever in the Adult Patient
Gastrointestinal Bleeding
Headache: Initial Approach
Nausea and Vomiting
Seizures: Initial Approach
Anorectal Disorders
Colitis, Ileitis, and Functional Bowel Disorders
Esophageal Disorders and Foreign Bodies
Foodborne and Waterborne Diseases
Gallbladder and Biliary Tract Disorders
Liver: Infectious Disorders
Liver: Noninfectious Disorders
Obstruction, Ischemia, Perforation, Peritonitis
Pediatric Gastrointestinal Disorders
Stomach and Duodenal Disorders
Acute Coronary Syndromes – Diagnosis and Challenges
Cardiac Failure
Cardiac Valve Disorders
Circulation: Aortic Aneurysms
Circulation: Aortic Dissection
Circulation: Hypertension – Emergency Management
Circulation: Peripheral Vascular Emergencies
Dysrhythmia: Basic Concepts
Dysrhythmia: Conduction Disorders
Dysrhythmia: Implantable Devices
Dysrhythmia: Pharmacology
Dysrhythmia: Supraventricular
Dysrhythmia: Ventricular
Endocarditis and Myocarditis
Non-ST-Elevation Acute Coronary Syndromes – Initial Workup
Non-ST-Elevation Acute Coronary Syndromes – Medical Therapies
Non-ST-Elevation Acute Coronary Syndromes – Special Patient Groups
Non-ST-Elevation Acute Coronary Syndromes – Surgical Invasive Management
Pericarditis/Pericardial Tamponade (Non-Traumatic)
ST-Elevation Acute Coronary Syndromes – Initial Medical Care
ST-Elevation Acute Coronary Syndromes – Reperfusion Strategies
ST-Elevation Acute Coronary Syndromes – Stabilization of Complications
Cancers of the Skin
Cutaneous Infections
Dermatitis (non-infectious)
Maculopapular Lesions
Papular / Nodular Lesions
Ulcerative Lesions
Vesicular / Bullous Lesions
Eye: Assessment
Eye: Glaucoma
Eye: Inflammation and Infection
Eye: Pharmacology
Eye: Vascular Disorders
Nose: Infection and Inflammation
Oral Cavity: Medical Disorders
Otologic Infections
Otologic Signs, Symptoms, Presentations
Throat and Soft Tissue Neck: Medical Disorders
Basic Science Review: Acid-Base Regulation
Basic Science Review: Regulation of Water and Osmolarity
Clinical Context: Acid-Base Disorders
Clinical Context: Alcoholic and Lactic Acidosis
Clinical Context: Osmol and Anion Gaps
Electrolyte Disorders: Calcium, Magnesium, Phosphorus
Electrolyte Disorders: Potassium
Electrolyte Disorders: Sodium, Chloride
Endocrine Disorders: Adrenal Gland
Endocrine Disorders: Diabetic Ketoacidosis
Endocrine Disorders: Hyperosmolar Hyperglycemic State
Endocrine Disorders: Hypoglycemia
Endocrine Disorders: Thyroid Gland
Miscellaneous: Alcohol-Related Disease
Collagen Vascular/Immune Complex Disorders
Hypersensitivity Reactions
The Immunocompromised/Solid-Organ Transplant Patient
Electrical and Lightning Injuries
Heat-Related Illnesses
High Altitude Disorders
Hypothermia: Accidental
Scuba Diving and Dysbarism
Venomous Animal Injuries: Arthropods
Venomous Animal Injuries: Marine
Venomous Animal Injuries: Reptiles
Disorders of Hemostasis: Factor Deficiencies
Disorders of Hemostasis: Platelets/Fibrinogen
Red and White Blood Cell Disorders
Selected Oncologic Emergencies
Bacterial Infections: Diphtheria, Pertussis, Tetanus
Bacterial Infections: Meningococcemia, Pneumococcemia
Bacterial Infections: MRSA, VRE, ESBL
Bacterial Infections: Pediatric
Bacterial Infections: Tuberculosis
Parasitic Infections
Sepsis Syndromes
Systemic Fungal Infections
Tick-Borne Illnesses
Viral Infections: Hantavirus
Viral Infections: HIV
Viral Infections: Influenza, Mononucleosis, Herpes
Viral Infections: Pediatric
Viral Infections: Rabies
Bone and Joint Infections
Deep Soft Tissue Infections
Disorders of Muscles
Disorders of the Spine
Overuse Syndromes (incl. Tendinopathy and Bursitis)

Central Nervous System Disorders: Delirium and Dementia
Central Nervous System Disorders: Demyelinating/Inflammatory
Central Nervous System Disorders: Diseases of Movement Control
Central Nervous System Disorders: Seizures
Central Nervous System Disorders: Spinal Cord Syndromes
Central Nervous System Infections
Cerebrovascular Accidents: Epidemiology and Presentation
Cerebrovascular Accidents: Initial Work-up
Cerebrovascular Accidents: Treatment
Headache: Cervical Neck Vessels, Subarachnoid, and Venous Emergencies
Headache: Cluster, Migraine, and Tension
Headache: Less Common Etiologies
Neurological Assessment
Pediatric Nervous System Disorders
Peripheral Nervous System Disorders: Neuromuscular Junction Disease
Peripheral Nervous System Disorders: Neuropathies
Selected Cranial Nerve Disorders
Emergency Psychiatric Evaluation
Schizophrenia/Psychotic Disorders
Somatic Symptom Disorders
Violence, Abuse, Neglect: Assault (incl. sexual)
Violence, Abuse, Neglect: Elderly Citizens
Male Genital Problems: Noninfectious
Nephropathy, Contrast-Induced
Renal Failure: Acute
Renal Failure: Chronic
Renal Transplantation
Sexually Transmitted Infections: Male
Urinary Retention
Urinary Tract Infection
Urological Assessment
Acute Upper Airway Disorders (Incl. Peds.)
Disorders Of Pleura, Mediastinum, And Chest Wall
Obstructive/Restrictive Diseases: Fibrosis/Emphysema/Exposures (Incl. Peds)
Obstructive/Restrictive Diseases: Reactive Lower Airway Disorders (Incl. Peds)
Pulmonary Embolism/Hypertension/Edema
Pulmonary Infections (Incl. Peds)
Gynecologic Infections: Genital Lesions
Gynecologic Infections: Vaginal Discharge
Pregnancy: Acute Medical/Surgical Complications
Pregnancy: Acute Obstetric Complications
Pregnancy: General Approach to the Pregnant Patient
Pregnancy: Labor, Delivery and Their Complications
Pregnancy: Pre-Existing Medical Illness
Acetaminophen Toxicity
Antibiotics Toxicity and Side Effects
Anticholinergics Toxicity
Anticonvulsant Toxicity
Antidepressants Toxicity (inc. Serotonin Syndrome)
Antipsychotics Toxicity
Aspirin and NSAIDs Toxicity
Bronchodilator Toxicity
Cardiovascular Drug Toxicity
Caustic Ingestion
Cocaine and Other Sympathomimetics Toxicity
General Approach to the Poisoned Patient
Hallucinogen Toxicity
Heavy Metal Toxicity
Hydrocarbon Toxicity
Inhaled Toxins
Lithium Toxicity
Opiate Toxicity
Pesticide Toxicity (incl. Organophosphates)
Sedatives and Hypnotics Toxicity (incl. Barbiturates, Benzodiazepines)
Toxic Alcohols
Toxic Plant Ingestions (incl. Mushrooms)
Bites – Mammals (incl. Humans)
Burns: Chemical
Burns: Thermal
EENT Trauma: Eye
EENT Trauma: Nose
EENT Trauma: Oral-Dental
EENT Trauma: Otologic
Orthopedic Injuries: Ankle and Foot
Orthopedic Injuries: Cervical Spine
Orthopedic Injuries: Femur and Hip
Orthopedic Injuries: Hand
Orthopedic Injuries: Humerus and Elbow
Orthopedic Injuries: Knee and Lower Leg
Orthopedic Injuries: Shoulder
Orthopedic Injuries: Wrist and Forearm
Special Populations: Geriatric Trauma
Special Populations: Trauma in Pregnancy
Trauma: Abdominal
Trauma: Assessment and Stabilization
Trauma: Face
Trauma: Foreign Bodies
Trauma: Genitourinary
Trauma: Head
Trauma: Multiple and Blast Injuries
Trauma: Pelvic
Trauma: Peripheral Vascular Injury
Trauma: Soft Tissue Neck
Trauma: Spinal Cord
Trauma: Thoracic – Cardiovascular Injuries
Trauma: Thoracic – Chest Wall
Trauma: Thoracic – Esophageal Injuries
Trauma: Thoracic – Pulmonary Injuries
Airway: Adult
Airway: Pediatric
Breathing: Ventilatory Support (Adult/Pediatrics)
Monitoring the Emergency Patient
Resuscitation: Adult Cardiac
Resuscitation: Brain (After Cardiac Arrest)
Resuscitation: Neonatal
Resuscitation: Pediatric
Resuscitation: Shock
Resuscitation: Trauma
Procedural Sedation: Adult
Procedural Sedation: Pediatric
Closure Techniques
Wound Management: Escharotomy
Wound Management: General
Wound Management: Incision and Drainage
Wound Management: Nail Trephination
Air Medical Transport
Disaster Preparedness
Disasters/Terrorism: Biological
Disasters/Terrorism: Chemical
Disasters/Terrorism: Explosives
Disasters/Terrorism: Radiation (incl. Nuclear)
EMS: Overview and Ground Transport
End-of-Life Issues
Ethical-Legal Issues – Consent, Error Disclosure, Physician Impairment
Interpersonal/Adaptive Skills – Diversity, Crisis, Special Needs
Maintenance of Medical/Clinical Skills
Operational Logistics – Laws, Error Prevention, Improvement Process

Written and Maintained by Experts

Continually Updated
All content is continually maintained by clinical expert peer-review.


Mary Alice O’Brien, DNP, APRN, FNP-BC
Associate Professor
Georgetown University School of Nursing
Washington, DC

Built-in CE Credit Resources

Earn CE credits while you study. Knock out requirements fast.

Earn Up To
ANCC ''contact hour'' CNE Credits

Earn up to
ANCC Pharmacotherapy contact hours

CNE Accreditation

The Postgraduate Institute for Medicine is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center‘s Commission on Accreditation. This educational activity for 267 contact hour(s) is provided by the Postgraduate Institute for Medicine. Designated for 70.4 contact hours of pharmacotherapy credit for Advance Practice Registered Nurses.

Earn and Claim Credits in a snap.

  • Score 80% or better on topic-based CNE assessments
  • ANCC CNE "contact hour" earnings will appear in your CME Claims Center
  • Produce PDF CNE Certificates (claim credits) instantly
  • PDFs list all topics claimed for hassle-free submission
  • Return anytime to reprint or review historical earnings
Earn and Claim Credits Easily, Earn CME Credits, AMA PRA Category 1 CME Credits


Med-Challenger’s Emergency NP course is hands down one of the best investments I have ever made. Easy to use and I can do everything from one screen.
I passed my exam with ease.K. Hicks
Challenger is a medical education firm that truly does it all. All of their NP products are of outstanding quality and effectiveness!D. Miller

You don’t just get the best content.
You get the best tools too.

Great content does nothing on it’s own. You have to use it.
We give you the most tools to “get it done” – your way.

All Features & Benefits


Other “QBanks” stop short.
With Med-Challenger, you not only get the largest ENP QBank – you get a complete system of self-assessment, knowledge upkeep, and career MOC efficiency that serves you now and forever.

Med-Challenger's unique objective based user interface

Better than the best “QBank.”

Built for the ENP exams – and everything beyond.

We give you over 3600 ENP exam review questions with detailed explanations – more than any ENP Exam Review Question Bank.

But we also give you additional review tools, content assets, media banks, and time-saving career conveniences – like satisfying MOC requirements on-demand – useful every year.

Our ENP exam review doesn’t just get you through exams, it keeps an eye toward your future, your ongoing practice needs, and your quality of life.

In fact, you can add multiple products to your single Med-Challenger account to cover every special need your specific practice career requires.

Searchable clinical media banks

And you’ll never have to re-buy assets ever again!

Instead of wasting time and money every year, we have a better plan -
One-time purchasing and a single low cost Premium Membership super-renewal!
Purchase products at regular price ONCE. Add items at any time. (You'll never pay full price again!)
Get a FULL YEAR of use with every purchase. Then, simply RENEW your Premium Membership when the time comes.
Only $199 / year renews access to ALL of your purchased Med-Challenger assets for another full year of use.
We keep everything current and ready at all times, even adding new materials to annual MOC subscription products.
No more re-buys! No more worries. Enjoy everything you need, on-demand, every year - for less.

With Med-Challenger, you can do everything your ENP career requires, more easily, now and forever.

Package Options

Do the boards. Or just do it all.

Buy assets individually or by bundle.

Bundles include multiple assets for “entire career” coverage.
Compare the options below. Start a free trial.

Option 1

ENP Basic

Everything for ENP Exam

Med-Challenger ENP Exam Review Course + ANCC “contact hour” CNEs + Pharmacotherapy CEs
Emergency Nurse Practitioner Basic
One Time Purchase*

Asset included:

  • Emergency Nurse Practitioner Comprehensive Review
  • Adaptive Qbank with 3600+ AAENP-style questions
  • Exam simulation with guided remediation
  • 267 ANCC “contact hour” CNEs
  • 70 ANCC Pharmacotherapy Contact Hours
  • Money-back, pass guarantee

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available

Start Free Full Trial
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The Library

Everything, Ever

The Med-Challenger Library Subscription: All Courses & All New Additions
The Med-Challenger Library
One Time Purchase*

Assets included:

  • Emergency Medicine
  • Family Medicine
  • Internal Medicine
  • Pediatric Medicine
  • Pediatric Emergency
  • OB/GYN
  • Urgent Care
  • Special Purpose
  • Physician Assistant
  • Nurse Practitioner: Primary
  • Nurse Practitioner: Emergency
  • RN / NCLEX
  • EM LLSA Subscription
  • FM MC-FP KSA Subscription
  • PEDS MOC Part 2
  • Auscultation (Cardio & Pulm)
  • Dermatology
  • Ultrasound
  • ECG Interpretation
  • Radiology Interpretation
  • Risk Management & Malpractice
  • Self-Defense
  • State-required CME
  • Cardiac Center CME
  • Stroke Center CME
  • Trauma Center CME

  • AMA PRA Cat. 1 Credits™ and other CME types included
  • New Med-Challenger course assets including new titles and editions FREE as they are released.

Benefits included:

  • One year of access (Premium Membership) free with purchase
  • One-time Purchase! Purchased assets remain in your account forever – No more re-buys!
  • Renew access to ALL PURCHASED ACCOUNT ASSETS for only $199/yr
  • Content updates and annual subscription product additions FREE with active Premium Membership
  • Time-saving adaptive learning engine prioritizes missed and yet-to-be-seen content
  • Automatic prescriptive remediation guidance targets weak areas
  • Ready-made blueprint-based exams
  • Create your own custom exams!
  • Find and earn CME credits within assets quickly
  • Easy CME certificate production
  • Dashboards
  • Analytics & Reports
  • Free weekly Quick Quiz game with new content and peer leaderboards
  • Fully responsive for use on all devices
  • Free customer support

72 hour free trial available

Start Free Full Trial
Add The Library to Cart

How It Works

Your account. Your assets. Your abilities.

Med-Challenger works for both practicing clinicians, clinician educators, and quality directors by providing a singularly efficient and effective system of knowledge review, exam prep, and recurring career requirement fulfillment adaptable to any learning environment or objective.

How it Works
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    1. Create your account

    A single account to hold your assets. Get one free.

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    2. Add assets

    One-time purchase your exam review and MOC requirements.

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    3. Get it done – your way.

    The abilities – the adaptive tools, career utilities, and benefits.

And by the way….
Med-Challenger also works for ENP Group Education.

Add group education resources and education management controls to your ENP training program or clinical ENP group.