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Emergency Nurse Practitioner (ENP)

The ENP certification examination is a competency-based examination that tests clinical knowledge of emergency specialty care across the life span population of prenatal, pediatric, adolescent, adult, elderly, and frail elderly.

How many questions are on the examination?

  • There are 150 questions on each examination. A candidate's score is based solely on the 135 scored questions. Of the 150 questions, 15 are pretest questions.
  • Pretest questions are questions developed during the process of Item Writing. Pretest questions are used on the examinations to obtain statistical information for determining how well they perform prior to vetting them for use on the scored portion of the examination. The pretest questions cannot be distinguished from those that are scored. A test-taker’s score on pretest questions does not affect a candidate's final score.

ENP EXAMINATION BLUEPRINT


DOMAIN I - Domains

% of ENP exam

# of scored items
(135 items)

01 - Medical Screening

20

27

02 - Medical Decision Making/ Differential Diagnosis

27

36

03 - Patient Management

31

42

04 - Patient Disposition

14

19

05 - Professional, Legal, and Ethical Practices

8

11

TOTAL

100%

135

 

PATIENT CONDITIONS/TYPE


DOMAIN II - Patient Conditions

% of ENP exam

# of scored items
(135 items)

06 - Thoracic-Respiratory Disorders

15

20

07 - Cardiovascular Disorders

12

16

08 - Dermatologic/Soft Tissue Disorders

8

11

09 - Abdominal & Gastrointestinal Disorders

14

19

10 - Musculoskeletal Disorders (Non-traumatic)

11

15

11 - Renal/Genitourinary Disorders

8

11

12 - Nervous System Disorders

6

8

13 - Head, Ear, Eye, Nose, Throat Disorders

11

15

14 - Traumatic Disorders

8

11

15 - Psychobehavioral & Other Disorders

7

9

TOTAL

100%

135


DOMAINS AND TASKS

DOMAIN 01 - Medical Screening
Perform an appropriately focused history and physical exam based on chief complaint
Establish patient acuity level
Stabilize critically ill patient

DOMAIN 02 - Medical Decision Making/ Differential Diagnosis
Develop a narrowed list of differential diagnosis based on the greatest likelihood of occurrence
Prioritize the list of differential diagnoses, considering the potential diagnoses with the greatest potential for morbidity or mortality

DOMAIN 03 - Patient Management
Order and interpret diagnostic studies based on the pre-test probability of disease and the likelihood of test results altering management
Perform diagnostic and therapeutic procedures/ skills as indicated
Select and prescribe appropriate pharmaceutical agents using current evidence based practice
Select other integrative therapeutic interventions
Collaborate and consult with other healthcare providers to optimize patient management
Evaluate effectiveness of therapies and treatments provided during observation
Reassess to identify potential complications or worsening of condition
Consider additional diagnoses and therapies for a patient who is under observation and change treatment plan accordingly
Simultaneously manage multiple patients using situational awareness and task switching

DOMAIN 04 - Patient Disposition
Determine appropriate and timely patient disposition including admission, discharge (including follow-up plan), observation, or transfer as appropriate
Formulate a specific follow-up plan with appropriate resource utilization
Engage patient and/or surrogate to effectively implement a discharge plan

DOMAIN 05 - Professional, Legal, and Ethical Practices
Record essential elements of the patient care encounter to facilitate correct coding and billing
Integrate cultural competence into patient care
Identify needs of vulnerable populations and intervene appropriately
Manage patient presentation demonstrating knowledge of EMTALA regulations
Adhere to professional ethical standards of emergency care