Emergency Nurse Practitioner (ENP)

The ENP certification examination is a competency-based examination for certified Family Nurse Practitioners with specialty education and practice in emergency care.

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 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.

2023 ENP EXAMINATION BLUEPRINT

PATIENT CONDITIONS/TYPE

DOMAINS AND TASKS

• Perform a focused history and physical exam based on chief complaint
• Establish patient acuity level to determine need for rapid intervention

DOMAIN 02 - Medical Decision Making/ Differential Diagnosis

• Identify differential diagnoses based on the greatest likelihood of occurrence
• Prioritize differential diagnoses, considering risk of morbidity or mortality
• Evaluate diagnostic studies based on the differential diagnoses

DOMAIN 03 - Patient Management

• Rapidly intervene to resuscitate/stabilize patient
• Prescribe appropriate pharmacologic agents
• Initiate non-pharmacologic therapeutic interventions
• Perform diagnostic and therapeutic procedures/skills
• Consult with other healthcare providers to optimize patient management
• Re-evaluate for changes in patient condition
• Prioritize and manage multiple patients of varying acuity simultaneously

DOMAIN 04 - Transitions of Care

• Determine appropriate and timely patient disposition including admission, discharge, observation, or transfer as appropriate
• Formulate a specific disposition plan with appropriate resource utilization
• Engage patient and/or caregiver to effectively coordinate transitions of care

DOMAIN 05 - Professional Practices

• Integrate diverse, equitable, and inclusive practices into patient management
• Manage unique needs of vulnerable populations
• Demonstrate knowledge of EMTALA regulations
• Adhere to professional, ethical, quality, safety, and regulatory/legal standards in emergency care

ENP Knowledge Areas