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?

2023 ENP EXAMINATION BLUEPRINT


DOMAIN I - Domains

% of ENP exam

# of scored items
(135 items)

# of pretest items
(15 items)

01 - Medical Screening

16%

21

2

02 - Medical Decision Making/ Differential Diagnosis

24%

33

4

03 - Patient Management

36%

48

6

04 - Transitions of Care

16%

22

2

05 -Professional Practices

8%

11

1

TOTAL

100%

135

15

 

PATIENT CONDITIONS/TYPE


DOMAIN II - Patient Conditions

% of ENP exam

# of scored items
(135 items)

Thoracic-Respiratory Disorders

10%

14

Cardiovascular Disorders

11%

15

Cutaneous Disorders

6%

7

Abdominal & Gastrointestinal Disorders

13%

17

Musculoskeletal Disorders (Non-traumatic)

7%

10

Renal/Genitourinary Disorders

7%

9

Neurological Disorders

6%

8

Ear, Eye, Nose, Oral/Dental & Throat Disorders

8%

11

Traumatic Disorders

8%

11

Psychobehavioral Disorders

6%

8

Obstetrics and Gynecology

5%

7

Environmental and Toxicological Disorders

3%

4

Systemic Infections and Hematologic and Immune System Disorders

5%

7

Endocrine, Metabolic, and Nutritional Disorders

5%

7

TOTAL

100%

135


DOMAINS AND TASKS

DOMAIN 01 - Medical Screening

DOMAIN 02 - Medical Decision Making/ Differential Diagnosis

DOMAIN 03 - Patient Management

DOMAIN 04 - Transitions of Care

DOMAIN 05 - Professional Practices

ENP Knowledge Areas


ENP Procedures


Airway Techniques

  • Intubation
  • Mechanical ventilation
  • Airway adjuncts
  • Non-invasive ventilatory management
  • Surgical airway
  • Ventilatory monitoring

Resuscitation

  • Cardiopulmonary resuscitation
  • Arterial catheter insertion
  • Neonatal resuscitation
  • Central venous access
  • Pediatric resuscitation
  • Intraosseous infusion
  • Post-resuscitative care
  • Defibrillation
  • Blood, fluid, and component therapy

Anesthesia and Acute Pain Management

  • Local anesthesia
  • Procedural sedation and analgesia
  • Regional nerve block

Abdominal and Gastrointestinal Diagnostic and Therapeutic Procedures

  • Anoscopy
  • Gastrostomy tube replacement
  • Excision of thrombosed hemorrhoid
  • Paracentesis
  • Esophageal/gastric balloon tamponade (e.g., Minnesota/Blakemore/Linton tube)

Cardiovascular and Thoracic

  • Cardiac pacing
  • Pericardiocentesis
  • Cardioversion
  • Thoracentesis
  • ECG interpretation
  • Needle/Tube thoracostomy

Cutaneous

  • Escharotomy
  • Trephination, subungual
  • Incision and drainage
  • Wound closure techniques

Head, Ear, Eye, Nose, and Throat

  • Control of epistaxis
  • Tonometry
  • Drainage of peritonsillar abscess
  • Tooth stabilization
  • Laryngoscopy
  • Corneal foreign body removal
  • Lateral canthotomy
  • Drainage of hematoma (auricular, septal)
  • Slit lamp examination

Musculoskeletal

  • Arthrocentesis
  • Fracture/Dislocation reduction techniques
  • Compartment pressure measurement
  • Spine immobilization techniques
  • Fracture/Dislocation immobilization techniques
  • Fasciotomy

Nervous System

  • Lumbar puncture

Obstetrics and Gynecology

  • Pelvic examination
  • Sexual assault examination
  • Precipitous delivery (including complications)
  • Bartholin cyst incision and drainage
  • Perimortem c-section

Psychobehavioral

  • Violent patient management/Restraint
  • Psychiatric screening examination/medical stabilization

Renal and Urogenital

  • Suprapubic catheter
  • Testicular detorsion

Other Diagnostic and Therapeutic Procedures

  • Foreign body removal
  • Point of care ultrasound
  • Collection and handling of forensic material
  • Interpretation of diagnostic imaging (e.g., ultrasound, MRI, CT, radiographs)