# Sedation Certification Sim vs CEN Test Prep | 2026

The clearest difference is review sentiment: CEN Test Prep | 2026 at 50% against Sedation Certification Sim's 0%. CEN Test Prep | 2026 also leads on rating (4.8 vs 1.7) and ratings volume (47 vs 6). Sedation Certification Sim's advantage is monetization model (free vs free with in-app purchases) and update cadence (monthly vs every 3 months). On price, ads, in-app purchases and device support there is nothing between them.

Both are free to download. Sedation Certification Sim sells 1 one-off in-app purchase and CEN Test Prep | 2026 sells 12 in-app purchases, starting at $9.99 per 7 days. Whichever you choose, the download price is not the number that matters.

CEN Test Prep | 2026 holds the better App Store score, 4.8 against 1.7. That said, the two scores are not equally well evidenced: CEN Test Prep | 2026 has 47 ratings behind it against 6, so its average is the more settled of the two. Written reviews point the same way: 0% of Sedation Certification Sim's written reviews are positive against 50% of CEN Test Prep | 2026's.

Sedation Certification Sim ships an update monthly, CEN Test Prep | 2026 every 3 months. The most recent releases landed on October 4, 2026 and October 11, 2026 respectively.

## The numbers

| Metric | Sedation Certification Sim | CEN Test Prep | 2026 |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [1.7 (6 ratings)](https://appshunter.io/ios/app/sedation-certification-sim/id1576282279/reviews) | **[4.8 (47 ratings)](https://appshunter.io/ios/app/cen-test-prep-2026/id6455258338/reviews)** |
| Number of ratings | 6 | **47** |
| Positive reviews | 0.0% of reviews | **50.0% of reviews** |
| In-app purchases | Yes | Yes |
| Ads | No | No |
| Update frequency | **Monthly** | Every 3 months |
| Monetization | **Free** | Free with in-app purchases |
| Size | 293 MB | 57 MB |
| Requires iOS | **15.0** | 15.1 |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | 17+ | 12+ |
| Developer | [Michael Eslinger](https://appshunter.io/developer/796344290) | [Exam Prep OU](https://appshunter.io/developer/1689642184) |

## What reviewers say

### Sedation Certification Sim

[App page](https://appshunter.io/ios/app/sedation-certification-sim/id1576282279)

This app offers a competency-based, self-paced online course and simulator for nurses and other non-anesthesia providers seeking sedation certification. It covers patient assessment, sedation, airway management, and emergency protocols to ensure patient safety standards are met.

**Highlights:** Sedation Competency Simulator, Sedation Certification Course, Self-paced learning, Competency-based modules, Earn CE Credits, Meets accreditation standards

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| Sedation Certification Course | $299.99 | one-time |


### CEN Test Prep | 2026

[App page](https://appshunter.io/ios/app/cen-test-prep-2026/id6455258338)

Prepare for your Certified Emergency Nurse exam with extensive practice questions, detailed performance tracking, and comprehensive study materials. Simulate the exam experience with timed quizzes and mock exams to build confidence and optimize your study plan.

**Highlights:** Extensive question bank, Multiple quiz modes, Performance tracking, Study materials with explanations, Timed quizzes and mock exams, User-friendly interface

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (12)**

| Purchase | Price | Billing |
| --- | --- | --- |
| CEN Weekly Full Access | $9.99 | per 7 days |
| CEN Weekly Full Access | $12.99 | per 7 days |
| CEN Monthly Full Access | $29.99 | per month |
| CEN Monthly Free Trial 3 days | $29.99 | per month |
| CEN Monthly Full Access | $34.99 | per month |
| CEN Monthly Full Access | $34.99 | per month |
| CEN Quarterly Full Access | $55.99 | per 3 months |
| CEN Quarterly Full Access | $59.99 | per 3 months |
| CEN Semiannual Full Access | $75.99 | per 6 months |
| CEN Semiannual Full Access | $79.99 | per 6 months |
| CEN Annual Full Access | $109.99 | per year |
| CEN Annual Full Access | $119.99 | per year |


## Frequently asked questions

### Is Sedation Certification Sim free?

Sedation Certification Sim is free to download, with in-app purchases available.

### Is CEN Test Prep | 2026 free?

CEN Test Prep | 2026 is free to download, with in-app purchases available.

### Which has better reviews, Sedation Certification Sim or CEN Test Prep | 2026?

CEN Test Prep | 2026 is rated higher. Sedation Certification Sim averages 1.7 out of 5 from 6 ratings, while CEN Test Prep | 2026 averages 4.8 from 47 ratings.

### Do Sedation Certification Sim or CEN Test Prep | 2026 have ads?

Neither Sedation Certification Sim nor CEN Test Prep | 2026 shows ads.

### Which is updated more often, Sedation Certification Sim or CEN Test Prep | 2026?

Sedation Certification Sim ships an update monthly, and CEN Test Prep | 2026 every 3 months. Most recently, Sedation Certification Sim was updated on October 4, 2026 and CEN Test Prep | 2026 on October 11, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*