CEN Prep vs ECG Rhythms
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
CEN Prep
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This exam preparation resource supports emergency nurses pursuing the Certified Emergency Nurse (CEN) credential. Built around the recognized CEN content outline, it delivers a comprehensive review of emergency clinical practice, patient management strategies, and high-acuity decision-making. The learning content reflects current emergency care standards, covering trauma, cardiovascular emergencies, respiratory crises, shock, neurological issues, medical emergencies, toxicology, environmental conditions, and disaster management. The full program is included without subscriptions or in-app purchases. The latest update includes expanded clinical scenarios, refined domain-specific question banks, clearer rationales, and improved alignment with current emergency nursing expectations. Core Features: • Evidence-Based Emergency Nursing Curriculum Content structured according to CEN exam domains and accepted emergency care practice standards. • Passing Guarantee A systematic preparation method designed to support first-attempt success. • Full-Length CEN Practice Exams Exam-style questions that mirror the format, complexity, and clinical reasoning required on test day. • High-Acuity Scenario Training Realistic cases involving multi-system trauma, stroke, chest pain, sepsis, respiratory distress, shock states, and rapid triage. • Systems-Based Review Modules Focused content covering cardiovascular, respiratory, neurological, gastrointestinal, genitourinary, toxicology, environmental, psychiatric, and obstetric emergencies. • Procedures and Protocols Coverage Key topics include airway management, medication interventions, fluid resuscitation, trauma protocols, and stabilization techniques. • Detailed Explanations for Every Question Clear rationales enhance understanding and reinforce clinically relevant concepts. • Performance Analytics Track progress by domain and identify areas needing additional review. No In-App Purchases: All exams, modules, and scenarios are fully included with the initial download. Ideal For: • Emergency nurses preparing for CEN certification • ED nurses seeking clinical reinforcement • Critical care and urgent care nurses expanding emergency knowledge • Nursing students entering emergency specialties • Professionals renewing CEN credentials Why This Resource: This preparation tool delivers a focused and realistic approach to CEN review by emphasizing high-acuity clinical thinking, rapid assessment, and evidence-based emergency interventions—key elements of both the actual exam and real-world emergency practice.
ECG Rhythms
This app generates unique ECG strips for practice, preventing memorization and promoting true understanding of cardiac rhythms. It offers adjustable difficulty, detailed explanations, and progress tracking for educational purposes. Designed for medical students and professionals to hone their diagnostic skills.
- Dynamically generated ECG strips
- 31 distinct cardiac rhythms
- Adjustable signal quality (clean, realistic, noisy)
- Open response and multiple-choice answers
- Detailed rhythm criteria and measurements
- Monitor mode for real-time recognition
- Progress tracking for weak areas
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Most ECG apps ship a fixed library of tracings. Work through it twice and you stop reading the strip: you start recognising the picture. Then the real thing looks nothing like the picture. This app generates every strip from scratch. Pick atrial fibrillation and you get a different atrial fibrillation every time, with its own rate, its own irregularity, its own baseline. You cannot memorise your way through it, which is the point. WHAT YOU GET Thirty-one rhythms, drawn on a real 25 mm/s, 10 mm/mV grid with a calibration pulse. Sinus rhythms including arrhythmia and pause. Atrial fibrillation and flutter. Supraventricular and junctional rhythms. All four AV blocks. PACs and PVCs, the R-on-T phenomenon, ventricular tachycardia, torsades de pointes, idioventricular and agonal rhythms, ventricular fibrillation and asystole. Paced rhythms, atrial, ventricular and dual-chamber, plus failure to capture and failure to sense. CHOOSE HOW HARD IT IS Answer from a list while you are learning, then switch to open response and name the rhythm yourself with nothing to pick from. Shorthand works, so afib, vtach and Wenckebach all find it. Set the signal quality. Clean is the textbook tracing. Realistic adds the wander and muscle noise of a cooperative patient. Noisy is the strip nobody trains on and everybody eventually gets. SEE WHY, NOT JUST WHETHER Every answer comes with the criteria that define the rhythm, the measured rate, PR, QRS and QT off that exact tracing, and an explanation of why it is not the rhythm you confused it with. MONITOR MODE Recognising a rhythm as it sweeps across a monitor is a different skill from reading a still strip, and it is the one you need at the bedside. Almost nothing else trains it. TRACK WHAT IS STILL SHAKY The rhythms you miss come back more often. The progress page tells you which ones you have down, which ones keep catching you out, and which pairs you are mixing up. ONE PRICE Everything is included. No subscription, no ads, nothing locked behind a second purchase. Works completely offline. For education and exam preparation. Not a medical device and not for clinical diagnosis or patient care.
Screenshots
Verdict
The clearest difference is price: ECG Rhythms at Free against CEN Prep's $19.99. CEN Prep's advantage is iOS requirement (14.0 vs 17.0). On ads, in-app purchases and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
ECG Rhythms is free to download; CEN Prep costs $19.99 up front. Neither carries in-app purchases, so what you see is what you pay.
| Parameter | CEN Prep | ECG Rhythms |
|---|---|---|
| Price | $19.99 | Free — better |
| Rating | — | 3.5 (2 ratings) — better |
| Number of ratings | — | 2 — better |
| Update frequency | — | Daily |
| Ads | No | No |
| In-app purchases | No | No |
| Monetization | — | Free |
| Devices | iPhone, iPad, iPod — better | iPhone, iPad |
| Requires iOS | 14.0 — better | 17.0 |
| Further details — not scored | ||
| Size | 82 MB | 1 MB |
| Age rating | 12+ | 12+ |
| Developer | Medical Relevant Inc | FLETCHER REECE STOBAUGH |
In-app purchases
CEN Prep
No in-app purchases
ECG Rhythms
No in-app purchases







