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ENA ESI 2.0 EXAM QUESTIONS &
ANSWERS
Question 1: An 82-year-old patient from a nearby senior
living facility presents with vomiting and diarrhea. Vital signs are BP 92/60 mm Hg, HR 60 beats/minute, RR 28 breaths/minute, T 35.8°C (96.6°F), and SpO2 94% without supplemental oxygen.
CORRECT ANSWER : Priority 2
Question 2: A 32-year-old presents with tooth pain. The
patient states it hurts to chew and cannot see a dentist for another week. Vitals are BP 138/82 mm Hg, HR 78 beats/minute, RR 16 breaths/minute, T 36.2°C (97.2°F), and SpO2 96% without supplemental oxygen.
CORRECT ANSWER: Priority 5
Question 3: A 28-year-old patient presents with vaginal
bleeding that started two hours ago. She states she had a positive home pregnancy test a week ago. She has not had a confirmed IUP on ultrasound yet. Her vitals are BP 106/62 mm Hg, HR 126 beats/minute, RR 16
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breaths/minute, T 36.6°C (97.8°F), and SpO2 99% without supplemental oxygen.
CORRECT ANSWER: Priority 2
Question 4: A 42-year-old assigned at birth male patient
is brought in by ambulance after a seizure witnessed by their spouse. The patient arrived alert and oriented to their baseline. There was no trauma involved during the seizure. The patient stated that they have not refilled their anti-seizure medication and the last time they took it was a few days ago. Vitals are BP 140/76 mm Hg, HR 90 beats/minute, RR 20 breaths/minute, T 36.9°C (98.5°F), and SpO2 96% without supplemental oxygen.
CORRECT ANSWER: Priority 5
Question 5: A caregiver was carrying their 5-month-old
when they tripped and fell down a 6-step stair. They stated that the baby was crying and then stopped. The baby appears limp in their arms, vitals are BP 89/58 mm Hg, HR 90 beats/minute, RR 16 breaths/minute, T 36.5°C (97.7°F), and SpO2 91% without supplemental oxygen.
CORRECT ANSWER: Priority 1
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Question 6: A 35-year-old presents with dizziness and
vomiting. They state that it started after getting out of bed in the morning and happens with every position change.Vital signs are BP 152/82 mm Hg, HR 104 beats/minute, RR 16 breaths/minute, T 36.1°C (98.1°F), and SpO2 98% without supplemental oxygen.
CORRECT ANSWER: Priority 3
Question 7: A 34-year-old patient who is two weeks
postpartum presents with shortness of breath with vitals of BP 152/96 mm Hg, HR 90 beats/minute, RR 20 breaths/minute, T 36.9°C (98.5°F), and SpO2 96% without supplemental oxygen.
CORRECT ANSWER: Priority 2
Question 8: A 52-year-old patient fell outside and
presents with right wrist pain. There is no obvious deformity; minor swelling is noted. There was no head injury. Vitals are BP 116/70 mm Hg, HR 82 beats/minute, RR 16 breaths/minute, T 36.9°C (98.0°F), and SpO2 96% without supplemental oxygen.
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CORRECT ANSWER: Priority 4
Question 9: A 79-year-old patient presents with sudden
onset of abdominal pain. Vitals are BP 106/62 mm Hg, HR 90 beats/minute, RR 22 breaths/minute, T 36.6°C (97.8°F), and SpO2 94% without supplemental oxygen.The patient rates their pain at an 8 out of 10.
CORRECT ANSWER: Priority 2
Question 10: A 14-year-old patient presents with
abdominal pain and vomiting since eating dinner. Vital signs are BP 110/66 mm Hg, HR 100 beats/minute, RR 16 breaths/minute, T 37.2°C (99.0°F), and SpO2 99% without supplemental oxygen.
CORRECT ANSWER: Priority 3
Question 11: A 22-month-old is brought in by their
caregiver who states the toddler has been pulling at their left ear for a couple days with subjective fevers at home.The patient is up to date on immunizations. Vitals are BP 100/62 mm Hg, HR 128 beats/minute, RR 34