ENA ESI 3 EXAM ACTUAL TEST
QUESTIONS WITH COMPLETE
SOLUTIONS
2. 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.
⫸ 5. 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.
⫸ 2. 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
breaths/minute, T 36.6°C (97.8°F), and SpO2 99% without
supplemental oxygen.
⫸ 5. 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.
⫸ 1. 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.
⫸ 3. 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.
⫸ 2. 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.
⫸ 4. 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.
⫸ 2. 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
QUESTIONS WITH COMPLETE
SOLUTIONS
2. 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.
⫸ 5. 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.
⫸ 2. 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
breaths/minute, T 36.6°C (97.8°F), and SpO2 99% without
supplemental oxygen.
⫸ 5. 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.
⫸ 1. 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.
⫸ 3. 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.
⫸ 2. 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.
⫸ 4. 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.
⫸ 2. 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
