ENA EMERGENCY NURSING ORIENTATION 3.0 LATEST
2026 TEST BANK| COMPLETE 450 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
Question 1
A 45-year-old man presents with sudden-onset severe headache,
vomiting, and photophobia. His Glasgow Coma Scale (GCS)
score is 14. What triage category should be assigned?
A) ESI level 1 (resuscitation)
B) ESI level 2 (high risk)
C) ESI level 3 (stable, >1 resource)
D) ESI level 4 (1 resource)
Correct Answer: B
Rationale: Sudden severe headache with vomiting and
1
,photophobia suggests subarachnoid hemorrhage or meningitis.
Altered mental status (GCS <15) requires rapid evaluation. ESI
level 2 indicates high risk for deterioration and warrants a bed
within 10–15 minutes. Does not meet ESI level 1 criteria (unstable
vital signs, unconscious, or requiring immediate life-saving
intervention).
Question 2
A 2-year-old child with stridor, drooling, and fever is brought to
the ED. What is the priority action?
A) Obtain a throat culture
B) Start an IV immediately
C) Perform an oral examination with a tongue depressor
D) Immediate respiratory assessment and prepare for
airway intervention
2
,Correct Answer: D
Rationale: Drooling + stridor + fever = epiglottitis until proven
otherwise. Manipulation (including oral exam, throat culture, or IV
starts if they cause distress) may trigger complete airway
obstruction. Priority is to keep child calm, provide humidified
oxygen, and immediately notify anesthesia and ENT for potential
controlled intubation.
Question 3
Which triage finding best predicts the need for immediate
lifesaving intervention?
A) Heart rate 110 bpm
B) Respiratory rate 24
C) Absent radial pulse with palpable carotid pulse
D) GCS 14
3
, Correct Answer: C
Rationale: Absent radial pulse with present carotid pulse
indicates systolic BP 60–90 mmHg (shock). Requires immediate IV
access, fluid resuscitation, and possible vasopressors. This finding
alone meets ESI level 1 criteria even if patient is talking.
Question 4
A 60-year-old with chest pain, pale, diaphoretic, and vomiting.
Vital signs: HR 120, BP 90/60, RR 24. Triage level?
A) ESI level 1
B) ESI level 2
C) ESI level 3
D) ESI level 4
Correct Answer: A
Rationale: High-risk chest pain (possible STEMI or massive PE)
with hypotension (BP 90/60) and tachycardia = unstable. ESI
4
2026 TEST BANK| COMPLETE 450 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (BRAND
NEW!!)
Question 1
A 45-year-old man presents with sudden-onset severe headache,
vomiting, and photophobia. His Glasgow Coma Scale (GCS)
score is 14. What triage category should be assigned?
A) ESI level 1 (resuscitation)
B) ESI level 2 (high risk)
C) ESI level 3 (stable, >1 resource)
D) ESI level 4 (1 resource)
Correct Answer: B
Rationale: Sudden severe headache with vomiting and
1
,photophobia suggests subarachnoid hemorrhage or meningitis.
Altered mental status (GCS <15) requires rapid evaluation. ESI
level 2 indicates high risk for deterioration and warrants a bed
within 10–15 minutes. Does not meet ESI level 1 criteria (unstable
vital signs, unconscious, or requiring immediate life-saving
intervention).
Question 2
A 2-year-old child with stridor, drooling, and fever is brought to
the ED. What is the priority action?
A) Obtain a throat culture
B) Start an IV immediately
C) Perform an oral examination with a tongue depressor
D) Immediate respiratory assessment and prepare for
airway intervention
2
,Correct Answer: D
Rationale: Drooling + stridor + fever = epiglottitis until proven
otherwise. Manipulation (including oral exam, throat culture, or IV
starts if they cause distress) may trigger complete airway
obstruction. Priority is to keep child calm, provide humidified
oxygen, and immediately notify anesthesia and ENT for potential
controlled intubation.
Question 3
Which triage finding best predicts the need for immediate
lifesaving intervention?
A) Heart rate 110 bpm
B) Respiratory rate 24
C) Absent radial pulse with palpable carotid pulse
D) GCS 14
3
, Correct Answer: C
Rationale: Absent radial pulse with present carotid pulse
indicates systolic BP 60–90 mmHg (shock). Requires immediate IV
access, fluid resuscitation, and possible vasopressors. This finding
alone meets ESI level 1 criteria even if patient is talking.
Question 4
A 60-year-old with chest pain, pale, diaphoretic, and vomiting.
Vital signs: HR 120, BP 90/60, RR 24. Triage level?
A) ESI level 1
B) ESI level 2
C) ESI level 3
D) ESI level 4
Correct Answer: A
Rationale: High-risk chest pain (possible STEMI or massive PE)
with hypotension (BP 90/60) and tachycardia = unstable. ESI
4
