ENA Exam Study Guide 2026 | Emergency Nursing Review, Practice Questions &
Test Prep
A patient has a fever and sternal chest pain that is worse when lying down. For this patient, the
emergency nurse suspects which disorder? - correct answer ✔✔Pericarditis
When assessing the heart tones of a patient with pericardial tamponade, the emergency nurse
expects to hear which sound? - correct answer ✔✔Muffled heart tones
An athlete who has been running on a hot day presents with a temperature of 104 degrees. The
patient is unable to dissipate heat to cool down. The emergency nurse suspects which
condition? - correct answer ✔✔Heat stroke
A patient has pinpoint pupils, respiratory depression, hypotension, and visual hallucinations.
The emergency nurse suspects intoxication of which substance? - correct answer ✔✔Opiates
For a patient presenting with chest pain, which finding causes the emergency nurse to suspect
unstable (preinfarction) angina? - correct answer ✔✔T-wave inversion is present
For a patient with chest pain and a history of GERD, the emergency nurse should expect to
initiate which action first? - correct answer ✔✔Obtain an electrocardiogram
For a patient with a gunshot wound to the spleen, which intervention is the first priority for the
emergency nurse? - correct answer ✔✔Establish vascular access
When assessing a patient with a urinary tract infection, which symptom alerts the emergency
nurse to suspect renal involvement? - correct answer ✔✔Fever and chills
Test Prep
A patient has a fever and sternal chest pain that is worse when lying down. For this patient, the
emergency nurse suspects which disorder? - correct answer ✔✔Pericarditis
When assessing the heart tones of a patient with pericardial tamponade, the emergency nurse
expects to hear which sound? - correct answer ✔✔Muffled heart tones
An athlete who has been running on a hot day presents with a temperature of 104 degrees. The
patient is unable to dissipate heat to cool down. The emergency nurse suspects which
condition? - correct answer ✔✔Heat stroke
A patient has pinpoint pupils, respiratory depression, hypotension, and visual hallucinations.
The emergency nurse suspects intoxication of which substance? - correct answer ✔✔Opiates
For a patient presenting with chest pain, which finding causes the emergency nurse to suspect
unstable (preinfarction) angina? - correct answer ✔✔T-wave inversion is present
For a patient with chest pain and a history of GERD, the emergency nurse should expect to
initiate which action first? - correct answer ✔✔Obtain an electrocardiogram
For a patient with a gunshot wound to the spleen, which intervention is the first priority for the
emergency nurse? - correct answer ✔✔Establish vascular access
When assessing a patient with a urinary tract infection, which symptom alerts the emergency
nurse to suspect renal involvement? - correct answer ✔✔Fever and chills
