ESI PRACTICE CASES EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A+ 2026/2027
"I was taking my contacts out ESI level 5: No resources.
last night, and I think I
scratched my cornea," This patient will need an eye exam and
reports a 27-year-old female. will be discharged to home with
"I'm wearing these prescriptions and an appointment to
sunglasses because the light follow up with an ophthalmologist.
really bothers my eyes." Her
right eye is red and tearing.
She rates her pain as 6/10.
Vital signs are within normal
limits.
EMS presents to the ED with ESI level 1: Requires immediate lifesaving
,an 18-year-old female with a intervention.
suspected medication
overdose. Her college The patient's respiratory rate, oxygen
roommates found her saturation, and inability to protect her
lethargic and "not acting own airway indicate the need for
right," so they called 911. The immediate endotracheal intubation.
patient has a history of
depression. On exam, you
notice multiple superficial
lacerations to both wrists.
Her respiratory rate is 10,
and her SpO2 on room air
is 86
percent.
EMS arrived with an ESI level 1: Requires immediate lifesaving
unresponsive 19-year-old intervention.
male with a single self-
inflicted gunshot wound The patient is unresponsive and will
to the head. Prior to require immediate lifesaving
,intubation, his Glasgow Coma interventions to maintain airway,
Scale score was 3. breathing, circulation, and neuro status;
specifically, the patient will require
immediate confirmation of
endotracheal tube placement.
"I ran out of my blood ESI level 5: No resources.
pressure medicine, and my
doctor is on vacation. Can The patient needs a prescription refill
someone here write me a and has no other medical complaints.
prescription?" requests a 56- His blood pressure is controlled with
year-old male with a history his current medication. If at triage
of HTN. Vital signs: BP his blood
128/84, HR 76, RR 16, T pressure was 188/124 and he
97°F. complained of a headache, then he
would meet the criteria for a high-risk
situation and be assigned to ESI level 2.
If this patient's BP was elevated and the
patient had no complaints, he or she
would remain an ESI level 5. The blood
, pressure would be repeated and
would most likely not be
treated in the ED or treated with PO
medications.
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A+ 2026/2027
"I was taking my contacts out ESI level 5: No resources.
last night, and I think I
scratched my cornea," This patient will need an eye exam and
reports a 27-year-old female. will be discharged to home with
"I'm wearing these prescriptions and an appointment to
sunglasses because the light follow up with an ophthalmologist.
really bothers my eyes." Her
right eye is red and tearing.
She rates her pain as 6/10.
Vital signs are within normal
limits.
EMS presents to the ED with ESI level 1: Requires immediate lifesaving
,an 18-year-old female with a intervention.
suspected medication
overdose. Her college The patient's respiratory rate, oxygen
roommates found her saturation, and inability to protect her
lethargic and "not acting own airway indicate the need for
right," so they called 911. The immediate endotracheal intubation.
patient has a history of
depression. On exam, you
notice multiple superficial
lacerations to both wrists.
Her respiratory rate is 10,
and her SpO2 on room air
is 86
percent.
EMS arrived with an ESI level 1: Requires immediate lifesaving
unresponsive 19-year-old intervention.
male with a single self-
inflicted gunshot wound The patient is unresponsive and will
to the head. Prior to require immediate lifesaving
,intubation, his Glasgow Coma interventions to maintain airway,
Scale score was 3. breathing, circulation, and neuro status;
specifically, the patient will require
immediate confirmation of
endotracheal tube placement.
"I ran out of my blood ESI level 5: No resources.
pressure medicine, and my
doctor is on vacation. Can The patient needs a prescription refill
someone here write me a and has no other medical complaints.
prescription?" requests a 56- His blood pressure is controlled with
year-old male with a history his current medication. If at triage
of HTN. Vital signs: BP his blood
128/84, HR 76, RR 16, T pressure was 188/124 and he
97°F. complained of a headache, then he
would meet the criteria for a high-risk
situation and be assigned to ESI level 2.
If this patient's BP was elevated and the
patient had no complaints, he or she
would remain an ESI level 5. The blood
, pressure would be repeated and
would most likely not be
treated in the ED or treated with PO
medications.
