ESI LEVELS COMPETENCY SET EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED
A+ 2026/2027
"I think I picked up a bug ESI level 3: Two or more resources. From
overseas," reports a 34-year- the patient's history, he will require labs
old male who presented in and IV fluid replacement—two
the emergency resources.
department
complaining of frequent
watery stools and abdominal
cramping. "I think I am
getting dehydrated." T 98°F,
RR 22, HR 112, BP 120/80,
SpO2 100%. Pain 6/10.
When asked why she came to ESI level 3: Two or more resources. It
the emergency looks as though this patient has a
department, the 18-year-old displaced fracture and will need a
,college student begins to closed reduction prior to casting or
cry. She tells the triage splinting. At a
nurse that she was minimum, he needs x-rays and an
sexually orthopedic consult. This patient may also
assaulted last night at an off- require procedural sedation. However,
campus party. there are already two or more
resources, so it is
not necessary to be overly concerned
about counting resources beyond two.
"I don't know what's wrong ESI level 1: Requires immediate lifesaving
with my baby girl," cries a intervention; possible aggressive fluid
young mother. She reports resuscitation.
that her 2-week-old baby is
not acting right and is
not interested in eating.
As you begin to undress
the baby, you notice that
she is listless and her skin
is mottled.
,"My pain medications are ESI level 2: Severe pain or distress. This
not working anymore. Last patient needs aggressive pain
night I couldn't sleep management with IV medications. There is
because the pain was so nothing the triage nurse can do to
bad," reports a 47-year- decrease the patient's pain level. The
old female with metastatic answer to "Would you give your last
ovarian cancer. "My open bed to this patient?" should be
husband called my yes.
oncologist, and he told me
to come to the emergency
department." The patient
rates her pain as 9/10. Vital
signs are within normal
limits.
, A 48-year-old male tells ESI level 3: Two or more resources. The
you that he has a history patient is presenting with signs and
of kidney stones and thinks symptoms of another kidney stone. At a
he has another one. He has minimum, he will need a urinalysis and CT
right costovertebral angle scan. If his pain increases, he may need
pain that radiates around IV pain medication. At a minimum, two
to the resources are required. If the pain level
front and into his groin. He was 7/10 or greater and the triage
is nauseous but tells you he nurse could not manage the pain at
took a pain pill, and right triage, the patient could meet level-
now he has minimal pain. 2 criteria.
He denies vomiting. T 98°F,
RR 16, HR 80, BP 136/74,
SpO2 100%. Pain 3/10.
"After my pediatrician saw ESI level 2: High risk. Rashes are
my son's rash, he said I had difficult to triage, but the presence of
to bring him to the petechiae is always a high-risk
emergency department situation. Even if the patient looks
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED
A+ 2026/2027
"I think I picked up a bug ESI level 3: Two or more resources. From
overseas," reports a 34-year- the patient's history, he will require labs
old male who presented in and IV fluid replacement—two
the emergency resources.
department
complaining of frequent
watery stools and abdominal
cramping. "I think I am
getting dehydrated." T 98°F,
RR 22, HR 112, BP 120/80,
SpO2 100%. Pain 6/10.
When asked why she came to ESI level 3: Two or more resources. It
the emergency looks as though this patient has a
department, the 18-year-old displaced fracture and will need a
,college student begins to closed reduction prior to casting or
cry. She tells the triage splinting. At a
nurse that she was minimum, he needs x-rays and an
sexually orthopedic consult. This patient may also
assaulted last night at an off- require procedural sedation. However,
campus party. there are already two or more
resources, so it is
not necessary to be overly concerned
about counting resources beyond two.
"I don't know what's wrong ESI level 1: Requires immediate lifesaving
with my baby girl," cries a intervention; possible aggressive fluid
young mother. She reports resuscitation.
that her 2-week-old baby is
not acting right and is
not interested in eating.
As you begin to undress
the baby, you notice that
she is listless and her skin
is mottled.
,"My pain medications are ESI level 2: Severe pain or distress. This
not working anymore. Last patient needs aggressive pain
night I couldn't sleep management with IV medications. There is
because the pain was so nothing the triage nurse can do to
bad," reports a 47-year- decrease the patient's pain level. The
old female with metastatic answer to "Would you give your last
ovarian cancer. "My open bed to this patient?" should be
husband called my yes.
oncologist, and he told me
to come to the emergency
department." The patient
rates her pain as 9/10. Vital
signs are within normal
limits.
, A 48-year-old male tells ESI level 3: Two or more resources. The
you that he has a history patient is presenting with signs and
of kidney stones and thinks symptoms of another kidney stone. At a
he has another one. He has minimum, he will need a urinalysis and CT
right costovertebral angle scan. If his pain increases, he may need
pain that radiates around IV pain medication. At a minimum, two
to the resources are required. If the pain level
front and into his groin. He was 7/10 or greater and the triage
is nauseous but tells you he nurse could not manage the pain at
took a pain pill, and right triage, the patient could meet level-
now he has minimal pain. 2 criteria.
He denies vomiting. T 98°F,
RR 16, HR 80, BP 136/74,
SpO2 100%. Pain 3/10.
"After my pediatrician saw ESI level 2: High risk. Rashes are
my son's rash, he said I had difficult to triage, but the presence of
to bring him to the petechiae is always a high-risk
emergency department situation. Even if the patient looks
