ESI EXAM ACTUAL QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED
A+ 2026/2027
4-year-old unresponsive ESI 1: Unresponsive.
Pulled out of the family pool, Requires immediate lifesaving interventions
mouth-to-mouth for airway, breathing, and circulation
resuscitation
administered.
Breathing spontaneously,
continues to be
unresponsive. Vital signs: HR
126, RR 28, BP 80/64, SpO2
96% on NRB
34-year-old female 10 days ESI 1: Requires
postpartum. "I suddenly immediate lifesaving
started bleeding and passing intervention. Signs and
clots the size of oranges, I symptoms of a post-
,never did this with my partum hemorrhage.
other two pregnancies. Can Vital signs reflect fluid volume deficit.
I lie down before I pass The patient needs immediate
out?" intravenous access and fluid
Vital signs: RR 22, HR 132, BP resuscitation.
86/40, SpO2 98%.
19-year-old man reports "I ESI 2: High-risk situation.
was smoking a cigarette and Elevated respiratory rate and a low
had this coughing fit, and oxygen saturation.
now I feel short of breath," History and signs and symptoms are
Vital signs: RR 36, HR 102, BP suggestive of a spontaneous
128/76, SpO2 92%, T 36.6°C pneumothorax. He needs to be rapidly
(98˚F), Pain 0/10. evaluated and closely monitored.
47-year-old female right leg ESI 3: Two or more resources.
is swollen with calf pain High risk for a
Denies chest pain or deep vein
shortness of breath thrombosis. Two
Admits to a history of type 2 resources: labs and
diabetes and hypertension. an ultrasound.
,Vital signs: RR 24, HR 78, BP If this patient were short of breath or
158/82, SpO2 98%, T 36.6°C had chest pain, they would meet ESI -2
(98˚F), Pain 6/10. criteria.
A 27-year-old female low ESI 3: Two or more resources.
abdominal pain (6/10) for Require two or more resources - labs and
about 4 days. an ultrasound.
This morning, she began May be pregnant, ectopic pregnancy is a
spotting. Denies nausea, possibility, but this patient is currently
vomiting, diarrhea, or urinary hemodynamically stable, and her pain is
symptoms, last menstrual generalized across her lower abdomen.
period 7 weeks ago.
Past medical history
includes previous ectopic
pregnancy.
Vital signs: RR 14, HR 66, BP
106/68 mm T 36.6°C (98˚F)
, 17-year-old restrained driver ESI 2: High-risk situation.
high-speed motor vehicle The mechanism of injury is significant,
crash. and patient has the potential for serious
Patient is immobilized on a injuries and should be considered
backboard, complaining of high risk.
abdominal pain, multiple If he was hypotensive and tachycardic,
lacerations on left arm. he would be rated ESI 1, requiring
Vital Signs: RR 28, HR 86, BP immediate lifesaving intervention.
102/60, SpO2 96%.
20-year-old male rash in ESI level 5: No resources.
groin area. Patient will be sent home with
Using over the counter prescriptions and appropriate
spray, no known drug discharge instructions
allergies. Vital signs: RR 16,
HR 58, BP 112/70, T 36.6°C
(98˚F)
52-year-old female aching ESI 3: Two or more resources.
pain in left leg. She will require labs and noninvasive
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE GRADED
A+ 2026/2027
4-year-old unresponsive ESI 1: Unresponsive.
Pulled out of the family pool, Requires immediate lifesaving interventions
mouth-to-mouth for airway, breathing, and circulation
resuscitation
administered.
Breathing spontaneously,
continues to be
unresponsive. Vital signs: HR
126, RR 28, BP 80/64, SpO2
96% on NRB
34-year-old female 10 days ESI 1: Requires
postpartum. "I suddenly immediate lifesaving
started bleeding and passing intervention. Signs and
clots the size of oranges, I symptoms of a post-
,never did this with my partum hemorrhage.
other two pregnancies. Can Vital signs reflect fluid volume deficit.
I lie down before I pass The patient needs immediate
out?" intravenous access and fluid
Vital signs: RR 22, HR 132, BP resuscitation.
86/40, SpO2 98%.
19-year-old man reports "I ESI 2: High-risk situation.
was smoking a cigarette and Elevated respiratory rate and a low
had this coughing fit, and oxygen saturation.
now I feel short of breath," History and signs and symptoms are
Vital signs: RR 36, HR 102, BP suggestive of a spontaneous
128/76, SpO2 92%, T 36.6°C pneumothorax. He needs to be rapidly
(98˚F), Pain 0/10. evaluated and closely monitored.
47-year-old female right leg ESI 3: Two or more resources.
is swollen with calf pain High risk for a
Denies chest pain or deep vein
shortness of breath thrombosis. Two
Admits to a history of type 2 resources: labs and
diabetes and hypertension. an ultrasound.
,Vital signs: RR 24, HR 78, BP If this patient were short of breath or
158/82, SpO2 98%, T 36.6°C had chest pain, they would meet ESI -2
(98˚F), Pain 6/10. criteria.
A 27-year-old female low ESI 3: Two or more resources.
abdominal pain (6/10) for Require two or more resources - labs and
about 4 days. an ultrasound.
This morning, she began May be pregnant, ectopic pregnancy is a
spotting. Denies nausea, possibility, but this patient is currently
vomiting, diarrhea, or urinary hemodynamically stable, and her pain is
symptoms, last menstrual generalized across her lower abdomen.
period 7 weeks ago.
Past medical history
includes previous ectopic
pregnancy.
Vital signs: RR 14, HR 66, BP
106/68 mm T 36.6°C (98˚F)
, 17-year-old restrained driver ESI 2: High-risk situation.
high-speed motor vehicle The mechanism of injury is significant,
crash. and patient has the potential for serious
Patient is immobilized on a injuries and should be considered
backboard, complaining of high risk.
abdominal pain, multiple If he was hypotensive and tachycardic,
lacerations on left arm. he would be rated ESI 1, requiring
Vital Signs: RR 28, HR 86, BP immediate lifesaving intervention.
102/60, SpO2 96%.
20-year-old male rash in ESI level 5: No resources.
groin area. Patient will be sent home with
Using over the counter prescriptions and appropriate
spray, no known drug discharge instructions
allergies. Vital signs: RR 16,
HR 58, BP 112/70, T 36.6°C
(98˚F)
52-year-old female aching ESI 3: Two or more resources.
pain in left leg. She will require labs and noninvasive
