RELIAS ED RN EXAM WITH 300+ PRACTICE QUESTIONS & DETAILED RATIONALESRELIAS ED RN EXAM WITH 300+ PRACTICE QUESTIONS & DETAILED RATIONALES

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RELIAS ED RN A, Exam (Latest 2026/ 2027

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1. A 68-year-old with chest pain, diaphoresis, and BP

80/50. What ESI level?

• A) ESI 1

• B) ESI 2

• C) ESI 3

• D) ESI 4

Answer: A) ESI 1

Rationale: Unstable vitals (hypotension) with life-threatening

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symptom (chest pain, possible MI) – requires immediate life-

saving intervention.

2. A child with stridor, drooling, and tripod positioning. ESI

level?

• A) ESI 1

• B) ESI 2

• C) ESI 3

• D) ESI 5

Answer: A) ESI 1

Rationale: Stridor + drooling + tripod = impending airway

obstruction (e.g., epiglottitis). High risk for deterioration.

3. A 45-year-old with a simple finger laceration, bleeding

controlled, vitals normal. ESI level?

• A) ESI 2

• B) ESI 3

• C) ESI 4

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• D) ESI 5

Answer: D) ESI 5

Rationale: Non-urgent, no resources needed beyond

bandage.

4. ESI level 2 criteria include:

• A) Needs immediate life-saving intervention

• B) High risk situation, confused/lethargic/disoriented,

severe pain/distress

• C) Stable vitals, one resource needed

• D) Non-urgent

Answer: B

Rationale: ESI 2 = should not wait (e.g., chest pain in elderly,

severe respiratory distress, altered mental status).

5. A 30-year-old with asthma, mild wheezing, O2 sat 94%,

speaks in sentences. ESI level?

• A) ESI 1

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• B) ESI 2

• C) ESI 3

• D) ESI 4

Answer: C

Rationale: Stable vitals but needs >1 resource (nebulizer,

labs, CXR).

6. A 2-year-old with fever 102°F, playful, drinking well. ESI

level?

• A) ESI 2

• B) ESI 3

• C) ESI 4

• D) ESI 5

Answer: C

Rationale: One resource (antipyretic, possibly exam) – low

risk.