Sharp ESO 2025 Exam COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
Nurse initiating ESO will document - ✔✔1. Life threatening condition
2. Precipitating factors
3. Specific ESO implemented
4. Patient response
5. When and which physician was notified
ESO are initiated: - ✔✔For life-threatening patient conditions in the absence of the
physician or specific orders
Adequate CPR - ✔✔1. Push hard
2. Full chest recoil
3. Minimize interruptions
4. 100-120 compressions/min
5. 15 L O2 by bag mask (10 breaths per min)
6. 30:2
ETCO2 monitoring - ✔✔Use to assess quality of CPR and evaluate return of rosc
How many breaths with advanced airway? - ✔✔1 breath every 6 seconds
Targeted temperature management - ✔✔Should be used on all patients not following
commands or purposeful movement within 120 mins after ROSC
What is a rapid bolus? - ✔✔Fluids administered in 5-15 mins
Non invasive cardiac monitoring - ✔✔Device that uses bioreactane to determine cardiac
output and is implemented where available by RRT or ICU RN to determine fluid
responsiveness and guide fluid resuscitation
,Passive leg raise - ✔✔Position patient flat on their back, and their legs are elevated to 45
degrees.
These interventions are instituted for all emergency situations outlined in the ESO
Standardized Procedure: - ✔✔1.
Obtain intravenous (IV)/intraosseous (IO) access
2. Begin IV infusion of normal saline (NS) at keep vein open (KVO). If IV access is unavailable:
Lidocaine, Epinephrine, Atropine, and Naloxone (Narcan) may be administered via
endotracheal route at doses of 2-2 1/2 times the IV dose.
3. If IV access is unavailable, Naloxone (Narcan) may be administered IM at the same dose
as IV administration
4. Flush the IV line with 20mL of NS after each IV medication given and elevate the
extremity if applicable.
5. In applicable situations, obtain oxygen (O2) saturation
6.Monitor and document ETCO2 for code blue events.
7. Titrate oxygen to patients' response.
Signs (objective): - ✔✔Tachypnea, apnea, respiratory depression, tachycardia, bradycardia,
arrhythmias, hypotension, decreased O2 saturation, dyspnea, change in level of
consciousness, increased intracranial pressure (ICP), status epilepticus
Symptoms (subjective) - ✔✔Dizziness, lightheadedness, chest pain, shortness of breath
(SOB), chest pain, weakness, cold, diaphoresis, heart palpitations, anxiousness
What is the initial treatment for asystole? - ✔✔Initiate CPR immediately
, What is the recommended oxygen flow rate for a patient in asystole? - ✔✔O2 at
15L/minute ambu bag (10 breaths/minute)
What medication is administered in asystole and how often? - ✔✔Epinephrine 1mg IVP/IO
(0.1 mg/mL), repeat every 3-5 min
How frequently should pulse checks be performed during CPR for asystole? - ✔✔Every 2
minutes
What should be verified before initiating treatment for asystole? - ✔✔Verify with pulse
check and ensure that all leads are connected
Bradycardia - Initial Treatment - ✔✔1. O2 at minimum 10 L/minute (NRBM)
Bradycardia - Atropine Administration - ✔✔1. Atropine 1mg IVP/IO, repeat every 3-5
minutes up to a maximum of 3 mg
Bradycardia - Dopamine Administration - ✔✔1. Start Dopamine 400mg/250 mL D5W at 5
mcg/kg/minute if above algorithm is ineffective. ICU or RRT RN to titrate until patient is
asymptomatic.
Bradycardia - Epinephrine Administration - ✔✔1. Start Epinephrine 2mg/250 mL NS at
2mcg/minute if above algorithm is ineffective. Titrate to patient response up to 10
mcg/minute. (RRT or ICU RN Only)
What are common causes of Pulseless Electrical Activity (PEA)? - ✔✔Hypovolemia and
hypoxia
What is the recommended initial intervention for PEA? - ✔✔CPR
ANSWERS 2025(GRADED A+) DETAILED ANSWERS!!
Nurse initiating ESO will document - ✔✔1. Life threatening condition
2. Precipitating factors
3. Specific ESO implemented
4. Patient response
5. When and which physician was notified
ESO are initiated: - ✔✔For life-threatening patient conditions in the absence of the
physician or specific orders
Adequate CPR - ✔✔1. Push hard
2. Full chest recoil
3. Minimize interruptions
4. 100-120 compressions/min
5. 15 L O2 by bag mask (10 breaths per min)
6. 30:2
ETCO2 monitoring - ✔✔Use to assess quality of CPR and evaluate return of rosc
How many breaths with advanced airway? - ✔✔1 breath every 6 seconds
Targeted temperature management - ✔✔Should be used on all patients not following
commands or purposeful movement within 120 mins after ROSC
What is a rapid bolus? - ✔✔Fluids administered in 5-15 mins
Non invasive cardiac monitoring - ✔✔Device that uses bioreactane to determine cardiac
output and is implemented where available by RRT or ICU RN to determine fluid
responsiveness and guide fluid resuscitation
,Passive leg raise - ✔✔Position patient flat on their back, and their legs are elevated to 45
degrees.
These interventions are instituted for all emergency situations outlined in the ESO
Standardized Procedure: - ✔✔1.
Obtain intravenous (IV)/intraosseous (IO) access
2. Begin IV infusion of normal saline (NS) at keep vein open (KVO). If IV access is unavailable:
Lidocaine, Epinephrine, Atropine, and Naloxone (Narcan) may be administered via
endotracheal route at doses of 2-2 1/2 times the IV dose.
3. If IV access is unavailable, Naloxone (Narcan) may be administered IM at the same dose
as IV administration
4. Flush the IV line with 20mL of NS after each IV medication given and elevate the
extremity if applicable.
5. In applicable situations, obtain oxygen (O2) saturation
6.Monitor and document ETCO2 for code blue events.
7. Titrate oxygen to patients' response.
Signs (objective): - ✔✔Tachypnea, apnea, respiratory depression, tachycardia, bradycardia,
arrhythmias, hypotension, decreased O2 saturation, dyspnea, change in level of
consciousness, increased intracranial pressure (ICP), status epilepticus
Symptoms (subjective) - ✔✔Dizziness, lightheadedness, chest pain, shortness of breath
(SOB), chest pain, weakness, cold, diaphoresis, heart palpitations, anxiousness
What is the initial treatment for asystole? - ✔✔Initiate CPR immediately
, What is the recommended oxygen flow rate for a patient in asystole? - ✔✔O2 at
15L/minute ambu bag (10 breaths/minute)
What medication is administered in asystole and how often? - ✔✔Epinephrine 1mg IVP/IO
(0.1 mg/mL), repeat every 3-5 min
How frequently should pulse checks be performed during CPR for asystole? - ✔✔Every 2
minutes
What should be verified before initiating treatment for asystole? - ✔✔Verify with pulse
check and ensure that all leads are connected
Bradycardia - Initial Treatment - ✔✔1. O2 at minimum 10 L/minute (NRBM)
Bradycardia - Atropine Administration - ✔✔1. Atropine 1mg IVP/IO, repeat every 3-5
minutes up to a maximum of 3 mg
Bradycardia - Dopamine Administration - ✔✔1. Start Dopamine 400mg/250 mL D5W at 5
mcg/kg/minute if above algorithm is ineffective. ICU or RRT RN to titrate until patient is
asymptomatic.
Bradycardia - Epinephrine Administration - ✔✔1. Start Epinephrine 2mg/250 mL NS at
2mcg/minute if above algorithm is ineffective. Titrate to patient response up to 10
mcg/minute. (RRT or ICU RN Only)
What are common causes of Pulseless Electrical Activity (PEA)? - ✔✔Hypovolemia and
hypoxia
What is the recommended initial intervention for PEA? - ✔✔CPR
