Sharp ESO Exam Questions And Correct
Answers (Verified Answers) Plus Rationales
2027 Q&A | Instant Download Pdf
SECTION A: ESO FUNDAMENTALS AND DOCUMENTATION
1. What are ESOs (Emergency Standing Orders)?
a. Orders written by a physician for routine patient care
b. Established medical orders to be administered in the absence of a physician
c. Orders that require physician approval before each use
d. Standing orders for non-emergency situations only
Answer: b. Established medical orders to be administered in the absence of a
physician
Rationale: ESOs are established medical orders that can be initiated by competent
nurses for life-threatening patient conditions when a physician is not immediately
available .
2. A nurse initiating an ESO must document which of the following? (Select all
that apply)
a. Life-threatening condition
b. Precipitating factors
c. Specific ESO implemented
d. Patient response
e. When and which physician was notified
Answer: All of the above (a, b, c, d, e)
,Rationale: When ESOs are initiated, the nurse must document: the life-threatening
condition, precipitating factors, specific ESO implemented, patient response, and
when/which physician was notified .
3. When are ESOs initiated?
a. For routine medication administration
b. For life-threatening patient conditions in the absence of the physician or
specific orders
c. Only during code blue events
d. For all patients admitted to the ICU
Answer: b. For life-threatening patient conditions in the absence of the
physician or specific orders
Rationale: ESOs are specifically designed for life-threatening patient conditions
when a physician is not present or specific orders are not available .
4. What does an ESO-competent nurse demonstrate knowledge of?
a. Basic medication administration
b. Identification and treatment of life-threatening conditions
c. Wound care protocols
d. Patient discharge planning
Answer: b. Identification and treatment of life-threatening conditions
Rationale: An ESO-competent nurse is competent in the knowledge of
identification and treatment of life-threatening conditions .
5. What does RRT bring to the bedside?
a. Routine medications
b. Critical care expertise and resources
,c. Discharge instructions
d. Patient meals
Answer: b. Critical care expertise and resources
Rationale: RRT (Rapid Response Team) brings critical care expertise and resources
to the bedside for patients who are deteriorating .
6. How should an IV line be flushed after each IV medication is given?
a. With 5 mL of NS
b. With 10 mL of NS
c. With 20 mL of NS
d. With 50 mL of NS
Answer: c. With 20 mL of NS
Rationale: The IV line should be flushed with 20 mL of NS after each IV medication
is given and the extremity should be elevated if applicable .
7. If IV access is unavailable, which medications may be administered via
endotracheal tube?
a. Only epinephrine
b. Lidocaine, Epinephrine, Atropine, and Naloxone
c. Only Narcan
d. All medications can be given via ET tube
Answer: b. Lidocaine, Epinephrine, Atropine, and Naloxone
Rationale: Lidocaine, Epinephrine, Atropine, and Naloxone may be administered
via endotracheal tube at doses of 2-2 1/2 times the IV dose. Dilute the meds in 10
mL of NS and inject directly into the ET tube .
8. What is the dose for ET administration of medications compared to IV dose?
, a. Same dose as IV
b. 1-1.5 times the IV dose
c. 2-2.5 times the IV dose
d. Half the IV dose
Answer: c. 2-2.5 times the IV dose
Rationale: Medications given via endotracheal tube should be administered at
doses of 2-2 1/2 times the IV dose .
9. If IV access is unavailable, how may Naloxone (Narcan) be administered?
a. Only via IV when available
b. IM at the same dose as IV administration
c. Only via ET tube
d. Subcutaneously at half the IV dose
Answer: b. IM at the same dose as IV administration
Rationale: If IV access is unavailable, Naloxone (Narcan) may be administered IM
at the same dose as IV administration .
10. A rapid bolus is defined as fluids administered:
a. Over 30-60 minutes
b. As quickly as possible, usually within 5-15 minutes
c. Over 2 hours
d. Only by central line
Answer: b. As quickly as possible, usually within 5-15 minutes
Rationale: A rapid bolus is defined per ESO policy as administered as quickly as
possible, usually within 5-15 minutes .
11. What is the recommended oxygen flow rate for a patient in asystole?
Answers (Verified Answers) Plus Rationales
2027 Q&A | Instant Download Pdf
SECTION A: ESO FUNDAMENTALS AND DOCUMENTATION
1. What are ESOs (Emergency Standing Orders)?
a. Orders written by a physician for routine patient care
b. Established medical orders to be administered in the absence of a physician
c. Orders that require physician approval before each use
d. Standing orders for non-emergency situations only
Answer: b. Established medical orders to be administered in the absence of a
physician
Rationale: ESOs are established medical orders that can be initiated by competent
nurses for life-threatening patient conditions when a physician is not immediately
available .
2. A nurse initiating an ESO must document which of the following? (Select all
that apply)
a. Life-threatening condition
b. Precipitating factors
c. Specific ESO implemented
d. Patient response
e. When and which physician was notified
Answer: All of the above (a, b, c, d, e)
,Rationale: When ESOs are initiated, the nurse must document: the life-threatening
condition, precipitating factors, specific ESO implemented, patient response, and
when/which physician was notified .
3. When are ESOs initiated?
a. For routine medication administration
b. For life-threatening patient conditions in the absence of the physician or
specific orders
c. Only during code blue events
d. For all patients admitted to the ICU
Answer: b. For life-threatening patient conditions in the absence of the
physician or specific orders
Rationale: ESOs are specifically designed for life-threatening patient conditions
when a physician is not present or specific orders are not available .
4. What does an ESO-competent nurse demonstrate knowledge of?
a. Basic medication administration
b. Identification and treatment of life-threatening conditions
c. Wound care protocols
d. Patient discharge planning
Answer: b. Identification and treatment of life-threatening conditions
Rationale: An ESO-competent nurse is competent in the knowledge of
identification and treatment of life-threatening conditions .
5. What does RRT bring to the bedside?
a. Routine medications
b. Critical care expertise and resources
,c. Discharge instructions
d. Patient meals
Answer: b. Critical care expertise and resources
Rationale: RRT (Rapid Response Team) brings critical care expertise and resources
to the bedside for patients who are deteriorating .
6. How should an IV line be flushed after each IV medication is given?
a. With 5 mL of NS
b. With 10 mL of NS
c. With 20 mL of NS
d. With 50 mL of NS
Answer: c. With 20 mL of NS
Rationale: The IV line should be flushed with 20 mL of NS after each IV medication
is given and the extremity should be elevated if applicable .
7. If IV access is unavailable, which medications may be administered via
endotracheal tube?
a. Only epinephrine
b. Lidocaine, Epinephrine, Atropine, and Naloxone
c. Only Narcan
d. All medications can be given via ET tube
Answer: b. Lidocaine, Epinephrine, Atropine, and Naloxone
Rationale: Lidocaine, Epinephrine, Atropine, and Naloxone may be administered
via endotracheal tube at doses of 2-2 1/2 times the IV dose. Dilute the meds in 10
mL of NS and inject directly into the ET tube .
8. What is the dose for ET administration of medications compared to IV dose?
, a. Same dose as IV
b. 1-1.5 times the IV dose
c. 2-2.5 times the IV dose
d. Half the IV dose
Answer: c. 2-2.5 times the IV dose
Rationale: Medications given via endotracheal tube should be administered at
doses of 2-2 1/2 times the IV dose .
9. If IV access is unavailable, how may Naloxone (Narcan) be administered?
a. Only via IV when available
b. IM at the same dose as IV administration
c. Only via ET tube
d. Subcutaneously at half the IV dose
Answer: b. IM at the same dose as IV administration
Rationale: If IV access is unavailable, Naloxone (Narcan) may be administered IM
at the same dose as IV administration .
10. A rapid bolus is defined as fluids administered:
a. Over 30-60 minutes
b. As quickly as possible, usually within 5-15 minutes
c. Over 2 hours
d. Only by central line
Answer: b. As quickly as possible, usually within 5-15 minutes
Rationale: A rapid bolus is defined per ESO policy as administered as quickly as
possible, usually within 5-15 minutes .
11. What is the recommended oxygen flow rate for a patient in asystole?
