Sharp ESO Exam 2026 – Code Blue, ACLS Algorithms, Oxygen Protocols & Emergency Interventions | 120 Exam Questions and Verified Answers

This document contains approximately 120 structured exam questions with verified answers for the Sharp ESO Exam 2026, focusing on emergency standing orders (ESOs), rapid response protocols, ACLS algorithms, oxygen delivery standards, and critical care interventions initiated in the absence of a physician. The material outlines ESO authority, RN competency requirements, Rapid Response Team (RRT) activation, ETCO₂ monitoring during CPR, therapeutic hypothermia criteria (32–36°C), IV access protocols, medication administration routes (including ETT dosing), and compression-to-ventilation ratios for advanced and non-advanced airways (pp. 1–3). The guide provides detailed emergency algorithms for asystole, PEA, unstable bradycardia, stable and unstable VTach, VFib/pulseless VT, symptomatic hypotension, chest pain (MONA protocol), sepsis response, increased intracranial pressure management, and respiratory depression related to opioids and benzodiazepines. High-yield memorization sections include oxygen delivery standards (15L AMBU for asystole/PEA/VFib, 10L NRBM for unstable rhythms, 4L NC for stable VTach), HS and Ts in PEA arrest, pacing protocols, synchronized cardioversion dosing, amiodarone sequencing, and dopamine titration ranges. It also includes NIV/BiPAP contraindications, ICP interventions (HOB 30°, hyperventilation to CO₂ 26–30), and stat lab/imaging orders during emergent events. Presented in a rapid question-and-answer format, this resource is designed for efficient memorization and protocol-based review. It is particularly relevant for students and clinicians enrolled in Critical Care Nursing, Emergency Nursing, Advanced Cardiac Life Support (ACLS), Rapid Response/Code Blue Training, and Hospital-Based Emergency Competency Programs. It is ideal for bedside RNs pursuing ESO competency validation, telemetry nurses, ICU nurses, ER nurses, and clinicians preparing for hospital-based emergency certification or annual competency exams. The content aligns closely with ACLS Provider Manual guidelines by the American Heart Association and standard hospital emergency standing order protocols commonly used in acute care systems. Keywords: Sharp ESO Exam 2026 emergency standing orders nursing ACLS algorithms review Code Blue protocol nursing ETCO2 during CPR therapeutic hypothermia 32 to 36 asystole algorithm nursing PEA HS and Ts unstable bradycardia pacing VFib pulseless VT algorithm amiodarone dosing ACLS dopamine infusion mcg kg min synchronized cardioversion 200J MONA chest pain protocol respiratory depression naloxone dosing flumazenil romazicon dosing increased ICP interventions oxygen delivery emergency protocols rapid response team activation