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N283 Exam 3 | 300+ Exam Questions & Expert Verified Answers | Mechanical Ventilation, ARDS, Pulmonary Embolism, Sepsis, Shock, Airway Management & Critical Care Nursing

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Prepare for N283 Exam 3 with this comprehensive critical care nursing study guide featuring 300+ expert-verified exam questions and answers covering advanced concepts in respiratory failure, mechanical ventilation, airway management, pulmonary embolism, hematologic disorders, sepsis, shock, and intensive care nursing. Presented in a structured question-and-answer format, this resource is designed to reinforce high-yield nursing concepts, strengthen clinical reasoning, and improve performance on unit exams, midterms, final examinations, NCLEX-style assessments, and critical care coursework. This comprehensive revision guide provides in-depth coverage of advanced airway management, nasopharyngeal airways (NPA), oropharyngeal airways (OPA), laryngeal mask airways (LMA), endotracheal intubation, cricothyrotomy, intubation indications, rapid sequence intubation, post-intubation nursing care, ventilator management, ventilator settings, tidal volume, FiO₂, positive end-expiratory pressure (PEEP), pressure support ventilation, synchronized intermittent mandatory ventilation (SIMV), assist-control ventilation, peak inspiratory pressure (PIP), ventilator alarms, ventilator-associated pneumonia (VAP) prevention bundle, ventilator complications, extubation, non-invasive ventilation (CPAP, BiPAP, HFNC), arterial blood gas (ABG) interpretation, end-tidal carbon dioxide (ETCO₂) monitoring, acute respiratory failure (ARF), oxygenation failure, ventilatory failure, Acute Respiratory Distress Syndrome (ARDS), ARDS pathophysiology, ARDSNet protocol, pulmonary embolism (PE), deep vein thrombosis (DVT), pulmonary hypertension, thrombolytic therapy, anticoagulants, chronic thromboembolic pulmonary hypertension, Idiopathic Thrombocytopenic Purpura (ITP), Thrombotic Thrombocytopenic Purpura/Hemolytic Uremic Syndrome (TTP-HUS), Heparin-Induced Thrombocytopenia (HIT), platelet disorders, sepsis, septic shock, Systemic Inflammatory Response Syndrome (SIRS), qSOFA assessment, sepsis recognition, sepsis treatment bundles, vasopressor therapy, fluid resuscitation, multiple organ dysfunction syndrome (MODS), shock stages, hemodynamic instability, critical care pharmacology, respiratory assessment, nursing interventions, collaborative management, and intensive care monitoring. These topics provide a comprehensive foundation in adult critical care nursing and emergency management of life-threatening conditions. This study guide is particularly valuable for Bachelor of Science in Nursing (BSN), Associate Degree Nursing (ADN), Registered Nursing (RN), Practical Nursing (PN), Critical Care Nursing, Medical-Surgical Nursing, Emergency Nursing, Intensive Care Unit (ICU), Progressive Care (PCU), and NCLEX preparation students preparing for advanced nursing examinations, clinical practicums, competency assessments, and professional licensure examinations. The exam-style format promotes active recall, strengthens critical thinking, and helps students confidently apply evidence-based nursing interventions in acute and critical care settings. The material aligns with evidence-based critical care and medical-surgical nursing references, including: Lewis SL, Bucher L, Heitkemper MM, Harding MM. Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier. Hinkle JL, Cheever KH. Brunner & Suddarth's Textbook of Medical-Surgical Nursing. Wolters Kluwer. Ignatavicius DD, Workman ML, Rebar CR. Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care. Elsevier. Marino PL. The ICU Book. Wolters Kluwer. American Association of Critical-Care Nurses (AACN). AACN Essentials of Critical Care Nursing. Surviving Sepsis Campaign. International Guidelines for Management of Sepsis and Septic Shock. This document serves as an excellent revision companion alongside lectures, simulation labs, clinical rotations, prescribed textbooks, and instructor materials, helping students strengthen their understanding of respiratory care, mechanical ventilation, hemodynamic management, hematologic emergencies, and evidence-based critical care nursing while preparing for examinations. Relevant Students: Bachelor of Science in Nursing (BSN) Students, Associate Degree Nursing (ADN) Students, Registered Nursing (RN) Students, Practical Nursing (PN) Students, Medical-Surgical Nursing Students, Critical Care Nursing Students, Intensive Care Unit (ICU) Nursing Students, Emergency Nursing Students, Progressive Care (PCU) Students, Respiratory Care Students, Acute Care Nursing Students, Health Sciences Students, NCLEX-RN Candidates, NCLEX-PN Candidates. Keywords: N283, exam 3, critical care nursing, medical-surgical nursing, airway management, endotracheal intubation, rapid sequence intubation, laryngeal mask airway, oropharyngeal airway, nasopharyngeal airway, cricothyrotomy, mechanical ventilation, ventilator management, ventilator settings, tidal volume, FiO2, PEEP, pressure support ventilation, SIMV, assist-control ventilation, ventilator alarms, VAP bundle, extubation, CPAP, BiPAP, HFNC, arterial blood gases, ABG interpretation, ETCO2 monitoring, respiratory failure, oxygenation failure, ventilatory failure, ARDS, ARDSNet protocol, pulmonary embolism, PE, DVT, anticoagulants, thrombolytics, pulmonary hypertension, sepsis, septic shock, SIRS, qSOFA, MODS, shock, fluid resuscitation, vasopressors, hemodynamic monitoring, ITP, TTP-HUS, HIT, thrombocytopenia, respiratory assessment, ICU nursing, emergency nursing, NCLEX critical care, nursing exam questions

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N283 Exam 3 2026 Expert
Verifed Ace the Test



Airway types - ANSWER ✔✔-NPA: measured from tip of nose to ear,

indicated for OD w/o Narcan success

-Laryngeal Mask Airway: does NOT have to go through vocal cords

-OPA: measured from angle of jaw to corner of lip, must NOT have

active gag reflex, used in conjunction w/ ET tube to prevent biting

-Cricothyroidotomy: emergency airway procedure

-ET tube: inserted by provider or CCT nurse, indicated for trauma or TBI,

should transition to tracheostomy in 7 days, replace inner canula qday

,Intubation indications - ANSWER ✔✔-hypoxemic respiratory failure

(PaO2 <60)

-Inadequate ventilation (PaCO2 >55)

-Inability to protect airway (TBI, SCI, GCS <9)


Intubation preparation - ANSWER ✔✔-Sniff position


-sedate: versed, diazepam, etomidate, ketamine

-paralytic: vecuronreum, rocuronium

-Hyperoxygenate prior

-Emergency equipment: crash cart, suction, intubation kit, remove

headboard, BVM, RT on site

-If unsuccessful within 30 seconds, procedure is stopped and pt is

bagged


Nursing interventions post-intubation - ANSWER ✔✔-Help verify

placement: *CXR*, B/L breath sounds, equal chest rise and fall, tube

misting (condensation during ventilation), absent abdominal sounds

during ventilation, ambu co2 detector device (gold is good), continuous

waveform capnography

-NG tube to decompress abdomen

, -stabilize tube

-document: tube size, placement at lip, skin under site, confirmation of

placement (CXR for NG/ETT), cuff pressure


Types of Non-invasive ventilation (NIV) - ANSWER ✔✔-CPAP, BiPAP,

HFNC


Problems with bipap and cpap - ANSWER ✔✔tight fitting mask, can

not eat or drink (nasal prong on bipap helps pt eat), claustrophobia, skin

breakdown


NIV NI - ANSWER ✔✔-monitor resp status


-skin protection

-HOB 45

-monitor for leakage

-maintain nutrition and hydration

-oral care

-notify provider of deterioration

-assess for gastric distention, hypotension, pneumothorax

-ICU/DOU



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