NSG 430 RESPIRATORY AIRWAY AND
MECHANICAL VENTILATION
MANAGEMENT. EXAM QUESTIONS AND
ANSWERS 100% PASS 2026/2027
Artificial Airways: - ANS - Placement of a tube into the trachea, bypassing the upper airway
and laryngeal structures
- Creates artificial airway
Endotracheal Intubation (ET):
- Via mouth or nose past larynx
Tracheostomy:
- Via stoma in neck
Artificial Airway Indications: - ANS - Upper airway obstruction (e.g., tumor)
- Apnea
2026/2027 ALLRIGHTS RESERVED 1
,- High risk for aspiration
- Ineffective clearance of secretions
- Respiratory distress
Endotracheal Tube Intubation (ET): - ANS Airway can be secured rapidly
Larger-diameter tube can be used:
- Decreases work of breathing (WOB)
- Easier to remove secretions and perform bronchoscopy
Risks:
- Caution in Head and Neck Trauma (spinal cord injury)
- Difficulty if limited head and neck mobility
- Beware of Teeth can chipped or fall out
- Swallowing difficult
- Biting the tube: bite block
- Mouth care is a challenge
Rapid Sequence Intubation (RSI): - ANS - Rapid, concurrent administration of sedative and
paralytic agents
2026/2027 ALLRIGHTS RESERVED 2
, - Decreases risks of aspiration and injury to patient
- Not indicated for cardiac arrest or difficult airway
- Monitor oxygenation status
ET Intubation Procedure: - ANS 1. PreProcedure: Consent (unless emergent)--Patient
teaching
2. Equipment-bag-valve-mask (BVM) attached to oxygen-Suctioning equipment-IV access
3. Preparation
- Preoxygenate using BVM with 100% O2 for 3 to 5 minutes
- Limit each intubation attempt to less than 30 seconds
- Ventilate between attempts using BVM with 100% O2
Provider Places ET Tube: - ANS Inflate cuff and confirm placement of ET tube
1. End-tidal CO2 detector
2. Auscultate lungs bilaterally
3. Auscultate epigastrium
4. Observe chest wall movement
5. Monitor SpO2
2026/2027 ALLRIGHTS RESERVED 3
MECHANICAL VENTILATION
MANAGEMENT. EXAM QUESTIONS AND
ANSWERS 100% PASS 2026/2027
Artificial Airways: - ANS - Placement of a tube into the trachea, bypassing the upper airway
and laryngeal structures
- Creates artificial airway
Endotracheal Intubation (ET):
- Via mouth or nose past larynx
Tracheostomy:
- Via stoma in neck
Artificial Airway Indications: - ANS - Upper airway obstruction (e.g., tumor)
- Apnea
2026/2027 ALLRIGHTS RESERVED 1
,- High risk for aspiration
- Ineffective clearance of secretions
- Respiratory distress
Endotracheal Tube Intubation (ET): - ANS Airway can be secured rapidly
Larger-diameter tube can be used:
- Decreases work of breathing (WOB)
- Easier to remove secretions and perform bronchoscopy
Risks:
- Caution in Head and Neck Trauma (spinal cord injury)
- Difficulty if limited head and neck mobility
- Beware of Teeth can chipped or fall out
- Swallowing difficult
- Biting the tube: bite block
- Mouth care is a challenge
Rapid Sequence Intubation (RSI): - ANS - Rapid, concurrent administration of sedative and
paralytic agents
2026/2027 ALLRIGHTS RESERVED 2
, - Decreases risks of aspiration and injury to patient
- Not indicated for cardiac arrest or difficult airway
- Monitor oxygenation status
ET Intubation Procedure: - ANS 1. PreProcedure: Consent (unless emergent)--Patient
teaching
2. Equipment-bag-valve-mask (BVM) attached to oxygen-Suctioning equipment-IV access
3. Preparation
- Preoxygenate using BVM with 100% O2 for 3 to 5 minutes
- Limit each intubation attempt to less than 30 seconds
- Ventilate between attempts using BVM with 100% O2
Provider Places ET Tube: - ANS Inflate cuff and confirm placement of ET tube
1. End-tidal CO2 detector
2. Auscultate lungs bilaterally
3. Auscultate epigastrium
4. Observe chest wall movement
5. Monitor SpO2
2026/2027 ALLRIGHTS RESERVED 3
