DEPARTMENT OF CRITICAL CARE & EMERGENCY MEDICINE
ADVANCED AIRWAY MANAGEMENT AND RESPIRATORY CARE –
COMPREHENSIVE EXAMINATION – [2025/2026]
FACULTY OF HEALTH SCIENCES| DEPARTMENT OF EMERGENCY
AND CRITICAL CARE NURSING
Questions And Answers with Correct Rationales | Higher Graded Tier
Exam
Pass Guaranteed | Grade A+
Which of the following is an unexpected outcome during or after endotracheal suctioning and
endotracheal tube care?
A. A sudden drop in oxygen saturation.
B. Depth of tube is the same as when started or as ordered (same centimeter marking at gums
or lips).
C. Clean tape is firmly secured to cheeks, upper lip, top of nose, and tube only.
D. Bilateral breath sounds are equal.
A. A sudden drop in oxygen saturation.
The nurse should stop suctioning and administer oxygen. The other items are expected
outcomes of performing endotracheal tube care.
1|Page
, Which of the following is an inaccurate statement in regard to performing endotracheal tube
care?
A. Cut first piece of tape approximately 1 to 2 feet (24 to 48 cm) in length; lay adhesive-side up
on table.
B. When rotating the endotracheal tube from one side of the mouth to the other, deflate the
cuff.
C. Have assistant hold tube in place and note the markings on the tube indicating depth of tube
insertion before removing old tape or tube holder.
D. To secure the tapes around the tube, place the top side of the torn tape across the patient's
upper lip and tightly wrap the lower side around the tube.
B. When rotating the endotracheal tube from one side of the mouth to the other, deflate the
cuff.
Never deflate the cuff during tube rotation. This could potentially dislodge the tube.
The nurse is caring for a patient who has an endotracheal tube inserted orally. The nurse
instructs the NAP to report if the patient indicates signs of pain. Because the patient cannot
communicate verbally, what signs of pain should the NAP report?
A. Coughing or audible gurgling.
B. Foul-smelling breath or remaining secretions in the mouth.
C. Increased restlessness or a sudden change in vital signs.
D. Ability of the patient to move the tube with the tongue or to bite down on the tube.
C. Increased restlessness or a sudden change in vital signs.
Increased restlessness, inability to sleep, crying, and a sudden change in vital signs are all
indicators of pain in the nonverbal patient. Coughing or audible gurgling, foul-smelling breath,
or remaining secretions in the mouth indicate the patient may require suctioning but are not a
sign of pain. If the patient is able to move the tub with his tongue or bite down on it, the tube
may need to be resecured
2|Page
ADVANCED AIRWAY MANAGEMENT AND RESPIRATORY CARE –
COMPREHENSIVE EXAMINATION – [2025/2026]
FACULTY OF HEALTH SCIENCES| DEPARTMENT OF EMERGENCY
AND CRITICAL CARE NURSING
Questions And Answers with Correct Rationales | Higher Graded Tier
Exam
Pass Guaranteed | Grade A+
Which of the following is an unexpected outcome during or after endotracheal suctioning and
endotracheal tube care?
A. A sudden drop in oxygen saturation.
B. Depth of tube is the same as when started or as ordered (same centimeter marking at gums
or lips).
C. Clean tape is firmly secured to cheeks, upper lip, top of nose, and tube only.
D. Bilateral breath sounds are equal.
A. A sudden drop in oxygen saturation.
The nurse should stop suctioning and administer oxygen. The other items are expected
outcomes of performing endotracheal tube care.
1|Page
, Which of the following is an inaccurate statement in regard to performing endotracheal tube
care?
A. Cut first piece of tape approximately 1 to 2 feet (24 to 48 cm) in length; lay adhesive-side up
on table.
B. When rotating the endotracheal tube from one side of the mouth to the other, deflate the
cuff.
C. Have assistant hold tube in place and note the markings on the tube indicating depth of tube
insertion before removing old tape or tube holder.
D. To secure the tapes around the tube, place the top side of the torn tape across the patient's
upper lip and tightly wrap the lower side around the tube.
B. When rotating the endotracheal tube from one side of the mouth to the other, deflate the
cuff.
Never deflate the cuff during tube rotation. This could potentially dislodge the tube.
The nurse is caring for a patient who has an endotracheal tube inserted orally. The nurse
instructs the NAP to report if the patient indicates signs of pain. Because the patient cannot
communicate verbally, what signs of pain should the NAP report?
A. Coughing or audible gurgling.
B. Foul-smelling breath or remaining secretions in the mouth.
C. Increased restlessness or a sudden change in vital signs.
D. Ability of the patient to move the tube with the tongue or to bite down on the tube.
C. Increased restlessness or a sudden change in vital signs.
Increased restlessness, inability to sleep, crying, and a sudden change in vital signs are all
indicators of pain in the nonverbal patient. Coughing or audible gurgling, foul-smelling breath,
or remaining secretions in the mouth indicate the patient may require suctioning but are not a
sign of pain. If the patient is able to move the tub with his tongue or bite down on it, the tube
may need to be resecured
2|Page
