An intraoperative nerve monitoring system for monitoring nerve activity within a trachea of a patient. The intraoperative nerve monitoring system includes an endotracheal (ET) tube assembly, which includes an ET tube partially inserted within a trachea and a surface electrode wrapped about the ET tube. The ET tube is configured to monitor nerve activity when the ET tube is partially inserted within the trachea and is contacting a target tissue and to output a nerve signal. The intraoperative nerve monitoring system also includes a pressure sensor assembly configured to sense an amount of pressure between the surface electrode and the target tissue and a console including an output device configured to output indicators based on the monitored nerve activity and the sensed amount of pressure to facilitate proper placement of the ET tube in the trachea and to indicate nerve activity.