Nursing · NCLEX-RN

NCLEX Prioritization and Delegation

Prioritization frameworks (ABC, Maslow) and which tasks can be delegated to unlicensed assistive personnel.

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What does the ABC framework stand for in prioritization?
Airway, Breathing, Circulation
In the ABC framework, why is Airway addressed first?
Without a patent airway, the patient cannot receive oxygen regardless of breathing or heart function
In the ABC framework, which comes second and why?
Breathing, because oxygen must be delivered to the lungs to oxygenate blood
In the ABC framework, which comes third and why?
Circulation, because the heart must pump oxygenated blood to vital organs
When should you use the ABC framework?
When prioritizing acute or life-threatening situations requiring immediate intervention
What is Maslow's first level of need?
Physiological needs: oxygen, food, water, sleep, elimination, temperature regulation
What is Maslow's second level of need?
Safety needs: security, stability, freedom from fear and harm
What is Maslow's third level of need?
Love and belonging needs: relationships, acceptance, companionship
What is Maslow's fourth level of need?
Esteem needs: self-respect, recognition, achievement, confidence
What is Maslow's fifth level of need?
Self-actualization: personal growth, fulfillment, reaching potential
In NCLEX questions with multiple patient needs, which level takes priority?
Physiological needs always come first, moving up Maslow's hierarchy only after lower levels are met
What tasks CAN be safely delegated to unlicensed assistive personnel (UAP)?
Non-invasive, stable, routine tasks like vitals, hygiene, ambulation, toileting, and feeding on stable patients
What tasks CANNOT be delegated to UAP?
Assessment, interpretation of findings, medication administration, sterile procedures, patient education, and complex clinical judgment decisions
Can UAP take vital signs?
Yes, on stable patients; however, the nurse must assess and interpret the findings
Can UAP assist a patient with ambulation?
Yes, on stable patients; patients with recent surgery, unstable conditions, or first ambulation need nurse assessment first

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