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Nursing · NCLEX-RN · Healthcare and Nursing

NCLEX Prioritization and Delegation

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

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34 basic cards for NCLEX-RN Nursing. It opens with "What does the ABC framework stand for in prioritization?" and "In the ABC framework, why is Airway addressed first?". Study it alongside the other NCLEX-RN sets below.

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What does the ABC framework stand for in prioritization?
Show answerAirway, Breathing, Circulation
In the ABC framework, why is Airway addressed first?
Show answerWithout a patent airway, the patient cannot receive oxygen regardless of breathing or heart function
In the ABC framework, which comes second and why?
Show answerBreathing, because oxygen must be delivered to the lungs to oxygenate blood
In the ABC framework, which comes third and why?
Show answerCirculation, because the heart must pump oxygenated blood to vital organs
When should you use the ABC framework?
Show answerWhen prioritizing acute or life-threatening situations requiring immediate intervention
What is Maslow's first level of need?
Show answerPhysiological needs: oxygen, food, water, sleep, elimination, temperature regulation
What is Maslow's second level of need?
Show answerSafety needs: security, stability, freedom from fear and harm
What is Maslow's third level of need?
Show answerLove and belonging needs: relationships, acceptance, companionship
What is Maslow's fourth level of need?
Show answerEsteem needs: self-respect, recognition, achievement, confidence
What is Maslow's fifth level of need?
Show answerSelf-actualization: personal growth, fulfillment, reaching potential
In NCLEX questions with multiple patient needs, which level takes priority?
Show answerPhysiological 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)?
Show answerNon-invasive, stable, routine tasks like vitals, hygiene, ambulation, toileting, and feeding on stable patients
What tasks CANNOT be delegated to UAP?
Show answerAssessment, interpretation of findings, medication administration, sterile procedures, patient education, and complex clinical judgment decisions
Can UAP take vital signs?
Show answerYes, on stable patients; however, the nurse must assess and interpret the findings
Can UAP assist a patient with ambulation?
Show answerYes, on stable patients; patients with recent surgery, unstable conditions, or first ambulation need nurse assessment first

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