NCLEX prioritization ABCs and Maslow key terms
This study set covers NCLEX prioritization using the ABCs (Airway, Breathing, Circulation) and Maslow's hierarchy of needs, providing essential questions and answers for nursing fundamentals.
Quiz(36 questions)
1. What does ABC stand for in nursing prioritization?
Terms in this Study Set(36)
ABCs of Nursing Prioritization(16)
What does ABC stand for in nursing?
Airway, Breathing, Circulation.
True or False: Airway obstruction is a priority concern.
True. It can lead to hypoxia and needs immediate intervention.
Fill in the blank: An obstructed airway can lead to _____ within minutes.
death or brain damage.
Why assess breathing after airway?
To ensure adequate gas exchange and oxygenation.
What is the standard respiratory rate for adults?
12 to 20 breaths per minute.
Rate the priorities: Airway, Breathing, Circulation.
1. Airway 2. Breathing 3. Circulation.
Cause → Effect: Inadequate circulation can lead to...
Organ failure and potential death.
What is the first action for airway obstruction?
Reposition the patient’s head or use the Heimlich maneuver.
True or False: Circulation issues can be overlooked if breathing is normal.
False. Circulation must always be assessed.
Example: Patient is cyanotic but breathing normally. What is the priority?
Assess and secure the airway first.
What technique can help clear an airway?
Suctioning or the Heimlich maneuver.
What does SpO2 indicate in breathing assessment?
Oxygen saturation level in the blood.
Compare: Hypoxia vs. Hypoxemia.
Hypoxia: low oxygen in tissues. Hypoxemia: low oxygen in blood.
What is a sign of poor circulation?
Weak or absent pulse.
Fill in the blank: Normal SpO2 values range from ____ to ____ percent.
95 to 100 percent.
What is the first response to a patient in respiratory distress?
Administer supplemental oxygen.
Maslow's Hierarchy in Nursing(20)
What is Maslow's first need?
Physiological needs: Food, water, warmth, rest.
True or False: Safety is the highest need.
False. Safety is the second level, following physiological needs.
Fill in the blank: _________ is critical for emotional well-being.
Love and belonging.
List examples of physiological needs.
- Nutrition - Hydration - Sleep - Temperature regulation
What needs come after safety?
Love and belonging: Relationships, friendships, and social connections.
How does nursing address self-esteem needs?
Encouraging autonomy and promoting positive body image.
Comparison: Physiological needs vs. Safety needs.
Physiological: Basic survival. Safety: Security and stability.
What is the highest level of Maslow's hierarchy?
Self-actualization: Achieving personal potential and self-fulfillment.
Cause → Effect: Lack of safety leads to?
Increased anxiety and decreased health outcomes.
What role does self-actualization play in nursing?
Fosters patient empowerment and goal setting.
True or False: All patients follow Maslow's hierarchy in the same order.
False. Individual circumstances may prioritize needs differently.
Fill in the blank: Meeting _________ needs is essential to progress to higher levels.
Lower-level.
What is a nursing action for meeting love and belonging needs?
Facilitating family visits and support groups.
Examples of safety needs in a healthcare setting.
- Secure environment - Infection control - Patient education
Physiological vs. Self-actualization needs: Which is foundational?
Physiological needs are foundational for survival.
How can nurses assess a patient's safety needs?
Evaluate the patient's living conditions and support systems.
List strategies to promote self-esteem in patients.
- Positive reinforcement - Skill-building activities - Addressing fears
What is the impact of unmet physiological needs?
Can lead to serious health complications and decreased recovery.
How can nurses use Maslow's hierarchy in care planning?
Identify needs and prioritize interventions accordingly.
True or False: Love and belonging needs are only emotional.
False. They also include physical presence and support.
Questions in this Study Set(36)
1. What does ABC stand for in nursing prioritization?
2. What need is fulfilled when a patient has access to food and water?
3. True or False: An obstructed airway is an emergency that requires immediate action.
4. Which level of Maslow’s hierarchy involves feeling secure and safe?
5. Fill in the blank: A patient with an obstructed airway may experience _____ if not resolved quickly.
6. Fill in the blank: The __________ level of Maslow's hierarchy includes relationships and social connections.
7. Why is it important to assess breathing after ensuring the airway is clear?
8. True or False: Self-actualization is the second level of Maslow's hierarchy.
9. What is the standard respiratory rate for healthy adults?
10. Which of the following is NOT a physiological need?
11. Rank the following priorities from highest to lowest: Circulation, Breathing, Airway.
12. How can nursing promote self-esteem needs in patients?
13. Cause → Effect: What can inadequate circulation lead to?
14. Which scenario demonstrates meeting safety needs?
15. What is the first action a nurse should take for a patient with an airway obstruction?
16. What role does love and belonging play in a patient's recovery?
17. True or False: It is acceptable to overlook circulation if the patient is breathing normally.
18. What is an example of a self-actualization need?
19. If a patient is cyanotic but breathing adequately, what should the nurse prioritize?
20. True or False: Safety needs are more important than physiological needs.
21. What technique can be used to clear an obstructed airway?
22. Which of the following is an example of unmet physiological needs?
23. What does SpO2 measure in a breathing assessment?
24. How can nurses assess a patient's love and belonging needs?
25. Compare: Hypoxia vs. Hypoxemia.
26. Which is NOT an example of esteem needs?
27. What is a common sign of poor circulation?
28. Fill in the blank: Meeting __________ needs is crucial for patients to progress to higher levels of Maslow's hierarchy.
29. Fill in the blank: Normal SpO2 values typically range from ____ to ____ percent.
30. What nursing action helps address safety needs in a healthcare setting?
31. What is the first response for a patient in respiratory distress?
32. Which level of Maslow’s hierarchy is most focused on personal growth and fulfillment?
33. How can unmet safety needs affect a patient?
34. True or False: All patients prioritize their needs in the same order according to Maslow's hierarchy.
35. Which nursing strategy is effective for promoting self-actualization?
36. Which of the following needs must be met first according to Maslow's hierarchy?
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