NCLEX-RN Prioritization & Delegation Master
Guide 2026
Clinical Judgment Framework -- Complete Study Guide
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Maslow's & ABC Framework Evaluation & Outcomes
Delegation Principles Emergency Prioritization
Assessment & Analysis Ethical/Legal Delegation
Planning & Implementation Leadership & Collaboration
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NCLEX-RN Prioritization & Delegation Master Guide 2026 | Clinical Judgment Framework -- 2026/2027 | Passing Score: pass/fail | Page 1 of 49
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NCLEX-RN Prioritization & Delegation
Master Guide 2026
Clinical Judgment Framework 2026/2027 --
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Maslow's & ABC Framework Delegation Principles
Assessment & Analysis Planning & Implementation
Evaluation & Outcomes Emergency Prioritization
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Ethical/Legal Delegation Leadership & Collaboration
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Guide 2026
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, SECTION 1 | Prioritization: Maslow's Hierarchy & ABC Framework | Q1-Q11 | NCLEX-RN Prioritization & Delegation Master
Guide 2026 | Clinical Judgment Framework 2026/2027
Q1 Question 1 of 85
A 72-year-old patient admitted with heart failure reports dyspnea at rest, oxygen saturation of 88%
on room air, and bilateral crackles throughout lung fields. The nurse must prioritize which
intervention to implement first?
A. Notify the healthcare provider of the assessment findings
B. Administer the prescribed furosemide IV push
C. Obtain a 12-lead electrocardiogram
D. Apply supplemental oxygen via nasal cannula
Correct Answer: D
Rationale:
Applying supplemental oxygen addresses the immediate physiological need for adequate oxygenation, which
follows the ABC priority framework where airway and breathing come first. Furosemide will reduce fluid
overload but takes time to work. An ECG is important for cardiac evaluation but does not address the acute
hypoxia. Notifying the provider is necessary but comes after stabilizing the patient's oxygenation.
Q2 Question 2 of 85
A nurse receives morning shift assignments for four patients. Patient A has a blood pressure of
78/50 mmHg and is dizzy; Patient B is scheduled for a dressing change on a chronic wound;
Patient C requests pain medication for a headache rated 4/10; Patient D needs patient education
before discharge. The nurse should first assess which patient?
A. Patient B with the chronic wound dressing change
B. Patient D needing discharge education
C. Patient C requesting headache pain medication
D. Patient A with hypotension and dizziness
Correct Answer: D
Rationale:
Patient A's hypotension with dizziness indicates potential hemodynamic instability, which is a life-threatening
condition requiring immediate assessment using the ABC and Maslow frameworks. The dressing change,
headache medication, and discharge education are all important but represent lower-priority physiological and
psychosocial needs.
NCLEX-RN Prioritization & Delegation Master Guide 2026 | Clinical Judgment Framework -- 2026/2027 | Passing Score: pass/fail | Page 4 of 49