10/02/2026
Hey future nurses!
🩺✨We know that "Select the best answer" is the phrase that haunts your dreams. When you’re looking at a HESI or NCLEX question, and all four options are things a nurse actually does, how do you pick the one that earns you the points? Prioritization isn't just about what is important—it’s about what is urgent. Here is the "Cheat Sheet" for the first part of our series: The Hierarchy of Needs.🛑 The "Big Three" Frameworks. If you’re stuck between two "right" answers, run them through these filters in this specific order:
1. ABCs (Airway, Breathing, Circulation)
This is the gold standard. If a patient isn’t breathing or their heart isn't pumping, nothing else matters. Airway: Is it clear? (Think: choking, stridor, anaphylaxis).Breathing: Are they oxygenating? (Think: COPD exacerbation, RR of 30).Circulation: Is the blood moving? (Think: hemorrhage, shock, chest pain).
2. Maslow’s Hierarchy
Before you can address a patient's anxiety (Psychosocial), you have to address their literal survival (Physiological).
Physiological First: Pain, thirst, hunger, and elimination.
Safety Second: Fall risks, infection control.
Third: Support systems, family.
3. Acute vs. Chronic
The "New" or "Sudden" always trumps the "Expected."Priority: The patient with a 2-hour post-op sudden spike in heart rate. Not the Priority: The patient with chronic COPD who always has an O2 saturation of 89%. (That is their "normal").
💡 Pro-Tip for the HESI
When you see the words "Initial," "First," "Primary," or "Most Important," the test is asking you: If you could only do one thing and then had to leave the room, which action would save the patient’s life?
Remember: Don't read into the question! Don't add "What if..." scenarios. Stay focused on the data provided. You have to make a decision based on the information front of you.
Coming up next: We’ll dive into Delegation—knowing what you can safely hand off to a UAP or LPN so you can focus on these priorities!
Drop a "🩺" in the comments if you’re testing this week! You’ve got this!
Want to learn more? Check out nursingehub.com for NGN-style practice questions, student success resources, study tools, study guides, and much more!