Assuming a doctors order?

Wellness RN · Jul 11, 2006

I took the Kaplan course and they really stressed the fact that you never have to get a Doctor's order. They want you to assume you already have it. Gosh..I hope that's right. I am planning to answer all questions based on that philosophy.

RNWing · Jul 11, 2006

So did I but then I found information in other books that suggested this was incorrect. Lippencott does not use that as a basis for their questions. It just would be nice to confirm this before tommorrow. Anyone out there who has taken the test know the answer??????? Please help

RNsRWe, ASN, RN · Jul 11, 2006

So did I but then I found information in other books that suggested this was incorrect. Lippencott does not use that as a basis for their questions. It just would be nice to confirm this before tommorrow. Anyone out there who has taken the test know the answer??????? Please help

I took a Kaplan review, and their information says "you always have the MD's order for what you need". Yet, I found one of their questions where the correct answer had you stopping an IV and calling the doctor SO you can get the order (the other option, the one *I* chose, said to stop the IV and administer the antidote--assuming I had the order).

Anyway, I brought it to instructor's attention on Saturday; she said she'd email me asap with an answer to that one (and several others).

Will let you know what I find out.

RNWing · Jul 11, 2006

Thanks

truern · Jul 11, 2006

I had two questions where calling the doctor was an answer....I think Kaplan wants you to assume during the NCLEX that you'll have all the help you need, all the supplies, and to not "pass the buck", but when its time to call the doctor you KNOW its time.

Truthfully, though..neither of those questions were tricky, really.

RNWing · Jul 12, 2006

Thanks I am still waiting for confirmation.....questions such as giving drugs etc...assume doctors order...is that what i understand

studentnurse74, LPN, LVN · Jul 12, 2006

I just passed with 75 questions, and always assumed you had a doctor's order for everything. Kaplan also taught us to "contact the physician" with hesitancy; it's rare that will be the answer. They want to know what you would do, not the md.

RNsRWe, ASN, RN · Jul 12, 2006

I just passed with 75 questions, and always assumed you had a doctor's order for everything. Kaplan also taught us to "contact the physician" with hesitancy; it's rare that will be the answer. They want to know what you would do, not the md.

Except for the Kaplan question I had where the only two reasonable choices were "stop the IV and give protamine sulfate" and "stop the IV and call the doctor". I chose the former; Kaplan said it was the later "so the MD can give you the order to give protamine sulfate"!! :uhoh3:

Still waiting for instructor to tell me if that was a bad question or what.

MiaLyse, APRN · Jul 12, 2006

Except for the Kaplan question I had where the only two reasonable choices were "stop the IV and give protamine sulfate" and "stop the IV and call the doctor". I chose the former; Kaplan said it was the later "so the MD can give you the order to give protamine sulfate"!!
Still waiting for instructor to tell me if that was a bad question or what.

I had a question where the answer was raise the head of the bed vs. apply oxygen due to the fact that oxygen requires an MD's order (that was the rationale). ??

Kelly

pagandeva2000, LPN · Jul 12, 2006

I don't know if this helps, but I have followed Kaplan's suggestion, and assumed that I had the order already, and just needed to intervene, unless the question states a question about following an order.

I took NCLEX-PN in June, passed at minimum, and had two questions like that. I think it is safe to assume that we can act (at least for NCLEX-RN or PN).