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Discussion

Sequential Order Questions

Hi, I read a post on here but can't find it now. A brilliant woman/nurse gave excellent advice on what to study for the NCLEX. She had amazing recall and hit the key points right on.

Since I've read her post, I've been trying to find information on sequential order for the following care delivery items:

Urine culture

Starting a new iv

Administering meds via g tube

Drawing insulins ( clear or cloudy)

Inserting foley catheters ( males and females)

Sterile field

Performing exams such as breast and testicular exam

Administering ear and eye drops

Thanks so much, I'm scheduled to take my nclex this Saturday, 8/31, ewww eeeh yikesss...I'm nervous :)

Featured Replies

When I said, "I think they are looking for the order you do each step for each procedure/treatment they listed (separately)." I meant 'they' as in the original poster, not as in NCLEX.

i'm thinking the original poster wants a step by step on how to do/perform each of the listed tasks.

Thanks. Therefore, I'm thinking that the OP needs to go pull out his/her lab manual or get to Amazon or someplace for a Potter and Perry or the newest edition of the Lippincott Manual of Nursing Practice, a really terrific resource. I actually knew a hospital whose entire P&P manual, after the pro forma stuff on scheduling and payroll and whatnot, was one page: "See the Lippincott Manual of Nursing Practice," and they gave every floor a copy.

In our school, we used this wonderful lab book called Clinical Nursing Skills & Techniques by Perry & Potter. Such a wonderful resource book specially if you are going to nursing practice.

I think the OP was asking for a step by step procedure as well. I'm just studying the more common procedures, some i know by heart since i worked as a CNA.

  • Author

hi, thanks for looking, I look in my harry/potter, med surge/ nsg foundations and didn't find anything. They are scattered here and there amongst hundreds of nclex practice questions, but I can't retrieve them that way obviously, would take a lifetime.

  • Author

hello, thank you for all your help and comments, I had the old perrry/potter. To clarify, I'm trying to duplicate the way it would be on nclex exam in questions that ask you to put the steps in order. The topics I listed are typical "place in order" questions on nclex. I'm testing on Sat.

  • Author

thank you, checking on that now, will let you know what I find.

  • Author

thank you, do you know which edition? or does it not really matter... Looking into that now.

  • Author

I just looked more thoroughly through Potter/Perry Fund. Nsg, 7th edition, don't see any sequential nsg skills there that would be used for NCLEX sequence style questions, will check out the nsg. skills by potter/perry later on this eve.

It should be under IMPLEMENTATION/INTERVENTION. You will find the steps by steps procedures under that area.

Please take notice for the CRITICAL DECISION POINT under Implementation. Very important information.

hello, thank you for all your help and comments, I had the old perrry/potter. To clarify, I'm trying to duplicate the way it would be on nclex exam in questions that ask you to put the steps in order. The topics I listed are typical "place in order" questions on nclex. I'm testing on Sat.

OK, now I get it. You're going about this the wrong way.

The point of the NCLEX on these types of questions is not to find out if you can memorize steps. It's to see if you can do critical thinking. It's to see if you know the rationales behind them. This is, after all, the hardest thing a nursing student has to learn: How to think like a nurse.

You may very well be given the steps for a procedure about which you know exactly nothing....but if it involves sterile technique (as they often do), you should be able to figure out what comes first, second, third IF you remember why we use sterile technique and how to do it. That's the point. And you should already be pretty down with that already, right?

Agree with GrnTea, you need to imagine in your head while answering Sequential order questions. Most of these we already know from clinicals, working as a CNA/PCT, or caring for someone (like i gave my dad insulin with NPH and regular).

It is best to imagine them, what do i need to do first. Anaylyze the options well. This should be easy. SATA is my worst nightmare!

If SATA is your worst nightmare, what do you think being a working nurse is going to be about? Only one answer, all the time? Only one set of variables with which to work in every patient care situation? Wrong-o. Almost ALL of nursing is "select all that apply." This is precisely why NCLEX has increased the number of questions to assess an aspiring nurse's critical thinking skills, because that's what a nurse has to be able to apply day in and day out.

Good luck!

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