1. Records should be clear, intelligible and _______.

1. accessible
2. available
3. annotated
4. accurate

2. The E in the No Elbow Rule stands for _______.

1. erasing
2. editing
3. electronic
4. entries

3. When writing in patients’ notes what must always be there?

1. date, time, signature, printed name, position held, mentor’s signature
2. date, time, ward, signature
3. date, time, signature, printed name, position held
4. date, time, signature, printed name

4. Which one of the following is a legal requirement to be complied with in relation to records?

1. Data Protection Act
2. Caldicot principles
3. NMC Record Keeping
4. Code of Professional Conduct

5. If you make a mistake in a record how should it be corrected?

1. with correction fluid
2. scribble it out
3. put a single line through the record
4. tell your mentor

6. What colour ink can be used when writing in patients records?

1. any as long as it is legible
2. black
3. black or dark blue
4. black, blue, green and red

7. What does contemporaneous mean?

1. written in plain language
2. comprehensively written
3. written in real time.
4. written in a chronological order

8. Who adopts the approach that ‘if it is not recorded, it has not happened’.

1. the Nursing and Midwifery Council
2. courts of law
3. the Data Protection Act
4. the doctors

9. How often should you write in the patients notes?

1. once a day
2. at the end of every shift.
3. once a shift and if any other changes occur
4. morning, afternoon and night-time

10. Who can write in the patients’ notes?

1. all relevant professionals and the patient
2. medical and nursing staff
3. medical, nursing and other health and social care professionals
4. anyone

11. The NMC (2015) code states that nurses must ‘take all steps to make sure that all records are kept ______’.

1. in a locked desk
2. securely
3. in order

12. The NMC (2015) code states that nurses must ‘collect, treat and store all data and research findings ______’.

1. in the ward office
2. appropriately
3. confidentially
4. as soon as possible

13. The NMC (2015) code states that nurses must identify any ______ or problems that have arisen and take steps to deal with them.

1. issues
2. incidents
3. accidents
4. risks

14. The NMC (2015) code states that nurses must ‘complete all records accurately and without any ______’.

1. falsification
2. interference
3. patients present
4. mistakes

15. The NMC (2015) code states that records must not ‘include unnecessary abbreviations, jargon or ______’.

1. hearsay
2. swear words
3. speculation
4. humorous comments