NMC OSCE Professional Values and Evidence-Based Practice

Question 1

The NMC Code (2018) is structured around four key themes. What are they?

Accepted Answer

Prioritise people, practise effectively, preserve safety, promote professionalism and trust

Answer

The NMC Code (2018) 'The Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates' is structured around four themes: prioritise people, practise effectively, preserve safety, and promote professionalism and trust. All registered nurses must uphold these standards, and failure to do so may result in fitness to practise proceedings.

Question 2

A nurse is asked to perform a clinical skill they have not been trained to do. According to NMC standards, what is the appropriate response?

Accepted Answer

Decline to perform the skill and explain that it is outside their scope of competence, then arrange to receive appropriate training

Answer

The NMC Code states that nurses must only act within the limits of their competence. Performing a skill without adequate training risks patient harm and professional misconduct. The nurse should explain their position, escalate if needed, and seek training. The NMC emphasises that recognising limitations is a sign of professional strength, not weakness.

Question 3

What is clinical governance and why is it relevant to nursing practice?

Accepted Answer

A framework through which NHS organisations are accountable for continuously improving the quality and safety of care, encompassing clinical audit, risk management, education, and patient feedback

Answer

Clinical governance is the framework through which NHS organisations ensure and improve the quality of patient care. Its seven pillars include: clinical audit, risk management, education and training, patient and public involvement, using information, staffing and staff management, and clinical effectiveness. Every nurse contributes to clinical governance through evidence-based practice, incident reporting, and continuous professional development.

Question 4

A nurse has completed a research study that shows a new wound dressing significantly reduces healing time. What level of evidence does a single randomised controlled trial (RCT) provide in the evidence hierarchy?

Accepted Answer

Level II — below systematic reviews and meta-analyses of RCTs (Level I) but above cohort studies and case-control studies

Answer

In the evidence hierarchy, Level I is systematic reviews and meta-analyses of RCTs (the strongest evidence). A single RCT is Level II. Level III includes cohort and case-control studies, Level IV case series and reports, and Level V expert opinion and consensus. Nursing practice should be based on the best available evidence, ideally Level I or II.

Question 5

What is revalidation and what must NMC registrants complete to maintain their registration?

Accepted Answer

A process every 3 years requiring 450 practice hours, 35 hours CPD, 5 pieces of practice-related feedback, 5 written reflective accounts, a reflective discussion, and a health and character declaration

Answer

NMC revalidation occurs every three years and requires: 450 hours of registered practice, 35 hours of continuing professional development (20 participatory), 5 pieces of practice-related feedback, 5 written reflective accounts, a reflective discussion with another NMC registrant (the confirmer), a health and character declaration, professional indemnity arrangement, and confirmation from a confirmer.

NMC OSCE Practice Test

NMC OSCE Practice Test

NMC OSCE Professional Values and Evidence-Based Practice