Management of CareQuestion 1449 of 2368

Which description best fits charting by exception?

  1. Normal findings are confirmed on a list, and brief notes are written only for abnormal findings
  2. A note that tells the story of everything done during the shift
  3. A note organized into subjective, objective, assessment, plan, interventions, and evaluation
  4. A checklist of transportation and follow-up appointments completed at discharge
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Correct answer: Normal findings are confirmed on a list, and brief notes are written only for abnormal findings

Charting by exception saves time by listing normal findings and adding notes only for abnormal findings or team communication.

Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Communication: Common Types of Documentation. Licensed under CC BY 4.0.

Practice the topic "Management of Care"

Questions last reviewed: 18 October 2026