For nurses aspiring to become registered professionals in the UK, passing the NMC (Nursing and Midwifery Council) Computer Based Test (CBT) of Competency is a crucial step. This test assesses the knowledge and skills necessary for safe and effective practice as a nurse in the UK. To succeed, candidates must prepare thoroughly, familiarizing themselves with both the numeracy and clinical aspects of the exam. In this guide, we’ll delve into the essentials of the NMC CBT, including updates, mock tests, and strategies for success.
The test of competence is tailored to the relevant nursing specialization and comprises two parts: Part 1 involves a computer-based test (CBT), while Part 2 entails a nursing objective-structured clinical examination (OSCE).
Understanding the NMC CBT:
The NMC CBT comprises 120 multiple-choice questions to evaluate a candidate’s understanding of nursing principles, procedures, and best practices. The exam, lasting 240 minutes (4 hours), provides candidates with ample time to answer questions, review, and double-check each answer before submitting their exam paper. Free NMC resources are available to assist candidates in preparing for the NMC Test of Competence.
The test, updated regularly to reflect current standards and guidelines, covers various topics, including clinical scenarios, drug calculations, and professional conduct. Nursing staff engage in clinical practice to deliver high-quality patient care and promote positive health outcomes.
Monthly Updates:
Staying abreast of changes in the NMC CBT content is crucial for success. The exam evolves to reflect advancements in healthcare practices and regulations. Monthly updates may include revisions to clinical guidelines, new drug classifications, or changes in healthcare legislation. Aspiring nurses should subscribe to reliable sources for updates and dedicate time to reviewing new materials regularly.
Multiple Sets of CBT Exam Mock Tests:
Mock tests are invaluable tools for NMC CBT preparation. They simulate the exam environment, allowing candidates to familiarize themselves with the format, timing, and types of questions they encounter. Multiple sets of mock tests offer diverse question banks, ensuring comprehensive coverage of exam topics.CBT practice tests enable candidates to identify areas of strength and weakness, guiding their study efforts effectively.
Free Mock Tests: NMC test of competence
Access to free mock tests can significantly enhance a candidate’s preparation for the NMC CBT. The free CBT training includes both practice tests and mock exams. Offering a unique set of 120 questions in the Pearson VUE exam format,these resources provide an authentic testing experience at no cost. Utilizing free CBT mock tests allows candidates to gauge their readiness for the exam, refine their test-taking strategies, and build confidence in their abilities. This test is a simulation based on select references outlined in the NMC’s Blueprint.
Following the multiple choice questions provided here will help you to pass the test on your first attempt.
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In this first mock test, we have included 1 to 25 multiple-choice questions with answers.Besides, each answer comes with an answer reference to help you answer any other questions related to the same topic.
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In this second CBT mock test, we have included 26 to 50 multiple-choice questions with answers. Each answer comes with an answer reference, which will help you answer any other questions related to the same topic.
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In this third CBT mock test, we have included 25 multiple choice questions with answers.Besides, each answer comes with an answer reference and that will help you to answer any other questions related to the same topic.
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NMC CBT Exam 2024 Updates and Changes
The NMC UK has made some changes to its Test of Competence (ToC) and structure and has introduced a new version of the NMC Test of Competence that was effective from August 2nd, 2021. The previous version of the test, which was known as the legacy NMC CBT, will no longer be available for candidates to book from July 19th, 2021 onward. It is important to note that NMC UK had originally planned to introduce the new Test of Competence in the summer of 2020, but had to postpone the launch due to the ongoing pandemic situation.
Candidates are open to booking for the new two-part NMC CBT exam from 19th July 2021 on Pearson VUE’s booking platform and can appear for the exam from 2nd August 2021. New applicants will receive a reminder email to log into their Pearson VUE platform to book for the CBT exam.
NMC CBT Exam Structure, Duration, Pass Mark and Fees
Structure:
As mentioned in the beginning, the new test of competence begins on 2nd August 2021. The NMC UK has structured the new CBT into Part A and Part B. Part A includes Numeracy questions, generally called medication calculation questions, and Part B includes Clinical questions for nursing or midwifery.
Duration:
As part of the new NMC CBT exam, candidates will get a total of 3 hours to complete Part A and Part B . Part A has 15 marks for Numeracy questions, usually known as medication calculation questions, and candidates have 30 minutes to complete this part. Part B includes 100 multiple-choice questions with four options and to choose a single answer. Candidates will get 2 hours and 30 minutes to complete these Clinically based questions of Part B.
Pass mark:
Each adult nursing candidate must achieve an overall passing score of 68% to pass the new NMC CBT two-part exam. Besides, NMC CBT has 20 critical questions focused on patient and public safety in part B. Moreover, each candidate should score 90% in this section to pass part B of NMC CBT.
Part A numeracy, generally known as medication calculation, has 15 questions, and each candidate should score 90%. So you need 14 correct answers out of 15 to pass part A numeracy.In conclusion, out of 115 questions to answer, you must score 90% from 35 questions to pass the new NMC CBT.
Fees:
For those candidates appearing for both parts of the new CBT exam, the fees will be £83. Besides, it remains the same if a candidate has to resit for both parts. However, if a candidate resits only for Part A, the fees will be £50, and for Part B, it will be £70.
Part A: Numeracy Questions (Medication calculations)
In Numeracy, Part A, generally called medication calculations, candidates will get a set of fifteen to apply and analyse the level of questions to answer. Candidates can expect two questions about measuring the correct dose, two on metric units, four on oral medications, three on injections, three on intravenous infusions and one on fluid balance.
Subjects | Apply and analyse | Number of questions |
Measuring the correct dose | 2 | 2 |
Metric units | 2 | 2 |
Oral medications | 4 | 4 |
Injections | 3 | 3 |
Intravenous infusions | 3 | 3 |
Fluid balance | 1 | 1 |
Total | 15 | 15 |
NMC CBT Adult Nursing Numeracy Subjects
Numeracy Part A section of a test, which assesses candidates’ proficiency in medication calculations. Covering various aspects of medication administration, candidates can expect questions on measuring the correct dose, metric unit conversions, calculations for oral and injectable medications, intravenous infusion rates, and fluid balance assessments. Each subject tests candidates’ ability to perform calculations accurately and interpret medication orders effectively, ensuring safe and precise medication administration in clinical settings. Overall, the Numeracy Part A section aims to evaluate candidates’ numeracy skills critical for providing optimal patient care in healthcare settings.
Measuring the correct dose
This subject involves questions related to calculating the correct dosage of medication based on factors such as the patient’s weight, age, and prescribed dosage. Candidates may be asked to calculate the dosage in different units (e.g., milligrams, milliliters) and ensure that the administered dose is accurate.
Metric units
These questions involve conversions between different metric units of measurement commonly used in medication administration, such as milligrams (mg), milliliters (mL), and micrograms (mcg). Candidates may need to convert between units, calculate dosages, or interpret medication orders given in metric units.
Oral medications
This subject covers calculations related to oral medication administration, including calculating dosages based on prescribed amounts, patient weight, and concentration of the medication. Candidates may also be asked to calculate medication volumes or doses for oral liquid medications.
Injections
Questions in this category focus on calculations related to administering medications via injection, such as intramuscular (IM) or subcutaneous (SC) injections. Candidates may need to calculate dosages, medication volumes, or dilutions for injection medications based on prescribed orders and concentrations.
Intravenous infusions
This subject involves calculations related to administering medications via intravenous (IV) infusion. Candidates may be asked to calculate infusion rates, drip rates, or medication volumes for IV medications based on prescribed orders, patient weight, and infusion duration.
Fluid balance
The subject of fluid balance involves calculating and maintaining the balance of fluids in a patient’s body over a specific period. This includes calculating the amount of fluid intake and output, and ensuring that they are balanced. Candidates may be required to calculate fluid volumes based on oral or intravenous intake and output from urine, feces, or drainage.
Overall, the Numeracy Part A section assesses candidates’ proficiency in performing medication calculations accurately and efficiently across various aspects of medication administration, ensuring safe and effective patient care.
Part B: Clinical Questions (Skills Coverage)
In Part B, Clinical, candidates will get a total of 100 theory questions to answer outlined under seven platforms in NMC UK standards of proficiency for registered nurses. Candidates’ theoretical knowledge and clinical conduct against any given circumstance are assessed under seven platforms.
These seven platforms are 1. Being an accountable professional. 2. Promoting health and preventing ill health. 3. Assessing needs and planning care. 4. Providing and evaluating care. 5. Leading and managing nursing care and working in teams 6. Improving safety and quality of care 7. Coordinating care.
Annex A assesses communication and relationship management skills, and Annex B evaluates nursing procedures and skills against each platform.
Subjects | Remember and understand | Apply and analyse | Evaluate and create | Number of Questions |
Platform 4: Providing and Evaluating Care | 6 | 6 | 5 | 17 |
Platform 2: Promoting health and preventing ill health | 4 | 3 | 3 | 10 |
Platform 3: Assessing needs and planning care | 5 | 5 | 4 | 14 |
Platform 4: Providing and Evaluating Care | 5 | 5 | 5 | 15 |
Platform 5: Leading and managing nursing care and working in teams | 4 | 3 | 3 | 10 |
Platform 6: Improving safety and quality of care | 4 | 3 | 3 | 10 |
Platform 7: Coordinating care | 4 | 3 | 3 | 10 |
Annex A | 3 | 2 | 2 | 7 |
Annex B | 3 | 2 | 2 | 7 |
Total | 38 | 32 | 30 | 100 |
NMC CBT Adult Nursing Part B Subjects
Are you preparing for the NMC CBT (Computer-Based Test) Adult Nursing Part B Subjects exam? It’s a challenging assessment that demands a lot of preparation and dedication. But don’t worry—we’ve got you covered! In the following videos, you will learn about part B, which will help you anticipate the types of questions that may appear on the exam.
NMC CBT Adult Nursing Part B Sample Questions & Answers
Part B of the NMC CBT Adult Nursing is a crucial milestone for passing adult nurses CBT. It assesses theoretical knowledge and practical application skills, as well as the ability to prioritize patient care and work well in a multidisciplinary team. Passing this exam demonstrates expertise and readiness to provide compassionate care to adult patients. Access to sample questions and answers can significantly enhance your preparation for the upcoming assessment. Take advantage of this valuable resource to increase your chances of success.
Option A. Review pertinent data
Option B. Consult with a physician
Option C. Administer the medication without review
Option D. Ask a patient’s family member for confirmation
Correct Answer is Option A: Review of pertinent data
Rationale: As a registered nurse, it is important to ensure that the correct medication is being administered to the correct patient, in the correct dose and at the correct time. To ensure this, a nurse should always review pertinent data, such as the patient’s medication list and allergies, before administering medication.
Option A: Set up a reminder system for the patient, such as a mobile phone alarm.
Option B: Increase the frequency of the patient’s insulin injections.
Option C: Tell the patient to stop taking insulin altogether.
Option D: Instruct the patient to take their insulin at the same time every day.
Correct answer is Option A. Setting up a reminder system for the patient, such as a mobile phone alarm, will help them stay on track with their insulin regimen and prevent complications from uncontrolled diabetes.
Option A: Hypotension
Option B: Tachycardia and tachypnea
Option C: Hypothermia
Option D: Profuse sweating
The correct answers are Option A, Option B, and Option D: Hypotension, Tachycardia and tachypnea, and Profuse sweating.
Option A:Supine with head slightly elevated
Option B: Supine with knees bent
Option C: Prone
Option D: Side-lying
Correct answer is option A:Supine with head slightly elevated
Option A:Micromanaging team members’ tasks to ensure compliance with protocols.
Option B:Encouraging open communication and active listening among team members.
Option C:Making decisions independently without consulting team members.
Option D:Ignoring conflicts and interpersonal issues within the team.
Correct answer is option B: Encouraging open communication and active listening among team members.
Explanation: In leading and managing nursing care and working in teams, promoting open communication and active listening fosters collaboration and mutual respect among team members, ultimately enhancing teamwork and patient care outcomes.
Option A:Assess for signs of abnormal bleeding.
Option B:Anticipate an increase in the Coumadin dosage.
Option C:Instruct the client regarding the drug therapy.
Option D: Increase the frequency of neurological assessments.
Correct answer is option A: Assess for signs of abnormal bleeding.
Option A: Continue with your neurological assessment, calculate your Glasgow Coma Scale (GCS), and document clearly.
Option B: This is a medical emergency. Basic airway, breathing, and circulation should be attended to urgently, and senior help should be sought.
Option C: Refer to the neurology team.
Option D: Break down the client’s Glasgow Coma Scale as follows: best verbal response V = XX, best motor response M = XX, and eye-opening E = XX. Use this when you hand it over.
The correct answer is option B: This is a medical emergency. Basic airway, breathing, and circulation should be attended to urgently, and senior help should be sought.
Common NMC CBT FAQs
Each adult nursing candidate must achieve an overall passing score of 68% to pass the new NMC CBT two-part exam. Besides, NMC CBT has patient and public safety-focused 20 critical questions in part B. Moreover, each candidate should score 90% in this section to pass part B of NMC CBT. That means 18 out of 20. Part A, numeracy, medication calculation, has 15 questions, and each candidate should score 90%. So you need 14 correct answers out of 15 to pass part A numeracy. In conclusion, out of 115 questions to answer, you need to score 90% from 32 (14 + 18) questions to pass the new NMC CBT.
Yes
In the NMC CBT exam, candidates can expect multiple-choice questions assessing their knowledge and understanding of nursing principles, procedures, and best practices. These questions cover various topics, including clinical scenarios, drug calculations, professional conduct, and ethical considerations. Candidates should be prepared to demonstrate their ability to apply nursing concepts to real-world situations, make sound clinical judgments, and prioritize patient safety.
Part A and Part B of the CBT are taken together in a single sitting, but they are assessed separately. If you fail one part, you only need to retake that specific part. Each sitting is considered an attempt, and you have a maximum of three attempts per application. You must wait at least 10 days between each attempt, and all three attempts must be completed within one year. If you do not pass both parts within this timeframe, you must retake the entire CBT. If you fail three times, your application will be closed, and you must wait six months before submitting a new application and sitting the CBT again.
The nursing CBT consists of 120 multiple-choice questions, which must be answered within four hours. 50 of the questions are related to generic nursing competencies found in each domain of nursing.
Changes in the CBT booking process
Candidates are open to booking for the new two-part NMC CBT exam from 19th July 2021 on Pearson VUE’s booking platform and can appear for the exam from 2nd August 2021. New applicants will receive a reminder email to log into their Pearson VUE platform to book for the CBT exam.
Format and Provision of CBT Result
Each candidate will be notified of their CBT results within 15 working days from the date of the test taken. Results will be given on Part A and Part B individually as either Pass or Fail. Candidates must pass both Part A and Part B of the NMC CBT to be accepted onto the NMC register for the nurses. Furthermore, candidates have to take both parts of the CBT in a single sitting. However, if a candidate fails, they must resit only for the part they failed, either A or B.
Strategies for Success:
Effective preparation strategies can maximize your chances of success in the NMC CBT exam. Begin by familiarizing yourself with the test format, content domains, and scoring criteria. Develop a study plan that allocates sufficient time for reviewing core nursing concepts, practising numeracy skills, and taking mock tests. Utilize various study resources, including textbooks, online courses, and peer-reviewed journals, to broaden your understanding of key topics.