BNMC Licensing Exam case studies
BNMC Licensing Exam · Put your knowledge to work in context.
The BNMC Licensing Exam is the entry-to-practice assessment used by the Board of Nursing and Midwifery Council to decide whether a nursing graduate is ready to be registered and to practise under the protected titles the council regulates. It is intended for candidates who have completed an approved nursing or midwifery programme and for applicants trained outside the jurisdiction who need to demonstrate equivalent competence before registration. The BNMC Licensing Exam case studies are 5 cases and about 2,923 words.
1Postoperative Opioid Safety in an Older Adult
Okafor, 78 years old, weighs 58 kg, had an open reduction and internal fixation of a right hip fracture 18 hours ago. He has hypertension and stage 3 chronic kidney disease (eGFR 38 mL/min).
657 words, about 3 min2Triage and Referral in a Rural Antenatal Clinic
A community health worker runs a monthly antenatal clinic in a village 90 minutes by road from the nearest hospital; the road becomes impassable in heavy rain. Three women arrive at the same visit.
565 words, about 3 min3A Febrile Infant with a Caregiver Who Declines Testing
A 7-week-old boy is brought to a rural clinic by his grandmother because he "feels hot and won't feed." He was born at term, has no chronic conditions, and has no record of vaccinations. Temperature is 38.6°C rectally, heart rate 178/min, respiratory rate 58/min, and he is sleepy but wakes to stimulation.
592 words, about 3 min4Medication Adherence and Risk in Community Mental Health
Duarte, 42, has schizophrenia and lives alone in a subsidized apartment. He receives a monthly long-acting injectable antipsychotic at a community clinic.
565 words, about 3 min5Evidence Appraisal for a Pressure Injury Protocol
A medical-surgical unit has a pressure injury rate of 4.1 per 1,000 patient days, above the hospital target of 2.0. The unit manager proposes buying a new alternating-pressure mattress for every bed, citing a vendor study that reported a 60% reduction.
544 words, about 3 min