N&MC Ghana Exam study materials
N&MC Ghana Exam study resources

N&MC Ghana Exam study plan

N&MC Ghana Exam · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Medical-Surgical Nursing and Adult Health

  • Map the Domain 2 blueprint onto a one-page topic checklist and rank each topic by your own confidence gap

  • Explain aloud, without notes, the pathophysiology, assessment findings and nursing priorities for fluid, electrolyte and acid-base imbalances

  • Differentiate the prevention and nursing management of five common perioperative complications: haemorrhage, shock, wound infection, venous thromboembolism and atelectasis

  • Answer 40 mixed medical-surgical items under timed conditions and tag every incorrect response by cause

Your checkpoint

A one-page Domain 2 topic checklist ranked by confidence gap, plus a 40-item error log with each miss tagged as knowledge gap, misread or guess.

Week 2

Medical-Surgical Nursing and Adult Health

  • Teach back aloud the assessment and first five nursing actions for chest pain, acute dyspnoea and altered level of consciousness

  • Compare insulin and oral hypoglycaemic regimens and state sick-day rules for the adult with diabetes

  • Interpret ten arterial blood gas and ten electrolyte panel results in under two minutes each

  • Write 15 original single-best-answer items on respiratory, endocrine, renal and neurological nursing with rationales

Your checkpoint

A 30-item self-authored quiz with answer rationales on respiratory, endocrine, renal and neurological nursing, scored at 80% or better unaided.

Week 3

Maternal, Newborn and Reproductive Health / Midwifery

  • Sequence the events and midwifery actions of the four stages of labour on a single timeline

  • Calculate estimated date of delivery, gestational age and five obstetric drug dosages with 100% accuracy

  • Match the danger signs of pregnancy - pre-eclampsia, antepartum haemorrhage, obstructed labour, sepsis - to the immediate escalation and referral action for each

  • Complete 40 antenatal and intrapartum practice items and rewrite the rationale for every miss

Your checkpoint

A one-page labour timeline with midwifery actions per stage, plus a 20-item obstetric dosage calculation sheet scored at 100%.

Week 4

Maternal, Newborn and Reproductive Health / Midwifery

  • Classify postpartum haemorrhage causes using the four-T framework and state the midwife's first five actions for each cause

  • Order the steps of immediate newborn care - Apgar scoring, thermal protection, cord care, early breastfeeding initiation - correctly and justify the sequence

  • Summarise six major obstetric emergencies with recognition criteria, first-line actions and referral pathway for each

  • Explain informed consent and confidentiality duties as they apply to intrapartum and newborn care decisions

Your checkpoint

A ten-case obstetric emergency triage table (condition, recognition, first three actions, referral) self-marked against national and WHO guidance.

Week 5

Child Health and Family Health Nursing

  • Plot the national immunisation schedule and the steps for plotting and interpreting a growth chart from birth to five years

  • Compare dehydration classification and correct plan A, B and C management in the under-five

  • List integrated management of childhood illness danger signs and state the corresponding action for each

  • Answer 40 child and family health items, including ten paediatric dose and fluid-rate calculations

Your checkpoint

A one-page immunisation schedule and danger-sign poster, together with a 40-item set scored at 75% or better.

Week 6

Professional Foundations, Ethics and Regulation of Nursing and Midwifery Practice

  • State the legal scope of practice, licensure and disciplinary process for nurses and midwives under Ghanaian regulation

  • Apply the four ethical principles to eight written clinical scenarios and justify each decision in writing

  • Categorise professional misconduct types and identify the correct reporting channel for each

  • Distinguish the nurse's and midwife's accountability, documentation duties and patient-rights obligations in ten short vignettes

Your checkpoint

Eight written ethics and regulation vignette answers produced with a fixed four-step reasoning template (issue, principle/rule, options, justified decision).

Week 7

Community Health, Public Health and Mental Health Nursing

  • Apply the levels of prevention to six priority public health conditions and name one indicator per level

  • Outline community health nursing roles in home visiting, CHPS-level care, outreach and screening

  • Recognise five common mental health presentations and state the first-line nursing response and referral threshold for each

  • Answer 40 community, public health and mental health items and re-teach the three weakest topics aloud

Your checkpoint

A community health action plan for one hypothetical CHPS zone covering three prioritised problems, each with prevention level, intervention and measurable indicator.

Week 8

Professional Foundations, Ethics and Regulation of Nursing and Midwifery Practice & Medical-Surgical Nursing and Adult Health & Maternal, Newborn and Reproductive Health / Midwifery & Child Health and Family Health Nursing & Community Health, Public Health and Mental Health Nursing

  • Sit two full-length 100-item timed mocks under exam conditions with no reference material

  • Review every missed item and close each gap by re-teaching the topic aloud from memory

  • Rehearse pacing and exam-day logistics, targeting the planned seconds-per-item benchmark

  • Re-rank the original confidence checklist and confirm that every domain has been revised at least once

Your checkpoint

Two completed mock score sheets, a final one-page weak-areas list with remediation notes, and a second-mock score of 70% or better.

Milestones

Week 2: Score 80% or better on the self-authored 30-item medical-surgical quiz and show that the Week 1 error-log categories have dropped in frequency.

Week 4: Score 60% or better on a timed 50-item mock covering Domains 2 and 3 only, with at least a 10-point improvement over Week 1 baseline performance.

Week 6: Produce all eight ethics vignette answers within 45 minutes using the reasoning template, with no factually incorrect regulatory statement remaining uncorrected.

Week 8: Score 70% or better on the second full-length 100-item mock, with no single domain below 60%.