N&MC Ghana Exam study plan
N&MC Ghana Exam · Give each week a clear focus.
8 weeks · About 7 hours per week
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.
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.
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%.
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.
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.
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).
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.
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%.