NMC CBT
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ExploreAbout this exam
The NMC CBT is the computer-based test used within the Nursing and Midwifery Council's registration route for internationally trained nurses, midwives and nursing associates who want to join the UK register. The NMC describes itself as "the independent regulator of more than 867,000 nursing and midwifery professionals" and states that it "protect[s] the public by setting and upholding high education and professional standards for Nurses and Midwives." The test is a multiple-choice exam that samples the knowledge and judgement expected of a registered professional, and preparation should be built around the NMC's own published standards rather than around any single commercial question bank. The four domains this study page uses are nursing and midwifery practice; professional standards and The Code; communication and interpersonal skills; and safety, ethics and professional accountability. A sensible study order is to read The Code and the standards for your part of the register first, because those documents anchor the professional-standards, communication and accountability domains, then to work through clinical practice scenarios and rehearse prioritisation and delegation decisions. Practise explaining your reasoning out loud for each answer, since the exam rewards defensible judgement rather than recall of isolated facts. This page is independent study material and is not affiliated with, endorsed by, or operated by the NMC; always confirm current test arrangements, format and fees directly with the NMC before booking.
What you'll study
About NMC CBT preparation
Who is the NMC CBT for?
It sits within the NMC's registration route for internationally trained applicants. The NMC website has a dedicated "International applicants" hub covering registration, and a separate section for "Register as a nurse or midwife" and "Register as a nursing associate." Check your own route on the NMC site, because eligibility and the steps before and after the test depend on your profession and qualifications.
What format is the exam?
The NMC CBT is a computer-based, multiple-choice test. This study page is organised around four domains: nursing and midwifery practice; professional standards and The Code; communication and interpersonal skills; and safety, ethics and professional accountability. Confirm the current structure, item types and any part-by-part breakdown directly with the NMC, as test design is reviewed periodically.
How long is the test and how many questions are there?
We do not state a question count or time limit here, because the permitted source material does not give one and outdated figures are a common source of error. Get the current number of items, timing and any breaks from the NMC's own international applicant guidance before you book, and plan your practice sessions around those confirmed figures.
What score do I need to pass, and what does it cost?
Passing standards and fees are not stated in the source material used for this page, so we have not published a figure. Both are set by the NMC and can change. Check the NMC website for the current pass standard and the fee for the computer-based test, including whether any separate fee applies to other stages of your application.
Can I retake the test if I fail?
Retake rules are not confirmed in our source material, so treat any number you see elsewhere with caution. The NMC sets the policy on attempts, waiting periods and any additional fees, and it can be revised. Read the NMC's international applicant pages or contact them directly before assuming you can simply rebook immediately.
How difficult is it?
It is a professional registration test, so it assumes you already hold a qualifying nursing, midwifery or nursing associate education. The difficulty comes less from obscure facts than from judgement: prioritising competing needs, recognising when to escalate, and applying The Code under pressure. Candidates who only revise clinical content and skip professional standards tend to find it harder than expected.
What should I study first?
Start with The Code and the standards for your part of the register, since the NMC publishes standards for nurses, midwives and nursing associates separately. These underpin the professional standards, communication and accountability domains. Then move to clinical practice scenarios and finish with timed mixed practice, so you rehearse switching between domains the way the real test requires.
What are the common failure modes?
Three recur. First, ignoring The Code and the professional standards because they feel like common sense. Second, answering what you would do locally rather than what the standards require. Third, poor pacing, where candidates over-invest in a few hard items and then rush the rest. Practise with a timer and review every wrong answer against the relevant published standard.
Does this page come from the NMC?
No. This is independent study material produced by a third-party platform and is not affiliated with, endorsed by, or operated by the Nursing and Midwifery Council. The NMC is the source of record for the test itself. Use its website for registration steps, current standards, fees and test arrangements, and treat this page as supplementary revision support only.