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117+ Free NMC CBT Practice Questions

Prepare for the NMC Test of Competence Part 1 — Field-Specific Computer Based Test (CBT) for Nurses exam with instant access — no signup required.

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Sample NMC CBT Practice Questions

Try these sample questions to test your NMC CBT exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 117+ question experience with AI tutoring.

1A medication is prescribed as 500 mg orally. The stock tablets are 250 mg each. How many tablets should the nurse administer?
A.1 tablet
B.2.5 tablets
C.4 tablets
D.2 tablets
Explanation: Using the formula (what you want / what you have), 500 mg / 250 mg = 2 tablets. This is a basic 'measuring the correct dose' calculation expected in CBT Part A numeracy.
2A patient is prescribed 1.2 g of an antibiotic. The vial is reconstituted to a concentration of 600 mg in 5 mL. What volume should the nurse draw up?
A.5 mL
B.12 mL
C.20 mL
D.10 mL
Explanation: Convert 1.2 g to 1200 mg. Using (dose required / stock strength) x volume = (1200 / 600) x 5 = 10 mL. Always convert grams to milligrams before calculating.
3A solution of 1 litre is to be infused intravenously over 8 hours using a gravity giving set delivering 20 drops per millilitre. What is the drip rate in drops per minute (rounded to the nearest whole number)?
A.21 drops/min
B.60 drops/min
C.125 drops/min
D.42 drops/min
Explanation: Drip rate = (volume in mL x drop factor) / (time in minutes) = (1000 x 20) / (8 x 60) = 20000 / 480 = 41.6, rounded to 42 drops/min. This is a standard CBT Part A intravenous infusion calculation.
4A patient requires an infusion of 1000 mL of 0.9% sodium chloride over 4 hours via a volumetric pump. What rate should the nurse set in mL/hour?
A.150 mL/hour
B.200 mL/hour
C.250 mL/hour
D.400 mL/hour
Explanation: For a volumetric pump, rate = total volume / time = 1000 mL / 4 hours = 250 mL/hour. Pump rates are always expressed in mL/hour, not drops/min.
5A drug is prescribed at 15 mg/kg for a patient weighing 70 kg, to be given as a single dose. What total dose should be administered?
A.105 mg
B.850 mg
C.1050 mg
D.1500 mg
Explanation: Weight-based dose = 15 mg x 70 kg = 1050 mg. Weight-based calculations are common in 'measuring the correct dose' numeracy items and require multiplying the per-kilogram dose by the patient's weight.
6Convert 0.25 grams to milligrams.
A.2.5 mg
B.25 mg
C.250 mg
D.2500 mg
Explanation: To convert grams to milligrams, multiply by 1000: 0.25 x 1000 = 250 mg. Accurate metric unit conversion underpins safe drug calculations and is explicitly tested in CBT Part A.
7An oral solution is prescribed as 120 mg. The stock concentration is 250 mg in 5 mL. What volume should be measured (to one decimal place)?
A.1.2 mL
B.4.8 mL
C.6.0 mL
D.2.4 mL
Explanation: Volume = (dose required / stock strength) x stock volume = (120 / 250) x 5 = 2.4 mL. Oral liquid calculations require dividing the required dose by the available concentration.
8A patient's fluid balance chart shows total input of 1850 mL and total output of 2200 mL over 24 hours. What is the fluid balance?
A.+350 mL (positive balance)
B.+4050 mL
C.-4050 mL
D.-350 mL (negative balance)
Explanation: Fluid balance = input - output = 1850 - 2200 = -350 mL, a negative balance indicating the patient has lost more fluid than gained. Recognising negative balance is important for spotting dehydration risk.
9Heparin is prescribed at 25,000 units in 50 mL to run at 1000 units per hour via a syringe pump. What rate in mL/hour should be set?
A.2 mL/hour
B.1 mL/hour
C.5 mL/hour
D.20 mL/hour
Explanation: Concentration is 25,000 units / 50 mL = 500 units/mL. To deliver 1000 units/hour, rate = 1000 / 500 = 2 mL/hour. Infusion-by-units calculations require first finding units per mL.
10An injection of 80 mg is prescribed. The ampoule contains 100 mg in 2 mL. What volume should be drawn up?
A.1.2 mL
B.2.0 mL
C.1.6 mL
D.2.5 mL
Explanation: Volume = (80 / 100) x 2 = 1.6 mL. For injectable medicines, divide the prescribed dose by the ampoule strength and multiply by the ampoule volume.

About the NMC CBT Exam

The NMC CBT is Part 1 of the Test of Competence used for some applications to join or rejoin the UK register. It is a 115-question computer-based test (15 numeracy plus 100 clinical multiple-choice questions) sat through Pearson VUE. This page is a shared route overview, not a single universal exam: candidates must book the code matching their field—adult (RNA), children's (RNC), learning disabilities (RNLD), or mental health (RNMH).

Assessment

Single sitting of 115 questions: Part A (Numeracy) has 15 constructed-answer items and Part B (Clinical) has 100 four-option single-best-answer items. The Part B blueprint is specific to the candidate's nursing field.

Time Limit

3 hours total (Part A 30 minutes; Part B 2 hours 30 minutes), including any optional breaks.

Passing Score

Part A and Part B are passed independently and only the failed part must be re-sat. Official ToC 2021 nursing test specification: Part A pass mark 87% (13 of 15); Part B generally 60%–70% depending on nursing field.

Exam Fee

GBP 83 for both parts booked together (Pearson VUE/NMC, 2025); re-sits of a single part are charged separately. (Nursing and Midwifery Council (NMC), UK (delivered via Pearson VUE))

NMC CBT Exam Content Outline

13%

Part A: Numeracy

15 applied drug and fluid calculations: doses, metric units, oral medicines, injections, IV infusions and fluid balance.

87%

Part B: Field-Specific Clinical

100 clinical multiple-choice items. Use the official adult (RNA), children's (RNC), learning disabilities (RNLD), or mental health (RNMH) blueprint matching the application. The seven platforms and annexes are a framework, not additive percentages alongside Part A.

How to Pass the NMC CBT Exam

What You Need to Know

  • Passing score: Part A and Part B are passed independently and only the failed part must be re-sat. Official ToC 2021 nursing test specification: Part A pass mark 87% (13 of 15); Part B generally 60%–70% depending on nursing field.
  • Assessment: Single sitting of 115 questions: Part A (Numeracy) has 15 constructed-answer items and Part B (Clinical) has 100 four-option single-best-answer items. The Part B blueprint is specific to the candidate's nursing field.
  • Time limit: 3 hours total (Part A 30 minutes; Part B 2 hours 30 minutes), including any optional breaks.
  • Exam fee: GBP 83 for both parts booked together (Pearson VUE/NMC, 2025); re-sits of a single part are charged separately.

Keys to Passing

  • Work through all 117 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

NMC CBT Study Tips from Top Performers

1Master the six numeracy areas first (doses, metric units, oral medicines, injections, IV infusions, fluid balance): Part A is passed independently and requires a high level of accuracy, so practise unit conversions and drip-rate formulas until they are automatic.
2Learn the NMC Code's four themes and apply them to scenarios — most Part B questions are applied judgement, not recall, so think about accountability, consent, confidentiality, candour and raising concerns.
3Know UK-specific tools and thresholds (NEWS2 escalation, ABCDE, Waterlow, MUST, the five moments for hand hygiene and safe medicines administration) because the CBT reflects current UK evidence-based practice for internationally educated nurses.

Frequently Asked Questions

How many questions are on the NMC CBT and how long is it?

The CBT contains 115 questions in one sitting over 3 hours: Part A is a 15-mark numeracy test (30 minutes) and Part B is a 100-mark clinical multiple-choice test (2 hours 30 minutes).

What is the pass mark for the NMC CBT?

Part A and Part B are passed independently and only the failed part must be re-sat. The NMC Test of Competence 2021 nursing test specification sets Part A (Numeracy) at 87% (13 of 15 correct). Part B (Clinical) pass marks vary by nursing field and are generally set within 60%–70%.

How much does the NMC CBT cost and who delivers it?

The CBT is delivered by Pearson VUE on behalf of the NMC and costs GBP 83 for both parts booked together (2025). A single failed part can be re-sat for a separate fee.

Can I re-sit the NMC CBT if I fail?

Yes. Each sitting counts as an attempt. You have up to three attempts within one application, with at least 10 days between sittings, and those attempts must be completed within one year. You only re-sit the part you failed. After three failed attempts, the application closes and you must wait six months before submitting a new application.