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NMC CBT Practice Questions: Free Question Bank for 2026

The CBT is the first exam standing between an internationally trained nurse and the UK register. It costs £83 per attempt, and after three failed attempts you wait six months before applying again. This question bank exists so you don't waste one. Every chapter covers one exam topic: short revision notes, the traps the exam sets, then five practice questions with worked answers. No signup, no paywall.

The CBT tests two things: whether your clinical knowledge maps onto UK practice, and whether you can do drug calculations quickly and accurately under time pressure. Most people who fail don’t fail on nursing knowledge. They fail on UK-specific conventions, or they run out of time on numeracy.

This question bank works through the exam one topic at a time. Each chapter gives you the facts the exam draws on, the distractor patterns it uses, and five practice questions with full explanations. Work through a chapter on a break; the whole of Part A takes most people a week of short sessions.

If you haven’t read about the exam itself yet (format, booking, fees, resits), start with the CBT structure chapter of our NMC Revalidation Guide, then come back here to practise.

The NMC CBT at a glance

  • What it is: Part 1 of the NMC Test of Competence, sat by internationally trained nurses at a Pearson VUE test centre.
  • Format: two sections in one 4-hour sitting, Part A numeracy (15 questions) and Part B clinical (105+ questions across the seven Future Nurse platforms).
  • Cost: £83 per attempt.
  • Passing: Part A and Part B are passed separately, so failing one means resitting only that part. The pass mark is set by standard-setting and varies slightly between test versions.
  • Attempts: three within six months of your first sitting; after three fails, a six-month wait before reapplying.

Source: NMC — Test of competence.

The full outline

All 75 chapters are live: Part A numeracy (15 chapters) and all seven clinical platforms, B1 to B7 (60 chapters), with 375 practice questions and worked answers. Use the interactive 8-Part outline further down this page to open any chapter. It also shows your saved quiz progress, so you can see at a glance which topics still need work.

How to use the bank

Do the questions before reading the notes, at least once. Getting a question wrong and reading the explanation teaches you more than reading notes ever will, and it shows you which chapters actually need your time. Your quiz scores save in your browser, so you can come back and see which topics are still red.

New to the terminology? The NMC and CBT glossary defines every clinical tool, professional standard and UK law the exam uses, from NEWS2 and the GCS to the Mental Capacity Act and the Sepsis Six, each linked to the chapter that covers it.

Two companion resources sit in the main guide: drug calculation formulas for the method behind every Part A chapter, and worked numeracy examples if you want to watch calculations done step by step before testing yourself.

Frequently asked questions

What is the NMC CBT?
The Computer Based Test is Part 1 of the NMC Test of Competence. Internationally trained nurses sit it at a Pearson VUE centre. It has two parts: Part A numeracy (15 questions) and Part B clinical (105+ questions), taken together in one 4-hour sitting.
How many questions do I need to get right to pass the CBT?
The NMC uses a standard-setting method rather than a fixed percentage, so the pass mark varies slightly between test versions. Part A and Part B are passed separately: fail one and you only resit that part.
Are these real CBT questions?
No. Real exam questions are confidential to the NMC and Pearson VUE, and any site claiming to sell them is breaching exam rules. These are original practice questions written to the same format, topics and difficulty as the published test specification.
How long should I prepare for the CBT?
Most candidates prepare for 4 to 8 weeks. Nurses already working in a UK-style system tend to need less; those from very different drug-naming or documentation cultures need more, especially on numeracy conventions and UK law topics like the Mental Capacity Act.
Is this question bank really free?
Yes. The site is funded by advertising, so every chapter and every question is free to use, without an account.
How hard is the NMC CBT?
Most internationally trained nurses find the clinical knowledge itself manageable, because it overlaps with their training. The difficulty is UK-specific: NICE guidelines, UK drug names and the BNF, the NMC Code, UK safeguarding and the Mental Capacity Act, plus finishing the numeracy accurately under time pressure. Candidates who prepare on UK conventions rather than general nursing tend to pass first time.
How many times can I take the NMC CBT?
The NMC currently allows three attempts within six months of your first sitting. After three failed attempts you wait six months before reapplying. Part A and Part B are passed separately, so if you pass one and fail the other you resit only the failed part.
Can I use a calculator in the NMC CBT numeracy section?
Yes. Pearson VUE provides an on-screen calculator and scratch paper (or a whiteboard) for the numeracy section. You cannot bring your own calculator or any personal items into the test room. Practising with an on-screen calculator beforehand helps you work quickly on the day.
What is on the NMC CBT?
Two sections. Part A is numeracy: 15 drug-calculation questions covering conversions, tablets, liquids, injections, drip and pump rates, weight-based dosing and more. Part B is clinical: 105+ questions across the seven Future Nurse platforms, from the NMC Code and consent to assessment, medicines, safety and coordinating care. Both are taken in one four-hour computer-based sitting.
How long is the NMC CBT?
Four hours, covering Part A and Part B together in one sitting. The clock runs continuously, and you can take comfort breaks, but time keeps counting. Most candidates finish in two and a half to three and a half hours.
Do I have to pass Part A and Part B separately?
Yes. Part A (numeracy) and Part B (clinical) are marked and passed separately. If you pass one and fail the other, you resit only the part you failed, not the whole test.
What happens if I fail the NMC CBT?
You can resit, and you only resit the part you failed. The NMC currently allows three attempts within six months of your first sitting. After three failed attempts you wait six months before reapplying, so it is worth preparing thoroughly rather than resitting repeatedly.
Where can I sit the NMC CBT?
At a Pearson VUE test centre. The CBT can be taken in many countries, so most internationally trained nurses sit it in their home country before travelling to the UK for the OSCE (the practical second part of the Test of Competence).
Is the NMC CBT the same as the OSCE?
No. The CBT is Part 1 of the Test of Competence, a computer-based knowledge exam usually sat overseas. The OSCE is Part 2, a practical skills-and-communication exam taken in person in the UK after you have passed the CBT.
How many clinical questions are on the NMC CBT?
Part B has 105 or more clinical questions, spread across the seven Future Nurse platforms: being an accountable professional, promoting health, assessing needs, providing care, leading and managing, improving safety, and coordinating care. The exact number per platform is not published.
Is the NMC CBT multiple choice?
Yes. Both Part A numeracy and Part B clinical are multiple-choice questions answered on screen. For numeracy you work out the answer using the on-screen calculator and scratch paper, then select the matching option, so knowing the method matters as much as recognising the answer.

Bank outline — 8 Parts, 75 chapters

▶ Start at Chapter 1

Your quiz progress: Passed Revisit Not tried yet (saved in your browser)

  1. Part A of 8 · 15 chapters

    Numeracy Practice

  2. Part B1 of 8 · 10 chapters

    The Accountable Professional

  3. Part B2 of 8 · 7 chapters

    Promoting Health and Preventing Ill Health

  4. Part B3 of 8 · 10 chapters

    Assessing Needs and Planning Care

  5. Part B4 of 8 · 12 chapters

    Providing and Evaluating Care

  6. Part B5 of 8 · 6 chapters

    Leading and Managing Care, Working in Teams

  7. Part B6 of 8 · 8 chapters

    Improving Safety and Quality of Care

  8. Part B7 of 8 · 7 chapters

    Coordinating Care