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Part B7 of 8 Coordinating Care Chapter 75 of 75

CBT Mixed Mock: Cross-Platform Practice Set

NMC CBT mixed mock: cross-platform questions spanning consent, sepsis, safeguarding, medicines and communication, with worked answers.

JobLabs Editorial
By JobLabs Editorial · UK healthcare reference editorial team
· · Updated · 2 min read

The real CBT does not sort its questions into neat topics. It mixes them, so one moment you are reasoning about consent and the next about a deteriorating patient. This final set works the same way, drawing on the whole bank at once, because being able to switch between principles is itself a skill worth practising.

Read what is actually being asked

The most useful habit for a mixed set is to read each scenario fresh. Do not assume the topic from the last question. Work out what this one is really testing: who is at risk, what they need, and which principle applies. A question that looks like it is about medicines might really be about consent, or about your duty to question a prescription that looks wrong.

The safe answer has a shape

Across the CBT, the best answers tend to share a shape. They put patient safety first. They respect the person’s consent and dignity. They act openly and honestly. They stay within the nurse’s competence and escalate when needed. When two options both seem reasonable, the stronger one is usually the one that leaves no one at risk and that you could defend against the Code, while the other is partly right but skips a safety or consent step.

The principles carry across

The five questions below span consent, recognising deterioration, safeguarding, medicines safety, and communication. They are deliberately different from one another, because that is exam reality. But notice how the same reasoning solves them all: protect the patient, respect their rights, act honestly, work within your limits, and escalate when something is beyond you or looks wrong.

That reasoning is what the whole question bank has been building. If you can apply it to an unfamiliar scenario without knowing in advance which topic it belongs to, you are ready for the way the CBT actually asks its questions.

This is the final chapter of the NMC CBT Question Bank. From here, the best preparation is to revisit the chapters where your quiz scores were weakest, and to keep practising until the safe answer feels automatic. Good luck.

Sources & further reading

  1. 1NMC — Test of competencenmc.org.uk
  2. 2NMC — The Codenmc.org.uk
  3. 3NMC — Future nurse standardsnmc.org.uk
Key takeaway from CBT Mixed Mock: Cross-Platform Practice Set

Frequently asked questions

Why practise mixed questions rather than one topic at a time?
The real CBT does not group questions by topic. Practising a mixed set trains you to read each scenario fresh, work out what it is really testing, and apply the right principle, which is closer to exam conditions than working through a single theme.
How should I approach an unfamiliar scenario in the exam?
Read what the question is actually asking, identify who is at risk and what they need, and choose the safest, most patient-centred action that fits the Code. Most CBT answers reward putting safety and the patient first, and acting openly and within your competence.
What if two answers both seem reasonable?
Choose the one that is safest and most defensible for the patient, and that you could justify against the Code. Often one option is safe and complete while the other is partly right but misses a key safety or consent step. The best answer usually leaves no one at risk.

Check your understanding

Quick quiz: CBT Mixed Mock: Cross-Platform Practice Set

5questions. Click an answer to see the explanation. Your score is saved on this device only.

  1. 1

    A patient with capacity refuses a recommended treatment after being fully informed. What should the nurse do?

  2. 2

    A patient with a urine infection becomes newly confused with a fast pulse and rising NEWS2. What is the priority?

  3. 3

    A healthcare assistant tells you a patient disclosed being hit by a relative at home. What should you do?

  4. 4

    You are about to give a medicine and notice it is prescribed at ten times the usual dose. What is the safest action?

  5. 5

    A distressed relative confronts you angrily about a delay in care. What is the best first response?

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