Are you an internationally trained nurse planning to work in the UK? If so, the NMC CBT test format is something you need to understand thoroughly. This exam is a critical step in the Nursing and Midwifery Council (NMC) registration process, assessing whether you meet the professional standards required to practice safely in the UK.
In this article, you’ll learn everything you need to know about the NMC CBT test format, including the exam structure, question types, scoring system, and the best strategies to prepare effectively. We’ll also explore how Spring International Training College can help you succeed in your NMC CBT journey.
A Detailed Explanation of the NMC CBT Test Format

The NMC Computer-Based Test (CBT) is designed to evaluate the theoretical knowledge of internationally trained nurses and midwives before they can register to work in the UK. The exam is part of the NMC Test of Competence (ToC) and is divided into two parts:
- Part A: Numeracy
- Part B: Clinical Questions
The test is conducted online at designated Pearson VUE test centers worldwide. It consists of multiple-choice questions that assess your ability to apply nursing knowledge in real-life scenarios.
Structure of the NMC CBT Test
Understanding the NMC CBT test format starts with knowing its structure. The exam consists of:
- Total questions: 115 multiple-choice questions
- Time duration: 3 hours
- Question distribution:
- Numeracy (Part A): 15 questions (simple calculations relevant to nursing practice)
- Clinical (Part B): 100 questions covering various nursing concepts
The questions in Part B are based on the UK nursing and midwifery standards, including patient-centered care, professional values, and clinical practice.
Key Components of the CBT Exam
To succeed in the NMC CBT test format, you need to be familiar with the following components:
1. Numeracy Section (Part A)
This section tests your ability to perform basic calculations required in nursing practice. You’ll encounter questions on:
- Drug dosage calculations
- Fluid balance assessments
- IV infusion rates
- Basic arithmetic (addition, subtraction, multiplication, and division)
2. Clinical Knowledge Section (Part B)
This part covers core nursing topics, including:
- Patient safety: Infection control, medication management, risk assessments
- Legal and ethical considerations: Confidentiality, consent, safeguarding patients
- Communication and interpersonal skills: Dealing with patients, teamwork, and professional relationships
- Professional values: Adhering to UK healthcare standards, maintaining professionalism
- Clinical skills: Wound care, pain management, vital signs monitoring, emergency response

The Scoring System of NMC CBT
The NMC CBT test format follows a strict scoring system. Each question carries a single mark, and you must achieve a pass mark in both sections.
- Numeracy section: Pass mark is 7 out of 15
- Clinical section: Pass mark is approximately 60-70%, though it may vary based on the NMC standards
If you fail either part of the exam, you must retake the entire test, not just the failed section.
How to Register for the NMC CBT Exam
If you’re planning to take the NMC CBT, follow these steps to register:
- Create an NMC online account – This is where you submit your application for registration.
- Receive eligibility confirmation – The NMC will review your documents and confirm your eligibility.
- Book your CBT test – Once eligible, you’ll receive instructions to schedule your exam through Pearson VUE.
- Take the test – Attend the test center on the scheduled date and complete your CBT.
- Receive results – Results are usually available within 48 hours of completing the test.
Challenges Nurses Face in the NMC CBT Exam
Many candidates struggle with the NMC CBT test format due to:
- Time constraints: Managing 115 questions in 3 hours can be overwhelming.
- Complex scenario-based questions: Some questions require in-depth critical thinking.
- Lack of familiarity with UK nursing standards: International nurses may not be used to UK healthcare policies.
Strategies to Pass the NMC CBT on Your First Attempt
To successfully navigate the NMC CBT test format, consider the following strategies:
1. Understand UK Nursing Standards
Study the NMC Code of Conduct, which outlines professional behaviors expected of nurses in the UK.
2. Practice Numeracy Skills Daily
Since the numeracy section is a crucial part of the test, make sure you practice dosage calculations and conversions regularly.
3. Take Full-Length Mock Tests
Simulating exam conditions can help you build confidence and improve your time management skills.
4. Review Past Questions and Case Studies
Going through past CBT questions will help you understand the question patterns and key focus areas.
5. Enroll in a Professional Training Course
One of the best ways to ensure success is by enrolling in a structured preparation course that covers all CBT topics in detail.

How Spring International Training College Can Help You Succeed
At Spring International Training College, we provide comprehensive NMC CBT preparation courses designed to help international nurses pass their exams with ease. Our program includes:
- Expert-led training sessions covering all aspects of the NMC CBT test format
- Practice tests and mock exams to simulate real exam conditions
- One-on-one coaching for personalized guidance
- Updated study materials based on the latest NMC guidelines
- Flexible learning options (online and in-person classes available)
Our courses have helped numerous nurses achieve their dream of working in the UK. With our structured approach and dedicated support, you’ll be fully prepared to take on the NMC CBT with confidence.
Understanding the NMC CBT test format is essential for international nurses who wish to practice in the UK. The exam consists of a numeracy section and a clinical knowledge section, both of which require thorough preparation. To succeed, candidates must familiarize themselves with UK nursing standards, practice numeracy regularly, and take mock exams.
If you’re looking for the best training to pass the NMC CBT, Spring International Training College offers expert-led courses tailored to your needs. With our guidance, you can confidently prepare for and pass your exam, bringing you one step closer to a rewarding nursing career in the UK.
Ready to start your NMC CBT preparation? Contact Spring International Training College today!
📞 Westlands Campus: 0741098157
📞 Nairobi CBD Campus: 0748698566
📞 Kilimani Campus: 0722728350
📧 Email: info@sitc-tvet.ac.ke
🌍 Website: https://sitc-tvet.ac.ke/
Frequently Asked Questions (FAQs) About the NMC CBT Test Format
1. What is the NMC CBT?
The NMC CBT (Computer-Based Test) is an exam required for internationally trained nurses and midwives seeking registration with the Nursing and Midwifery Council (NMC) UK. It assesses theoretical nursing knowledge and competence based on UK healthcare standards.
2. How many questions are there in the NMC CBT?
The test consists of 115 multiple-choice questions divided into two sections:
- Part A (Numeracy): 15 questions
- Part B (Clinical Knowledge): 100 questions
3. How much time is given for the NMC CBT?
You have 3 hours to complete the exam.
4. What is the passing score for the NMC CBT?
The Numeracy section requires at least 7 correct answers out of 15 to pass. The Clinical Knowledge section has a varying pass mark (approximately 60-70%).
5. How do I register for the NMC CBT?
To register, you need to:
- Create an NMC Online account and submit your documents.
- Wait for eligibility confirmation.
- Book the test through Pearson VUE.
- Attend the test and receive results within 48 hours.
6. What happens if I fail the CBT exam?
If you fail, you must retake the entire test, not just the failed section. You can reattempt the exam up to three times, but failing all attempts requires restarting the NMC registration process.
7. How can I prepare for the NMC CBT?
Effective preparation includes:
- Studying the NMC Code of Conduct
- Practicing numeracy calculations
- Taking mock tests
- Enrolling in a structured CBT training course, like the one offered at Spring International Training College
8. Where can I take the NMC CBT?
The exam is conducted at Pearson VUE test centers in various locations worldwide.
9. Is the NMC CBT difficult?
The test is challenging but manageable with proper preparation. Many candidates struggle with time management and UK-based healthcare standards, making structured training courses beneficial.
10. Where can I get professional NMC CBT training in Kenya?
Spring International Training College offers expert-led NMC CBT preparation courses to help you pass on your first attempt. Contact us today:
📞 Westlands Campus: 0741098157
📞 Nairobi CBD Campus: 0748698566
📞 Kilimani Campus: 0722728350
📧 Email: info@sitc-tvet.ac.ke
🌍 Website: https://sitc-tvet.ac.ke/