The NMC Computer Based Test (CBT) is an important part of the Test of Competence for nurses and midwives seeking to join or rejoin the UK NMC register. The CBT is designed to assess essential numeracy and clinical knowledge needed for safe and effective nursing practice.
The NMC regularly reviews its Test of Competence to ensure that it remains relevant to current professional standards. Candidates should therefore prepare using the latest NMC guidance rather than relying entirely on older question banks or previously published information.
Understanding the NMC CBT
The CBT is divided into two parts:
- Part A – Numeracy: 15 questions, with 30 minutes to complete the test.
- Part B – Clinical: 100 questions, with 2 hours and 30 minutes to complete the test.
Both parts are taken together in one sitting, but they are marked and passed independently. If you fail only one part, you generally need to resit only that part.
The CBT is delivered through Pearson VUE test centres. Once the NMC confirms that you need to take the Test of Competence, Pearson VUE provides the information needed to create your account and book your examination.
Why New Questions Matter
The NMC can update and replenish its assessment content to ensure the CBT continues to reflect current nursing knowledge and professional expectations.
The additional-question trial introduced in 2024 was intended to help the NMC keep the Test of Competence up to date and improve its quality and validity. Candidates should not assume that the questions they encounter will be identical to older practice materials.
Instead, preparation should focus on understanding the NMC standards, professional responsibilities, clinical knowledge, and numeracy principles covered by the test.
How Many Attempts Can You Have?
Candidates can sit the CBT up to three times as part of one application, with a minimum gap of 10 days between sittings. These attempts need to be completed within one year. If all three attempts are unsuccessful, the application closes and a new application cannot be submitted for six months.
This makes effective preparation particularly important. Rather than rushing into an examination attempt, use your preparation time to identify areas where you need further practice.
CBT and OSCE: What Is the Difference?
The Test of Competence has two parts: the CBT and the OSCE.
The CBT is the computer-based theoretical assessment, while the OSCE is the practical examination assessing clinical and communication skills. You can take the CBT and OSCE in either order, but you must successfully complete both to continue with your registration application.
The NMC currently requires candidates to pass the CBT and OSCE within two years of each other. Once both parts have been successfully completed, the Test of Competence remains valid for five years.
How to Prepare for the NMC CBT
Successful preparation is about more than memorising answers. Start by becoming familiar with the NMC Code and the official CBT preparation materials.
For Part A, practise calculations regularly and make sure you understand units, medication calculations, measurements, and other relevant numeracy concepts.
For Part B, concentrate on clinical knowledge and your ability to apply that knowledge to different patient situations. Practise answering questions within the available time so that you become comfortable maintaining a steady pace.
The NMC also advises candidates to use its official preparation materials, including the Code and the CBT information booklet.
2026 NMC CBT Update: Know the Current Requirements
The NMC’s published 2026 CBT statistics show that the assessment continues to be an important step for internationally educated applicants. Between January and March 2026, 2,967 applicants took the CBT, and 63% passed both parts.
These figures demonstrate why candidates should approach the CBT with a structured preparation plan.
Prepare With Fortu West International
Preparing for the NMC CBT can feel challenging, particularly when you are balancing numeracy practice, clinical revision, and understanding UK professional standards.
At Fortu West International, we support nurses preparing for their UK nursing journey by helping them approach their CBT preparation in a structured and focused way.
Stay informed about the latest NMC requirements, practise consistently, understand the concepts behind the questions, and use reliable preparation materials.
Prepare thoroughly. Practise consistently. Approach your NMC CBT with confidence.
