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Test of Competence (ToC) for International Nurses | Step 2 The CBT Exam

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Ready to take the next step toward becoming a Registered Nurse (RN) in the UK?
After completing your NMC credential verification for international nurses, the next key milestone in the UK nursing registration process 2024 is passing the NMC CBT exam (Computer-Based Test).
In this complete guide, you’ll learn how to register, study, and pass the CBT with confidence—and move forward in your journey to UK nursing success!

Introduction: Step 2 of the UK Nursing Licensure Process – The CBT Exam

Preparing for the NMC CBT exam? This guide shows you exactly how to register, study, and pass the CBT as an internationally trained nurse. Whether you’re just getting started or already verified with the NMC, this is your essential step-by-step roadmap.

Welcome to Part 2 of our UK Nursing Licensure Blog Series!

If you’re an internationally educated nurse aiming to register with the Nursing and Midwifery Council (NMC) in the UK, the CBT (Computer-Based Test) is your next key milestone.
This multiple-choice exam is part of the NMC’s Test of Competence (ToC) and is designed to evaluate your theoretical nursing knowledge, patient safety awareness, and clinical judgment based on UK standards.

In this post, you’ll learn:
  • What the CBT exam is and how it fits into the ToC process
  • How to book your CBT exam and what to expect on test day
  • Key topics, study strategies, and resources to help you pass on your first try

This is Part 2 of the UK Nursing Licensure Blog Series:

  1. Step 1: NMC Credential Verification
  2. Step 2: The CBT Exam (You are here!)
  3. Step 3: OSCE & UK Visa Process
  4. Step 4: Studying for the UK CBT & OSCE
  5. Step 5: Completing NMC Registration

Now that your credentials are verified, let’s dive into the CBT—what it is, why it matters, and how to succeed. This exam sets the stage for your journey to become a Registered Nurse in the UK. Let’s get started!

What Is the Test of Competence (ToC)?

The Test of Competence (ToC) is a two-part assessment designed to evaluate whether internationally trained nurses have the necessary skills, knowledge, and abilities to practice safely and effectively in the UK.

  • CBT (Computer-Based Test): A multiple-choice exam that assesses your theoretical nursing knowledge.
  • OSCE (Objective Structured Clinical Examination): A practical exam, taken in the UK, that evaluates clinical competence through simulated patient scenarios.
  • You must pass the CBT before you can take the OSCE.

Who Needs to Take the ToC?

Internationally trained nurses applying for NMC registration.

  • Nurses without a recognized European qualification who must prove competency.
  • Nurses returning to the NMC register who do not meet practice hour requirements. Not sure if you need to take the ToC? Check directly with the NMC website for the latest eligibility criteria.
  • Not sure if you need to take the ToC? Check directly with the NMC website for the latest eligibility criteria.

Step 2: The CBT Exam – What You Need to Know

The CBT (Computer-Based Test) is the first step in your Test of Competence (ToC) journey. This exam assesses your understanding of professional nursing practice, patient safety, and the NMC Code of Conduct—ensuring that you meet UK nursing standards.

Can You Take the CBT or OSCE in Any Order?

Yes! The NMC allows candidates to take the CBT and OSCE in any order. However, most internationally trained nurses choose to take the CBT first because:

  • The CBT is required before securing a UK nursing job offer (which is necessary for visa sponsorship).
  • The OSCE must be taken in the UK, so many nurses complete the CBT first before traveling.
  • Additionally, most UK employers require nurses to pass the CBT before issuing a job offer, which is essential for obtaining a Skilled Worker Visa.

Tip: Pro Tip: If you’re outside the UK, it’s highly recommended to take the CBT first so you can:

  • Apply for UK nursing job
  • Secure a Certificate of Sponsorship (CoS)
  • Obtain a Skilled Worker Visa before traveling for the OSCE

CBT Exam Overview

  • Exam Type: Multiple-choice test (MCQ)
  • Total Questions: 115
  • Time Limit: 3 hours
  • Location: Taken at a Pearson VUE test center or online (if available in your region).
Passing Score:
  • The CBT no longer has a fixed percentage score; instead, it follows criterion-referenced scoring.
  • Candidates must meet the minimum competency threshold, which may vary slightly based on exam difficulty.
  • Exam Fee: £83 GBP (subject to change)

CBT Exam Overview

The CBT is divided into two sections, each with its own set of questions and time allocation:

CBT Section

Time Allowed

Number of Questions

Part A: Numeracy

30 minutes

30 minutes

Part B: Clinical Knowledge

2 hours 30 minutes

30 minutes

Key Topics Covered in the CBT

Numeracy (Basic Nursing Calculations)

Clinical Knowledge

Infection Prevention & Control

Pharmacology & Medication Management

NMC Code & Professionalism

• Drug dosages
• IV fluid rates
• Conversions

• Patient care
• Safety
• Ethics
• UK nursing best practices

• Hand hygiene
• PPE
• Aseptic techniques

• Safe administration
• Side effects
• UK drug policies

• Ethical practice
• Accountability
• Communication skills

Good News! The CBT does not include a practical component—it’s entirely theory-based.

Step-by-Step Guide: How to Register for the CBT Exam

Before you can register for the CBT exam, you must:

  • Complete NMC Credential Verification and receive your NMC candidate number.
  • Ensure your IELTS/OET scores are approved (if applicable).

How to Register for the CBT:

  • Visit the NMC Online Portal and log in.
  • Click “Proceed to CBT Exam Registration.”
  • Confirm your details and follow the on-screen instructions.

Pro Tip: After completing your CBT registration, check your email (and spam folder) for your Pearson VUE login details, as you will need them to schedule your exam once your application is approved.

Step 2: Book Your CBT Exam with Pearson VUE

To schedule your CBT exam, you must book your test through Pearson VUE, the official NMC testing provider.

How to Book Your Exam:
  1. Go to Pearson VUE’s NMC Test Portal.
  2. Sign in or create an account using the login details sent to your email.
  3. Select the correct nursing field based on your qualification:
Exam Code Nursing Field

CBT Section

Time Allowed

RNA

Adult Nurse (Required for RN licensure in the UK)

RNMH

Mental Health Nurse

RNLD

Learning Disabilities Nurse

RNC

Children’s Nurse

RM

Midwife

Important: If you’re applying as a Registered Nurse (RN) in the UK, select RNA (Adult Nurse) to meet NMC requirements.

How to Study for the CBT Exam

To pass the CBT exam with confidence, follow these study strategies and use the best resources available.

1. Review the Official NMC Test Blueprint

The NMC CBT Test Blueprint outlines all key topics covered in the exam. Download it from the official NMC website and use it as your study guide.

2. Use Official Study Materials

Essential CBT Study Resources:

3. Practice with Mock Exams

Taking CBT mock tests will improve your confidence, accuracy, and time management. Try:

  • NMC Sample Questions (official website).
  • Online CBT practice question banks (both free & paid).
  • Mobile apps for quick revision on the go.
4. Brush Up on Numeracy Skills
  • Practice drug calculations (IV flow rates, dosage conversions).
  • Use online nursing calculators for extra practice.
5. Manage Your Time Effectively
  • Time Management Tips for the CBT:
  • Aim for 90 seconds per question to complete all 115 questions within 3 hours.
  • Flag difficult questions and return to them later instead of spending too much time on one

What to Expect on Exam Day

The CBT is divided into two sections, each with its own set of questions and time allocation:

Before the Exam

During the Exam

• Arrive 30 minutes early at the test center.

• Read each question carefully to avoid simple mistakes.

• Carry a valid ID (passport or driver’s license).

• Use the flagging option to mark tough questions and return to them later.

• Ensure you’re well-rested and have eaten a light meal to stay focused.

• Stay calm and focused—this is just another step toward your goal!

What Happens After the Exam?

  • Results are emailed within 48 hours of completing the exam.
  • If you pass, you can proceed to the OSCE exam in the UK.
  • You are allowed up to 3 CBT retakes (a total of 4 attempts).
If unsuccessful after the 4th attempt:
  • You must wait 6 months before retaking the Test of Competence (ToC).
  • You will need to restart the entire process, including both the CBT and OSCE.
CBT Validity Period:
  • Your CBT result is valid for two years from the date you pass.
  • However, you must pass both the CBT and OSCE within two years of each other to complete the Test of Competence (ToC).

Pro Tip: Plan your OSCE exam early to ensure you complete both tests within the required timeframe.

Ready to Ace Your CBT? Monse-Heart Institute Can Help!

Preparing for the CBT exam can feel overwhelming, but with the right support, success is within reach! At Monse-Heart Institute, we provide comprehensive training to help you pass with confidence.

Why Choose Monse-Heart for Your CBT Prep?

  • CBT Prep Courses – Designed to align with the latest NMC standards.
  • Mock Tests & Study Materials – Practice with realistic exam-style questions.
  • Expert Guidance – Learn from experienced UK-registered nurses.

Ready to Ace the CBT?

The CBT Exam is a crucial milestone on your journey to becoming a Registered Nurse in the UK. With the right preparation, trusted study resources, and a focused mindset, you’ll be well on your way to passing on your first attempt!
Join Monse-Heart’s UK CBT/English Test preparation courses designed to help you pass with confidence.

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  • Watch our YouTube video on the CBT Exam for a step-by-step walkthrough
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  • We’re cheering for you and can’t wait to see you succeed as a UK RN!
Essential Links for UK NMC Registration:

Official NMC CBT Exam Guide
CBT Exam Registration (Pearson VUE)

Stay Updated with Official Resources:

You’re doing great—keep going! The next step in the Test of Competence (ToC) is the OSCE (Objective Structured Clinical Examination). In the next blog, we’ll guide you through the UK visa process, job sponsorship, and OSCE preparation— everything you need to move forward confidently.

Want a quick and printable study reference?

Download our FREE 2-Page PDF CBT Exam Roadmap (2024) — your step-by-step guide to mastering the exam format, key topics, registration process, and top study tips.

NMC CBT Exam for UK Nursing Registration | Monse-Heart Institute

Fill the form & Download PDF Guide!

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Frequently Asked Questions (FAQs) About NMC Credential Verification

1. Can I retake the CBT if I fail? 

If you do not pass the CBT, you may attempt it up to 3 more times (4 total attempts). If unsuccessful after the 4th attempt, you must wait 6 months before reapplying for the Test of Competence (ToC).

2. How long does it take to get CBT results?

You’ll receive your CBT results within 48 hours via email from Pearson VUE.

3. Can I take the CBT exam online?

The CBT is primarily taken at Pearson VUE test centers worldwide. In some locations, online proctored CBT exams are available check with Pearson VUE for eligibility and security requirements. www.pearsonvue.com/nmc

4. How many questions do I need to get right to pass?

To pass, you must achieve the required competency level as set by the NMC, which may vary depending on the exam version.

5. How long is my CBT pass valid for?

Your CBT result is valid for two years. However, you must pass the OSCE within two years of your CBT result to maintain eligibility for NMC registration.

Disclaimer:

  • Monse-Heart is an independent educational provider and is not affiliated with the Nursing and Midwifery Council (NMC), Pearson VUE, UK visa authorities, or any other agency mentioned.
  • This guide is intended solely for educational and informational purposes, to support international nurses in understanding the UK registration process.
  • Any use of logos, website screenshots, or references to official resources is made under fair use for educational clarity. All trademarks and intellectual property remain the sole rights of their respective owners.


Please Note: Registration criteria, exam procedures, fees, and timelines are subject to change. We strongly recommend visiting the official NMC website and the Pearson VUE website for the most current and accurate information.

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