The Test of Competence (ToC) is split into two distinct parts, mapped to the NMC's Future Nurse standards. You must pass both sections to proceed with your UK registration.
Part A: Numeracy (15 Questions)
This section tests your ability to perform applied drug calculations safely. The questions are straightforward but require precision. You must achieve a 100% pass mark in this section.
- Metric conversions (mcg, mg, g)
- Oral drug dosages
- Injection volumes
- Intravenous (IV) drip rates
- Fluid balance calculations
- Weight-based dosages
Part B: Clinical (100 Questions)
The clinical section is entirely multiple-choice (four options, one correct answer). It evaluates your theoretical knowledge and how you apply it to clinical scenarios in a UK healthcare setting.
Core Domains Tested:
1. Professional Values & Safeguarding
NMC Code of Conduct, raising concerns (whistleblowing), consent, mental capacity, and safeguarding vulnerable adults and children.
2. Infection Prevention & Control (IPC)
Aseptic non-touch technique (ANTT), isolation protocols, PPE, and proper disposal of clinical waste.
3. Nursing Procedures & Patient Assessment
A-E assessment, NEWS2 scoring, interpreting blood results, basic life support (BLS), and managing common emergencies.
4. Medicines Management
Safe administration of medicines, understanding common side effects, allergies, and legal frameworks surrounding controlled drugs.
Frequently Asked Questions
Q:Can I take the NMC CBT before completing my OET or IELTS?
Yes, you can take the CBT before or after your English language test (OET or IELTS). However, both are required to complete your full NMC registration.
Q:What is the Future Nurse framework?
The Future Nurse framework outlines the proficiencies registered nurses must possess. The current CBT syllabus is directly mapped to these standards, focusing on patient safety, safeguarding, and evidence-based care.