NMC CBT Paper Pattern 2026

NMC CBT (Test of Competence Part 1) is a paper of 115 MCQs to be attempted in 190 minutes, set by Nursing and Midwifery Council (UK), with no negative marking. It covers 8 subjects: Medical Surgical Nursing, Nursing Pharmacology, Fundamentals of Nursing, International Nursing Practice, Mental Health Nursing, Paediatric Nursing, Community Health Nursing and Midwifery and Obstetric Nursing.

115

MCQs

on the paper

190

Minutes

total time

99

Seconds per MCQ

if paced evenly

No

Negative marking

guessing is free

NMC CBT subject weightage 2026

How many MCQs each subject contributes to the NMC CBT paper. This is the order to revise in. Medical Surgical Nursing is worth 28 MCQs against Midwifery and Obstetric Nursing's 3, so an hour spent fixing a weak chapter in Medical Surgical Nursing is worth more marks than the same hour anywhere else on the paper.

8%
7%
3%
3%
NMC CBT 2026 subject weightage, as set by Nursing and Midwifery Council (UK). Free MCQs on each subject are listed in the table below.

NMC CBT marking scheme 2026

Every NMC CBT MCQ carries one mark, for a total of 115 marks, one per question. Nothing is deducted for a wrong answer, so an unanswered question and a wrong answer score exactly the same: zero. That makes leaving anything blank a pure loss. Attempt all 115 MCQs, and in the last few minutes fill in every remaining bubble even if you are guessing outright.

NMC CBT time per subject

190 minutes across 115 MCQs is about 99 seconds a question. Split by weightage, that is the time each subject is worth. Going over on one subject is borrowed from another, not from spare time, because there is none.

SubjectMCQsMinutes
Medical Surgical Nursing2846
Nursing Pharmacology2541
Fundamentals of Nursing2033
International Nursing Practice1830
Mental Health Nursing915
Paediatric Nursing813
Community Health Nursing47
Midwifery and Obstetric Nursing35

How to prepare for the NMC CBT 2026 pattern

The pattern tells you where the marks are, not where you are losing them. Start with Medical Surgical Nursing, because it carries 24 percent of the paper and a weak chapter there is the most expensive weak chapter you can have. Inside each subject, work chapter by chapter and stay on a chapter until you are consistently above 80 percent before moving on.

Then practise at the real pace. Untimed revision hides the problem that actually costs marks in the hall, which is spending three minutes on a question worth 99 seconds and running out of paper before you run out of time. Sit full papers under the clock, and mark them honestly.

NMC CBT paper pattern: common questions

What is the NMC CBT paper pattern 2026?

NMC CBT (Test of Competence Part 1) is a 115 MCQ paper of 190 minutes set by Nursing and Midwifery Council (UK), with no negative marking. It is split across 8 subjects: Medical Surgical Nursing 28, Nursing Pharmacology 25, Fundamentals of Nursing 20, International Nursing Practice 18, Mental Health Nursing 9, Paediatric Nursing 8, Community Health Nursing 4, Midwifery and Obstetric Nursing 3.

How many MCQs are there in NMC CBT?

115 MCQs in total, to be attempted in 190 minutes. The heaviest subject is Medical Surgical Nursing at 28 MCQs, which is 24 percent of the paper.

Is there negative marking in NMC CBT?

No. NMC CBT has no negative marking, so a wrong answer costs you nothing more than an unanswered one. Never leave a question blank: attempt every one of the 115 MCQs, even the ones you are guessing on.

How much time do you get per MCQ in NMC CBT?

190 minutes for 115 MCQs works out at about 99 seconds per question. That is the pace to practise at, and it is why timed practice matters more than untimed revision in the last month.

Which subject has the most weightage in NMC CBT?

Medical Surgical Nursing, at 28 of the 115 MCQs, which is 24 percent of the paper. A weak topic in the heaviest subject costs you more marks than a weak topic anywhere else, so the weightage order on this page is the order worth revising in.