NMC CBT Cheat Sheet 2026

The 30 highest-yield NMC CBT facts, distilled from real exam questions. Print it, save it as a PDF, or study it here — free, no sign-up.

115 questions
180 min time limit
68% to pass
  1. Which of the following correctly describes the legal status of a Lasting Power of Attorney (LPA) for Health and Welfare? An LPA for Health and Welfare only activates when the donor lacks mental capacity
  2. Heparin 25,000 units is added to 250 mL of 0.9% saline. The infusion runs at 20 mL/hour. How many units per hour does the patient receive? 2,000 units/hr
  3. A patient has C. difficile infection. Which hand hygiene method is required and why? Soap and water because alcohol does not destroy C. diff spores
  4. A patient is prescribed digoxin 125 micrograms orally. The available tablets are 62.5 micrograms each. How many tablets should be given? 2 tablets
  5. A neonate weighing 3.2 kg is prescribed caffeine citrate 20 mg/kg as a loading dose. The solution is 10 mg/mL. How many mL are required? 6.4 mL
  6. What does the term 'duty of candour' require of registered nurses in the UK? Being open and honest with patients when something goes wrong that causes harm
  7. Why is an accurate measurement of a patient's respiratory rate considered a crucial part of routine observations? It is often the earliest and most sensitive indicator of clinical deterioration.
  8. A child weighing 22 kg is prescribed paracetamol at 15 mg/kg. The oral suspension contains 250 mg in 5 mL. What volume should be administered? 6.6 mL
  9. Which piece of UK legislation places a statutory duty on certain organisations to have 'due regard' to preventing people from being drawn into terrorism? Counter-Terrorism and Security Act 2015 (Prevent duty)
  10. A patient taking MAOIs (monoamine oxidase inhibitors) asks about dietary restrictions. Which food is most dangerous for this patient? Mature cheese (e.g., cheddar)
  11. When administering eye drops, how far should the dropper be held from the eye to prevent contamination and injury? 1–2 cm
  12. A portable O2 cylinder contains 340 litres. At 15 L/min for a 60% Venturi mask, how long will it last? About 23 minutes
  13. A patient takes warfarin. Which blood test monitors its effect, and what is the typical target INR range? INR, target 2.0-3.0
  14. A nurse discovers a 14-year-old is being recruited to carry drugs for an organised crime group. Which safeguarding term BEST applies? Child criminal exploitation (CCE) / county lines
  15. When performing a manual blood pressure measurement, the nurse should place the stethoscope diaphragm over which artery? Brachial artery
  16. A patient on a general ward is found to have a NEWS2 score of 7. What is the most appropriate immediate action? Inform the nurse in charge and consider urgent clinical review
  17. A parent refuses to allow a nurse to examine a child with suspected non-accidental injuries. What should the nurse do? Contact the safeguarding team and, if necessary, the police to secure the child's safety
  18. Which leadership style involves collaborative decision-making with the team? Democratic leadership
  19. A patient is admitted with suspected dehydration. Which clinical sign is MOST consistent with moderate dehydration? Dry mucous membranes and reduced skin turgor
  20. You need to administer 30 mg of a drug that is available as a 50 mg/2 mL solution. What volume in mL do you need to draw up? 1.2 mL
  21. A patient's urine output over 8 hours was 360 mL. What is the hourly urine output? 45 mL/hr
  22. Which of the following is classified as a 'Never Event' by NHS England? Wrong site surgery
  23. A patient with COPD has an SpO2 of 82%. Which action is MOST appropriate? Target SpO2 88–92% with controlled oxygen and escalate
  24. Which waste bin is used for infectious clinical waste requiring incineration? Yellow bin with yellow lid
  25. A patient taking warfarin should be advised to report which of the following symptoms to their doctor immediately? Unexplained bruising or bleeding
  26. A patient is prescribed warfarin and starts taking ibuprofen for joint pain. What is the primary concern with this drug interaction? Increased bleeding risk due to enhanced anticoagulant effect
  27. In the context of infection prevention, what does 'contact precautions' specifically require? Use of gloves and apron before entering the patient's environment
  28. Which of the following is the correct action when using an AED and the device advises 'no shock indicated'? Begin chest compressions immediately
  29. A patient's pain score rises from 3/10 to 8/10 after physiotherapy. Their BP is 160/100 and HR is 104. Which action is MOST appropriate? Assess the cause of pain, escalate to prescriber, and monitor vital signs
  30. A patient develops hypoglycaemia (BM 2.1 mmol/L) and is drowsy but able to swallow. What is the MOST appropriate initial treatment? 15-20g of fast-acting carbohydrate orally