The NMC CBT (Computer-Based Test) and OSCE (Objective Structured Clinical Examination) are the two exams every Nigerian nurse must pass to practice in the UK. Understanding these exams and preparing properly is essential for your journey to becoming a registered nurse in Britain. This guide covers everything you need to know.
Understanding the Pathway
To practice as a registered nurse in the UK, you need:
- NMC application approval
- IELTS/OET pass
- CBT pass
- Job offer from UK employer
- Visa and travel to UK
- OSCE pass (within 3 attempts)
- NMC PIN issued
The CBT (Computer-Based Test)
What is the CBT?
A 2-hour computer test covering numeracy, clinical knowledge, and professional values. It can be taken in Nigeria at Pearson VUE test centers.
CBT Format
- Total questions: 120 multiple choice
- Time: 2 hours
- Pass mark: Variable (typically around 60%)
- Sections: Clinical scenarios, drug calculations, professional practice
CBT Topics
- Medicines management and drug calculations
- Adult nursing care
- Emergency situations
- Infection control
- Professional accountability
- UK healthcare legislation
- Communication and documentation
CBT Preparation Tips
- Study materials: Use NMC CBT practice tests, nursing textbooks, and online resources
- Drug calculations: Practice extensively—many fail this section
- UK guidelines: Learn NMC Code, NICE guidelines, and UK nursing standards
- Preparation time: 2-3 months of focused study recommended
- Practice tests: Take as many mock tests as possible
Key Drug Calculation Formulas
- Dose required = (Prescribed dose ÷ Stock strength) × Volume
- Drip rate = (Volume × Drop factor) ÷ Time in minutes
- Practice conversions: mg to g, ml to L, etc.
The OSCE (Objective Structured Clinical Examination)
What is the OSCE?
A practical examination testing your clinical skills and competencies. Taken in the UK at approved OSCE test centers after you arrive.
OSCE Format
- Stations: 10 stations, each 15-25 minutes
- Total time: Approximately 3 hours
- Types: Skill stations (practical) and scenario stations (communication)
- Pass: Must pass each station
OSCE Stations Cover
- ABCDE assessment
- Medicine administration
- NEWS2 assessment and escalation
- Aseptic technique
- Patient deterioration
- Communication scenarios
- Vital signs monitoring
- Discharge planning
- Infection control
- Mental health assessment
OSCE Preparation Tips
- Employers usually provide training: Many NHS trusts have OSCE preparation programs
- Practice physically: Practice skills with equipment, not just theory
- Learn UK terminology: Some terms differ from Nigerian practice
- Communication is key: Speak clearly, explain everything to patient
- Time management: Practice completing stations within time limits
- Group study: Practice with other Nigerian nurses preparing
Common Reasons for Failure
CBT
- Poor drug calculation skills
- Unfamiliarity with UK guidelines
- Time management issues
- Not enough practice tests
OSCE
- Not speaking to patient/actor
- Missing critical steps in procedures
- Poor communication during scenarios
- Forgetting to wash hands
- Time management
Costs
- CBT: £83
- OSCE: £794 (first attempt), same for retakes
- NMC application: £140
- Study materials: Variable (₦50,000-100,000)
Note: Many UK employers cover OSCE costs and provide study leave for preparation.
After Passing
Once you pass the OSCE:
- NMC issues your PIN number
- You become a fully registered UK nurse
- Complete any employer induction requirements
- Begin your nursing career in the UK
Conclusion
The CBT and OSCE are achievable with proper preparation. Many Nigerian nurses pass both exams successfully each year. Focus on understanding UK nursing standards, practice your clinical skills, and use all available resources. Your nursing career in the UK starts with conquering these exams.