Sources and method.
Written with AI from the official NMC materials, and checked word for word against them. Clinical facts are checked the same way against NICE, the Resuscitation Council UK, the Royal College of Physicians (NEWS2) and NHS medicines information. Every right answer cites a fact, and every fact is matched word for word against a stored copy of its source, listed below with its fingerprint.
How a question gets in
- 362 facts back the 326 questions and these pages, drawn from 59 stored sources.
- A question must cite 1 to 3 facts. Every clinical number in its right answer must appear in those facts, and every number in a fact must appear in the words it quotes.
- Medicine strengths and doses in numeracy questions come only from a fixed list checked against NHS medicines pages and the manufacturers' product information on emc. The BNF only opens from inside the UK, so we could not store it.
- Questions are original. We never use real or remembered CBT questions.
Found a mistake?
Email [email protected] with the question and what you think is wrong. We check it against the source and correct it.
The sources
- [S1] Test of Competence 2021: overview (nurses and midwives). Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
9322077b803a2e15…
https://www.nmc.org.uk/registration/joining-the-register/toc/toc-nursing-and-midwifery/ - [S2] Test of Competence: the computer-based test (CBT). Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
7735566cbdf5cfdb…
https://www.nmc.org.uk/registration/joining-the-register/toc/toc-nursing-and-midwifery/cbt/ - [S3] Test of Competence 2021: preparation materials. Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
e1b52469d6811a39…
https://www.nmc.org.uk/registration/joining-the-register/toc/toc-nursing-and-midwifery/resources/ - [S4] Test of Competence: CBT information booklet for nurses. Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
424b8a957749b771…
https://www.nmc.org.uk/globalassets/sitedocuments/registration/toc-materials-2023/nursing-handbooks/test-of-competence-2021-cbt-information-booklet-for-nurses.pdf - [S5] The Test of Competence 2021 (nursing): test specification for candidates. Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
69a1a37d9ac30ef9…
https://www.nmc.org.uk/globalassets/sitedocuments/registration/toc-21/toc-21-test-specification---nursing.pdf - [S6] The Test of Competence 2021: adult nursing blueprint, V 1.0. Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
0e92ccc373ee5dd4…
https://www.nmc.org.uk/globalassets/sitedocuments/registration/toc-materials-2023/test-specs--blueprints/test-of-competence-2021-adult-nursing-blueprint.pdf - [S7] The Code: professional standards of practice and behaviour for nurses, midwives and nursing associates. Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
83e92d7e044aa805…
https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf - [S8] Test of Competence: marking criteria, adult nursing (September 2026). Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
7309aac009cf1fd3…
https://www.nmc.org.uk/globalassets/sitedocuments/registration/toc-materials-2026/rn1-adult-nursing-marking-criteria-sept-2026.pdf - [S9] Standards of proficiency for registered nurses (Future nurse). Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
df37906bcd8c5f83…
https://www.nmc.org.uk/globalassets/sitedocuments/standards/2024/standards-of-proficiency-for-nurses.pdf - [S10] Revalidation: what you need to do. Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
d8f0eff1bdbdf002…
https://www.nmc.org.uk/revalidation/requirements/ - [S11] Openness and honesty when things go wrong: the professional duty of candour. Nursing and Midwifery Council and General Medical Council. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
fff3c5762aae37f5…
https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/openness-and-honesty-when-things-go-wrong-the-professional-duty-of-candour-1224-2015.pdf - [S13] Guidance on using social media responsibly. Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
aec3b62300ab1ead…
https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/social-media-guidance-2016.pdf - [S14] How much is it going to cost? (registration for nurses and midwives trained outside the UK). Nursing and Midwifery Council (NMC). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
a4f0c1ca23d27e20…
https://www.nmc.org.uk/registration/joining-the-register/register-nurse-midwife/trained-outside-uk/how-to-guide/check-ready/costs/ - [S15] NMC Test of Competence examinations (test-taker page). Pearson VUE. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
4fae557a07cfb883…
https://www.pearsonvue.com/us/en/nmc.html - [S16] Intravenous fluid therapy in adults in hospital (CG174): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
61770d0f83334cbb…
https://www.nice.org.uk/guidance/cg174/chapter/Recommendations - [S18] Hypertension in adults: diagnosis and management (NG136): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
68ce72f3487ffa47…
https://www.nice.org.uk/guidance/ng136/chapter/Recommendations - [S19] Pressure ulcers: prevention and management (CG179): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
a1bc3bca58c8db94…
https://www.nice.org.uk/guidance/cg179/chapter/Recommendations - [S20] Venous thromboembolism in over 16s (NG89): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
53300ddf1563a198…
https://www.nice.org.uk/guidance/ng89/chapter/Recommendations - [S21] Blood transfusion (NG24): red blood cell transfusion. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
e1951c226e3ff1de…
https://www.nice.org.uk/guidance/ng24/chapter/Red-blood-cell-transfusion - [S22] Nutrition support for adults (CG32): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
c803505044a62df7…
https://www.nice.org.uk/guidance/cg32/chapter/Recommendations - [S23] Care of dying adults in the last days of life (NG31): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
7e43c1f987242ed9…
https://www.nice.org.uk/guidance/ng31/chapter/Recommendations - [S24] Head injury: assessment and early management (NG232): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
c7de39266b1cb7ea…
https://www.nice.org.uk/guidance/ng232/chapter/Recommendations - [S25] Healthcare-associated infections: prevention and control in primary and community care (CG139): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
c1aad4e4ac60c506…
https://www.nice.org.uk/guidance/cg139/chapter/Recommendations - [S26] Violence and aggression: short-term management (NG10): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
39522187909a9457…
https://www.nice.org.uk/guidance/ng10/chapter/Recommendations - [S27] Delirium: prevention, diagnosis and management (CG103): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
e464022b99f41f52…
https://www.nice.org.uk/guidance/cg103/chapter/Recommendations - [S28] Dementia: assessment, management and support (NG97): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
70b01e299b7e7b3e…
https://www.nice.org.uk/guidance/ng97/chapter/Recommendations - [S29] Chronic obstructive pulmonary disease in over 16s (NG115): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
3ea4ee2473f95cc3…
https://www.nice.org.uk/guidance/ng115/chapter/Recommendations - [S30] Acute kidney injury: prevention, detection and management (NG148): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
6136502c3cb22cbd…
https://www.nice.org.uk/guidance/ng148/chapter/Recommendations - [S32] Stroke and transient ischaemic attack in over 16s (NG128): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
44563c1db017a93a…
https://www.nice.org.uk/guidance/ng128/chapter/Recommendations - [S33] Type 1 diabetes in adults (NG17): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
6525c96ba08dcef7…
https://www.nice.org.uk/guidance/ng17/chapter/Recommendations - [S34] Type 2 diabetes in adults (NG28): blood glucose management. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
11e2ffac4c479eb2…
https://www.nice.org.uk/guidance/ng28/chapter/Blood-glucose-management - [S35] Falls: assessment and prevention (NG249): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
feb06f5ef055eb11…
https://www.nice.org.uk/guidance/ng249/chapter/Recommendations - [S36] Self-harm: assessment, management and preventing recurrence (NG225): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
93185a0fc3095eba…
https://www.nice.org.uk/guidance/ng225/chapter/Recommendations - [S37] Medicines optimisation (NG5): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
ea6984ff22354988…
https://www.nice.org.uk/guidance/ng5/chapter/Recommendations - [S38] Shared decision making (NG197): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
1ec6ca2a8e206728…
https://www.nice.org.uk/guidance/ng197/chapter/Recommendations - [S39] Patient experience in adult NHS services (CG138): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
9abfbe617a2ca65c…
https://www.nice.org.uk/guidance/cg138/chapter/Recommendations - [S40] Mental Capacity Act 2005, section 1 (the principles). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
4d4926f552a11585…
https://www.legislation.gov.uk/ukpga/2005/9/section/1 - [S41] Mental Capacity Act 2005, section 3 (inability to make decisions). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
caa95a7696715829…
https://www.legislation.gov.uk/ukpga/2005/9/section/3 - [S42] Mental Health Act 1983, section 5 (patients already in hospital). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
377a553dc0f31555…
https://www.legislation.gov.uk/ukpga/1983/20/section/5 - [S43] Equality Act 2010, section 4 (the protected characteristics). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
73e09356784a154d…
https://www.legislation.gov.uk/ukpga/2010/15/section/4 - [S44] Care Act 2014, section 42 (safeguarding enquiry by local authority). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
a7700213c5f67e5b…
https://www.legislation.gov.uk/ukpga/2014/23/section/42 - [S45] Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, regulation 20 (duty of candour). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
de5531d277218ba1…
https://www.legislation.gov.uk/uksi/2014/2936/regulation/20 - [S46] Mental Health Act 1983, section 2 (admission for assessment). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
08e79e9268d750a5…
https://www.legislation.gov.uk/ukpga/1983/20/section/2 - [S47] Mental Health Act 1983, section 3 (admission for treatment). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
2179ff1ddb839015…
https://www.legislation.gov.uk/ukpga/1983/20/section/3 - [S48] The Caldicott Principles. Department of Health and Social Care, on GOV.UK. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
1cbfc3616ed2dd4e…
https://www.gov.uk/government/publications/the-caldicott-principles - [S50] Adult basic life support guidelines (2025). Resuscitation Council UK. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
ce882034f0a84587…
https://www.resus.org.uk/print/pdf/node/36437 - [S51] Emergency treatment of anaphylaxis: guidelines for healthcare providers (2021). Resuscitation Council UK. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
1c07e3dd4e238e92…
https://www.resus.org.uk/sites/default/files/2021-05/Emergency%20Treatment%20of%20Anaphylaxis%20May%202021_0.pdf - [S52] NEWS2 chart 4: clinical response to the NEWS trigger thresholds. Royal College of Physicians. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
bf982356b91dd0cb…
https://www.rcp.ac.uk/media/mrllczrj/news2-chart-4_clinical-response-to-news-trigger-thresholds_0.pdf - [S53] NEWS2 chart 1: the NEWS scoring system. Royal College of Physicians. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
62425a54bd29d5c6…
https://www.rcp.ac.uk/media/alxev00t/news2-chart-1_the-news-scoring-system_0_0.pdf - [S54] National Early Warning Score (NEWS) 2: final report (2017). Royal College of Physicians. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
c5dad854ccf0d210…
https://www.rcp.ac.uk/media/a4ibkkbf/news2-final-report_0_0.pdf - [S55] Blood transfusion (NG24): patient safety. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
681ab5663241a29a…
https://www.nice.org.uk/guidance/ng24/chapter/Patient-safety - [S56] Tobacco (NG209): treating tobacco dependence. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
993937d940340ddc…
https://www.nice.org.uk/guidance/ng209/chapter/Treating-tobacco-dependence - [S57] Managing medicines in care homes (SC1): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
79f7b36d13b968d0…
https://www.nice.org.uk/guidance/sc1/chapter/Recommendations - [S58] Controlled drugs: safe use and management (NG46): recommendations. National Institute for Health and Care Excellence (NICE). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
27c84a36707f7a72…
https://www.nice.org.uk/guidance/ng46/chapter/Recommendations - [S60] Paracetamol for adults. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
6d429b6457698e1a…
https://www.nhs.uk/medicines/paracetamol-for-adults/ - [S61] Amoxicillin: how and when to take it. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
77840776ba5017c7…
https://www.nhs.uk/medicines/amoxicillin/how-and-when-to-take-amoxicillin/ - [S62] Furosemide. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
d8862c1b0860a8d0…
https://www.nhs.uk/medicines/furosemide/ - [S63] Digoxin. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
731fa2f8c05518b1…
https://www.nhs.uk/medicines/digoxin/ - [S64] Prednisolone. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
6ab82cd1c0e63e39…
https://www.nhs.uk/medicines/prednisolone/ - [S65] Levothyroxine. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
6f0aded953a46b33…
https://www.nhs.uk/medicines/levothyroxine/ - [S66] Morphine. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
e3b56536263d8ac9…
https://www.nhs.uk/medicines/morphine/ - [S67] Metformin. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
be86d6d2d58c55d3…
https://www.nhs.uk/medicines/metformin/ - [S70] Furosemide 10 mg/ml solution for injection: summary of product characteristics. emc (electronic medicines compendium). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
8cdbf77daa11466b…
https://www.medicines.org.uk/emc/product/11522/smpc - [S71] Ondansetron 2 mg/ml solution for injection: summary of product characteristics. emc (electronic medicines compendium). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
0c857f673fc5677a…
https://www.medicines.org.uk/emc/product/6469/smpc - [S72] Gentamicin 40 mg/ml solution for injection/infusion: summary of product characteristics. emc (electronic medicines compendium). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
591f02fd2d1515e2…
https://www.medicines.org.uk/emc/product/12877/smpc - [S73] Heparin 5,000 IU/ml solution for injection: summary of product characteristics. emc (electronic medicines compendium). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
f8a1597ca50b84fa…
https://www.medicines.org.uk/emc/product/7419/smpc - [S74] Cyclizine lactate 50 mg/ml injection: summary of product characteristics. emc (electronic medicines compendium). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
e1a78e2657105285…
https://www.medicines.org.uk/emc/product/5552/smpc - [S75] Metoclopramide 5 mg/ml injection: summary of product characteristics. emc (electronic medicines compendium). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
66c06a42317438c6…
https://www.medicines.org.uk/emc/product/6283/smpc - [S76] Actrapid 100 international units/ml solution for injection: summary of product characteristics. emc (electronic medicines compendium). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
b2c88f1b22e6d0be…
https://www.medicines.org.uk/emc/product/3849/smpc - [S80] Consumer Contracts (Information, Cancellation and Additional Charges) Regulations 2013, regulation 37. legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
896db36aed6a41ff…
https://www.legislation.gov.uk/uksi/2013/3134/regulation/37 - [S81] Register for VAT: when to register. HM Revenue and Customs, on GOV.UK. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
24a7d774de21395c…
https://www.gov.uk/register-for-vat/when-register-for-vat - [S82] UK GDPR, Article 27 (representatives of controllers not established in the UK). legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
3dc404c8f169ea0b…
https://www.legislation.gov.uk/eur/2016/679/article/27 - [S83] Calculating alcohol units. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
28f060fd4dab4af6…
https://www.nhs.uk/live-well/alcohol-advice/calculating-alcohol-units/ - [S84] Physical activity guidelines for adults aged 19 to 64. NHS website (nhs.uk). Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
13ecb99e8ba36f22…
https://www.nhs.uk/live-well/exercise/physical-activity-guidelines-for-adults-aged-19-to-64/ - [S85] Health and Safety (Sharp Instruments in Healthcare) Regulations 2013, regulation 5. legislation.gov.uk. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
3eeda03c4e1d6117…
https://www.legislation.gov.uk/uksi/2013/645/regulation/5 - [S86] Care and support statutory guidance (Care Act 2014). Department of Health and Social Care, on GOV.UK. Stored on 2026-10-31. SHA-256 fingerprint of our stored copy:
7303ea3440f3df39…
https://www.gov.uk/government/publications/care-act-statutory-guidance/care-and-support-statutory-guidance