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NMC Objective Structured Clinical Examination (OSCE)

This exam is taken by internationally-educated nurses, midwives, and nursing associates, as well as those returning to practice after a significant break. Passing the OSCE is the final requirement to gain registration with the Nursing and Midwifery Council and be able to practise in the UK.

Pass mark 28/40 45 minutes Real test fee £794 Nursing and Midwifery Council (NMC) How many can I get wrong?
Start with a free topic drill, see where you stand, then unlock the full mock.
Free practice questions
Try 3 real NMC Objective Structured Clinical Examination (OSCE) questions
Have a go, then reveal the worked explanation. A taster from a bank of 207 original questions — unlock for unlimited drills and full timed mocks.
Q1. According to the NEWS2 chart, what score is assigned to a patient with a respiratory rate of 23 breaths per minute?
  • A.  0
  • B.  1
  • C.  2
  • D.  3
Show answer & explanation
✓ Answer: C. 2
A respiratory rate between 21 and 24 breaths per minute scores 2 on the NEWS2 chart, indicating a medium level of clinical risk.
Q2. You are planning care for a post-operative patient who reports pain (8/10), feels anxious about their upcoming discharge, has a dry surgical wound, and has not opened their bowels for 3 days. Which problem requires the most immediate priority?
  • A.  Anxiety
  • B.  Risk of infection
  • C.  Acute pain
  • D.  Constipation
Show answer & explanation
✓ Answer: C. Acute pain
According to the hierarchy of needs, acute pain is a physiological priority that severely impacts comfort, recovery, and the ability to address other issues.
Q3. During the evaluation phase, a patient expresses they are unhappy with their progress, even though their clinical observations are stable. How should the nurse respond?
  • A.  Reassure the patient that their observations are fine and they shouldn't worry.
  • B.  Acknowledge the patient's feelings and explore their concerns and perspective.
  • C.  Explain that the care plan is written by experts and is clinically appropriate.
  • D.  Document the patient's comments in the notes for the doctor to review later.
Show answer & explanation
✓ Answer: B. Acknowledge the patient's feelings and explore their concerns and perspective.
Patient-centred care requires involving the patient. The nurse must actively listen to and explore the patient's perspective as a crucial part of the evaluation process.
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Topic drills
Ten quick questions on one topic, marked instantly with explanations.
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Patient Assessment · 30
Care Planning · 30
Implementation & Evaluation of Care · 30
Medication Administration · 29
Aseptic Non-Touch Technique (ANTT) · 28
Vital Signs & Patient Monitoring · 20
Wound Care and Management · 20
Communication and Professionalism · 20
NMC Objective Structured Clinical Examination (OSCE) — common questions
Frequently asked
How many questions are in the NMC Objective Structured Clinical Examination (OSCE)?
The exam has 40 questions. Every Revision Robin mock uses the same 40-question format so your practice matches the real thing.
What is the pass mark for the NMC Objective Structured Clinical Examination (OSCE)?
You need 28 out of 40 correct to pass, which is about 70%. Our mocks mark you against this exact threshold.
How long do you get?
The test is timed at 45 minutes. Our full mock runs on the same clock so you can practise your pacing.
Are these the real exam questions?
No. Our questions are original and written to match the current syllabus, so they give realistic practice without copying the official paper. Every answer comes with a plain-English explanation. Always confirm current rules and content with Nursing and Midwifery Council (NMC).
How much does the official test cost?
The official Nursing and Midwifery Council (NMC) fee is £794. Revision Robin practice is separate and helps you pass first time so you only pay that fee once.