NMC Licensing Exam Breakdown for Registered General Nursing (RGN)

Paper 1

Medicine and Medical Nursing – 180 MCQs

Duration: 3 hours

Paper 2

SURGERY AND SURGICAL NURSING, GYNAECOLOGY, UROLOGY, ORTHOPAEDICS – 180 MCQs

Duration: 3 hours

Paper 3

General Paper – 100 MCQs

Duration: 1 hour 30 minutes

Paper 4

Nursing Practical – TWO PROCEDURES AT MEDICAL AND TWO PROCEDURES AT SURICAL.

PRACTICALS ARE USUALLY DONE BEFORE THE MCQS SESSION 

Paper 5

Care Study .

The Care Study is a written assessment that evaluates a candidate’s ability to apply the nursing process in real patient care. It is usually based on a client encountered during clinical placement. Candidates are expected to:

 1. Introduction

 • Brief background of the client (age, sex, diagnosis, reason for admission).

 2. Patient History and Assessment

 • Comprehensive health history (presenting complaint, past medical history, family/social history).

 • Physical examination findings.

 • Relevant investigations and results.

 3. Nursing Diagnoses

 • Identification of actual and potential health problems using NANDA-approved statements.

 4. Planning

 • Setting SMART objectives (Specific, Measurable, Achievable, Relevant, Time-bound).

 • Prioritization of patient needs.

 5. Implementation

 • Nursing interventions carried out to meet the objectives (independent, dependent, and collaborative).

 6. Evaluation

 • Assessing outcomes against objectives.

 • Modifying care where necessary.

 7. Conclusion and Recommendations

 • Summary of the care provided.

 • Suggestions for continuity of care at discharge.

Duration: Usually spread over a clinical posting period; submission deadline is determined by the NMC.

Note: Adequate preparation in both theory and clinical practice is essential for success in the examination.

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Below is the structure of the Registered Midwifery (RM) Licensing Examination:

Paper 1

Paediatrics, Obstetric Anatomy, and Management of High-Risk Neonates – 180 MCQs

Duration: 3 hours

Paper 2

Midwifery – 180 MCQs

Duration: 3 hours

Paper 3

General Paper – 100 MCQs

Duration: 1 hour 30 minutes

Paper 4

Practical Examination – Basic Nursing and Midwifery Practice

 • Antenatal care

 • Intrapartum care (labour and delivery)

 • Postnatal care

 • Newborn care

Paper 5

Care Study (Care Plan)-FCMC

The Care Study for midwifery focuses on the nursing and midwifery process in maternal and newborn care. Candidates are expected to:

 1. Introduction

 • Client’s profile (gravida, parity, age, reason for admission).

 2. History Taking & Assessment

 • Obstetric history (LMP, EDD, previous pregnancies, antenatal care).

 • Current complaint and examination findings.

 • Relevant lab/scan investigations.

 3. Midwifery/Nursing Diagnoses

 • Identification of actual and potential problems in pregnancy, labour, puerperium, or neonatal care.

 4. Planning

 • Setting measurable objectives to promote safe motherhood and newborn wellbeing.

 • Prioritization of maternal and child needs.

 5. Implementation

 • Midwifery interventions (monitoring labour, health education, immediate newborn care, breastfeeding support, etc.).

 • Collaborative interventions with the health team.

 6. Evaluation

 • Reviewing progress of mother and baby.

 • Modifying care as needed.

 7. Conclusion and Recommendations

 • Summarizing the care provided.

 • Recommendations for follow-up and community support.

Duration: Completed during clinical posting; deadline is set by the NMC.

Note: Adequate preparation in both theory and clinical practice is essential for success in the examination.

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Below is the structure of the Nurse Assistant Clinical (NAC/NAP) Licensing Examination:

Paper 1 For NAC

Basic Clinical Nursing – 180 MCQs

Duration: 3 hours

Paper 1 For NAP

Basic PREVENTIVE NURSING– 180 MCQs

Duration: 3 hours

Paper 2 For Both NAC & NAP Candidates

General Paper – 100 MCQs

Duration: 1 hour 30 minutes

Paper 3

Practical Examination – Basic Clinical/Preventive Nursing Procedures

 • Basic patient care

 • Vital signs monitoring

 • Bed making and patient comfort measures

 • Aseptic techniques and infection prevention

 • Medication administration under supervision

 • Wound dressing and basic nursing skills

Note:

 • Unlike RGN and RM, NAC/NAP students do not do a Care Study (Paper 4).

 • The focus is on mastering fundamental nursing skills and demonstrating competence in safe, effective bedside care.

Note: Adequate preparation in both theory and clinical practice is essential for success in the examination.

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Below is the structure of the Registered Mental Health Nursing (RMHN) Licensing Examination:

Paper 1

Principles and Practice of Psychiatric Nursing – 180 MCQs

Duration: 3 hours

Paper 2

Psychiatry, Psychopathology, and Psychopharmacology – 180 MCQs

Duration: 3 hours

Paper 3

General Paper – 100 MCQs

Duration: 1 hour 30 minutes

Paper 4

Practical Examination – Psychiatric Nursing Practice

 • Mental status examination (MSE)

 • Therapeutic communication and interviewing skills

 • Crisis intervention and counseling techniques

 • Administration of psychotropic medications and monitoring side effects

 • Group therapy participation and documentation

 • Use of restraints and seclusion according to guidelines

 • Rehabilitation and community reintegration support

Paper 5

Care Study (Psychiatric Focus)

The Care Study for Mental Health Nursing evaluates a candidate’s ability to apply the nursing process in psychiatric and mental health care. Candidates are expected to:

 1. Introduction

 • Patient profile (age, sex, presenting complaint, psychiatric diagnosis).

 2. History and Assessment

 • Psychiatric history, medical history, family and social history.

 • Mental Status Examination (appearance, behavior, mood, thought, perception, cognition, judgment, insight).

 3. Nursing Diagnoses

 • Identification of actual/potential problems (e.g., disturbed thought processes, risk for violence, impaired social interaction).

 4. Planning

 • Setting individualized objectives for psychiatric care (symptom management, safety, social functioning).

 5. Implementation

 • Nursing interventions such as:

 • Establishing a therapeutic nurse–patient relationship.

 • Administering and monitoring psychotropic medications.

 • Teaching coping mechanisms and relapse prevention.

 • Collaborating with psychiatrists, psychologists, and social workers.

 6. Evaluation

 • Reviewing patient progress against objectives (e.g., reduced hallucinations, improved mood, better social interaction).

 7. Conclusion and Recommendations

 • Summary of psychiatric care given.

 • Referrals, follow-up, and community mental health support.

Note: The RMHN exam focuses heavily on therapeutic communication, safe medication use, and psychosocial rehabilitation, reflecting the unique role of the mental health nurse.

Note: Adequate preparation in both theory and clinical practice is essential for success in the examination.

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Below is the structure of the Registered Public Health Nursing (RPHN) Licensing Examination:

Paper 1

Principles And Practice Of Comm.Nursing and Administration – 180 MCQs

Duration: 3 hours

Paper 2

Principles of Disease Management and Control – 180 MCQs

Duration: 3 hours

Paper 3

General Paper – 100 MCQs

Duration: 1 hour 30 minutes

Paper 4

Practical Examination – Community and Preventive Health

 • Home visits and community assessment

 • Child welfare clinic activities

 • Antenatal and postnatal services in the community

 • Health education and promotion

 • Immunization services

 • Screening and surveillance activities

Paper 5

Care Study (Community Health Focus)-FCC

The RPHN Care Study assesses the candidate’s ability to apply the nursing process in community/public health settings. Candidates are expected to:

 1. Introduction

 • Brief description of the community/family/individual chosen.

 2. Community/Family Assessment

 • Demographics, health status, environmental conditions, cultural practices.

 • Identification of health problems through interviews, surveys, or observation.

 3. Public Health Nursing Diagnoses

 • Identification of priority community/family health needs.

 4. Planning

 • Developing health objectives that are measurable and time-bound.

 • Strategies for health promotion, disease prevention, and control.

 5. Implementation

 • Interventions such as home visits, health talks, immunization sessions, sanitation campaigns, and referrals.

 6. Evaluation

 • Measuring impact of interventions on individuals, families, or communities.

 7. Conclusion and Recommendations

 • Summary of findings and care provided.

 • Recommendations for sustained community health improvement.

Note: The RPHN exam emphasizes preventive, promotive, and rehabilitative care rather than curative care, reflecting the public health nurse’s role in the community.

Note: Adequate preparation in both theory and clinical practice is essential for success in the examination.

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