NCK Exam Kenya 2026: Complete Guide for BScN, KRCHN and Higher Diploma

Everything you need to know about the Nursing Council of Kenya Licensure Exam: structure, 2026 schedule, registration, DigiProctor, grading, past papers, and revision resources. Kenya’s most comprehensive NCK guide, all in one place.

 

3×

Sittings per year

KSh 8K

Exam fee 2026

4,000+

Practice questions

4

Max resit attempts

49.5%

Pass mark

Section 1

What Is the NCK Exam in Kenya?

The Nursing Council of Kenya (NCK) Licensure Examination — also known as the Final Qualifying Examination (FQE) — is a mandatory, computer-based exam that every nurse and midwife must pass before they are legally permitted to practise in Kenya.

Established under the Nurses and Midwives Act, Cap 257 of the Laws of Kenya, the NCK is the sole professional regulatory body for all nursing and midwifery cadres in the country. Passing the licensure exam is the gateway to your registration certificate, your practising licence, and the start of your nursing career.

Why it matters: Without passing the NCK exam you cannot receive your nursing licence, cannot practise legally in Kenya, and cannot apply for jobs in public or private hospitals. It is the single most important milestone after graduation.

Why the NCK Licensure Exam Is Mandatory for All Kenyan Nurses

The NCK’s mandate is to ensure every nurse and midwife meets an acceptable standard of competence before entering clinical practice. The licensure exam is the mechanism through which that standard is verified. Passing it confirms that you are safe to practise independently and deliver quality care to Kenyan patients.

Who Must Sit the NCK Exam? All Eligible Cadres Listed

Every nursing graduate in Kenya must sit the NCK exam regardless of their cadre or training institution. This includes KRCHN graduates from KMTC and other diploma institutions, BScN degree graduates from universities, Higher Diploma specialty nurses (Critical Care, Oncology, Renal, Psychiatric, and more), Kenya Registered Midwives (KRM), Nurse Anaesthetists, Paediatric nurses, Ophthalmic nurses, and Palliative Care nurses.

NCK Exam vs University Finals: What Is the Difference?

Your university or college finals are institution-assessed and determine your academic qualification. The NCK exam is a national, independently administered licensure exam that determines whether you are legally permitted to practise. Passing your finals does not automatically mean you can practise — you must separately pass the NCK exam and receive your NCK registration certificate.

NCK Exam at a Glance

Full name

NCK Licensure Exam (FQE)

Format

Computer-Based (CBT)

Platform

DigiProctor

Question type

MCQs

Duration per paper

~2 hours

2026 Exam fee

KSh 8,000
 

Sittings per year

3 (Feb, May, Aug)
 

Passing score

49.5%
 

Maximum resits

4 attempts

Dress code

School/official uniform

Registration portal

Section 2

NCK Exam Structure: Papers, Cadres & Question Format

The NCK exam is structured differently depending on your cadre. Below is a complete breakdown of the three main pathways — KRCHN, BScN, and Higher Diploma — with their paper topics, formats, and direct revision links.  For more details read our blog NCK Exam Format.

Diploma · KMTC & Other Institutions

KRCHN Diploma Exam

Kenya Registered Community Health Nurse
KRCHN Diploma Exam: Paper 1 and Paper 2 Topics

p1

Paper 1 — Clinical Nursing
Medical-Surgical, Pharmacology, Anatomy & Physiology, Microbiology, Pathophysiology

p2

Paper 2 — Specialty Nursing
Community Health, Midwifery, Paediatric, Psychiatric Nursing, Management

Degree · University

BScN Degree Exam

Bachelor of Science in Nursing
BScN Degree Exam: Paper 1 and Paper 2 Topics

p1

Paper 1 — Advanced Clinical Nursing
Medical-Surgical, Advanced Pharmacology, Anatomy & Physiology, Pathophysiology, Research

p2

Paper 2 — Specialty & Community Nursing
Community Health, Midwifery, Paediatric, Mental Health, Leadership & Management

Higher Diploma · Specialty

Higher Diploma NCK Exam

Specialty Nursing Cadres
Higher Diploma: Critical Care, Oncology, Renal & More

p1

Critical Care (KRCCHN)
ICU care, ventilator management, haemodynamics, critical pharmacology

p2

Oncology, Renal, Psychiatric, Paediatric CC
Each specialty has its own 1-paper exam. Also: Anaesthetics, Ophthalmic, Palliative Care

What Types of Questions Appear in the NCK Exam?

The NCK exam is primarily MCQ-based, but modern sittings include clinical scenario questions — brief patient care vignettes requiring multi-step clinical reasoning. These test your ability to apply knowledge, not just recall it. This is the key reason why practising with rationale-based MCQs (rather than memorising random PDFs) gives you a decisive advantage. See our Beyond Past Papers guide → for the full breakdown.

Section 3

NCK Exam 2026 Schedule: Dates, Sittings & Deadlines

The NCK conducts exams three times a year. Each sitting has strict registration deadlines, withdrawal windows, and mandatory rehearsals. Plan your revision calendar around these dates.

Completed - Resit Sitting

February 2026

Exam dates

18–20 February 2026

Purpose

Resits (failed Aug/Nov 2025)

App. deadline

31 December 2025

Rehearsal

17 February 2026

Results

31 March 2026 √

Completed - Main Sitting

May 2026

Exam start

13 May 2026

Exam end

15 May 2026

Withdrawal

3 April 2026

Mock 1

20–21 April 2026

Results

30 June 2026√

Completed - Mid-Year Sitting

August 2026

Exam dates 

13-14 August 2026

Withdrawal 

16 July 2026

Rehearsals

11 August 2026

Cadres

All cadres

Results 

Due 30 September 2026

Next Sitting: November 2026 — Registration Now Open

The November 2026 sitting is the next national examination for KRCHN, BScN, and most other cadres. Key dates confirmed on NCK’s official schedule:

Applications open

25 August 2026

Application deadline

5 October 2026

Withdrawal deadline

15 October 2026

Mock 1

19–23 October 2026

Mock 2

26–30 October 2026

Exam dates

12–13 November 2026

Always verify exact dates at nckenya.com or osp.nckenya.go.ke. Dates can change. For full details including important deadlines, read our NCK Exam 2026 Schedule: Dates, Deadlines & Fees Guide →

Important Deadlines Every Candidate Must Know

Missing a deadline is one of the most common and avoidable reasons candidates cannot sit an NCK exam. Key dates to track: application open date, application deadline, withdrawal deadline (changing your mind after this incurs a penalty), exam centre change deadline (3 weeks before rehearsal), and rehearsal attendance (mandatory — missing it can result in disqualification).

Section 4

How to Register for the NCK Exam in 2026 (Step by Step)

Registration is institution-led — you cannot apply independently. Your training institution nominates you via the NCK Online Services Portal. Here is the complete process.

1

Confirm Eligibility with Your Training Institution

Your institution (KMTC, university, or school of nursing) confirms you have met academic and clinical requirements, then submits your candidacy to NCK on your behalf.

2

Receive Your Activation Email from NCK

NCK sends an activation link to your registered email. Check your spam folder. Click the link to access the NCK Online Services Portal at osp.nckenya.go.ke.

3

Complete Your Online Application on the Portal

Log in and complete the exam application. Upload a clear ID scan and passport photo. Ensure your name exactly matches your official documents — mismatched names cause significant delays.

4

Pay the NCK Exam Fee — KSh 8,000

Pay through the official NCK portal payment channel. Never pay through unofficial agents. Save your payment receipt as proof of registration.

5

Select Your Preferred Exam Centre

Choose from the approved list of centres across Kenya. Changes are only permitted up to 3 weeks before the rehearsal date — choose carefully.

6

Attend the Mandatory Rehearsal

NCK conducts mandatory rehearsals before every sitting. You must attend in person, take both mock exams, receive your NCK exam card, and sign the attendance register. Missing the rehearsal may result in disqualification.

Common Registration Mistakes and How to Avoid Them

The most frequent registration errors: submitting incomplete documents, uploading unclear photo scans, having a name mismatch between your ID and application, selecting the wrong exam centre, and missing the withdrawal deadline. Read our full NCK Registration Guide with 2026 deadlines → to avoid all of them.

Section 5

How Does DigiProctor Work for the NCK Exam?

Since 2020, all NCK exams have been administered exclusively through DigiProctor — an AI-powered proctoring system that uses video recording, face recognition, and screen monitoring. Here is everything you need to know before exam day.

Laptop and Equipment Requirements for DigiProctor

Laptop required — no phones or desktops

Bring the same laptop used during rehearsal to the actual exam

Google Chrome browser

Install Chrome. No other browsers are supported by DigiProctor

DigiProctor Testpad application installed

Install and test the Testpad app before rehearsal day

Functioning front camera

Your face is verified against your profile photo via AI — no entry without a match

Unique test key provided by NCK

You can enter 15 minutes before your scheduled start time using your test key

Exam centre provides internet

If disconnected, re-enter via the same test key within the exam time window

What Happens on Rehearsal Day?

Rehearsal is mandatory and non-negotiable. It serves three purposes: testing your hardware, verifying your DigiProctor profile, and familiarising you with the exam interface. Here is what to expect:

NCK Exam Day Rules You Cannot Afford to Ignore

Section 6

NCK Exam Grading System: Pass, Credit & Distinction Explained

Understanding the grading scale helps you set a real revision target. You need at least 49.5% to pass each paper — aim higher for Credit or Distinction.

0 – 49.4%

SCORE RANGE

Fail

49.5 – 64.4%

SCORE RANGE

Pass

64.5 – 74.4%

SCORE RANGE

Credit

74.5 – 100%

SCORE RANGE

Distinction

What Score Do You Need to Pass the NCK Exam?

You need a minimum of 49.5% to pass any individual paper. You must pass each paper separately. Failing one paper does not mean you failed the entire exam — you only resit the failed paper(s).

What Happens If You Fail One Paper?

You resit only the failed paper at the next available sitting (typically February). You are allowed a maximum of 4 resit attempts per paper. Read our NCK Resit Guide →

How to Check Your NCK Exam Results Online

Results are published via the NCK Online Services Portal at osp.nckenya.go.ke. Log in with your registered credentials, navigate to “Examination Results,” and download your results slip. May 2026 results are expected by 30 June 2026. NCK also notifies candidates by email and SMS.

Section 7

NCK Exam Revision Resources: Past Papers, Notes & Question Banks

Every ReviQuiz blog post, guide, and course organised by topic cluster. Click any section to expand it and find the most relevant resources for your preparation.

📄

NCK Past Papers with Answers and Rationales

Vetted revision questions, free MCQs, and question banks mapped to the current NCK syllabus

NCK does not publicly release official past papers. ReviQuiz provides examiner-vetted questions compiled from 2003–2025 exam trends, university papers, and the current NCK blueprint — all with full rationales so you understand why, not just what.

NCK Past Papers with Answers & Rationales(Free)

Free Starter resources + full guide

New NCK Paper 1 & 2: BScN & KRCHN Revision 2026

Updated question sets for both cadres

Why NCK Past Paper PDFs Are Dangerous

What to use instead of random PDFs

KRCHN Paper 1: Full MCQ & Rationales Course

Complete question bank with explanations

KRCHN Paper 2: Full MCQ & Rationales Course

Complete question bank with explanations

Knowing the NCK syllabus is the foundation of smart revision. These resources tell you exactly which topics to prioritise in each paper.

NCK Exam, Syllabus Overview 2025/2026

Full topic breakdown by paper and cadre

Anatomy & Physiology for the NCK Exam: High-Yield Topics & Free MCQs

High-yield A&P areas + 10 free practice questions

Beyond Past Papers: The Smart Way to Pass

Why smart revision beats cramming

Nursing Care Plans Guide & Lists for Kenyan Students

Essential for clinical scenario questions

Community Health Nursing Notes & Questions

PHC, MCH, disease control - 395 questions

Midwifery Nursing Notes & Questions

Antenatal, intrapartum, postpartum, newborn care

Paediatric Nursing Notes & Question

Child health,IMCI, growth & development

Pharmacology Nursing & Questions

Antibiotics, medications, drugs - 600 MCQs

Ultimate KRCHN NCK Exam GUIDE 2026: Pass Paper 1 & 2 First Attempt

Complete KRCHN exam strategy and revision plan

Anatomy & Physiology for the NCK Exam: High-Yield Topics & Free MCQs

Targeted MCQs, rationales & mock exams for degree nurses

KRCHN Revision Hub

All KRCHN resources in one place

BScN Revision Hub

All BScN resources in one place

NCK Exam 2026 Schedule: Dates, Deadlines & Fees

Complete 2026 timelines and exam calendar

How to register for the NCK Exam in 2026

Step-by-step OSP portal registration guide

NCK Exam Centres: Complete 2026 Guide by County

Full list of approved exam centres across Kenya

NCK Exam Ultimate FAQs Guide

50+ common candidate questions answered

NCK Resit Exam February 2026: Ultimate Retake Guide

Proven tips, strategies & revision resources to pass second time

Beyond Past Papers: The Smart Way to Pass

Evidence-based revision strategy for resitters

NCK Premium Course - Most Popular for Resitters

60- day plan with 2,500+ MCQs - choose BScN or KRCHN below

Higher Diploma NCK Revision Hub

All Higher Diploma resources in one place

Critical Care(KRCCHN) NCK Revision Course

ICU, Ventilators, haemodynamics, critical pharmacology

Coming soon: Oncology, Renal, Psychiatric, and Paediatric Critical Care NCK revision modules. Contact us to be notified when your specialty launches.

Section 8 – ReviQuiz Courses

ReviQuiz NCK Revision Courses: Which Package Is Right for You?

Every course is built specifically for Kenyan nursing students by practising nurses. M-Pesa payment accepted. Instant access. DigiProctor-style timed mock exams included. Full packages are now split by cadre so the content matches your exact syllabus.

Degree-Level Revision Packages

BScN NCK Basic Revision Course

The essential beginner-friendly starting point for degree-level candidates with 60+ days to exam.

BScN NCK Premium Revision Course

60-day structured prep. The most chosen course by both first-timers and resitters.

BScN NCK Pro Revision Course

The unlimited package for degree candidates who want total confidence and zero margin for error.

Diploma-Level Revision Packages

KRCHN NCK Basic Revision Course

The essential beginner-friendly starting point for degree-level candidates with 60+ days to exam.

KRCHN NCK Premium Revision Course

60-day structured prep. The most chosen course by both first-timers and resitters.

KRCHN NCK Pro Revision Course

The unlimited package for degree candidates who want total confidence and zero margin for error.

Specialised Modules — Shared Across Both Cadres, Revise One Subject at a Time

Section 9 

Recommended Nursing Textbooks for the NCK Exam

The textbooks your NCK syllabus is built on. Available as PDFs on ReviQuiz — read on any device, delivered instantly.

Section 10

NCK Exam FAQs: 10 Questions Every Kenyan Nursing Student Asks

The most common questions from Kenyan nursing students — answered clearly and directly.

What is the NCK exam and why must I sit it?

The NCK exam (Final Qualifying Examination) is a mandatory, computer-based licensure exam administered by the Nursing Council of Kenya. Without passing it you cannot be legally registered as a nurse or midwife in Kenya, and cannot begin practising. It is the most important exam after your academic qualification.

Three times a year — February (resit sitting), May (main sitting), and August (mid-year sitting). The February sitting is specifically for candidates who failed the previous August exam. Registration windows open separately for each sitting with their own deadlines.

The official exam fee is KSh 8,000 per programme according to the NCK Service Charter (2025 revision). Payment is made through the official NCK Online Services Portal (osp.nckenya.go.ke). Never pay through unofficial agents or third parties.

KRCHN and BScN candidates sit 2 papers. Higher Diploma and specialty cadres sit 1 paper. Each paper is approximately 2 hours. You must pass each paper independently — failing one paper does not mean repeating the full exam.

DigiProctor is the AI-powered online proctoring platform used for all NCK exams. It uses video recording, face recognition, and screen monitoring. You need a laptop with Google Chrome and the Testpad app installed. You attend a mandatory rehearsal before the actual exam to test your setup and collect your exam card.

NCK does not release official past papers publicly. PDFs circulating on WhatsApp are often outdated or inaccurate. ReviQuiz provides examiner-vetted revision questions compiled from 2003–2025 exam trends with full rationales, mapped to the current NCK syllabus. See our PDF danger guide →

You only resit the paper(s) you failed. You are allowed up to 4 resit attempts. The next resit sitting is February. Read our complete NCK Resit Guide → for a full comeback strategy.

Registration is through your training institution — you cannot self-register. Your institution nominates you via the NCK OSP portal, you receive an email link to complete your application, then pay KSh 8,000 and select your exam centre. Read our full NCK Registration Guide →

The most effective approach: (1) Map the syllabus and know which topics are high-yield for your cadre. (2) Practise with rationale-based MCQs — not random memorisation. (3) Simulate DigiProctor timed exams at least 4 times per paper. (4) Start at least 60 days before your exam date. ReviQuiz’s Premium Course (available for both BScN and KRCHN) is structured around exactly this method.

Ready to Pass Your NCK Exam?

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