01 · The biggest change
More than half the paper is now a patient case.
of 2026 questions started with a clinical scenarioIn 2020 it was 22%.
Practise with case-based questions, not one-liners. Read the full stem — the answer hides in one detail: the age, the vitals, the timing.
02 · Memory vs application
Memorising alone will not clear the cut-off anymore.
How the paper changed from 2020 to 2026:
72 easy 22 medium 5 hard
Rounded, so 2020 adds up to 99 — the blank square is the rounding.
42 easy 38 medium 20 hard
Keep the basics — recall is still a third of the paper. But the marks that decide selection are in application questions. Practise those daily.
03 · Where the marks are
4 subjects give you 65% of the paper.
Share of questions, 2024 – 2026
- Medical-Surgical 26%
- OBG 16%
- Paediatrics 14%
- Mental Health 9%
- all 20 other subjects 35%
of the 2026 paper was core nursing subjectsUp from 60% in 2020. GK, Reasoning, Maths and English together are now only about 7%.
Gaining weight
Losing weight
Plan your week by weightage. Medical-Surgical gets the most hours, then OBG, Paediatrics and Mental Health. Cover GK and Reasoning — do not over-invest.
Results · NORCET 10
1,075+ qualified NORCET 10 with NPrep.
NORCET, other central exams and state government exams — all across India.
04 · The 80 / 20 of NORCET
Just 50 topics make up 57% of the exam.
Out of 317 topics in total. The top 10 alone are 27% of every paper.
Top 10 topics, 2024 – 2026
Fastest rising topics
- Respiratory care2.8% → 5.1% of the paper
- Cardiovascular & blood3.7% → 5.4% of the paper
- Special obstetric topics0.3% → 1.2% of the paper
- Newborn care2.0% → 2.9% of the paper
- Complicated labour0.1% → 1.0% of the paper
Finish the top 50 topics before touching the rest. Respiratory, cardiac, newborn care and fluid–electrolytes are non-negotiable.
05 · Prelims vs Mains
Prelims and Mains are not the same exam.
GK, Reasoning, Maths, English
Clinical scenario questions
OBG + Paediatrics + Mental Health
Mains drops the non-nursing sections, goes heavier on OBG, Paediatrics and Mental Health, and asks longer clinical questions. Prepare for it differently.
Prepare the way NORCET is actually set.
NPrep's NORCET course follows this data — time by subject weightage, a scenario-based question bank, and live tests on the current Prelims and Mains pattern. Subject-wise PYQs from all 19 papers, with explanations.
or visit nprep.in · Want the full ranked list of all 317 topics? It's on the app.