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OBA for International
Registered Nurse

Outcomes Based Assessment (OBA)

The Nursing and Midwifery Board of Australia (NMBA) has moved to a permanent approach in the assessment of internationally qualified nurses and midwives (IQNMs). The changes that took effect in January 2019 includes a reduction from eight to three assessment criteria. While this change streamlines the assessment process, the assessment outcomes remain the same.

The NMBA transitioned to an outcomes-based assessment (OBA) system for internationally qualified nurses and midwives (IQNMs) who hold an international nursing qualification that is relevant to but not substantially equivalent to or based on similar competencies to an Australian approved qualification. The IQNMs also need to demonstrate that they meet the mandatory registration standards.

The new model of assessment includes:

  • the online Self-check for all IQNMs
  • an orientation program for all IQNMs who are advised to continue with the assessment process, and
  • an OBA for some IQNMs


The online Self-check does not incur any fees. Upon completion of the Self-check, IQNMs who are advised to proceed with the IQNM process need to pay a non-refundable assessment fee of AUD 640. AHPRA utilises this fee in checking IQNM documentation provided and for the orientation.

Outcomes-Based Assessment (OBA)

Outcomes-Based Assessment (OBA) is a two-stage assessment process:

  • Stage one – It is a cognitive assessment consisting of computer-based multiple-choice question exam (MCQ) and an objective structured clinical exam. This stage must be complete before IQNMs can move to the second stage of the assessment.
  • Stage two – Assessed in the form of an objective structured clinical examination (OSCE), it is a behavioural evaluation of IQNM’s knowledge, skills and competence as an equivalence of a graduate-level Australian nurse or midwife.

Cost and locations for the MCQ exam

Delivered at dedicated test centres, the MCQ is a computer-based examination. IQNMs seeking registration as either a registered nurse, enrolled nurse or midwife will have separate exams. An IQNM must be referred by AHPRA to sit the MCQ exams.

Registered Nurses need to sit the National Council Licensure Examination (NCLEX-RN). The NCLEX-RN registration fee is USD 200, plus an additional international scheduling fee of USD 150 (in total USD 350). The test is administered through Pearson VUE test centres by the National Council State Boards of Nursing (NCSBN).

Cost and locations for the OSCE exam

IQNMs must pass the MCQ exam before they can attempt the OSCE. The OSCE exam, which is managed by AHPRA, is delivered at the Adelaide Health Simulation in Adelaide, South Australia. The fee for sitting the OSCE test is AUD 4,000.

Preparation Class & Program Structure:

Adelaide Health Simulation, the NMBA or AHPRA do not provide OSCE preparatory courses. However, we have few providers offering this course for your full preparation of NCLEX and OSCE examination. We have intakes starting every month, so you can start preparing yourself at your preferred time. This preparation class will help you build your confidence with the NCLEX strategies and strengthen your critical thinking skills with online interactive sessions.

The preparatory course duration is 12 – 13 weeks and the schedule is provided below:

Module I – NCLEX-RN Preparation 8-10 weeks (Online Classes)
Module II- OSCE (Objective Structured Clinical Examination)
3 weeks (Blend of Online and face to face)

Preparation Course Fees:
The cost of the preparation class is AUD 5,500.

Learning Objectives:
After the completion of this program, the students will be able to:

  1. Develop an in-depth understanding of the Australian healthcare system.
  2. Analyse the roles and functions of registered nurses in the Australian healthcare context.
  3. Develop an understanding of the NMBA (Nursing & Midwifery Board of Australia) standards of practice and code of ethics for registered nurses.
  4. Build competencies in delivering culturally safe care to ethnic groups in Australia.
  5. Review common disease conditions and nursing care plans.
  6. Develop skills in performing procedures in the OSCE (Objective Structured Clinical Examination).

Start your course now

OBA is your pathway to get the Australian Nursing Registration, and now is the best time to start your preparation course. Don’t leave it till the last minute! Just leave your contact details, and our team will contact you soon with relevant information.