NZ nursing pathway overview

NZ IQN Theory Exam and OSCE Quick Guide

Use this guide to understand the high-level competence assessment pathway and identify the preparation stage that applies to you. Start with the full NZ nursing registration guide, or go directly to IQN theory exam preparation and OSCE preparation.

Test of Competence Pathway

Assigned pathway -> IQN Theory Exam -> Orientation -> OSCE -> Registration

Use this quick guide to understand the high-level process for nurses who are required to complete this pathway, then focus on the preparation stage that applies to you now.

Step 1

Assigned pathway

Required by the Nursing Council of New Zealand for candidates directed into competence assessment

Step 2

IQN Theory Exam

Computer-based exam delivered through Pearson VUE

Step 3

Orientation (2 days)

In-person in Christchurch before the OSCE

Step 4

OSCE

Clinical competence assessment at Nurse Maude Simulation and Assessment Centre

Step 5

Registration

Move forward once assigned requirements are completed

Stage-specific next steps

Focus your preparation on the assessment in front of you.

IQN theory

How to use the IQN theory stage

Sign Up

Create your account to begin your IQN prep journey.

Start IQN Prep

Unlock the IQN theory preparation stage if this is the current NCNZ requirement you need to work through.

Study by Chapter

Work through focused lessons built around NCNZ-relevant topics.

Use Quizzes

Check understanding with structured chapter quizzes and practice work.

Take Mock Tests

Simulate exam conditions and identify the areas that need more work.

OSCE prep

How to use the OSCE preparation stage

Start OSCE Prep

Begin the OSCE preparation stage with station-based resources, guided learning, and a clearer practice structure.

Practise Communication Stations

Use online virtual mock patients to rehearse introductions, consent, empathy, patient education, and communication flow.

Review Stations

Study role structure, expectations, and critical checkpoints for each station.

Join Group Sessions

Enroll in available OSCE group sessions once you are ready for guided review.

Refine with Feedback

Use personalised feedback to improve technique, timing, and communication.

Preparation Confidence

Build confidence before exam day with structured repetition.

Use guided lessons, realistic practice, and stage-specific feedback to turn preparation into a clearer routine.