OET for Nurses

Nurses take OET to show their English for registration in countries such as the UK, Ireland, Australia and New Zealand. Listening and Reading are the same for every profession. Writing and Speaking use nursing tasks: a letter to another health professional, and role-plays with patients or relatives. On OET Practice, choose Nursing to practise those tasks.

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Why nurses take OET

Many nursing regulators ask overseas-trained nurses to show their English before they can register. OET lists the following among the nursing organisations that accept it:

Examples of nursing regulators that accept OET, according to OET
Country Organisation
United Kingdom Nursing and Midwifery Council (NMC)
Ireland Nursing and Midwifery Board of Ireland (NMBI)
Australia Australian Health Practitioner Regulation Agency (Ahpra)
New Zealand Nursing Council of New Zealand
United States CGFNS International, and state boards of nursing in many US states

Requirements change, and some regulators set different grades for different sub-tests. Check the current rules with your own regulator before you book.

What is different for nurses

OET sub-tests for nurses
Sub-test For nurses
Listening The same for all professions. Healthcare topics, but no specialist knowledge needed.
Reading The same for all professions. Healthcare texts, but no specialist knowledge needed.
Writing A letter from nursing case notes to another health professional.
Speaking Two role-plays in nursing settings with a patient, relative or carer.

Read the full guides: Listening, Reading, Writing and Speaking.

Writing for nurses

You read nursing case notes and write a letter that gives another professional what they need to continue the patient's care. The reader might be a community nurse, a GP, a nurse at another facility or another member of the care team. For example, you might write:

  • a discharge letter to a district nurse who will dress a wound at home;
  • a transfer letter to an aged-care facility when a patient moves there from hospital;
  • a referral to a dietitian or physiotherapist for ongoing care.

Our OET Writing guide includes a model nursing discharge letter, built from case notes step by step.

Speaking for nurses

You complete two role-plays. You play the nurse, and the interlocutor plays a patient, relative or carer. The role card tells you the setting and what you need to do. For example, you might:

  • explain how to use a new medicine or device at home;
  • reassure an anxious patient before a procedure;
  • give discharge advice to a relative who will care for the patient.

Assessors listen to your English and to your clinical communication, such as how you find out the patient's concerns and check their understanding. Our guide to the Speaking criteria explains all nine.

A preparation plan

Four steps for nurses

  1. Find your target and your level

    Check the grade your regulator needs in each sub-test. Then take one practice sub-test of each skill.

  2. Work on the skill furthest from your target

    Practise single parts in Listening and Reading, and write a nursing letter or complete a Speaking session each week.

  3. Review every mistake

    Keep a mistake log, so you can see which mistakes keep coming back.

    Read the error-tracking plan
  4. Sit a full mock test

    In the last weeks before your exam, take all four sub-tests under exam conditions.

For a full study routine, read how to prepare for OET.

Practise on OET Practice

  1. Choose Nursing for Writing and Speaking

    When you start a Writing or Speaking sub-test, choose Nursing to get nursing case notes and role cards.

    Open the exam library
  2. Practise Listening and Reading by part

    Use Practice mode to choose a part and a time limit. Answers are marked instantly, with the correct answer for every question.

  3. Get feedback on letters and role-plays

    Writing and Speaking get AI-assisted feedback, reviewed by our team. A person on our team reviews every Speaking result before you see it.

Sources

Written by OET Practice team. Last reviewed: 27 October 2026. Read our editorial policy .

FAQ

Frequently asked questions

Straight answers about this guide and how practice on OET Practice works.

Is OET different for nurses?

Partly. Listening and Reading are the same for every profession. Writing and Speaking use nursing tasks, such as a letter to a community nurse or a role-play with a patient on the ward.

Which organisations accept OET for nurses?

OET lists nursing regulators including the NMC in the UK, Ahpra in Australia, the Nursing Council of New Zealand and the NMBI in Ireland, and CGFNS in the US. Check the current requirements with your own regulator.

What grade do nurses need?

It depends on the regulator. Many ask for grade B, and some accept a lower grade in Writing than in the other sub-tests. Check the requirement for each sub-test with your regulator before you set your target.

Can I practise nursing letters on OET Practice?

Yes. Choose Nursing when you start the Writing or Speaking sub-test, and you get nursing tasks.

Are practice grades official OET scores?

No. Results are practice bands (A–E) for learning feedback, not official OET scores. OET Practice is independent and not affiliated with OET or Cambridge Boxhill Language Assessment.

Practise nursing tasks

Choose Nursing for Writing and Speaking, and practise Listening and Reading with instant marking. Practice grades are not official OET scores.

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