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One case. Twelve questions. Then you know where to start.
The NCMHCE is eleven cases, and every question in them belongs to one of five domains. This single case, in the exam's format, scores you on each domain and names the lesson to open first.
- ✓An intake and a later session, each followed by questions, the way a real case unfolds.
- ✓Questions drawn by domain weight: three on assessment and three on skills, two each on ethics, treatment planning and core attributes.
- ✓Exam conditions: no feedback until the end. A rationale for every option afterward.
The case and its questions were written for this site in the style of the NCMHCE. None is from the actual exam. Taking the NCE instead? The 25-item NCE baseline is here.
Approximate shares of the scored items. Areas of Clinical Focus is carried by the diagnoses the cases are built around. Aligned to the current NCMHCE content outline. Valid for exams through June 30, 2027.
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Score by domain
Two or three questions per domain is enough to point you somewhere, not enough to predict a pass. The daily case in the practice tools sharpens this picture within a week.
A free account saves your score, tracks every lesson and case, and tells you what to study next each time you sign in.
Create a free account →Every question, explained
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What the baseline case tells you
Answer the questions the way you would on the exam: without notes, without looking anything up, and without stopping to review. The case follows the exam's order, an intake and then a later session, and you see no feedback until the end.
Your result gives a score for each of the five scored domains, the domain to start with, your strongest domain, the case's keyed diagnosis, and the one lesson to open first. Every question then comes with a rationale for every option, including the ones you did not choose. Read those slowly. On this exam, knowing why a tempting option is wrong is most of the skill.
A worked example. Say you answer all three assessment questions correctly but miss both treatment planning questions. That does not mean you cannot plan treatment; two questions is a small sample. It does make the treatment planning lesson a sensible first stop, followed by a few daily cases to see whether the pattern holds.
Next steps: start the six-lesson NCMHCE course with lesson one, try the daily case on the practice page, review with the NCMHCE flashcards, and schedule the rest with the 12-week study plan. A free account saves this result and tracks every lesson and case.