A system, method, and apparatus for testing a non-invasive blood pressure measurement device wherein a blood pressure monitor, a blood pressure cuff, and a blood pressure simulator are pneumatically connected and the blood pressure cuff is inserted into the aperture of an expansion-limiting or cuff volume constraining element. A cuff volume constraining device is made of flexible material having one or more apertures for constraining cuff volume during cuff expansion during blood pressure measurement device testing.