NREMT Practice Test 2022 FREE – Paramedic Exam – NREMT Prep

NREMT Practice Test

To prepare for your upcoming EMT exam, use our free NREMT practice exams (updated for 2021). You will feel more secure on test day if you study using genuine questions and answers. No registration is required for our sample tests, which also feature answer explanations. 

The National Registry of Emergency Medical Technicians, or NREMT, is a non-profit organization that helps ensure the skills, knowledge, and expertise of Emergency Medical Technicians (EMT) in the United States. While you’re probably familiar with the important role EMTs play in our society,you may not be as familiar with the test required to become a registered Emergency Medical Technician.

The NREMT administers a wide-range of emergency medical professional tests, including those for Emergency Medical Responders (EMR), Emergency Medical Technicians (EMT), Advanced Emergency Medical Technician (AEMT), EMT-Intermediate/99 (EMT-I/99), and Paramedics.

Prep Now and Get EMT Certification!

What is an EMT?

Based on the same book, EMTs  are:

“clinicians who have undergone training that prepares them to be able to respond fast when emergencies of a medical nature arise, or when there are people with injuries resulting from trauma or accidents. In many cases, EMTs offer ambulance services while under the employment of the government, hospitals or private firms. They are also employed by fire departments and police departments.”

What do EMTs do?

An EMT job description will involve a lot of things. Their main focus is to provide emergency medical care and transportation for patients who are in critical conditions and who access the emergency medical system. EMT jobs require knowledge and skills that are necessary for patient care and transportation. They usually do work that requires equipment that you can often find in an ambulance. 

How to Become an EMT?

Before  becoming an EMT, you must pass the NREMT test and get certified.

How do you acquire an EMT Certification?

  • You must enroll in EMT programs or successfully pass state-approved EMT courses. They must meet or exceed the National Emergency Medical Services Education Standards for EMTs. Also, you must have completed the courses within the past 2 years. The course Program Director will verify it on the NREMT website.  
  • You must have the required minimum hours for EMTs. EMT training is usually 120 to 180 hours. In addition to that, you are required to undergo EMT continuing education with at least a minimum of 48 hours. Alternatively, you may also complete an EMT refresher course for 24 hours.     
  • You must have a current CPR-BLS for “Healthcare Provider” or an equivalent credential.
  • You must have successfully passed the NREMT cognitive exam and a state-approved NREMT psychomotor exam.

How do you apply for the NREMT test?

  • You need to have the following EMT requirements
  1. You must at least be 18 years old to take the NREMT exam and get your certification. However, there are some states that don’t prohibit candidates who are 16 or 17 years of age to complete the exam.
  2. You must also have passed the NREMT exam within the last 2 years to get your certification.
  • You need to create an account at Log in to your NREMT account and provide your personal information. You must also acknowledge NREMT’s policies.
  • You can then submit your National Registry application. 
  • You must pay the application fee of $80. It is non-transferable, and it is refundable within 90 days of payment only for the following reasons:
  1. The completion of an incorrect application.
  2. The candidate no longer wants to seek National Registry certification.
  3. The certified EMS Provider did not want to recertify by exam. 
  •  Furthermore, for each of your attempts of the cognitive exam, you’ll be charged. 
  • If your application is approved, you will receive an electronic Authorization to Test (ATT). It will mean that you are eligible for the exam. The ATT will include scheduling instructions and other details, such as the proper identification required at testing centers.

Format and Content

The National Registry EMT is composed of 2 exams: Cognitive Exam and Psychomotor Exam.

Cognitive Exam

It is a computer adaptive test that will be composed of at least 70 to 120 multiple-choice type questions, 10 of which will be unscored. You can take the test at authorized Pearson Vue testing centers, and the maximum time allowed to complete it is 2 hours. Furthermore, according to NREMT’s official website, the exam will cover the following areas:

Content Area

Percent of Exam

Adult / Pediatric Mix

Airway, Respiration & Ventilation


85% Adult; 15% Pediatric

Cardiology & Resuscitation


85% Adult; 15% Pediatric



85% Adult; 15% Pediatric

Medical; Obstetrics & Gynecology


85% Adult; 15% Pediatric

EMS Operations



Psychomotor Exam 

It must be a state-approved EMT psychomotor examination. You must talk with your instructor or the State EMS Office regarding the format and logistics of completing the test.

Moreover, as you go through your EMT educational program or EMT classes, you must be able to demonstrate competence in various emergency care skills. Your instructor must attest that you have shown the following skills during your course:

  • patient assessment or management of a trauma patient or a medical patient
  • cardiac arrest management or AED, BVM ventilation of an apneic patient
  • long bone fracture immobilization
  • joint dislocation immobilization
  • traction splinting
  • bleeding control or shock management
  • upper airway adjuncts and suction
  • mouth-to-mouth ventilation with supplemental oxygen
  • supplemental oxygen administration to a breathing patient

Take note that the National Registry does not administer the EMT psychomotor exams. They are administered either by the State EMS Office or at the training institution that is approved and with oversight provided by the State EMS Office. Your course instructors should also give you information about the test.

NREMT Study Guide

  • As mentioned by the  EMT book NREMT Exam Prep 2019-2020, to prepare for the exam, you must establish a timeline first. Before you can register, you need to make sure that you have the necessary requirements before applying for the test.
  • You should know the details of the EMT test and carefully study the materials utilized for the EMT course. These materials often give focus to topics such as CPR  and shock treatment, oxygenation, etc. You must remember that around 15% of the NREMT questions are about pediatrics, while the rest of the 85% are adult-related.
  • You need to distinguish between the questions that will require special attention and those that don’t. There is a way, and that is with the help of qualifiers. You need to find qualifiers, such as ‘except,’ ‘never,’ and ‘always,’ among others. 
  • It is advisable that you should avoid looking at the answers first. You need to read the question as a whole and then try to determine your answer without looking at the options provided. It is because when you check the answers before reading the question wholly, your response might be influenced by some of the answers given.
  • You need to practice for the NREMT with the help of the following:  


  • NREMT practice test
  • NREMT practice test free
  • NREMT test prep
  • NREMT prep
  • EMT prep
  • EMT practice test
  • EMT test prep
  • EMT study guide

You can also answer some of these NREMT practice questions:

If you reach the site where a woman of advanced age has fallen and injured her ribs, and when you check you find she is breathing rapidly and shallowly, the rate being 40, how can you confirm that this emergency is life-threatening? 

  • There is the risk of her volume per minute being excessive
  • There is the risk of her volume per minute diminishing
  • Her limit for the air referred to as ‘dead space’ has been reached
  • You can see her inhaling excessive oxygen

EMTs normally use an endotracheal tube:

  • To suction the patient’s hypopharynx
  • To insert in the patient’s esophagus
  • For insertion inside the patient’s trachea
  • To serve as an avenue for medication

‘Sellick’s maneuver’ is meant for:

  • Reducing vomiting risk
  • Making the carina visible
  • Making the vallecular visible
  • Collapsing the patient’s trachea

Once you have the endotracheal tube in place, and as you perform auscultation, you realize the patient’s right side has sounds from the lungs but the left does not, or they are minimal. What should be your next move?

  • Extract the tube and try intubation again
  • Abandon it and initiate respirations
  • Ensure the cuff is deflated, then pull out the tube three to four centimeters
  • Gently pull the tube three to four inches out, ensuring the cuff is inflated

You have been instructed by medical control to help a patient who has a metered-dose inhaler. What must you ensure before you can begin to help the patient?

  • The patient is not choking
  • The medication is right for the patient and has not expired
  • The inhaler does not have a leak
  • There is more of the medication in stock at the hospital

NREMT Questions

How long does it take to become EMT certified?

There is actually no set time duration when it comes to getting certified as an EMT. There are various factors to consider, from your EMT school to the state you live in, all of them have their own criteria when it comes to EMT course lengths. In the U.S., getting an EMT certification will take at least a minimum of 3 weeks to a maximum of 2 to 4 years.    

What is EMT certification training like?

The usual standard for training as an EMT in most states  is between 150 to 190 hours. Some states like California require a minimum course length of 120 hours. The EMT basic training or EMT B can take from 6 months to 2 years to complete. Through this training, they will learn about various topics, such as EMT patient assessments and hands-on learning, on the proper use of field equipment.    

Is EMT a license or certification?

No, they are not. An EMT certification will show that you have met the entry-level competency standards, while an EMT license will give you the right to work in a particular capacity. Those who are not licensed will not be able to practice. You must obtain first your National EMS Certification, specifically your EMT certification, to work. 

How to know if you passed the NREMT?

There are 2 exams included in the NREMT: Cognitive and Psychomotor. For the former, the results will be reported to you electronically. You can view it by logging in with your username and password and then selecting the ‘Application Status.’ The latter, on the other hand, differs since it is an exam that is conducted at a state level. Thus, the approval process will vary from state-to-state.     

What are EMT classes like? How rigorous is the training?

It depends on how you’ll be able to approach your respective classes. Taking an EMT program will involve a lot of training materials and memorization. You should not take them half-heartedly. It is important that you follow a study schedule to be able to keep up with the coursework. Its difficulty will vary for each person, so if you want to pass your classes, you must also be determined.   

Does an EMT certification expire?

Yes, it does. You must be able to meet the NREMT recertification requirements. By maintaining your certification, the NREMT will attest that you have met the required standards.  When you obtain your certification, it will also include the expiration date. You will also receive a brochure that will explain the specific requirements for your recertification. Take note that recertification is required every 2 years, and it is also obtained by completing continuing education. 

What is the difference between an E.M.T and a paramedic?

A lot of people tend to get confused when it comes to EMT vs. paramedic. The two are often interchanged, but there are a lot of differences. States sometimes use different names, but it is common to refer to a basic EMT simply as EMT, while an EMT paramedic is also called simply as a paramedic.

Moreover, the main differences between EMTs and paramedics are the scope of practice and training. EMTs are usually required to get 120 to 150 hours of training. For paramedics, they usually get at least 1,200 hours to 1,800 hours of training. Moreover, for the scope of practice, paramedics usually have more advanced emergency medical care compared to EMTs.

Both EMTs and paramedics must have the knowledge and skills when it comes to transporting patients and providing them with emergency care. But, it is also important to differentiate the two.