NREMT Practice Test 2025


To prepare for your upcoming EMT exam, use our free NREMT practice exams (updated for 2025). 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.

Free NREMT Practice Test Online

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.

NREMT Exam Format

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 PDF

The NREMT exam is intended to be difficult. As a result, students who take the exam describe it as a difficult test. If you’re looking for NREMT paramedic study guide PDF or NREMT paramedic skill sheets PDF, you’ve come to the right place. Take our NREMT practice test, which we suggest.

To concentrate on the trauma category, you can take the NREMT trauma assessment if you are looking for NREMT trauma assessment PDF. You can take NREMT medical assessment if you search for NREMT medical assessment PDF in the medical category.

You must test your knowledge to see if you are ready to take the NREMT exam. If you’re looking for a full length NREMT practice test PDF or an NREMT practice test PDF, we propose that you practice with a free NREMT test.


NREMT Questions and Answers

Is a non-profit that defines itself as “the nation’s emergency medical certifying organization.” The objective of the NREMT is to protect the public by ensuring that EMS personnel have the necessary skills and knowledge to perform effectively in the field.

The NREMT exam may be simple if you prepare ahead and practice using NREMT practice tests.

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.

Begin studying on the first day of your EMT class and keep going until the night before your exam. The most effective NREMT candidates are those that approach the procedure as a cumulative endeavor and begin studying for their examinations as soon as possible.

The 70-120 question test is intended to push a potential EMT-B to their limits.

After you complete your examination, the results will usually be posted to your National Registry account within 2-3 business days.

You get a total of 6 attempts to take the exam.

Log in to your NREMT account, fill out the recertification by exam application, and pay the price. After 24 to 48 hours, you’ll receive an Authorization to Test (ATT) letter with instructions on how to plan and take your exam.

The NREMT exam is intended to be difficult. That’s because it’s adaptive, which means that if you get a question right, the machine will give you a harder question in the same content area.

Nationally Registered Emergency Medical Technicians (NREMTs) must renew their certification every two years. NREMTs can recertify by passing a cognitive exam or completing continuing education.

To schedule an exam online, first-time test takers must register a Pearson VUE Web account. You’ll need your NREMT Candidate ID from the Authorization to Test letter NREMT provided you to create your account and schedule your test. Appointments can be arranged up to one day ahead of time.

The test must be passed with an 85 percent or higher score.

In this context, distributed education refers to when the instructor, student, and materials do not interact in real time. Distributive education includes self-paced learning, films, and recordings. Requirements for distributed education have not been lifted for anyone expected to recertify in 2022 or later.

The NREMT test is adaptive rather than standardized. This means that each student does not receive the same set of questions, but rather a pool of questions from which the test can draw based on the strengths and weaknesses of the individual taking the exam.

Participating States of the NREMT As of 2013, 47 of the 50 states recognize national EMT certification for qualified candidates. New York, North Carolina, and Wyoming are the exceptions. The acceptance levels for national certification differ among the participating states.

In order to score your exam, the NREMT uses a different procedure than you may assume. Each exam item is graded to see if you performed above or below the stated benchmark.

The NREMT exam will cost you at least $70.00.

All NREMT recertification fees will increase on January 1st, 2012 (EMR $18, EMT $25, AEMT $26, Paramedic $32) Submit your completed application before January 1st, 2012.

Yes, no matter how much you study, the NREMT is difficult. The 70-120 question test is designed to push a potential EMT-B to the maximum of their expertise. To put it another way, let me say this. The national pass rate for the NREMT in 2012 was 72 percent. This suggests that one out of every four people who take the test will fail.

The certificate from the National Registry of Emergency Medical Technicians (NREMT) is valid for two years before it needs to be renewed. Depending on your state, your EMT license will most likely need to be recertified every 2-4 years.

If you passed, the NREMT will send you your registration card as well as instructions on how to renew your license in two years.

You have three chances to pass your EMR exam with the NREMT. Following a failed attempt, you will receive an email with information on your failing grade. After your last examination, you must wait 15 days to retest before you can reschedule your next one.

The exam is hard, and many applicants fail on their first attempt. The majority of future EMTs will pass the exam the second or third time around.

To print your card, go to your Dashboard and scroll down to the list of options on the left hand side.

NREMT stands for National Registry of Emergency Medical Technicians. Students who finish the EMT academy and pass the exam are awarded certificates. Both their cognitive and writing exams, as well as their psychomotor and physical examinations

The exam will cover everything from airway, ventilation, and oxygenation to trauma, cardiology, medical, and EMS operations. Adult patients (85%) and pediatric patients (85%) are the emphasis of items relating to patient care (15 percent ).

IDENTIFICATION REQUIREMENTS: You will be asked to produce two forms of valid, unexpired identification when you arrive at the test center. One must be a government-issued ID with a signature and a photo permanently affixed (visible signature not required for military IDs).

Paramedic students had a 69 percent first-time pass rate and EMT students had a 64 percent first-time pass rate, with a cumulative third-attempt pass rate of 83 percent for paramedics and 75 percent for EMTs.

To pass the test, you’ll need a score of at least 85%.

The NREMT is taken at a proctored testing center, such as a college or university, on a computer. That’s true, there won’t be any more paper or pencil.

Yes, your certificate/card, as well as a patch, will be mailed to you by NREMT.

Once a day, take a practice exam. Use your skill sheets to practice. Learn the Power of Chunking and practice medical math (if you’re a paramedic). Know your anatomy.

You can change the date and time of your test. You must wait two weeks to retest. You’ll have to pay fee at and arrange another exam at Your program director will not need to reauthorize  you before you begin.

The word “near passing” is a little confusing, although it does not imply an satisfactory performance.

Candidates must produce official paperwork showing completion of 24 hours of remedial training after three attempts.

Having difficulties with learning, reading, or paying attention. Anxiety about the exam A bad class or a lack of effort can result in a lack of information.