How Hard Is the New York State EMT Test?

The EMT test in New York is a state-specific exam that covers the entirety of the syllabus and lasts a maximum of two and a half hours. Candidates must achieve at least 70% to pass, and the exam is often considered challenging. This ensures that every test taker who applies for state licensure has the knowledge, skills, and comprehension to practice safely as an emergency medical professional.

Test prep for EMT candidates isn’t just important–it’s crucial. Hundreds of students assume that their EMT course or program will equip them with the learning to pass and fail to recognize that concerted study, practice questions, and knowledge check assessments are key to refining their comprehension and taking the exam with confidence.

Exams are designed to differentiate between well-prepared, proficient candidates and those with gaps in their knowledge that could endanger patients in the field. Therefore, if you’re less able in certain areas of the curriculum, you must put in the work beforehand to ensure this doesn’t let you down on the day.

What to Expect From the EMT Test in New York State

New York is one of the states that uses its own examination process rather than the national tests managed by the NREMT, which cover emergency responders from EMS to paramedic level. If you’d like to become a licensed EMT, you must attend a course approved by the New York State Department of Health and pass both the written EMT examination and the Practical Skills Evaluation (PSE). 

All state EMT exam questions are multiple-choice, with four possible answers. There are also pilot questions on the paper, although these aren’t highlighted, which do not contribute to your overall mark.

What score do you need to pass the New York State EMT exam? State examinations require a score of at least 70% to pass, and for higher EMT levels, you’ll need to hit that same benchmark on both the ‘basic’ proportion of the test and across the more advanced questions.

If you fail to pass the written or practical test, you may need to attend a refresher course to be able to try again–but putting the right effort into your prep will minimize the chances of this happening.

Preparing for the New York State EMT Exam

Most EMT students who end up re-taking the exam fail purely due to insufficient preparation. Many find the exam environment highly pressured, and if they’re reliant on the information they’ve memorized without real comprehension, it’s common to find the answers difficult to think of on the spot.

The Video Vault, available directly from The Paramedic Coach, is a specifically designed exam prep resource, with thousands of materials, knowledge-check quizzes, practice exam questions, and explainers to break down the topics covered during your EMT course in a way you don’t just understand but can recall on demand. EMTs working towards New York licensing access the same materials as used for NREMT exam prep since the content and scope of the state exam follow the national standards. The only major difference is the need to understand New York protocols.

Our resources include:

  • More than 2,000 practice exam questions
  • Detailed drug cards
  • More than 480 video and audio files
  • Thirteen separate worksheets
  • Knowledge-check quizzes
  • A private student community

Having helped thousands of students achieve a first-time pass rate, we know that our unique approach to explaining and clarifying the most complex topics works. It ensures that you have a solid grasp of every part of the curriculum that might crop up during your exam.

How Long Do Most New York EMTs Spend Studying for Their Exams?

The norm is for EMTs to spend 150 to 180 hours within their study course and a further few weeks preparing for the exam and skills assessment. The trick is to avoid rushing or registering for the next available exam session, as thorough preparation is fundamental. 


How long does it take to become an EMT in New York? Most candidates attend courses or study programs that last up to around five months on average. However, it’s often unwise to jump straight to the exam without ensuring you have absolute certainty that you can answer any question from any part of the curriculum correctly and concisely.

Evan Vericker

Evan Vericker, known as The Paramedic Coach, has been serving in the EMS profession since 2011. A nationally certified paramedic and passionate educator, Evan has dedicated his career to helping the next generation of EMTs and paramedics succeed. Through his popular Paramedic Coach platform and Video Vault program, he’s guided over 60,000 students worldwide in preparing for their NREMT exams. With over a million followers across social media and recognition from universities and EMS programs, Evan continues to inspire and train providers to excel both in the classroom and in the field.

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