How Many Questions Are on the NREMT?

‘NREMT’ stands for the ‘National Registry of Emergency Medical Technicians,’ a certifying agency in the United States for prehospital medical providers. The NREMT provides a valid, standardized process for assessing the knowledge and skills required for competent entrance-level practice by emergency medical services (EMS) professionals. 

By taking the NREMT test, you can qualify to practice as a certified emergency medical technician (EMT). However, this test consists of seventy to 120 questions and is not considered easy.

In this post, we’ll explore the different NREMT exams so you can tailor your NREMT test prep accordingly. 

Types of NREMT Exams

Here are the different NREMT tests, including the time allocated to each and the number of questions you should expect:

NREMT Emergency Medical Responder (EMR) Written Test 

The EMR test has ninety to 110 questions and you will have one hour and forty-five minutes to complete the test. Here are some topics you can expect to see on the EMR test, according to the NREMT website:

  • Airway, respiration, and ventilation
  • Cardiology and resuscitation
  • Trauma
  • General medicine
  • Obstetrics/Gynecology
  • EMS operations

On the test, 85% of the questions will be based on adult care and 15% will focus on pediatric issues.

NREMT EMT Written Test

This test includes seventy to 120 questions, and the maximum time allowed to finish is two hours. While the time allocated might seem short, it is not. Most candidates manage to finish the test well within this timeframe.

The EMT exam covers the following topics:

  • Airway, respiration, and ventilation (18% to 22% of the questions on the exam)
  • Cardiology and resuscitation (20% to 24%)
  • Trauma (14% to 18%)
  • Medical, obstetrics and gynecology (27% to 31%)
  • EMS operations (10% to 14%)

NREMT Advanced EMT (AEMT) Written Test

The primary focus of the AEMT exam is to certify professionals to provide advanced emergency medical care and transportation for critical patients who need access to an emergency medical system. 

Unlike other EMS levels, the AEMT exam has a predetermined number of questions–135, to be exact. You are given a maximum time of two hours and fifteen minutes, and the exam is a linear computer-based test. 

NREMT Paramedic Written Test

Nationally Registered Paramedics (NRPs) need to take the NRP test. There are between eighty and 150 questions and you have two hours and thirty minutes to finish the test. 

This exam has twenty questions that do not affect your score. The unscored questions are for testing new concepts to make sure that future exams are fair and appropriate. You will not be able to tell which questions count toward your final score and which do not, so answer each one as though it counts.

About the Test Formats

All of the exams (except for the AEMT written test) follow the Computerized Adaptive Test (CAT) method of assessment. 

A CAT exam is different from a traditional exam. The more questions you get right, the harder the questions on a CAT exam become. The goal is to find out if you have enough knowledge compared to the passing standard. These tests follow the CAT format because it is more accurate and efficient than a traditional exam. 

Where Does NREMT Get Their Questions?

NREMT examinations have content derived from the National EMS Educational Standards. The exam questions are written by members of the EMS community, including educators, providers, and medical directors.

A single test item takes about one year to develop and pilot, and each item bank consists of thousands of questions. Every question is calibrated to determine entry-level competency for those in the EMS field. This rigorous process ensures that the NREMT certification is legally defensible and psychometrically sound. 

How Do I Know if I am Ready for the NREMT Exam?

Evaluate how well you did in class and on practice tests, whether you are knowledgeable in the focus areas that others generally consider difficult, and whether you have spent enough time preparing for the test. 

In Summary

Remember–studying for the NREMT is all about working smarter, not harder. In this regard, reliable online resources, such as The Paramedic Coach, can help smooth your journey into a career as an EMS professional!

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