How Many Questions Is the NREMT?

The National Registry of Emergency Medical Technicians (NREMT) certifies emergency medical responders (EMRs), emergency medical technicians (EMTs), advanced emergency medical technicians (AEMTs), and paramedics to do their jobs. 

Passing this exam is necessary if you are seeking certification for any of these roles. If you’re enrolled in an NREMT prep course, your course will focus on the material in this test, including its format. Knowing this information will make it easier to pass the written NREMT exam because you’ll be prepared for the style of test and its content.

In this post, we’ll discuss the NREMT test in depth, and learn how many questions you can expect to answer. We’ll also talk about different factors that may affect how many questions there are.

Length of the Test

The amount of time you’re given to complete the exam should be indicative of how many questions you may have to answer. So, how long is the NREMT exam, exactly? You’ll be given two hours to finish it, but most people don’t need this much time. 

Because the questions get progressively harder as the test goes on, you may find that you need more time on questions that appear later in the exam. That’s okay–the test administrators kept that in mind when deciding how much time to allow.

What Does the Exam Cover?

The NREMT exam is thorough, and it covers the most-common situations you’ll run into while working as an EMR, EMT, AEMT, or paramedic. Let’s start by addressing how the test is broken down by age group of patients you may care for:

  • 85% of the questions are about caring for adults 
  • 15% covers pediatrics 

There is not an equal number of questions for each topic, either. Because emergency personnel respond to a wide range of medical emergencies, the test needs to cover as many medical emergencies as possible. Here is the rough percentage breakdown of how the test is divided up:

  • 18% to 22% of the questions are about airways, ventilation (the movement of air), and respiration (breathing in air and breathing out carbon dioxide). 
  • 27% to 31% of the questions are about medical emergencies, and labor and delivery. 
  • 20% to 24% of the exam focuses on cardiology (the heart) and resuscitation (reviving someone from unconsciousness or apparent death).
  • 14% to 18% of the test is about physical trauma or serious bodily injury. 
  • 11% to 15% of the exam questions cover EMS operations. (ambulance and scene operations)

The test is designed to make sure you have an entry-level understanding of all of these topics, and the class you’re required to take prior to the test may cover this information.

So, How Many Questions Are on the Exam?

The test consists of seventy to 120 questions. Some say the test is rather difficult, with only 67% of EMTs and 70% of paramedics passing it the first time in 2020. The reason this pass rate is so low may be because the majority of EMS courses are accelerated, going through the material quickly in order to cover it all.

When you start your EMT class, you may find yourself overwhelmed. To help you better prepare for the class and test, The Paramedic Coach has put together the Video Vault, which goes over the material, how to prepare for class, and all five sections of the National Registry exams. 

With a one-time payment, you’ll have lifetime access to the Vault. This means you won’t need to buy it again when you advance in your career and need to take the test for other EMS certifications levels! 

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