What Is a Passing Score on the NREMT?

The passing score on the National Registry for Emergency Medical Technicians (NREMT) exam for the computer adaptive test (CAT) is when there is a 95% confidence you passed or failed.

The NREMT exam is a difficult multiple-choice test. The questions on the exam are designed to test your level of competence in five main categories:

  • Airway, respiration, and ventilation
  • Cardiology and resuscitation
  • Trauma
  • Medical; obstetrics and gynecology
  • Emergency Medical Services operations

The questions are framed in a way that can be confusing if you don’t understand the intention of the examiner. This is why you need to do a significant amount of NREMT test prep before you take the main exam.

What does the NREMT consist of, and how is the NREMT graded? Adequate test prep will help you understand what the NREMT exam contains and how the questions are formulated. 

Your second concern should be how to choose your answers correctly. The multiple-choice answers need to be read carefully because they may appear similar at first glance. However, only one answer is correct unless the question asks you to choose a combination of answers.

Proper preparation will improve your chances of getting a passing grade the first time you take the test, allowing you to acquire your certificate and get to work.   

The NREMT Exam Grading Process

Passing the NREMT exam is difficult because it’s designed to ensure that you truly have the competency level to care for people who are seriously injured or ill. Whether you’re taking a CAT or linear test, you must prove that you’re completely familiar with the five categories listed above to get a passing score.

As mentioned earlier, there must be a 95% confidence you passed. Attaining this isn’t a walk in the park. It requires extensive studying and thorough preparations. For the CAT exams, the number of questions vary depending on your certification level:

  • EMR: 90-110
  • EMT: 70-120
  • Paramedic: 80-150

However, the CAT is adaptive, which means that you might not have to answer all the questions correctly, depending on your ability to answer the hard questions correctly. For instance, if you choose correctly the first ten difficult questions, the testing system might skip the easy questions and continue asking you the hard ones from the five categories.

If you’re taking a linear NREMT test, you must answer all 135 questions because your performance will be based on the correct answers you get. The linear exam does not allow you to skip questions or go back to correct your answers before the set exam time expires.

Correctly answering difficult questions will also earn you more points than easy questions. Therefore, you should try to get as many hard questions correct as possible to increase your chances of passing.

Unfortunately, many EMT students struggle with the test, especially those who don’t prepare themselves fully. 

The number of test takers who pass on their first attempt ranges between 60% and 70%. Therefore, around 30% of students have to take their NREMT exams twice. If you don’t pass the first time, don’t lose hope–you’ll have another chance to take the exam. You’re allowed to take up to three attempts before requiring remediation.

If you fail all three attempts, you’ll be required to take a remedial training program. After this, you have three more attempts. To avoid the hassle of re-enrolling in an EMT course, take advantage of the NREMT test prep offered by The Paramedic Coach.

We offer more than 2,000 NREMT practice questions and nearly 500 video tutorials to help you understand what to expect in your exam. Take a look at our resources today!

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