EMT-B EMT-Basic TestThe EMT-Basic or EMT-B certification will soon be referred to as the Emergency Medical Technican certification when the new certification levels are introduced in 2014.  Applicants for the EMT-B certification must pass both a state approved psychomotor exam as well as the national NREMT certification exam. Potential EMT candidates applying for an EMT-Basic certification must meet certain requirements.  EMT-Basic candidates must be 18 years or older.  EMT-Basic candidates must also have completed a state-approved EMT-Basic course.  The state EMT-basic course must meet or exceed the US Department of Transportation National Standard Curriculum for EMT-Basic.  This EMT-Basic state course must have been successfully completed within the previous two years.  Additionally, EMT-Basic candidates must hold a current CPR credential and have successfully completed a state-approved EMT-Basic psychomotor exam.

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 NREMT EMT-B Exam Application Process

Take the following steps to apply for your EMT-Basic examination:

  • Go to the NREMT.org website and create an account
  • Complete an online application for National Registry.  A Licensing Action and Felony statement is part of the online application.  If you have a previous felony conviction, the NREMT will typically deny your application for certification.  You can appeal your denial.
  • Pay the $70.00 application fee.  This fee can not be transferred or refunded.  Also, please note that you will be charged this fee every time you attempt the cognitive exam. 
  • After successfully completing your online application, you will be given an Authorization To Test (ATT).  Scheduling instructions, required identification, and test center locations will be detailed in your ATT.

NREMT EMT-Basic Exam

Candidates for the EMT-Basic certification must pass the NREMT EMT-Basic cognitive exam. 
The EMT-Basic test is given via a computer and is a Computer Adaptive Test (i.e., the test is adapted based on the student’s aptitude).  The number of questions on the EMT-Basic exam will range from 70 to 120 based on the EMT student’s aptitude.  You will be given a maximum of two hours to complete the EMT-Basic exam.

EMT Basic Psychomotor Examination

Students must demonstrate competence in a spectrum of emergency care skills throughout their EMT-Basic training. A student's EMT instructor must certify that a student has mastered the following basic skills: bag-valve-mask ventilation of an apneic patient, patient assessment/management of a trauma patient, long bone fracture immobilization, joint dislocation immobilization, patient assessment/management of a medical patient, cardiac arrest management/AED, mouth-to-mouth ventilation with supplemental oxygen, spinal immobilization (both seated and supine patient), traction splinting, bleeding control/shock management, upper airway adjuncts and suction,  and supplemental oxygen administration to a breathing patient.

The EMT-Basic exam will cover all portions of the curriculum, including: EMS Operations, Cardiology, Trauma, Medical, Obstetrics, Pediatrics and Airway and Breathing.  The EMT-Basic test is heavily focused on fundamentals and operations.

EMT-Basic Test Outline

The EMT-Basic test outline is shown below.


 NREMT Basic Exam Question Topics   Range of Questions on NREMT-Basic Exam
 Airway and Breathing  12-21
 Cardiology  12-21
 Trauma  12-20
 Medical  11-18
 Obstetrics and Pediatrics  11-19
 Operations  12-20
 Total   70-120

EMT-B Education and Training

Under the guidelines of the NHTSA curriculum, EMT-B students will have 200 hours of lab and lecture time.  The curriculum covers anatomy and physiology, assessment, legal aspects of medical care, as well as treatment procedures for medical, behavioral and trauma emergencies.  After education has been completed, and the certification exam passed, EMT-Basic students are required to take continuing education (CE) courses to recertify.  Each state maintains its own requirements for recertification.  Some states also allow reciprocity for EMTs that are certified in other states.  Complete details on certification, reciprocity and continuing education can be found by contacting your state certification board.

EMTs have different duties and responsibilities based on their training and certification.  An EMT's salary is often different based on their experience, training, and location. Typically, most EMTs are certified to one of five levels that are administered by NREMT, the National Registry of Emergency Medical Technicians.  The five NREMT certifications are: First Responder, EMT-Basic, EMT-Intermediate/85, EMT-Intermediate/99 and Paramedic. An effective way to pass your NREMT certification exam is to use free EMT practice tests.  



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