EMT First Responder TestThe First Responder (or Emergency Medical Responder) certification requires applicants to pass both a psychomotor exam as well as a cognitive exam. The Cognitive Exam is administered via computer and given at approved testing locations. Potential EMT candidates applying for an EMT-First Responder certification must meet certain requirements.   EMT-First Responder candidates must have completed a state-approved EMT-First Responder course.  The state EMT-First Responder course must meet or exceed the US Department of Transportation National Standard Curriculum for EMT-First Responder.  This EMT-First Responder state course must have been successfully completed within the previous two years.  Additionally, EMT-First Responder candidates must hold a current CPR credential and have successfully completed a state-approved EMT-First Responder psychomotor exam.

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NREMT Exam Application Process

To apply for your EMT First reponder examination, you must take the following steps:

  • Create a login/account at the NREMT.org website
  • Fill out a National Registry application online.  The online application will include a Licensing Action and Felony statement portion.  NREMT will typically deny certification for applications have a felony conviction.  Denials may be appealed.
  • Pay the $65.00 application fee.  Please note that this fee is non-refundable and can not be transferred.
  • Once your application is successfully complete, you will receive an Authorization To Test (ATT).  Your ATT will contain complete testing information including scheduling instructions, test center locations, and required identification.

NREMT EMT-First Responder Exam

Candidates for the EMT-First Responder certification must pass the NREMT EMT-First Responder cognitive exam.  The EMT-First Responder 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-First Responder exam will range from 80 to 110 based on the EMT student’s aptitude.  You will be given a maximum of one hour and 45 minutes to complete the EMT-First Responder exam.

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

EMT-First Responder Test Outline

The EMT-First Responder test outline is shown below.

 NREMT First Responder Exam Question Topics   Range of Questions on NREMT-First Responder Exam
 Airway and Breathing  14-19
 Cardiology  14-19
 Trauma  14-19
 Medical  13-18
 Obstetrics and Pediatrics  13-18
 Operations  14-19
 Total   80-110

Psychmotor Examination

The EMT Psychomotor Exam is a hands on examination performed at the end of your training courses or via a state approved examination.  Your instructor or the State EMS Office will have all of the details regarding the format and testing procedures.  In general, the psychomotor examination will test your application of the following skills:

  • Bleeding Control/Shock Management
  • BWM Apneic Patient
  • Spinal Immobilization (Seated and Supine)
  • Joint Immobilization
  • Long Bone Immobilization
  • Cardiac Arrest Management
  • Oxygen Administration
  • Patient Assessment (Medical and Trauma)

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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