NREMT Practice Tests

Use our free NREMT practice tests (updated for 2022) to prepare for you upcoming EMT exam. Studying with actual questions and answers will make you more confident on your test day. Our sample tests require no registration and also include scoring and answer explanations. 

By taking our practice tests, you will know how well you are prepared for the actual EMT test, and then concentrate on the areas you need to work on. 

Summary: Try one of our free EMT practice tests below. No registration required. 

NREMT Practice Tests

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Take Me There's sample test questions are categorized to help you focus your study. Each question will have four possible answers to choose from. The questions are similar to what you can expect on the actual EMT exam. 

After you submit answers to the sample questions, a test score will be presented. In addition, you will be given explanations to all of the questions to help you understand any questions you may have gotten wrong.

EMT/NREMT Overview

The National Registry of Emergency Medical Technicians, or NREMT, is a non-profit organization that helps ensure the skills, knowledge, and expertise of Emergency Medical Technicians (EMT) in the United States. While you’re probably familiar with the important role EMTs play in our society, you may not be as familiar with the test required to become a registered Emergency Medical Technician.

The NREMT administers a wide-range of emergency medical professional tests, including those for Emergency Medical Responders (EMR), Emergency Medical Technicians (EMT), Advanced Emergency Medical Technician (AEMT), EMT-Intermediate/99 (EMT-I/99), and Paramedics.

Though the exams vary based on the type of emergency responder, they all cover the general knowledge and skills required to provide emergency medical services. In this guide, we will cover everything you need to know about the EMT exam, including study tips, test content, scoring, the best NREMT practice tests, and much more. But first, let’s look at some of the best EMT exam resources available online.

How to Study for the NREMT exam

When it comes to studying, everyone has different needs,timelines, and study habits. That said, there are plenty of great EMT exam resources to get you started out on the right foot. If you’re searching for additional ways to prepare for the EMT, check out some of the following resources:

Official NREMT Exam Resources

One of the best ways to prepare for an exam is to get information directly from the test administrators. For the EMT exam, this means consulting the National Registry of Emergency Medical Technicians (NREMT), which has been testing and registering qualified applicants for nearly 50 years. Here are a few helpful links provided by the NREMT:

Resource Notes  Provider 
EMR Certification Handbook Official handbook from the NREMT for EMR certification.  NREMT
EMT Certification Handbook Official handbook from the NREMT for EMT certification.  NREMT
A-EMT Certification Handbook Official handbook from the NREMT for A-EMT certification. NREMT
Paramedic Certification Handbook Official handbook from the NREMT for Paramedic certification. NREMT

Exam Outline - What’s On the EMT Exam?

Needless to say, there are plenty of ways to prepare for the EMT exam, but it is extremely important that you know what to expect on the day of the test. In addition to knowing the types of questions on the exam, you will also want to know how the EMT exam is administered, your allotted time, and all of the DO’s and DON’Ts for the test day.

It is also important to note that becoming an EMT is a multistep process. First, you must have completed a state-approved EMT course within two years of taking the EMT exam. Additionally, you will need to have a current CPR-BLS for “Healthcare Provider.” Once these first two requirements have been met, you can apply to take the EMT exam and receive your Authorization to Test letter.

The EMT exam is broken down into 2 separate parts: the Cognitive Exam and the Psychomotor Exam.

EMT Practice Tests

EMT Cognitive Exam

The EMT Cognitive Exam is administered as a Computer Adaptive Test, or CAT. This means that each candidate is evaluated based on where their answers fall on a spectrum. Once a candidate gets a few answers correct, the computer will automatically introduce harder questions, to continue to test the level of the candidate’s abilities.

The exam covers the following topic areas: Airway, Respiration, & Ventilation, Cardiology & Resuscitation, Trauma, Medical/Obstetrics/Gynecology, and EMS Operations.  

Allotted Time: 120 minutes

Number of Questions: 60-110, plus 10 unscored “pilot” questions

Type of Questions: Multiple-choice

EMT Psychomotor Exam

Unlike the Cognitive Exam, the EMT Psychomotor Exam is not administered by the NREMT. Instead, each exam is managed by the State EMS Office. This exam tests a candidate’s ability to meet specific qualifications using live, hands-on assessments.

The Psychomotor Exam covers the following topic areas: Patient Assessment/Management, Ventilation, Spine Immobilization, Bleeding Control/Shock Management, Cardiac Arrest Management, Joint Immobilization, and Long Bone Immobilization.

Allotted Time: Variable

Number of Questions: Variable

Type of Questions: Live Assessment 

EMT Exam Administration

Both the EMT Cognitive Exam and the Psychomotor Exam are administered throughout the year. However, the registration process is different for each test. In order to register for the EMT Cognitive Exam, you must first prove that you meet the necessary prerequisites. You can do this by obtaining an Authorization to Test letter from NREMT right here. Then, once you’ve received confirmation that you are eligible to take the test, you can schedule a test date with Pearson VUE here.

What Happens During the EMT Exam?

Each part of the EMT Certification Exam is very different. The Cognitive Exam is a computerized test that will take place at a Pearson VUE testing center. You are not required to bring anything with you other than a state-approved form of identification (driver’s license, passport, etc). You are not allowed to talk during the exam, and you must quietly notify an administrator and secure permission if you have any reason to leave your seat.

The EMT Psychomotor is very different, and the exact nature of each test may vary based on your instructor. Generally, you will be given certain specific tasks to perform with a CPR dummy, a live participant, or a piece of medical equipment (like a non-breather mask). Your instructor will observe you and rate how well you perform and follow instructions. You can learn more about each subject area of the Cognitive and Psychomotor exams at this link.

Who is Eligible to Take the EMT Exam?

As previously stated, you must meet certain requirements to even be eligible to take the EMT exam. Every candidate must successfully complete a state-approved EMT course that meets or exceeds National Emergency Medical Services Education Standards. Your program director must then verify your completion through the NREMT. 

Additionally, every candidate must have a current CPR-BLS for “Healthcare Provider.” The CPR-BLS is a course certification that shows your ability to perform certain Basic Life Support tasks. Once you have completed and can show proof of both of these certifications, you can apply for EMT exam eligibility. 

EMT Exam Scores - How Are They Calculated?

The minimum passing standard is set by the National Registry Board of Directors, and this standard is reviewed once every three years. Since both parts of the EMT exam are administered differently, they also use different scoring methods. The EMT Cognitive Exam is scored from 70-120. Alternatively, the Psychomotor is more subjective, though every action is still given a point score. The two tests are then evaluated together to determine if a candidate meets the minimum passing standard.

It generally takes 24-48 hours to receive your NREMT test results. They will be submitted to you through the NREMT website. On average, 68% of first-time test takers pass the EMT exam. You can learn more about national pass/fail rates for the EMT exam right here.


Where can I register for a state-approved EMT course?

Every state has its own state-approved EMT courses. You will need to consult the State EMS Office in your state to find the best approved EMT courses in your area.

Can I retake the EMT exam?

Yes, EMT candidates are given three attempts to pass the EMT exam. You must wait at least 15 days after each failed attempt before taking the exam another time. If you are unable to pass the exam for the third time, you must take a remedial training program and show evidence of successful completion before you can take the EMT exam again.

How long is the Authorization to Test letter valid?

Once you receive your Authorization to Test letter, you will have 90 days to register and take the EMT exam. If you are unable to complete the test within 90 days, you will need to reapply for exam eligibility and pay the corresponding fee.

Last Updated: 1/20/2022

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