Krista Wenz Authored By: Krista Wenz
Paramedic Test Questions

If you are someone who is looking to go to school to become a paramedic or if you are already an EMT and want to transition into becoming a paramedic, you probably are wondering what’s on the National Registry of Emergency Medical Technicians (NREMT) paramedic exam.

You can use our paramedic test questions to prepare for your upcoming exam.

The NREMT paramedic test is required for all people hoping to become paramedics. One great way to get an idea of what the test covers and what questions will look like is by taking a NREMT paramedic practice test.

Summary: Use our paramedic practice test to get a better idea of what to expect on the actual exam. Use our EMT practice test if you are preparing for that exam.

An excellent national registry paramedic practice test will include sample questions, answers, and detailed explanations for questions you may miss. If you are looking for a paramedic practice test, we have developed one of our own to help you succeed.

Our test is broken into the main categories that you will see on the paramedic exam and has real paramedic test questions to help you know what to expect on the test. Check out the links below to begin studying for the NREMT paramedic assessment.

Paramedic Practice Questions Set 1

As stated above, the paramedic test is the standardized exam that all people who want to become a certified paramedic must pass before they can receive certification. The test shows that the taker has an in-depth understanding of the best practices and safety measures to best complete their job.

The paramedic test questions are standardized, which means everyone who takes the paramedic test across the country will be asked the same questions to make sure they reach the minimum standard to become a paramedic.

To become certified, you have to take the test from an accredited location such as your local EMT office. If you need help figuring out where you can take the test, your local EMT office should be able to help.

The paramedic test is split into two parts: the cognitive exam and the psychomotor exam. The cognitive exam may be taken via computer and is proctored by someone to ensure there is no cheating. The psychomotor exam must be taken in person and monitored by an active paramedic.

Cognitive Exam

There are computerized cognitive exams for all NREMT exams including EMT and EMR tests as well as the paramedic exam.

The reason the NREMT likes to use computerized adaptive tests (CAT) is that they are easier to adjust to the level of skill of the taker. If the person has only EMT knowledge, it won’t ask them questions of the higher two tests.

Essentially, the CAT exam will get more difficult with every question you get right. So, the higher level of test you are going for, the more difficult the test will become.

Though you may think there could be issues with a computerized test, we assure you that each paramedic test question is reviewed in great detail to ensure it is right. Each question is checked to ensure:

  • A correct response is truly correct
  • The incorrect responses are not partially correct
  • The question is written accurately
  • The question is about a current practice
  • The content of the question is clinically relevant

All of the questions are reviewed internally and externally by experts and will be edited and checked with the source material. So, the questions of the paramedic exam are all up to date.

Since you are now assured that the paramedic test questions are reliable and accurate, we are going to talk about the sections you can expect to find on the cognitive exam.

The test will be divided into five sections that cover the main areas of skills that you will need to know to be an outstanding paramedic and best perform safety protocols. The sections are broken down as follows:

Test Category Amount of Questions
Airway, Respiration & Ventilation* 18-22% of questions
Cardiology & Resuscitation* 22-26% of questions
Trauma* 13-17% of questions
Medical/Obstetrics/Gynecology* 25-29% of questions
EMS Operations 10-14% of questions

*Section divided with 85% of questions focusing on adult practices and 15% on pediatric practices.

Airway, Respiration & Ventilation

This section covers all things that have to do with breathing and how humans move oxygen through our lungs and bodies. You will need to know:

  • Upper and lower respiratory system anatomy and physiology
  • The difference between adult and pediatric respiratory systems
  • What respiration pathophysiology is and how it works
  • How to assess a patient for airway, respiration, and ventilation issues

Cardiology & Resuscitation

This portion of the test covers all things with the heart and how to handle issues surrounding it when you arrive on a scene. You will need to know:

  • Cardiac anatomy and physiology
  • Cardiac pathophysiology
  • Patient assessment in a cardiac emergency
  • Chest pain or discomfort
  • Cardiac monitoring
  • Cardiac arrest care


Whenever you reach a scene as a paramedic, there will be a lot of people who are experiencing trauma from the event, so you will need to know how to handle it, including:

  • Trauma basics
  • Patient diagnosis


You may be called onto a scene to care for a woman who is pregnant or getting ready to deliver a baby, so you need to know up-to-date practices related to childbirth, including:

  • General medical emergency knowledge
  • Pregnant patient assessment and care
  • Next steps for a patient
  • Working knowledge of infectious diseases

EMS Operations

Your vehicle is your lifeline in the field. It will have everything you need on it, so you need to know where everything is and how to restock it properly and efficiently. This section includes:

  • EMS Training
  • EMS History
  • Important EMS components and services
  • Roles of EMTs

Psychomotor Exam

The psychomotor section of the paramedic exam is where candidates can put their knowledge to the test with a practical physical exam.

With the observation of a paramedic, the candidate will perform a routine check on a subject. The candidate will be tested on six areas of knowledge related to patient assessment even though the subject of the exam isn’t in any real danger.

The six skill areas are:

  • Trauma
  • Dynamic cardiology
  • Static cardiology
  • Oral station case A
  • Oral station case B
  • Integrated out-of-hospital scenario

Patient Assessment – Trauma

A candidate will be asked to fully assess the scene and the patient to discover the best ways to treat said patient efficiently and accurately in the case of an emergency.

Dynamic Cardiology

In this section, candidates are asked to manage and treat cardiac arrest including the administration of electrical therapy. Candidates will be asked to verbalize interpretations and treatments before administration.

Static Cardiology

Candidates will be given four ECG tracings along with patient information in this section. They must be able to verbalize and interpret the information and treatments.

Oral Station – Case A & B

To pass this section, candidates must be able to verbally manage all aspects of two separate cases of out-of-hospital patient care. This includes:

  • Scene management
  • Patient assessment
  • Patient management
  • Interpersonal relations
  • Integration (verbal report, field impression, and transport decision)

Integrated Out-of-Hospital Scenario

Candidates will be provided with a paramedic partner for this section to evaluate them on their ability to manage a call, lead a team, effectively communicate, and maintain professionalism throughout the simulated patient encounter.

The questions on a paramedic test will be all multiple-choice options to provide you with an easier answer. They will be situation-based, meaning you will likely get a scenario and choose which option is the best way to proceed.

There are 80 to 150 paramedic test questions. However, 20 of the questions are called pilot questions which means they don’t count against your score. The pilot questions help guide test makers in developing the test for years to come.

It is important to properly prepare yourself by taking a NREMT paramedic practice test or using a NREMT paramedic study guide.

Not only do you have to take this test to become a certified paramedic, but you will also have to take it every three years to get recertified and prove you are up-to-date on practices. The best way to prepare for this test is to utilize all the study materials.

NREMT paramedic practice tests include sample paramedic test questions to help you know what the questions will look like and how to best answer them. They will also provide correct answers and explanations if you get questions wrong. Our tests are linked above in this article.

There is also a NREMT study guide that will give you all the areas you need to study and skills that you may need to brush up on. They should include the most appropriate practices for the psychomotor exam as well.

To ensure you are getting the most accurate and relevant material to study, you should use an official national registry paramedic practice test and study guide directly from NREMT.

Is the paramedic test hard?

While the test is very comprehensive and detailed, the first-time pass rate for paramedics is nearly 70%. If you prepare adequately for the exam, you should be able to pass with flying colors.

How many questions are on the National Registry Paramedic?

Questions of the NREMT paramedic test range from 80 to 150 questions, but 20 of them are pilot questions to guide test-makers for next year’s exam. Those 20 questions will not affect your score.

How many different categories are tested on the paramedic test?

There are five categories of skill presented on the cognitive portion of the NREMT paramedic exam and six skill areas covered in the psychomotor portion of the NREMT paramedic exam, for a total of eleven categories divided between two tests.


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