Pass the NREMT EMT exam on your first try
177 practice questions on scene size-up and safety, primary and secondary assessment, patient treatment and transport, and EMS operations, each with a plain-English explanation. Then take full 70-question practice exams with each domain in its real share.
Practice by section
The EMT exam covers five content domains, weighted as shown by the questions in each practice exam. Pediatric care is mixed into every domain. Practice one domain at a time, or take a full 70-question practice exam.
Scene Size-up and Safety 30 questions
Planning from dispatch information, scene hazards, violent and crime scenes, PPE and infection control, hazardous materials and the ERG, number of patients, START, JumpSTART and SALT triage, mechanism of injury and calling for resources.
Primary Assessment 70 questions
General impression, AVPU and the Glasgow Coma Scale, airway, breathing and circulation, the pediatric assessment triangle, baseline vital signs and glucose, recognizing life threats such as shock, stroke, heart attack, anaphylaxis and chest trauma, and deciding on rapid transport.
Secondary Assessment 12 questions
OPQRST and SAMPLE histories, pertinent negatives, DCAP-BTLS and the rapid full-body exam, lung sounds, pupils and other focused findings, and reassessment and trending of vital signs.
Patient Treatment and Transport 41 questions
Oxygen, airway adjuncts, suction, BVM and CPAP, CPR and AED use, bleeding control and shock, spinal motion restriction and splinting, EMT medications, childbirth and newborn care, burns, environmental emergencies, special populations, destinations and radio reports.
Operations 24 questions
Equipment and oxygen checks, medication inventory, cleaning and disinfection, documentation, consent, refusals and other legal issues, HIPAA, exposures and responder well-being, safe lifting and driving, incident command and air medical operations.
What full access includes
- All 177 questions on scene safety and triage, assessment, airway and CPR, trauma and medical care, and EMS operations
- An explanation for every answer, with the guideline, protocol or textbook standard behind it
- Unlimited full 70-question practice exams, with each domain in its real share
- Practice exams for each content domain
- A review of every question you missed at the end of each exam
- Works on your phone, tablet or computer, with no app or account
Full access
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About the NREMT exam
Who takes the NREMT EMT exam?
People who have finished a state-approved EMT course and want National EMT Certification, which most states use for licensing. You must have completed the course within the past two years, and you also need to meet a state-approved BLS skills (psychomotor) requirement.
How is the exam structured?
The EMT cognitive exam is a computer adaptive test with 70 to 120 items, including 10 unscored pilot items, and a 2-hour limit. Items come from five domains: Scene Size-up and Safety (15% to 19%), Primary Assessment (39% to 43%), Secondary Assessment (5% to 9%), Patient Treatment and Transport (20% to 24%) and Operations (10% to 14%). Besides multiple-choice questions, it can include multiple-response, options table, build list and drag-and-drop items. Our questions are multiple choice.
What score do I need to pass?
The National Registry reports a scaled score from 100 to 1500, and 950 passes. Because the exam is adaptive, there is no fixed number of questions you need right. Our practice exams use 70% correct (49 of 70) as a benchmark. Aim higher than that before your test day.
Where do I take it, and what if I fail?
You take it at a Pearson VUE test center or online with OnVUE remote proctoring. You get six attempts and must wait 15 days between them. After three failed attempts you must complete remedial education. Check the National Registry's EMT Candidate Handbook for current fees and rules.
Which CPR guidelines do your questions follow?
Our CPR and BLS questions follow points that the 2020 and 2025 American Heart Association guidelines share, such as compression rate and depth, ratios and ventilation rates. Where the 2025 guidelines changed something, such as dropping the two-finger technique for infants, the explanation says so. Always follow your course, your agency's protocols and your medical director.
Is this the official exam?
No. This is practice material to help you prepare. The EMT exam is given by the National Registry of Emergency Medical Technicians through Pearson VUE. This site is not affiliated with the National Registry.