NREMT EMT
EMTs give emergency care in the field and during transport. The NREMT exam is adaptive and tests the job as it is done: scene size-up and safety, primary assessment, secondary assessment, treatment and transport, and EMS operations.
States license EMTs, and most of them use National Registry certification, earned by passing this exam, for initial licensure. NREMT certified 101,758 new EMTs in 2025. NREMT, 2025 annual report.
Practice and timed mocks are free, with right or wrong on every answer and your total score. The full analysis is $39, once.
How the exam is built
Owned by National Registry of Emergency Medical Technicians, given by Pearson VUE.
EMT cognitive exam
110 scored questions (120 in total), 120 minutes, to pass: a scaled score of 950 on a 100 to 1500 scale.
| Topic | Share |
|---|---|
| Scene Size-up and Safety | 17% |
| Primary Assessment | 41% |
| Secondary Assessment | 7% |
| Patient Treatment and Transport | 22% |
| Operations | 12% |
The official outline: nremt.org/getmedia/4cb170ab-35fa-4ec0-a76c-634847005bc4/EMT-Test-Plan_Public. Checked 2026-10-08.
Sources
- National Registry Emergency Medical Technician (EMT) Examination Specifications, based on the 2023 Basic Level Support Practice Analysis (exam launched April 7, 2025; in effect on 2026-10-08), retrieved 2026-10-08.
Questions are original, written from the official outline and primary sources under an assessment framework designed by Julian Calvo, Ed.D., M.S. DecipherU is not affiliated with the National Registry of Emergency Medical Technicians. Every practice question is original and written from national EMS standards and current guidelines.