NREMT Paramedic Practice Test

Take our free paramedic practice test below to see if you are ready for the actual exam.

Instantly find out if you are ready for the NREMT paramedic exam.

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NREMT EMT Practice Test

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Paramedic Exam Prep

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  • 1,200+ Practice Questions
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NREMT Paramedic Test Overview

An image showing an overview of the NREMT paramedic exam

The Paramedic test is a standardized exam given by the National Registry of Emergency Medical Technicians (NREMT). Here is what you can expect to find on your NREMT paramedic exam:

  • Number of Questions: 110-150
  • Time Limit: 3 Hours and 30 Minutes
  • Format: Computer Adaptive

There are 6 content domains covered on the exam:

Content DomainPercent of Examination
Airway, Respiration & Ventilation8% – 12%
Cardiology & Resuscitation10% – 14%
Trauma6% – 10%
Medical/Obstetrics/Gynecology24% – 28%
EMS Operations8% – 12%
Clinical Judgment34% – 38%

Note: The psychomotor exam has been discontinued. Individuals only have to complete the cognitive exam now (listed above).

Types of Paramedic Questions

There will be a total of 110-150 questions on the paramedic exam. Here are the types of paramedic test questions you can expect:

  1. Multiple-Choice: Standard multiple-choice questions that have 1 correct answer.
  2. Multiple-Response: Questions that have multiple correct answers (typically 2 or 3).
  3. Build Lists: Questions that ask you to order content according to the instructions given to you.
  4. Drag-and-Drop: Questions that require you to drag the answer and drop it into the appropriate box.
  5. Option/Check Box: Questions that ask you to work your way down a list and select if something is relevant or not.
  6. Graphical: Questions that provide information in graphical format. These can be any of the above types of questions.
  7. Scenario-Based: Questions that provide a scenario or reading passage. These can be any of the above types of questions.

Practice for the Paramedic Exam with the Right Tools

1. Question Banks

Question banks are a great tool to prepare for the paramedic exam. Our question banks let you prepare for the specific content domains listed above.

This allows you to pinpoint your studies on problem areas, which saves you study time in the long-run.

2. Full-Length Exams

Full-length exams are another great tool you should be taking advantage of. Full-length exams should have the following:

  • Time limit
  • Same number of questions as actual exam
  • Same types of questions as actual exam

Our full-length exams have all of the above and do a great job of simulating the actual exam.

3. Flashcards

Flashcards are a super efficient way to prepare for your exam. Flashcards can help you memorize important concepts and provide a quick way to review things.

Our flashcards have a feature to “speed study”. This means you can quickly review all of the terms without flipping through each flashcard (if you would like).

All of the above tools can be found in our online paramedic prep course.

Tips and Tricks for Paramedic Prep

Preparing for the NREMT paramedic exam can be a daunting task. Here are some tips and tricks to keep you on tracks:

  • Determine Where You Stand: Take our paramedic practice test above to determine your baseline. If you do well, great! If you struggle, consider your prep options.
  • Utilize Full-Length Exams: Full-length exams are your friend. These exams will help you nail down your timing, become more familiar with the exam, and learn important concepts.
  • Answer Explanations: Make sure to review all answer explanations after completing your exams. These answer explanations can help you learn key concepts.

If you are preparing for another certification level, visit our NREMT practice exam page for more exams.

Frequently Asked Questions

There will be between 110 and 150 total questions on the paramedic exam.

The number of questions will vary depending on how you are doing since the exam is computer adaptive.

You will be given 3 hours and 30 minutes.

According to the NREMT Paramedic Candidate Handbook, the decision regarding passing or failing the exam is based on the following:

“Has the candidate reached the level of entry-level competency (passed) or has the candidate not yet reached entry-level competency (failed)?”

Essentially this means that there is no technical “passing score.” You will continue to answer questions until the system determines you have an acceptable level of competency (passed).

You will have 6 chances to pass the exam. You will need to wait 15 days between each attempt.

After 3 unsuccessful attempts, you will need to submit proof of completion of a remedial training program.

You will need to pay a fee of $175 to take the exam. This fee applies for each exam attempt, so make sure you are properly prepared the first time to avoid having to pay the fee again to retest.

Authored By: Krista Wenz

Krista Wenz is a licensed paramedic of more than 34 years.

Krista has a wealth of knowledge in emergency medicine and is also an instructor at various community and private colleges educating EMT and Paramedic students.

Learn more about Krista Wenz.