NREMT Practice Test

Welcome to our free NREMT practice test page!

Click on the “start quiz” buttons below to start a NREMT practice test. Our EMT test questions will give you a better idea of what will be on your exam.

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Once you are done with each NREMT practice test, review how you did. The above practice exam includes questions from EMT airway, respiration, and ventilation, EMT cardiology and resuscitation, EMT trauma, EMT medical (obstetrics and gynecology), and EMT EMS operations.

We have provided detailed answer explanations for each question to help you better understand why an answer was correct or incorrect.

If you want more help, consider using our EMT test prep.

NREMT Overview

NREMT stands for National Registry of Emergency Medical Technicians. The NREMT is a non-profit organization that makes sure EMTs have the knowledge and skills necessary to succeed in their profession.

The NREMT administers different emergency medical professional tests like the following:

  1. Emergency Medical Responder (EMR)
  2. Emergency Medical Technician (EMT)
  3. Advanced Emergency Medical Technician (EMT)
  4. Paramedic

All of the above exams and certifications build on each other. They all cover similar questions with each level building on the level of difficulty of question you will be asked.

EMT Test Overview

The EMT certification is one of the more common NREMT certifications that people obtain.

You may be wondering what specifically is on the EMT exam before you take your free EMT practice test.

EMT Cognitive Exam

This is the first portion of the exam. This portion is computer adaptive, which means the test will introduce harder questions based on how you are progressing through the exam.

You will be given 120 minutes to answer 70 – 120 multiple-choice questions. There are 5 topic areas covered on the exam:

  1. Airway, Respiration, & Ventilation – 18-22%
  2. Cardiology & Resuscitation – 20-24%
  3. Trauma – 14-18%
  4. Medical; Obstetrics & Gynecology – 27-31%
  5. EMS Operations – 10-14%

This portion of the exam is administered by the NREMT. This is the portion of the exam most people are looking for an EMT practice test for.

Our EMT prep course offers 10 full-length practice exams and 1,000+ questions on this portion of the exam.

EMT Psychomotor Exam

This is the second portion of the exam. Candidates will be asked to perform live assessments while expected to meet a certain set of standards while taking this test.

This test is different than most tests students have taken in the past since it takes place in a live setting and is very hands-on. The following topics may be covered on this portion of the exam:

  1. Long bone immobilization
  2. Joint immobilization
  3. Cardiac arrest management
  4. Bleeding control
  5. Shock management
  6. Spine immobilization
  7. Ventilation
  8. Patient assessment

The time limit and number of questions will vary. This test is not administered by the NREMT, but instead is administered by the state EMS office in which you reside.

EMT test questions will help prepare you for this exam by giving you the knowledge to know what to do in certain situations.

What is the Best Way to Study for the NREMT?

Everyone studies in a different way. There are tons of EMT prep solutions out there. One of our favorite ways to prepare for this exam is by using an EMT practice test.

Answering EMT test questions is a tried-and-true way to succeed on this exam. You will be exposed to all types of potential questions while being offered answer explanations for each question.

These answer explanations will help you better understand the information before taking the test.

Our EMT test prep will ensure you pass your exam the first time around. We offer a 100% pass guarantee.

If you are looking for some official NREMT test prep resources, check out the following:

EMT Exam Administration

Both the EMT cognitive and psychomotor exam are administered throughout the year. Since the 2 exams are administered by different organizations, the process to register is different.

If you are looking to register for the cognitive portion of the exam, you can follow these specific steps.

If you are looking to register for the psychomotor portion of the exam, you will need to visit your state EMS website and register there.

EMT Eligibility

There are specific requirements you must meet in order to sit for the EMT exam. The most important requirement is having completed a state approved EMT course. This course must meet the standards of the NREMT.

In addition to completing a state approved course, you must also have a current CPR-BLS certificate (basic life support).

EMT Exam Scoring

The minimum passing standards are set by the National Registry Board of Directors. The minimum passing standards are reviewed every 3 years. The cognitive and psychomotor exams use different scoring methods since they are administered differently.

The cognitive exam is scored on a scale from 70-120. The psychomotor exam is more subjective, but each action is rewarded a point if done correctly.

The two tests are combined and evaluated together to determine if a candidate meets the passing standards. You can expect to wait 24-48 hours to receive your NREMT test results. You can find your results on the NREMT website.

68% of first-time test takers pass the EMT exam, on average.


There will be between 70 and 120 total questions on the cognitive portion of the EMT exam.

For the psychomotor exam, you will be asked to perform live assessments. The time limit and number of questions will vary.

You will be given 120 minutes to complete the cognitive portion of the exam.

The NREMT does not use a simple pass/fail for their exams. Since the tests are computer adaptive, they use a more sophisticated system to determine who passes.

The computer will recognize your performance over time and decide whether it is above or below the standard set. There is no minimum number of questions you must answer correctly, it will depend on your performance.

This applies to each section – however the order of the questions may seem random with you receiving a question about trauma then an operations question.

All levels of the NREMT test are challenging. If you are going for your EMT certification, you will need to take a cognitive test and a psychomotor test.

The cognitive test will consist of multiple-choice questions while the psychomotor test will be a live, hands-on assessment where you will be asked to complete certain medical tasks.

The cognitive portion is computer adaptive which means the questions get harder as you progress through the test.

There are plenty of ways to study for this exam. One of the best ways to study is by using NREMT practice questions. These practice questions will help expose you to the types of questions you will be asked as well as different scenarios you may encounter in the field.

The best NREMT questions will also include detailed answer explanations to help you better understand the concepts that were asked in the question.

Our EMT test prep offers all of this and more. 

You will have 3 chances to pass the cognitive portion of the EMT test. 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.

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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.

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