Is The EMT State Exam/Test (NREMT) Hard To Pass? (2023)

As an Amazon Associate, I earn from qualifying purchases (at no added cost to you).

Becoming an EMT (Emergency Medical Technician) means taking on a serious responsibility for the health of other people. So, you may be wondering whether it’s hard to take the qualifying exam? Well, this is a tricky question to answer because no two people are going to take the same exam. Fortunately, we can provide the answer you need.

The NREMT (National Registry of Emergency Medical Technicians) exam is designed to challenge your EMT knowledge. It is an adaptive, computer-based test that will give each person different questions based on how they answered the last question, therefore the difficulty can vary.

Though this test sounds confusing and can be intimidating, it doesn’t have to be. Inn this article, we will take a look at what it takes to get through EMT school and pass the national exam to get certified. Check it out.

Your # 1 priority is keeping your family safe.As a firefighter, I recommend everyone has updated smoke detectors that don’t require battery changes, like these ones from Kidde,a fire extinguisher, like this one from Amerex, and a fire escape ladder if you have bedrooms above the first floor, I recommend this one from Hausse.

Also read: Can You Live Off An EMT/Paramedic Salary?

What Is The EMT State Exam (NREMT)?

Is The EMT State Exam/Test (NREMT) Hard To Pass? (1)

The National Registry of Medical Technicians (NREMT) is the overarching certification program for EMTs. It is the foundational exam of a career as an EMT and it will be required in most states.

However, it’s worth noting that some states may require that you take an individual state test in addition to the NREMT or they may require that you undertake some supervised practice before your EMT license is confirmed.

If you want to know if this will apply to you – check out your state’s health/government website and see what they require.

Also read: How to Become an EMT: Expert Guide

Is The EMT State Exam (NREMT) Hard?

Yes and no.

(Video) Is The NREMT Exams Hard? EMT | AEMT | Paramedic

Here are the hard facts – if you are fully prepared and have studied hard and know your stuff, they cannot put a single question on the exam that you can’t answer. There are no trick questions on the NREMT, the exam is not designed to make you fail, but it is designed to test you.

The NREMT is a responsive exam that is designed to see how well you think and then to adapt to your behavior.

When you answer a question correctly, there’s a pretty good chance that you will then be offered another question on a similar subject, but which is harder.

The idea is to take you from “basic” to “competent” by building on your demonstrations of learning. This is going to make it feel difficult to take the test because, in essence, the next question is almost always going to be harder to answer than the previous one, unless you got a question wrong and it will give you an easier question next.

It will continue this pattern until it determines a certain level of competence. The test will end when it determines you answered enough questions of a certain difficulty correctly. So, two people may have to answer a different number of questions to pass the test.

Tip: Since the number of questions you answer can vary from 70-120, you can use this info to your advantage. If you have a low number of questions (70-80 or so) it means you either did really well and got almost all the questions correct or you did quite poorly.

So, if you feel fairly confident with many of your answers and the test stops a lower number of questions, the odds are very good that you passed. However, don’t stress as you can expect your test results pretty quickly (1-3 days usually).

However, none of this really makes the exam hard.

It just makes it challenging. By the time you reach this moment in your EMT career, when you are sitting this test – you should be ready for it. You’ll have done the course work, you’ll have done the practical work, and you should find the test challenging but never impossible.

This video has some great info for getting you ready for the NREMT test:

(Video) What To Do After Failing NREMT Exam | NREMT Review

Here is a another good resource to help you prepare for the NREMT test.

What Happens If You Fail The EMT Test?

If you fail the EMT test on the first attempt, don’t be too disheartened – everyone has bad days and you are not going to lose the opportunity to become an EMT. At least, not yet.

Firstly, the folks at the NREMT will provide you results to your test that can help you better prepared the next time.

They will explain whether they felt you were “near” or “below” the standard in every area, they will also highlight any areas in which they felt you were “above” the standard.

This can help you to tailor your revision and study for the next time you take the exam, by focusing on your weaknesses. You put the most effort into the areas where you are “below” the standard, then some into those where you were “near” and just a little refresher of things you are “above” the standard in.

Don’t, whatever you do, try and memorize exactly the answers and questions that you got wrong. You will never see the same question on your NREMT test twice – the questions you tackled in your first attempt are “masked” by the computer and excluded from all future attempts. So, don’t waste your time trying.

You must wait 15 days following the last test before you can apply to re-sit the test, this is a standard requirement and cannot be waived.

However, you are not given an unlimited number of tries to take on the EMT test.

You get 6 attempts in total. After 3 attempts, you will be required to undertake 24 hours of remedial training before you are allowed to try again.

If you fail a 6th time then you must, if you still wish to continue as an EMT, repeat the entire Emergency Medical Technician training course again. Yes, the entire 1-2 year program of study.

The NREMT stresses that no-one should try to retake the examination without putting in significant additional efforts into their studies.

(Video) How to Answer NREMT Questions | NREMT Practice Questions | NREMT Review

They don’t want you to fail and they want to ensure that you give yourself the best opportunity to pass. However, you must reach the minimum standards require for EMTs and the only way to do that is to pass the test, there are no exceptions to this rule.

How Hard Is Basic EMT School?

EMT school is not designed to be hard, but there’s no doubt that if you don’t work hard, then it will quickly become impossible for you to succeed in your chosen career.

You will be given a textbook that weighs in at around 1,000 pages and you need to know most everything in it.

The only way to do this is to make sure that you spend some time each and every week studying that textbook. You can’t cram it all into a week at the end of the course, you need to break it down and use all your preferred study techniques to get in as you move forward.

You will be expected to undertake multiple-choice written and practical tests and you ought to make sure that you read up on how to pass these tests, they’re not as straightforward as you might expect.

You will also be provided with a copy of the practical skills exam before you have to take it.

This means you can work out exactly what you will be tested on and take the opportunity to practice them so many times that they come completely naturally when you need them. Don’t miss out on this.

How Hard Is It To Become An EMT?

You will need to be hardworking and dedicated to become an EMT, this is a reflection of the serious responsibilities of the job and the challenging examination you need to pass at the end of the course.

However, any capable adult with self-discipline ought to be able to become an EMT, as long as they put in the work.

This isn’t an impossible task and nor is it meant to be.

Every year thousands of skilled EMTs pass the test and join the workforce. They got there because they worked for it. It’s as simple as that.

(Video) 4 Keys To Passing The NREMT Exam

This video covers some helpful info to get you through EMT school successfully:

Why Is EMT Class So Hard?

It isn’t. You don’t need to be a scientist or world-class mathematician to study to be an EMT.

But you are expected to pass the course and do so with all the required knowledge. This isn’t to be difficult – it’s because you will be responsible for saving lives.

If you don’t know what you’re meant to when you’re working, you could hurt someone by accident.

How Long Does It Take To Become An EMT?

It typically takes between 1 and 2 years for someone to begin a program of study all the way through to taking the NREMT exam at the end and passing it.

It is better to take slightly longer and have a firm grasp on the principles which allow you to pass the exam than to try and rush through the course to get to the end.

It may take some time after that to get employed as an EMT, depending on what the job market is like in your area.

Also read: What Disqualifies You From Being An EMT/Paramedic?

Conclusion

Is the EMT State Exam (NREMT) Hard? It will certainly feel hard when you’re sitting the exam. It’s meant to challenge and test you, after all, the act of saving lives means working well under pressure – if you can’t manage to dig down deep and pull out the knowledge that you need, you need to be able to learn to do so.

The good news is that you can have more than one attempt to pass the exam, the bad news is that after 3 attempts – you have to go back to school for remedial lessons and that if you fail 6 times, you are no longer able to sit the exam. However, it shouldn’t get that far, if you study hard, work hard and are truly committed, you are more than capable of passing your EMT exam.

(Video) Final Review for EMT

Related Articles:

7 Reasons Firefighters Show Up At Medical Emergencies

Do Paramedics/EMTs Get Drug Tested? How Often?

Why Do Firefighters Go to Medical Calls?

FAQs

Is EMT pass harder than the NREMT? ›

The ones who have already passed the NREMT sometimes say the PASS app was harder than the test. Yes, a lot of the questions in EMT PASS are more difficult. But the real issue is WHY they are more difficult. If the questions weren't hard, you'd learn a lot less and be a lot less prepared for the exam.

Is it hard to pass the EMT test? ›

Passing the NREMT can be difficult. The first-time pass rate for EMTs averaged only between 60% to 75% in 2021. This means around 1/4 of test takers fail on the first attempt. If you want to jumpstart your career as soon as possible, don't despair.

What is the pass rate for the NREMT exam? ›

Currently there are 28 programs at the EMT level that have at least a 70% first time pass rate and an additional 18 programs who reach at least 70% after 3 attempts at the NREMT. That leaves 38 programs who do not reach 70% within 3 attempts.

Why is the NREMT test so hard? ›

The NREMT exam is designed to feel hard. That's because it's adaptive, meaning that if you answer one question correctly, the computer will give you another question in the same content area that is harder. If you get that one right, you'll receive another question that's even more challenging.

How many people pass NREMT first try? ›

Yes, you can pass the NREMT exam the first time you take it. In fact, have a look at the numbers. If 33% of EMTs and 23% of paramedics fail the exam, it implies 67 percent and 73 percent passed the exam, respectively.

What grade is passing on NREMT? ›

No matter how many questions you have to answer on the cognitive test, you will need a score of at least 70% to pass the NREMT. Students often strive for a higher score, but 70% will get you through the first round so that you can take the psychomotor test and receive EMT certification.

Can you fail the NREMT at 70 questions? ›

National registry exam questions for an EMT range from 70 questions through 120 questions. Individuals may pass or fail with 70 questions and others may pass or fail with 120 questions. The number of questions you receive is irrelevant. Just do your best and try not to over think any of the questions.

What happens if you fail NREMT 3 times? ›

If a candidate is unsuccessful on an exam attempt, they may apply to retest 15 days after the last examination. After three unsuccessful examination attempts, EMT, AEMT, and Paramedic candidates must submit official documentation verifying the completion of a remedial training program.

What is the best way to study for the NREMT? ›

How to study for the EMT exam?
  1. Keep Your Textbooks And Workbooks – Highlight definitions and any specifics that stand out, then read back over the highlighted portions until you feel confident enough in the concepts that you could teach someone else.
  2. Take the Practice Tests – Many EMT courses provide practice exams.

Can you pass NREMT 150 questions? ›

150 questions asked and I passed. It is possible and not as uncommon as you think. I passed it at 150.

How is the NREMT test graded? ›

The NREMT doesn't give you a numerical score. The EMT and paramedic exams use computer adaptive testing (CAT) to determine your level of competency. Because of CAT, the NREMT may be anywhere from 70 to 120 questions. The NRP may be anywhere from 80 to 150 questions.

How long does it take to get the results of NREMT? ›

Usually, within 48 hours after sitting for the exam, the National Registry will update your profile of the outcome of the exam. If you pass, you will be able to print your exam results. If you fail your NREMT exam, you will be able to schedule a retest 15 days from the day of the original exam.

Why am I not passing the NREMT? ›

If you didn't put the work into the class, you will likely fail the NREMT—even if you did OK in class. The NREMT is a challenging exam that asks you to think, apply, evaluate, and make decisions. If you mostly skated through your EMT class, you have some work to do before you try the exam again. Was my class good?

How long should I study for the NREMT? ›

We recommend that you allow 2-8 weeks to study for the NREMT. Use your textbook, class materials, and an online study prep, such as EMTprep.com. This is not the type of test you can cram for.

How many can you miss on NREMT? ›

What happens if you fail the test? The NREMT gives you three attempts to pass your EMR exam. After an unsuccessful attempt, you will receive an email containing feedback on your failing score. You have to wait 15 days to retest after your last examination before you can reschedule your next test.

How do I pass my NREMT for the first time? ›

Top 5 Tips for the NREMT Written Exam
  1. Change the way you read the questions! Read the LAST line of the question first, then all 4 answers, and then go back and read the entire test item. ...
  2. Think Simply. The NREMT is not trying to trick you. ...
  3. ONE QUESTION! ...
  4. Know your BLS or ACLS algorithms! ...
  5. Mindset is everything!

Is the NREMT exam all multiple choice? ›

All of the questions on the NREMT exam are multiple choice. It is also important to note that many of the questions provide you with multiple answers that could be considered “correct”, however, there is always one “best” answer, which is the only answer for which a candidate can earn a point.

What is a F5 for NREMT? ›

40 Hour NREMT Refresher/Transition VILT (CAPCE: F5)

Description: This 40 Hour, NREMT Refresher class is completed through the use of Virtual Instructor Led Training (VILT) and meets National Registry of Emergency Medical Technicians (NREMT) National Continued Competency Program (NCCP) guidelines to recertify as an EMT.

Why did my NREMT test stop at 70? ›

Per the NREMT website, "The computer stops the exam at the minimum number of items in the following situations: There is a 95% confidence the candidate is at or above the passing standard. There is a 95% confidence the candidate is below the passing standard. The candidate has reached the maximum allotted time"

Do I have to pay again if I fail NREMT? ›

If you fail the exam, you can reschedule a new test date and time. You have to wait two weeks to retest. You will have to again have to go to www.nremt.org to pay your fee and www.vue.com to schedule another exam.

What is the dress code for NREMT? ›

Dress code: casual with comfortable, closed-toe shoes. Pre-requisite: Must be previously or currently NREMT certified with need for renewal. NREMT certification cannot be more than six months expired.

Does the NREMT reuse questions? ›

The NREMT doesn't repeat questions on a single user's examination. Based on the CAT algorithm, however, you may see similar questions as the test aims to determine whether you meet the termination criterion (whether you should pass or fail).

What to expect on the NREMT test? ›

The NREMT AEMT Exam

There are 135 questions that each candidate must answer in 2 hours and 15 minutes. The exam will cover the entire spectrum of EMS care including: Airway, Respiration & Ventilation; Cardiology & Resuscitation; Trauma; Medical & Obstetrics/Gynecology; and EMS Operations.

What kind of questions are on the NREMT exam? ›

In simple terms, these questions are testing a candidate's ability to think critically and problem solve.
...
The five categories of questions from which candidates can be tested are:
  • Airway, respiration, and ventilation.
  • Cardiology and resuscitation.
  • Trauma.
  • Medical/Obstetrics/Gynecology.
  • EMS Operations.

Can you skip questions on the NREMT? ›

The Advanced-EMT examination is currently a Linear examination. Candidates cannot skip questions or go back and change their responses. There is no penalty for guessing. An examination attempt is considered unsuccessful if a candidate does not complete the examination in the allotted time.

What happens after you pass NREMT exam? ›

Once you have passed the exams and received your EMT National Registry certificate, you may contact a local EMS agency to apply for EMT certification in California.

Can you pass EMT at 120 questions? ›

National registry exam questions for an EMT range from 70 questions through 120 questions. Individuals may pass or fail with 70 questions and others may pass or fail with 120 questions. The number of questions you receive is irrelevant. Just do your best and try not to over think any of the questions.

How to pass the NREMT EMT exam? ›

Top 5 Tips for the NREMT Written Exam
  1. Change the way you read the questions! Read the LAST line of the question first, then all 4 answers, and then go back and read the entire test item. ...
  2. Think Simply. The NREMT is not trying to trick you. ...
  3. ONE QUESTION! ...
  4. Know your BLS or ACLS algorithms! ...
  5. Mindset is everything!

Is NREMT pass or fail? ›

This type of evaluation is why you do not receive an actual percentage score after taking the NREMT exam. The exam is pass/fail. If the exam is 95% confident that you are at or above the passing threshold, you pass. If the exam is 95% confident that you are below that threshold (or cannot reach competency), you fail.

Why can't i pass EMT? ›

Lack of knowledge results from a poor class or lack of effort. Ask yourself these questions: Did I pay attention in class and study? If you didn't put the work into the class, you will likely fail the NREMT—even if you did OK in class.

What if you fail NREMT? ›

If a candidate is unsuccessful on an exam attempt, they may apply to retest 15 days after the last examination. After three unsuccessful examination attempts, EMT, AEMT, and Paramedic candidates must submit official documentation verifying the completion of a remedial training program.

How many attempts do you get at NREMT? ›

A: Yes. You have a total of six attempts to successfully complete your cognitive examination.

How is the NREMT test scored? ›

The NREMT doesn't give you a numerical score. The EMT and paramedic exams use computer adaptive testing (CAT) to determine your level of competency. Because of CAT, the NREMT may be anywhere from 70 to 120 questions. The NRP may be anywhere from 80 to 150 questions.

What should I study for the NREMT EMT exam? ›

They break their EMT test up into the following Focus Areas:
  • Airway, Respiration, and Ventilation (adult and pediatric patients)
  • Cardiology and Resuscitation (adult and pediatric patients)
  • Trauma (adult and pediatric patients)
  • Medical, Obstetrics, and Gynecology (adult and pediatric patients)

Why do EMTs quit? ›

Low pay was the primary reason roughly one-third of all EMTs quit in 2021. The industry is having a hard time replacing them. A 2022 American Ambulance Association study of employee turnover found that 39% of part-time EMT and 55% of part-time paramedic positions went unfilled because of a lack of qualified candidates.

How do I know if I passed my NREMT exam? ›

Usually, within 48 hours after sitting for the exam, the National Registry will update your profile of the outcome of the exam. If you pass, you will be able to print your exam results. If you fail your NREMT exam, you will be able to schedule a retest 15 days from the day of the original exam.

Videos

1. EMT For Dummies | NREMT For Dummies (EMT NREMT Review)
(The Paramedic Coach)
2. Five tough questions to help you pass the NREMT
(Limmer Education)
3. Passed NREMT Exam! Now What? (Advice for New EMT's & Paramedics)
(The Paramedic Coach)
4. You Don't Need Practice Exams To Pass The NREMT
(EMS SEO)
5. Beat The NREMT written test
(Brush Up On EMS)
6. 5 Steps to PASS The NREMT Exam
(The Paramedic Coach)
Top Articles
Latest Posts
Article information

Author: Madonna Wisozk

Last Updated: 01/06/2023

Views: 5579

Rating: 4.8 / 5 (48 voted)

Reviews: 95% of readers found this page helpful

Author information

Name: Madonna Wisozk

Birthday: 2001-02-23

Address: 656 Gerhold Summit, Sidneyberg, FL 78179-2512

Phone: +6742282696652

Job: Customer Banking Liaison

Hobby: Flower arranging, Yo-yoing, Tai chi, Rowing, Macrame, Urban exploration, Knife making

Introduction: My name is Madonna Wisozk, I am a attractive, healthy, thoughtful, faithful, open, vivacious, zany person who loves writing and wants to share my knowledge and understanding with you.