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NREMT Exam & NREMT Certification Info


The National Registry of Emergency Medical Technicians (NREMT) is a non-profit organization in the United States that provides national certification and registration for Emergency Medical Technicians (EMTs) of all levels. Becoming certified by the NREMT is recognized across the United States as a standard of excellence in emergency medical care and can open up a wide range of employment opportunities.

Step 1: Eligibility and Application

Before you can sit for an NREMT exam, you must meet certain eligibility requirements. These include being 18 years of age or older, having a high school diploma or GED, and successfully completing a state-approved EMT training program within the past two years. Once these requirements are met, you can apply for certification through the NREMT website (www.nremt.org). You will need to create an account, fill out the application form, and pay a fee.

Step 2: Scheduling the Exam

Once your application is accepted, you will receive an Authorization to Test (ATT) letter. This allows you to schedule your exam at a Pearson VUE testing center. Pearson VUE is the official testing provider for the NREMT and has locations throughout the United States. You can find the nearest location and schedule your exam through their website (www.pearsonvue.com).

Step 3: Taking the Exam

On the day of the exam, you will need to bring two forms of identification and your ATT letter. The exam will be computer-based and the number of questions will vary based on your performance. The NREMT uses a Computer Adaptive Test (CAT) format, which adjusts the difficulty of questions based on your responses.

Once you pass the exam, you will be officially certified by the NREMT and your certification will be valid for two years. After this period, you will need to recertify by completing continuing education hours and passing an online recertification exam.





National Registry of Emergency Medical Technicians Exams

EMT Intermediate 85 (NREMT-I85)

The EMT Intermediate 85 certification test is a rigorous examination for emergency medical technicians wishing to upgrade their skills and knowledge. It evaluates proficiency in advanced pre-hospital care, including IV therapy, medication administration, and advanced airway techniques. The test comprises a cognitive exam involving 150 multiple choice questions, and a psychomotor exam testing seven skills, including patient assessment, trauma care, and cardiac management. It's designed by the National Registry of Emergency Medical Technicians, ensuring the certified EMTs meet the national standard of emergency medical care.

100 - Multiple Choice
Airway, Respiration & Ventilation - 17-21%
Cardiology & Resuscitation - 17-21%
Trauma - 18-22%
Medical/Obstetrics/Gyn - 26-30%
EMS Ops - 12-16%

210 Minutes
EMT Intermediate 99 (NREMT-I)

The EMT Intermediate 99 certification test is a comprehensive examination for aspiring emergency medical technicians. It assesses their proficiency in advanced pre-hospital emergency care skills, including intravenous therapy, medication administration, and advanced airway techniques. The test consists of both a written cognitive exam and a practical psychomotor exam, testing the applicant's theoretical knowledge and practical skills in real-life scenarios. Passing this test is required to reach the advanced level of EMT (EMT-I/99), which allows for a higher degree of medical interventions in emergency situations.

100 - Multiple Choice
Airway, Respiration & Ventilation - 17-21%
Cardiology & Resuscitation - 17-21%
Trauma - 18-22%
Medical/Obstetrics/Gyn - 26-30%
EMS Ops - 12-16%

210 Minutes
NREMT First Responder / EMR (EMR)

The NREMT First Responder/EMR certification test is a nationally recognized assessment for Emergency Medical Responders. The examination evaluates a candidate's proficiency in providing pre-hospital emergency medical care. The test covers various areas, including trauma, medical emergencies, operations, and patient assessment. The certification guarantees that the individual has the necessary skills and knowledge to act as a crucial link in the EMS system, providing immediate care to patients. To pass, applicants must demonstrate their understanding of both theory and practical application. This certification is vital for those pursuing a career in emergency medical services.

100 - Multiple Choice
Airway, Respiration & Ventilation - 17-21%
Cardiology & Resuscitation - 16-20%
Trauma - 19-23%
Medical/Obstetrics/Gyn - 27-31%
EMS Ops - 11-15%

120 Minutes
NREMT EMT Advanced (EMT-Advanced)

The NREMT EMT/Advanced certification test is a rigorous examination that validates the competency of emergency medical technicians (EMTs) in the United States. Administered by the National Registry of Emergency Medical Technicians (NREMT), the test covers five major areas: Airway, Respiration & Ventilation; Cardiology & Resuscitation; Trauma; Medical & Obstetrics/Gynecology; and EMS Operations. Successfully passing this exam ensures that the EMT has the necessary skills and knowledge to provide efficient and safe emergency medical care. The test is a critical step for EMTs to gain licensure and practice professionally.

100 - Multiple Choice
Airway, Respiration & Ventilation - 17-21%
Cardiology & Resuscitation - 16-20%
Trauma - 19-23%
Medical/Obstetrics/Gyn - 26-30%
EMS Ops - 12-16%

120 Minutes
NREMT EMT Basic (EMT-Basic)

The NREMT EMT/Basic certification test is a comprehensive evaluation meant for individuals aspiring to become Emergency Medical Technicians. Administered by the National Registry of Emergency Medical Technicians, the exam assesses candidates' knowledge and skills in managing various emergency scenarios. It includes cognitive and psychomotor components, testing theoretical understanding and practical capability in areas such as airway management, patient assessment, and trauma. Successful completion of this certification test is essential to work legally as an EMT in most U.S. states and demonstrates a candidate's readiness to provide pre-hospital emergency care.

90 - Multiple Choice
Airway, Respiration & Ventilation - 17-21%
Cardiology & Resuscitation - 16-20%
Trauma - 19-23%
Medical/Obstetrics/Gyn - 27-31%
EMS Ops - 11-15%

120 Minutes
NREMT Paramedic Exam (NREMT-P)

The NREMT Paramedic Exam is a comprehensive certification test for aspiring paramedics in the United States. Administered by the National Registry of Emergency Medical Technicians, it assesses candidates' ability to provide pre-hospital emergency medical care. The test comprises a cognitive exam which tests knowledge in areas like trauma, cardiology, and operations, and a psychomotor exam which evaluates practical skills in real-world scenarios. Successful completion of this rigorous exam certifies the candidate as a nationally-recognized emergency medical service professional, prepared to respond effectively to various medical emergencies.

100 - Multiple Choice
Airway, Respiration & Ventilation - 17-21%
Cardiology & Resuscitation - 17-21%
Trauma - 18-22%
Medical/Obstetrics/Gyn - 26-30%
EMS Ops - 12-16%

120 Minutes