100+ Free NREMT Practice Questions
Pass your NREMT EMT Certification Exam exam on the first try with exam-style questions and AI tutor.
Choose Your Practice Session
Select how many questions you want to practice
Questions by Category
Key Facts: NREMT Exam
60-75%
First-Time Pass Rate
NREMT
950
Passing Score
Scaled, out of 1,500
70-120
Questions (CAT)
Adaptive format
39-43%
Primary Assessment
Largest domain
$104
Exam Fee
Per attempt
2 hrs
Time Limit
NREMT
The NREMT EMT cognitive exam uses CAT format with 70-120 questions in 2 hours. A scaled score of 950 (out of 1,500) is required to pass (updated June 2023). Primary Assessment is the largest domain at 39-43%. The exam costs $104 per attempt with up to 6 attempts within a 2-year window. Results are available within 2 business days. About 85% of questions involve adult patients and 15% involve pediatric patients.
About the NREMT Exam
The NREMT EMT cognitive exam uses Computer Adaptive Testing (CAT) with 70-120 questions. Passing certifies you as a Nationally Registered Emergency Medical Technician. The exam was restructured in April 2025 to use patient-centered, assessment-flow domains.
Questions
70 scored questions
Time Limit
2 hours
Passing Score
950/1,500 scaled
Exam Fee
$104 (NREMT (Pearson VUE))
NREMT Exam Content Outline
Primary Assessment
Airway, breathing, vital signs, clinical decision-making, initial patient contact
Patient Treatment & Transport
CPR/AED, bleeding control, splinting, medications, OB emergencies
Scene Size-Up & Safety
MOI/NOI, hazards, PPE, BSI, resource requests
Operations
EMS systems, documentation, legal/ethical, triage, hazmat awareness
Secondary Assessment
SAMPLE/OPQRST, head-to-toe exam, reassessment, GCS
How to Pass the NREMT Exam
What You Need to Know
- Passing score: 950/1,500 scaled
- Exam length: 70 questions
- Time limit: 2 hours
- Exam fee: $104
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
NREMT Study Tips from Top Performers
Frequently Asked Questions
What is the NREMT pass rate?
The NREMT EMT cognitive exam has a first-time pass rate of approximately 60-75%. The exam uses Computer Adaptive Testing (CAT) with 70-120 questions and requires a scaled score of 950 out of 1,500. You have up to 6 attempts within your 2-year eligibility window.
How many questions are on the NREMT exam?
The NREMT EMT cognitive exam delivers between 70 and 120 questions using CAT format. The exact number depends on your performance — the algorithm adjusts difficulty based on your answers. You have 2 hours. About 10 questions are unscored pilot items.
How hard is the NREMT exam?
The NREMT is considered moderately to highly challenging with its 60-75% pass rate. Primary Assessment (39-43%) is the largest domain. The CAT format means questions get harder as you answer correctly, so many candidates feel uncertain — this is normal and by design.
How long should I study for the NREMT?
Plan for 40-80 hours of study over 4-6 weeks after completing your EMT course. Focus on Primary Assessment (39-43% of exam) and Treatment & Transport (20-24%). Practice with scenario-based questions, not just definitions. Use C-A-B sequence for cardiac arrest.
What changed in April 2025?
In April 2025, NREMT restructured the exam from topic-based domains to patient-centered, assessment-flow domains. The 5 new domains follow the order you encounter a patient: Scene Size-Up, Primary Assessment, Secondary Assessment, Treatment & Transport, and Operations.