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200+ Free NREMT AEMT Practice Questions

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Questions by Category

Aemt-Clinical-Judgment65 questions
Aemt-Medical-Ob-Gyn60 questions
Aemt-Trauma23 questions
Aemt-Ems-Operations20 questions
Aemt-Cardiology-Resuscitation17 questions
Aemt-Airway-Respiration-Ventilation15 questions
2026 Statistics

Key Facts: NREMT AEMT Exam

67%

First-Time Pass Rate

NREMT 2024

950

Passing Score

Scaled, out of 1,500

135

Questions (Fixed)

100 scored, 35 pilot

31-35%

Clinical Judgment

NEW domain (July 2024)

$159

Exam Fee

Per attempt

2h 15m

Time Limit

NREMT

The NREMT AEMT cognitive exam has 135 fixed questions (100 scored, 35 unscored pilot) with 2 hours 15 minutes time limit. A scaled score of 950 (out of 1,500) is required to pass. Clinical Judgment (31-35%) and Medical/OB-GYN (25-29%) are the largest domains. The exam costs $159 per attempt with up to 6 attempts within a 2-year window. The July 2024 update added the new Clinical Judgment domain testing communication, leadership, and information processing.

About the NREMT AEMT Exam

The NREMT AEMT cognitive exam uses fixed-length linear format with 135 questions (100 scored + 35 pilot). Passing certifies you as a Nationally Registered Advanced EMT. The exam was restructured in July 2024 to include a NEW Clinical Judgment domain (31-35%).

Questions

135 scored questions

Time Limit

2h 15m

Passing Score

950/1,500 scaled

Exam Fee

$159 (NREMT (Pearson VUE))

NREMT AEMT Exam Content Outline

31-35%

Clinical Judgment

NEW domain: Communication, leadership, recognize cues, analyze cues, define hypothesis, generate solutions, take action, evaluation

25-29%

Medical/Obstetrics/Gynecology

Neurological emergencies, diabetic crises, allergic reactions, seizures, stroke, toxicology, environmental, OB emergencies, childbirth, neonatal care

11-15%

Cardiology/Resuscitation

ECG interpretation, cardiac arrest management, AED/defibrillation, CPR, cardiac medications, post-resuscitation care

9-13%

Airway/Respiration/Ventilation

Airway assessment, BVM ventilation, OPA/NPA, suctioning, oxygen therapy, respiratory emergencies, difficult airway recognition

7-11%

Trauma

Trauma assessment, hemorrhage control, shock management, TBI, spinal trauma, chest/abdominal trauma, burns, immobilization

6-10%

EMS Operations

Scene safety, vehicle operations, documentation, legal considerations, incident command, hazmat awareness, MCI management

How to Pass the NREMT AEMT Exam

What You Need to Know

  • Passing score: 950/1,500 scaled
  • Exam length: 135 questions
  • Time limit: 2h 15m
  • Exam fee: $159

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 AEMT Study Tips from Top Performers

1Clinical Judgment (31-35%) is the NEW largest domain - practice the information processing cycle
2Medical/OB-GYN (25-29%) is the second largest domain - focus on diabetic emergencies, seizures, and OB complications
3Cardiology (11-15%): Know basic ECG recognition, cardiac arrest algorithms, and AEMT-level cardiac medications
4Airway (9-13%): Master BVM technique, OPA/NPA insertion, and basic airway assessment
5Know AEMT scope: IV therapy, supraglottic airways, and expanded medication list vs. EMT
6Trauma (7-11%): Hemorrhage control, tourniquets, shock recognition, and spinal immobilization

Frequently Asked Questions

What is the NREMT AEMT pass rate?

The NREMT AEMT cognitive exam has a first-time pass rate of approximately 67% for candidates from accredited programs. The exam uses fixed-length format with 135 questions (100 scored, 35 pilot) and requires a scaled score of 950 out of 1,500. You have up to 6 attempts within your 2-year eligibility window.

What is the NEW Clinical Judgment domain?

The Clinical Judgment domain was added in July 2024 and comprises 31-35% of the AEMT exam. It tests the information processing cycle: recognize cues, analyze cues, define hypothesis, generate solutions, take action, and evaluation. This domain also includes communication and leadership skills in EMS response.

How many questions are on the NREMT AEMT exam?

The NREMT AEMT cognitive exam has 135 fixed questions — 100 scored and 35 unscored pilot items. You have 2 hours and 15 minutes to complete the exam. Unlike the EMT exam which uses CAT adaptive format, AEMT uses linear (fixed-length) format.

How is AEMT different from EMT?

AEMTs have an expanded scope of practice including IV therapy, advanced airway management (supraglottic airways), and additional medication administration. The AEMT exam includes the NEW Clinical Judgment domain (31-35%) not tested on the EMT exam. AEMT bridges the gap between EMT and Paramedic.

How long should I study for the NREMT AEMT exam?

Plan for 80-120 hours of study over 4-6 weeks after completing your AEMT course. Focus on Clinical Judgment (31-35%) and Medical/OB-GYN (25-29%) domains. Master ECG interpretation basics, airway management, and medication administration. Practice with scenario-based questions.