What is the NREMT EMT Basic Exam?

The NREMT Emergency Medical Technician (EMT) cognitive exam is a computer adaptive test (CAT). The number of items a candidate can expect on the Emergency Medical Technician (EMT) exam will range from 70 to 120. The maximum amount of time given to complete the exam is 2 hours.

The exam will cover the entire spectrum of EMS care including: Airway, Respiration & Ventilation; Cardiology & Resuscitation; Trauma; Medical & Obstetrics/Gynecology; and EMS Operations. Items related to patient care are focused on adult and geriatric patients (85%) and pediatric patients (15%). In order to pass the exam, you must meet a standard level of competency. The passing standard is defined by the ability to provide safe and effective entry level emergency medical care.

In more detail the EMT Basic Cognitive exam cover 6 main areas in the approximately following way:

  • 18% Airway and Breathing
  • 17% Cardiology
  • 17% Trauma
  • 15% Medical
  • 17% Obstetrics and Pediatrics
  • 16% Operations


The NREMT EMT Basic Practical Examination:

Throughout your Emergency Medical Technician (EMT) educational program you must demonstrate competence in a wide range of emergency care skills. Your instructor must attest that you have demonstrated competence in the following skills during your course: patient assessment/management of a trauma patient, patient assessment/management of a medical patient, cardiac arrest management/AED, bag-valve-mask ventilation of an apneic patient, spinal immobilization (both seated and supine patient), long bone fracture immobilization, joint dislocation immobilization, traction splinting, bleeding control/shock management, upper airway adjuncts and suction, mouth-to-mouth ventilation with supplemental oxygen, and supplemental oxygen administration to a breathing patient.

You must also successfully complete a state-approved Emergency Medical Technician (EMT) psychomotor examination. Speak with your instructor or State EMS Office about the format and logistics of completing a state-approved Emergency Medical Technician (EMT) psychomotor exam.

In more detail the EMT Basic Practical exam cover the following tests:

For the practical exam, candidates need to master these skill areas:

  • Patient Assessment/Management – Trauma
  • Patient Assessment/Management – Medical
  • Cardiac Arrest Management/AED
  • Spinal Immobilization (Seated Patient)
  • Spinal Immobilization (Supine Patient)
  • Bag-Valve-Mask Apneic Patient with a Pulse
  • Long Bone Fracture Immobilization
  • Joint Dislocation Immobilization
  • Traction Splinting
  • Bleeding Control/Shock Management
  • Upper Airway Adjuncts and Suction
  • Mouth-to-Mask with Supplemental Oxygen
  • Supplemental Oxygen Administration


After you passed the Practical Exam which will be done at the facility or college where you are taking your EMT Basic curriculum you have to take and pass the cognitive exam in order for you to receive your NREMT License.

Here at NREMT Academy we are specialized on helping you pass that NREMT Exam. By purchasing the EMT Basic NREMT Exam Walkthrough eBook you will be able to prepare yourself better for the cognitive exam. You must also take some practice questions that provided here when you buy the eBook.