- Scene Size-Up and Safety 17.2%
- Primary Assessment 41.4%
- Secondary Assessment 7.1%
- Patient Treatment and Transport 22.2%
- Operations 12.1%
Free NREMT practice test · 2026 Would you pass the NREMT EMT exam today?
10 questions weighted like the real exam. Your score by domain and every answer explained, in about three minutes. No sign-up.
Your two-person BLS crew is first to arrive at a highway crash between a minivan and a pickup. During your size-up you see four occupants: an unresponsive driver still in the minivan, a passenger screaming with a deformed thigh, and two people walking around. Fire and police are not yet on scene. What is your most appropriate next action?
Tap an answer, or press A to D
- No sign-up
- Score by exam domain
- Every answer explained
What's on the NREMT EMT exam
The NREMT EMT (Emergency Medical Technician (EMT) Cognitive Exam) is set by the National Registry of Emergency Medical Technicians (National Registry). Questions are split across these domains:
Dispatch planning, scene hazards and PPE, hazmat and crime scenes, finding every patient, START/JumpSTART/SALT triage and calling for resources.
Mental status, airway, breathing and circulation, the chief complaint and life threats for medical, trauma, OB and pediatric patients, baseline vitals, and when to transport now. The biggest domain.
SAMPLE and OPQRST history, focused and full-body exams, stroke scales, and reassessing vitals and interventions.
Airway devices, oxygen and CPAP, CPR and AED, bleeding control, spinal motion restriction and splints, EMT medications, childbirth, transport and handoff.
Equipment and oxygen checks, supplies, patient care reports, consent, refusal and other legal issues, infection control and responder safety.
- Questions
- 70–120 (adaptive)
- Time
- 2 h
- Passing
- Pass/fail, adaptive; scaled passing point 950 on a 100 to 1,500 scale
- Exam fee
- $104
Source: the National Registry's EMT Examination Specifications (test plan). Check the official site before you book.
How this free NREMT practice test works
The 10 questions above are spread across the five EMT exam domains in roughly the same proportions as the real exam, so your result shows where you stand on each part of the National Registry's outline, not just an overall percentage.
You don't need an account. When you finish you'll see your score against our passing benchmark, your score for each domain, and every question with the right answer and a step-by-step explanation. Ten questions is a small sample, so use it to decide what to study first. Our questions are single-answer multiple choice; the real exam also includes select-all-that-apply, ordering and drag-and-drop items.
The NREMT EMT exam since April 2025
The National Registry launched an updated EMT exam on April 7, 2025. Instead of the old topic sections (airway, cardiology, trauma, medical and operations), questions now follow the flow of a call: Scene Size-Up and Safety (15-19%), Primary Assessment (39-43%), Secondary Assessment (5-9%), Patient Treatment and Transport (20-24%) and Operations (10-14%).
The clinical content didn't go away. Asthma, chest pain, strokes, bleeding and childbirth are still tested, but a question about them now asks what you'd assess, recognize or do at that point in the call. Primary Assessment is the largest domain, so practice spotting life threats and deciding who needs rapid transport. Pediatric patients appear throughout the exam rather than in a separate section.
How the adaptive format works
The EMT exam is computer adaptive. After an initial set of items, the computer picks questions at or above your estimated ability, so it often feels hard even when you're doing well. It stops once it is 95% confident you are above or below the passing standard, which can happen anywhere from 70 to 120 items, or when the 2-hour limit runs out.
Ten of the items are unscored pilot questions, and you can't tell which ones they are. Finishing at 70 items doesn't mean you failed, and going to 120 doesn't mean you passed. The National Registry says most successful candidates spend about 30 to 60 seconds per question.
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100% Pass Guarantee + 7-day money-back. How it works
NREMT exam FAQ
How many questions are on the NREMT EMT exam?
Between 70 and 120, because the exam is computer adaptive and stops as soon as it can make a pass/fail decision. Ten of those items are unscored pilot questions. You have up to 2 hours.
What score do you need to pass the NREMT?
The exam is pass/fail against one passing standard for all EMT candidates. Candidates who fail see a score on a 100 to 1,500 scale, where 950 is the passing point. The National Registry doesn't publish a percent-correct cut score, so our results page uses 70% correct as a benchmark to aim above.
How much does the NREMT EMT exam cost?
$104 per attempt. If you don't pass, you can retest after 15 days, with up to six attempts in total, and you need remedial education before a fourth attempt. Check nremt.org for current fees before you apply.
Can I take the NREMT EMT exam online?
Yes. You can test at a Pearson VUE test center or from home or work through Pearson's OnVUE online proctoring. You schedule either one after the National Registry issues your Authorization to Test, which is valid for 90 days.
What changed on the NREMT EMT exam?
Since April 7, 2025 the exam is organized into five domains that follow a call (Scene Size-Up and Safety, Primary Assessment, Secondary Assessment, Patient Treatment and Transport, and Operations), and it includes new item types such as options tables, build-list and drag-and-drop questions.
Does the NREMT test the 2025 AHA CPR guidelines?
In October 2025 the National Registry said it was removing questions that conflict with the 2025 AHA guidelines and expected new questions based on them to go live within 12 to 15 months. Study the 2025 guidelines, including heel-of-one-hand or two-thumb compressions for infants and back blows for choking adults.
Is this affiliated with the National Registry?
No. Quizprep is an independent study tool and isn't affiliated with the National Registry of Emergency Medical Technicians. Our questions are original and written to its published EMT Examination Specifications.