Healthcare · Emergency medical services
NREMT EMT Cognitive Exam — Practice
The written (cognitive) exam for National Registry EMT certification: scene size-up and safety, primary and secondary assessment, treatment and transport, and EMS operations, weighted to the NREMT test plan from the 2023 BLS practice analysis, with CPR to the 2025 AHA guidelines.
Questions last checked against the official sources on October 11, 2026.
The real exam at a glance
- Questions
- 70 to 120, computer adaptive (10 unscored pilot items)
- Time
- 2 hours
- To pass
- Scaled score of 950 (scale 100–1500)
- Fee
- $104 per attempt
- Retakes
- 6 attempts; wait 15 days between; remedial training after 3 fails
- Delivered by
- Pearson VUE test centre or OnVUE online proctoring
- Body
- NREMT
What you'll practise
Try a question
You find an expired epinephrine auto-injector during the daily check. What should you do?
- Keep it, because it is only slightly out of date and still likely to work
- Use it first on the next patient
- Remove it from service and replace it according to agency policy
- Put it in your personal bag
Show the answer
C. Remove it from service and replace it according to agency policy — Expired medications may be less potent and must be replaced to ensure safe, effective care.
Sample questions by topic (in English)
- Scene Size-up and Safety
- Operations
- Primary Assessment
- Secondary Assessment
- Patient Treatment and Transport
Ask the examiner
Ask about this exam: why an answer is wrong, a grammar point, or “quiz me on …”.
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Questions about the NREMT EMT
Is this the official NREMT EMT?
No. Semplr is independent and not affiliated with the exam body. We write every question ourselves, in the official format and at the official level.
What is the real NREMT EMT like?
Questions: 70 to 120, computer adaptive (10 unscored pilot items). Time: 2 hours. To pass: Scaled score of 950 (scale 100–1500). Fee: $104 per attempt. Retakes: 6 attempts; wait 15 days between; remedial training after 3 fails. Delivered by: Pearson VUE test centre or OnVUE online proctoring. Body: NREMT.
How is my practice marked?
Instantly. You see your score against the pass mark, and an explanation for every question — including the ones you got right.
Can I take it on my phone?
Yes. The whole mock exam works on a phone, and your progress is saved in your browser.
Ready for a full run?
One sitting, real timing, then your score against the pass mark.
Start the free mock exam