Paramedic Training Spot https://www.paramedictrainingspot.com Tue, 31 Jul 2018 21:11:37 +0000 en-US hourly 1 https://wordpress.org/?v=5.5.1 The Best Study Guides for NREMT Prep https://www.paramedictrainingspot.com/the-best-study-guides-for-nremt-prep/ Thu, 29 Mar 2018 17:22:29 +0000 https://www.paramedictrainingspot.com/?p=10667 You’ve spent the money on your EMT class, you’ve worked hard, and now you are wondering what you’re about to face on the NREMT cognitive exam. If you are finding that you are anxious about this process or don’t know what to expect, know that you are in good company. Many EMT students, be it […]

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You’ve spent the money on your EMT class, you’ve worked hard, and now you are wondering what you’re about to face on the NREMT cognitive exam. If you are finding that you are anxious about this process or don’t know what to expect, know that you are in good company.

Practice for the test questions that will be on the NREMT exam

Many EMT students, be it because they don’t love taking tests or haven’t taken one in a while, find the cognitive exam to be a worrying prospect.

In this article, we’ll take the mystery out of the process and talk about what resources are out there to get you ready.

What is a Computer Adaptive Test?

The CAT strikes fear into the heart of many an EMT student but it really shouldn’t. A Computer Adaptive Test is a fairer, more precise test than the linear tests that you may be used to. The way it works is this: the computer has access to a bank of many hundreds of questions that it may ask, each of them rated at a different ability level.

In other words, some of the questions might be so easy that you could have answered them long before your EMT class, while some of the questions might be hard enough to make a seasoned Paramedic scratch her head. The computer will start by asking you a question – let’s say it’s a level 3 question, with 0 being the easiest and 10 being the hardest.

Let’s say you answer that question correctly. The computer might try a level 4 question next. You may get that one right too, so it might give you a level 5. If you answer that one incorrectly, then it might try you on another level 3. This process will continue, with each question representing a different ability level, until the computer becomes 95% confident about which level of question represents your ability level.

The advantage to this kind of test is that it is not about your score. In fact, you won’t even receive a score on your test. Instead, the CAT measures your ability – your average level of understanding of the material. If you are found to be at or above the passing standard, then you will pass the exam.

Because no single test will be identical, this is also a test that makes it very difficult to cheat on. That means that the playing field is level and that the standard of EMTs coming out of this kind of exam is assured. No one gets a free pass.

Pass Your NREMT Exam On The First Attempt

What Should I Expect on Exam Day?

First of all, the NREMT uses Pearson VUE centers to administer its exams. These centers are not outposts of the NREMT but are rather independent providers of all kinds of exams. You could easily end up taking your test next to someone taking an accountancy or nursing exam.

For that reason, what you are allowed to bring into your exam will be limited. In most testing centers, you will be asked to surrender your bag, wallet, watch, etc. You will be allowed a dry erase board for taking notes but that’s about it.

You won’t need any computer expertise to take this test. You will sit down, click start, and then you will be off and running.

From your perspective, the NREMT exam should look like any other multiple-choice test. You will be asked a question and will be presented with four possible answers. It is important to remember that each question will only have one correct answer.

Now, you’ll notice that I said that from your perspective the test should look like other tests you have taken before. That is because there are a couple of behind the scenes activities going on that you won’t be aware of when you take the test. These two items can freak students out, but I urge you not to get anxious about these, as they both work in your favor.

The NREMT has a very lengthy process for writing and vetting test questions. Each question is written by a committee of experts, including doctors, EMS professionals, and educators. Once the question has been approved by the committee, it (and other questions like it) will be put into the exam question bank to be vetted.

In order to determine whether a new exam question is a good one – well-written, fair, leveled appropriately – the NREMT needs to present these questions to real NREMT exam candidates. On every EMT exam, up to ten of the total questions asked will be questions like this. Do not let this concern you! These questions do not count against your score whatsoever. You are just helping the NREMT to gather data about the new questions.

Why do I bother telling you about these at all? Well, it’s because at some point on your exam you may well come across a question that seems wrong or just plain stupid. Shake your fist at the computer, assume it is a vetting question, and move on.

Similarly, it is possible that you will come across a question that really does seem like it has two correct answers. I know I told you earlier that every question only has one correct answer, and that is absolutely the case with questions that affect your score. The NREMT exam will sometimes include questions that are designed to catch large-scale cheating. It does this by using questions that genuinely do have two correct answers and tracking the number of people in a given region who answer one way or the other. If too many people answer the same way, then there might be a problem. Once again, if you really think there are two correct answers, then choose the best one and don’t worry about it. That question might well be an anti-cheating measure, in which case it won’t count against your score.

On the NREMT EMT test, you should expect to be asked somewhere between 70 and 120 questions. The length of the test depends on the computer’s ability to gain 95% confidence in your ability level, so you should not read too much into having a very short or a very long test. What you should expect is for the test to cut out suddenly and without ceremony.

One minute you will be answering a question and the next…the computer will tell you that the test is over. Many students find this to be very disconcerting. It is common for candidates to leave the exam feeling uneasy, but don’t sweat it. Either you passed or you didn’t, and you will have multiple attempts to take the test. 

Pass Your NREMT Exam On The First Attempt

How Should I Prepare?

It sounds a bit cynical, but the truth is that passing the NREMT exam is as much about learning how to take the exam as it is about mastering the material. There is no question, you must understand each topic well. But you also must know how the read the test.

In another article, I will talk about how to read answer the questions like a pro. For now, though, let’s have a look at good study guides and options.

  • Your first study route should be to turn to the textbook that you are using on your course. It is important to realize that the NREMT does not favor the content of one textbook over another, even though they don’t all agree with one another. For that reason, your textbook is a reliable and useful resource as you study. Read your book carefully. Make flashcards. Take the quizzes that are provided in your book.
  • Another excellent study option can be found online. EMT National Training is a subscription website that offers practice tests, study guides, simulation tests, and more. The advantage to a program like this is that the more practice tests you take, the more prepared you will be to take the NREMT exam. This is true because practice tests will not only help you to master content but will also help you to learn the skill of taking the test. I have said it to hundreds of EMT students: take practice tests, take practice tests, take practice tests, and do it from as many resources as you can.
  • For those who are more technologically inclined, there are a couple of apps which serve as a wonderful pocket resource. My favorite is EMT Prep, which offers exam-style questions, test simulations, and gives feedback on incorrect answers. Another popular one is EMT-B Pocket Prep, a resource which provides prep questions and daily study reminders.
  • Some students swear by the workbooks that can be purchased to accompany their textbook. There are many workbooks out there, and they are a low-tech solution for the need to take practice tests. Many learners also do better by physically writing text down as opposed to typing, so if that is how you learn, a workbook might be a good idea for you.
  • Lastly, it is important to remember that a huge number of EMT questions that are answered incorrectly are done so because the examinee is missing the basics. When in doubt, go back to your ABCs. For that reason, I highly recommend that you return to your CPR textbook and review it very carefully. While CPR is not covered specifically on the test, you can be certain that the ABCs, AED use, and oxygen administration will be, so whether you trained with the AHA or the Red Cross, go back and study those texts. 

If you’re ready to get serious about your test prep, sign up to get your Online EMT and Paramedic Practice Tests at EMT National Training.

You Also Might Like:

  1. The 10 Best Ways to Study for the NREMT Exam
  2. EMT Test Questions and Answers to Expect on the NREMT Exam
  3. How to Use EMT Practice Tests to Pass the NREMT Exam
  4. What’s the Best EMR Practice Test?
  5. How to Pass the NREMT Exam on Your First Try?
  6. What’s the Best NREMT Test Prep?

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The 10 Best Ways to Study for the NREMT Exam https://www.paramedictrainingspot.com/the-10-best-ways-to-study-for-the-nremt-exam/ Thu, 29 Mar 2018 17:09:02 +0000 https://www.paramedictrainingspot.com/?p=10665 If you are wondering about the best way to study for the NREMT exam, then you have come to the right place. It is never too early to start studying for this exam. You won’t be surprised to read, in that case, that the best way to prepare for your exam is to start studying […]

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If you are wondering about the best way to study for the NREMT exam, then you have come to the right place. It is never too early to start studying for this exam.

Use practice tests to prepare for the NREMT Exam

You won’t be surprised to read, in that case, that the best way to prepare for your exam is to start studying on the very first day of your EMT course—and carry on studying until the night before your exam. The most successful NREMT candidates are the ones who treat this process as the cumulative task that it is and begin preparing for their exams early. If that isn’t you, then you can make up lost time, but the earlier you start studying, the easier you will find the NREMT cognitive exam.

In addition to getting on top of preparations early, I have made a list of ten great ways to study for the NREMT exam.

Turn to the NREMT

Before you can take the exam, you need to understand exactly what you are getting yourself into, the theory behind the exam, and the method by which it will be given to you.

Who could possibly provide better information regarding this exam than the administrator itself? For that reason, the first thing (and probably also the last thing) you should do is go straight to the source, the NREMT. Read these pages carefully so that you can prepare yourself fully for the exam that is coming your way. You will definitely thank yourself.

If you are an EMT candidate, then I would recommend reading each tab except the ’Linear Exams’ tab, as that page does not apply to you.

Your Textbook is Your Friend

Your best study resource, at least as a first option, is your course textbook. Upon

discovering how many EMT textbooks are out there – all of which have slight differences of opinion on certain matters – many EMT students panic and wonder if their course is using the right book. The answer is a resounding yes. Whatever book your course is using will prepare you well for the NREMT exam.

The reason for this is that the NREMT specifically chooses questions that have the

benefit of consensus. You will never be asked a scoring question that is controversial among the textbooks. Instead, you will be asked questions that are agreed upon within the wider world of EMS.

Make Flashcards and Use Them

Each person learns just a little bit differently, but it is clear that all learners must engage with the material that they are trying to absorb. One great way of engaging with material is to make your own flashcards and use them to quiz yourself and your classmates.

Sure, there are many sites – free and paid – where you can find pre-made flashcards. Those can be a great resource as well and I recommend using them. However, I will offer you two points to consider when using those resources:

First, be very sure of who has written those resources. If you use a paid or reputable site, then you are good to go. But if you are using a free resource such as Quizlet, remember that anyone can make flashcards and quizzes and thus the reliability of those resources is not guaranteed.

Second, pedagogically-speaking, there is great merit to physically writing (or typing) your own flashcards. We are all familiar with the concept that a student has to be exposed to the same information multiple times in order to absorb it. Add to that the fact that many people learn very well through kinesthetics (in other words, by doing or touching something), and it becomes obvious that the act of writing something down actually helps to cement information in the brain.

Pass Your NREMT Exam On The First Attempt

Study Regularly and Often – But Don’t Cram

You’ve probably heard this stern warning in past classes: don’t cram for a test. This is advice that should be taken seriously.

This has to do with how our brains process information. As we discussed earlier, repetition is key to learning and retaining new information. This is as true of facts as it is of physical skills. However, how we go about repeating encounters with new information makes the difference between truly retaining the information and not.

A 2016 study showed that while repetition is critical to learning, it actually has to be spaced repetition in order to make an impact on the learner. In other words, if you look at a flashcard five times in a row, you may hold on to that information for a little while but it won’t stick in your brain for long. However, if you look at that same flashcard every day over the period of a few weeks, you will not only be able to memorize that information but retain it long-term.

This knowledge should inform the way in which you study for the NREMT exam. Start studying as early in your class as you can and expose yourself to each topic repeatedly. That doesn’t mean that you should study every topic every day – not only would that be impossible but it would be unproductive. It means that you should continue to return to older topics periodically throughout your EMT class, even as you learn new material.

Take Practice Tests

It is important to keep in mind that the NREMT cognitive exam is a skill unto itself. That means that you need to be in complete mastery of the covered material but you also need to learn how to take the test effectively.

Like any other skill, the best way to learn how to take the NREMT exam is to take as many practice and simulation tests as you can. For this, I recommend finding an online resource such as EMT National Training or EMT Prep. The advantage to programs such as these is that they offer practice tests, flashcards, study tools, and more. They will expose you to many test questions, which will allow you to hone your test-taking skills as well as your mastery of the course material.

Use Your In-Class Tests as a Resource

All of the practice tests in the world will do you no good if you don’t understand why an answer is correct or incorrect. 

For that reason, make sure that you are using your in-class quizzes and tests as a resource in your studying. Instead of simply looking at a question that you answered incorrectly and moving on, take the time to figure out why the correct answer is what it is and why you got it wrong.

For instance, did you just not know the answer? Then that is a topic then you need to study more. Did you misunderstand the question? Then next time, you need to slow down and read more carefully. Maybe you missed the answer because you didn’t think the question through (or thought about it too much). Then you will need to spend time with that question – perhaps with the help of classmates or an instructor – and figure out where your thought process went wrong.

Target Your Efforts

EMT students often approach the NREMT cognitive exam with a kind of bewilderment about what it will be like. Fortunately, the smart EMT student realizes that the NREMT does not make its testing procedures much of a mystery. If you poke around the NREMT site as I suggested at the top of this list, you will find that they pretty much tell you what is going to be on the test.

An EMT candidate can expect these topics to be represented in the following proportions on the cognitive exam:

  • Airway, Respiration & Ventilation 18% – 22%
  • Cardiology & Resuscitation 22% – 24%
  • Trauma 14% – 18%
  • Medical/Obstetrics/Gynecology 27% – 31%
  • EMS Operations 10% – 14%
  • All sections, except EMS Operations, have a content distribution of 85% adult and 15% paediatrics

Take a look at those percentages carefully. This table shows you that you can afford to pick and choose when it comes to what topics you focus your studying on. For instance, EMS Operations questions will only represent 10% – 14% of the total questions on the cognitive exam. This means that you should spend proportionally less time studying EMS Operations topics.

Does this mean that you won’t see a question about the volume of a certain-size oxygen tank or what kind of ambulance looks like a van? No, of course not. However, you are guaranteed to receive more questions about Medical/Obstetrics/Gynecology than EMS Operations and you will do yourself a big favour by dedicating more study time to those topics than the topics that will show up less frequently on the exam.

Pass Your NREMT Exam On The First Attempt

Make Sure Your Practical Skills Are Strong

Many students, upon realizing that the end of the course is rapidly approaching, ask to spend more time studying for the written exam than the practical exam. On occasion that is a good idea but more often than not, the student would be better working on their hard skills.

This is true for two reasons. Of course, the practical skills get used frequently on an ambulance and therefore need to be in great shape. The second but less obvious reason is that if the EMT candidate knows their practical skills inside and out, they can rely on that information during the cognitive exam as well. Not only will the candidate understand how the skill or piece of equipment works, it is likely that the candidate will also be able to apply that information to the written test.

Find the Best in Your Class and Study with Them

Some people are just good at taking tests and others excel in the art of studying. These are the people you should gravitate toward as study buddies.

There is a very firm rule when it comes to studying with these people, however. Do not let them do all the work. It is very easy to get into a group study situation in which the people who are doing the best in class answer all of the questions, but that’s not the point of reaching out to these classmates.

Instead, take a shot at answering questions during study sessions. Try to offer explanations about your rationale. Review practice tests and in-class tests together and ask questions about why the answers are correct. When everybody participates, study groups can be beneficial for all involved.

Relax

A stressed test-taker is a sloppy test-taker. Don’t work yourself up too much about the cognitive exam. The night before the test, review the topic that gives you the most trouble. Go to bed early and get a good night’s sleep.

Above all, keep in mind the fact that you have a total of six opportunities to take this exam. If you fail the first time, then you can try again.

The NREMT cognitive exam is only one of a series of steps into your EMS career and, though it may be an important part of the EMT certification, it is only there to ensure that the next generation of EMTs meets the standard necessary to provide excellent patient care. It’s nothing to stress about – it’s just part of the process. Good luck!

Please “like us” on our Paramedic Training Spot Facebook page!

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  4. How to Pass the NREMT Exam on Your First Try?
  5. What’s the Best NREMT Test Prep?

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EMT Test Questions and Answers to Expect on the NREMT Exam https://www.paramedictrainingspot.com/emt-test-questions-and-answers-to-expect-on-the-nremt-exam/ Thu, 29 Mar 2018 16:57:29 +0000 https://www.paramedictrainingspot.com/?p=10662 The NREMT cognitive exam is a source of true anxiety for many EMT candidates, but it doesn’t have to be. Perhaps the first thing that you need to understand about the exam is that it is absolutely not designed to mess with your head. If anything, the Computer Adaptive Test is designed to offer each […]

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The NREMT cognitive exam is a source of true anxiety for many EMT candidates, but it doesn’t have to be. Perhaps the first thing that you need to understand about the exam is that it is absolutely not designed to mess with your head. If anything, the Computer Adaptive Test is designed to offer each candidate a level playing field and test ability—not necessarily rote memorization.

Learn how to use NREMT Skill Sheets

It is fair to say, however, that the successful NREMT candidate not only has a handle on the material but also on how to approach the test questions. That is to say, you could have your EMT book completely memorized and still find the exam very challenging if you don’t know how to take the test.

Why Does the Exam Feel So Difficult?

The NREMT exam is not exactly astrophysics. In fact, the test is written – as are most EMT textbooks – at about an eighth-grade reading level. What stands between EMT candidates and a successful NREMT exam is often a simple problem: the candidate is trying to be smarter than the test (and is failing miserably).

Here’s what I mean:

Your patient is a 60-year-old male who is unresponsive to painful stimuli. There is no sign of injury. He is lying supine with his head on a pillow and is making snoring respirations. What should you do first?

  1. Open his airway using a head-tilt chin-lift.
  2. Administer oxygen via non-rebreather mask at 12 lpm.
  3. Remove the pillow.
  4. Insert an oropharyngeal airway.

In this case, many EMT candidates would be tempted to choose either answer A or D, as they recognize that there is a need to open the airway in order to resolve the snoring respirations. However, what these candidates are missing is the fact that the question has offered a clue and a better answer.

The question itself offers what looks a lot like irrelevant information: the patient’s head is on a pillow. But it has also given the information that the patient’s airway needs to be opened.

All of the given answers could be correct, in theory. Similarly, all of them will probably be done for the patient in one variation or another at some point during their care. But that is not what the question is asking. What it is asking is: what should be done first?

  • Are you going to administer oxygen to this patient? Probably, but not first.
  • Are you going to insert an oropharyngeal airway? Probably, but you’re going to have to open that airway before you do that.
  • Are you going to open the airway using a head-tilt chin-lift? Yes, of course you are. But…
  • How are you going to open the airway using a head-tilt chin-lift without taking the pillow out from behind the patient’s head?
  • The answer is C. You are going to do all of the rest of the answers at some point. But the step you have to take first is removing the pillow so that you can open the airway, insert an oral airway, administer oxygen, etc.

My point about trying to be smarter than the test is that many EMT candidates fail to read the test questions for exactly what they are. In some cases, students read too much into questions and get bogged down in details that simply are not there. In other cases, students don’t read the questions carefully enough.

Pass Your NREMT Exam On The First Attempt

Read the Questions Carefully

I’m going to repeat what your teachers told you in school: read every question and each possible answer carefully before you answer. The questions on the NREMT exam are not designed to catch you out, but they are designed to be read and considered carefully.

When we are in a hurry, either because of stress or over-confidence, it is easy to skip through a question and choose the answer based on what we assume the question is asking. This is test-taking disaster and is a problem that is so easily avoided.

An example might be:

Which vessel carries deoxygenated blood to the lungs?

  1. Pulmonary artery
  2. Pulmonary vein
  3. Vena cava
  4. Aorta

If you have an understanding of the anatomy of the heart and lungs and understand what type of blood flows through each vessel, you might fall into the trap of not reading this question carefully. It would be easy to trick your brain into seeing the word ‘oxygenated’ or ‘heart’ instead of ‘deoxygenated’ or ‘lungs.’ Right now, you might be thinking that this is a pretty straightforward question, but students make silly mistakes like that all the time.

Don’t be that student. Read the question and possible answers carefully.

(Incidentally, questions about the heart, lungs, and the flow of oxygenated versus deoxygenated blood come up on the NREMT exam frequently. If you don’t have that information memorized, then that’s a topic to add to your study list).

Understand What the Question is Asking

One area where NREMT candidates regularly get tripped up is in not understanding the question before they answer. This is partially tied up with reading the question carefully, but it also has to do with taking the time to consider carefully what the question is really asking.

I give you this question to ponder:

You are assisting a 28-year-old male who is experiencing respiratory distress. You are administering oxygen via bag-valve mask. How can you be sure that the artificial ventilation that you are providing is effective?

  1. The patient’s pulse returns to normal.
  2. You are administering high-flow oxygen at a rate of 15 lpm.
  3. The patient’s chest rises with every ventilation.
  4. You are achieving a compliant seal around the patient’s airway.

Your first reaction to this question may be to think that there are three possible correct answers. If that is the case, then I would encourage you to read the question again.

The question that is being asked is not how you can be sure that you are ventilating the patient correctly. The question that is being asked is how you know that what you are doing is working.

Answers B, C, and D all are indications that your ventilation technique is sound, but the only answer that indicates that you are making a positive change in your patient’s status is A. In this case, the pulse’s return to normal indicates that your patient is improving. Of course, there could be several other possibilities given in place of that answer:

  • the patient’s skin color returns to normal
  • the patient’s mental status improves
  • the patient’s spontaneous respiratory rate slows to normal range
  • the patient’s spontaneous breathing becomes easier or less noisy
  • the patient’s SpO2 readings go up

No matter what option is given, the point is that you need to understand what the question is asking, not what you perceive it to be asking.

Should you find yourself facing a question like this on the exam – a question that makes you convinced that there are multiple correct answers – then be sure to read the question again to ensure that you understand what the question is really about. If you still think there are multiple correct answers, then choose the best one and move on.

Pass Your NREMT Exam On The First Attempt

Make the Odds More Favorable

You may have heard before that there is a way to make multiple-choice questions work a bit more in your favor. Obviously, if you have four possible answers in play and you do not know the answer, you have a 25% chance of choosing the correct answer if you guess.

However, if you are able to rule out a couple of options that are plainly not correct, then you can make the odds work for you. Therefore, if you do not know the answer to the question (or even if you do), it is a great strategy to try to narrow down the possibilities.

Let’s take the following example:

A pregnant patient is presenting with painless, bright red vaginal bleeding and a soft lower abdomen. You suspect the following:

  1. Ectopic pregnancy
  2. Placenta previa
  3. Spontaneous abortion
  4. Placental abruption

It is very common for EMT students to get confused when it comes to problems with pregnancy. However, let’s see if we can investigate this question and narrow down the options.

The first descriptor is the word ‘painless.’ Both ectopic pregnancy and spontaneous abortion are strongly associated with pain, so we can strike those out as being unlikely candidates. (Remember, the NREMT exam is not looking for exceptions to the rule; the exam will generally ask you about textbook signs and symptoms unless it indicates otherwise).

That leaves us with placenta previa (where the placenta has formed such that it covers or overlaps the cervix) and placental abruption (where the placenta tears or pulls away from the uterine wall). One of these two conditions is associated with painless, bright red bleeding and a soft uterus while the other is associated with painful, dark red bleeding and a hard uterus, but they are very frequently confused by EMT candidates.

At this stage, we have narrowed it down to two possibilities. Perhaps you will now be able to focus and remember which one is which, or perhaps now you will be forced to guess. If you have to guess, at least your chance of guessing correctly is now 50%.

The answer, by the way, is B, placenta previa. The placenta in this case has not suffered a traumatic tear and is thus not painful, but because of its proximity to the vaginal canal, the bleeding is bright red. It is, as is the case with placental abruption as well as ectopic pregnancy and spontaneous abortion, still an emergency.

Game the System

As I have mentioned before, the NREMT exam is both a test of your knowledge and your ability to take the test.

In order to attain the knowledge that you need to pass the test, you need to study the material. You will find that the NREMT exam focuses on the following content areas:

  • Airway, Respiration & Ventilation
  • Cardiology & Resuscitation
  • Trauma
  • Medical/Obstetrics/Gynecology
  • EMS Operations

You will need to come to terms with these topics in order to be successful on the NREMT exam. I will talk about study strategies in another article.

You will also need to be able to interpret each question correctly and game the system in order to do well. The EMT candidate who understands how to read and answer the questions is the candidate who comes through the test with a pass. And in order to do that you have to practice taking the test and get good at it.

Please “like us” on our Paramedic Training Spot Facebook page!

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How to Use EMT Practice Tests to Pass the NREMT Exam https://www.paramedictrainingspot.com/how-to-use-emt-practice-tests-to-pass-the-nremt-exam/ Tue, 19 Sep 2017 00:24:06 +0000 https://www.paramedictrainingspot.com/?p=10643 The key to passing any exam is to know what to expect and then to prepare for it. This certainly holds true for EMT course students who are preparing to take the NREMT examination. Because every student learns differently, it is important to consider several options for effective studying and exam preparation. This article will […]

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The key to passing any exam is to know what to expect and then to prepare for it. This certainly holds true for EMT course students who are preparing to take the NREMT examination. Because every student learns differently, it is important to consider several options for effective studying and exam preparation. This article will provide an overview of the NREMT exam and a handful of preparation methods that can help students excel at exam time.

Discover the Best Practice AEMT Test

If you’re serious about passing the NREMT exam, you can find online EMT and Paramedic practice tests that will try to help you pass the examination on your first attempt.  Just visit EMT-National-Training today for more information.

The Exam

Gone are the days of pen and paper tests, so there’s no need to sharpen any No. 2 pencils in preparation of the NREMT. The National Registry of Emergency Medical Technicians examination is a highly technical and sophisticated Computer Adaptive Test that is administered at a workstation in a Pearson VUE testing facility.

The value of each test question is weighted in correlation to the difficulty level of the question using Item Response Theory which tailors each exam specifically and logically to the ability of each student and his or her probability of answering the question correctly in this algorithm-delivered exam.

The difficulty of each question will increase as long as the student is answering the questions correctly, however if the student begins to miss questions, the questions will become less difficult until the student begins answering questions correctly again. The exam algorithm is designed to pinpoint a student’s weakest area of knowledge and determine whether or not the student is truly competent in this area by continuing to pose questions on this subject until the student has proven or disproven competency.

The exam will end when the computer detects that the student is either 95% certain that the student is above or below the passing level. The computer must be 95% certain of your competency in each category for a student to pass the exam.

The current NREMT exam tests students in the following five categories:

  • Airway, Ventilation, & Oxygenation
  • Trauma
  • Cardiology
  • Medical
  • Operations

Pass Your NREMT Exam On The First Attempt

The NREMT exam is designed to prove that students truly understand the material that they were taught during their EMT courses, not that they know how to memorize a specific list of questions or statistics. Therefore, questions on the NREMT examination are not based upon specific textbooks. For this reason, many students find it beneficial to study from a number of resources written by a variety of authors.

A committee of EMS experts composed the questions on the NREMT examination with approximately 85% of the questions relating to adults and 15% relating to children in one of the five categories mentioned above. This committee worked hard to ensure that there is only one best answer for every test question reflecting National EMS Educational Standards. CPR, shock, diabetic emergencies, and other fundamental topics make up a good portion of the test questions.

Another large segment of the test is comprised of questions pertaining to operations including NIMS and ICS operations. You will also be tested on the material covered in the current American Heart Association’s Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

  • To properly prepare, you can receive online EMT practice tests so that you can hopefully be ready to pass the NREMT exam on your first attempt!

More information about what to expect on the NREMT examination can be found here.

Preparation

In addition to their EMT course book, students have access to a wide selection of study materials that they can utilize in preparing for the NREMT examination. Both free and paid study materials are available but students will find that purchasing online software or access to online study programs are the most beneficial because of the money back guarantee that accompanies them.

An application fee of $80 is charged each time the NREMT exam is attempted. If a student fails the exam after purchasing a money back guaranteed program, their program fees will be reimbursed and then they will need to pay the application fee of $80 again when they take the exam a second time. Companies who offer a money back guarantee have much to lose if students fail the exam and therefore they tend to be thoroughly exhaustive in their scope of study materials.

Students who rely on free or inexpensive materials in preparation for the exam will not be refunded for their material fees if they fail the exam and are not guaranteed that the materials they have selected to study will provide thorough preparation for the NREMT exam.

One Stop Shopping

While dozens of websites exist that offer NREMT exam study suggestions, the incredibly inclusive website, EMT National Training, is a resource worth visiting. One of the most thorough NREMT prep websites, this website offers exam prep software for EMR, EMT, AEMT, and Paramedic exams with a money back guarantee. Software includes proven study guides, practice tests, and simulation exams for a reasonable fee.

Exam Creation– The above mentioned EMT National Training website allows users to create personalized practice exams that will test and refresh students’ understanding of material. Students can create an EMT practice test over specific categories or a mixture of all areas.

Automatic Grading – Exams are instantly graded upon completion and incorrect answers get more than just a red X. All incorrect answers are accompanied by explanations of why the answers were wrong along with the correct answers so that students can learn from their mistakes.

NREMT Simulation – Questions come one at a time in the timed exam simulation which adds a little pressure to test questions to give students an experience similar to taking the actual NREMT. This practice not only prepares students for the material that they will be tested over but also the manner in which they will be tested.

Practical Skills Sheets– The practical portion of the NREMT is often overlooked. It is imperative that students take the time to review these protocols and to know what will be expected of them. A complete set of EMT-B practical skills sheets can be found here.

In addition to the study materials that are listed above, EMT National Training offers links to online courses, sample tests, information about the NREMT exam, and other practice exams. 

Pass Your NREMT Exam On The First Attempt

Study Guides

Good, old fashioned, printed study guides can be easy, portable study tools that refresh students’ memories of the material they learned in class. However, it is best not to rely solely on these guides as they tend to lead to memorizing answers instead of understanding concepts and methods. For this reason, study guides should be used in conjunction with other study materials, but they certainly make a great resource to grab when students are on the go.

Online Training Videos

Training videos are a great resource for visual learners preparing to take an EMT exam and many can be accessed free of charge on various EMS related websites. Videos can be found to teach students proper techniques, how to interact with patients and families, and how to use the latest medical equipment to hit the market.

All of this information can become overwhelming, so it is important for NREMT preppers to focus their attention to videos that will help them understand the skills they will be expected to demonstrate successfully in the NREMT examination. 

Online Quizzes

As mentioned previously, the NREMT does not pose questions that were written from any specific EMT course curriculum. While many online sites and EMT software companies offer a broad spectrum of potential test questions, no one site offers the exact questions that will be on the exam.

For this reason, it is wise for students to take practice quizzes from multiple sources to ensure that they have a true comprehension of the subject matter and not just the ability to memorize study materials. Online quizzes can be found for free or for minimal fees or in conjunction with costlier products.

A few trusted online sources for practice quizzes are:

Books

It may sound old school, but a great deal of information can still be learned by picking up a book and digesting the information inside. Practice test books and flashcard study systems can be purchased online or in book stores, ranging from a few dollars to a significant investment.

These items may seem cumbersome and out dated to millennials, however many students find these resources to be practical and efficient tools for studying. While a quick search online can locate dozens of NREMT practice books, finding quality material that has been tried and tested and rewarded with great reviews can be a bit more challenging.

Two products that come with high praise are:

The EMT Basic Exam Review by Kristen M. Elling contains 1500 questions in 33 chapters and comes with a CD-ROM containing practice exams and explanations with each answer.

EMT Basic Exam Flashcard Study System by Mometrix offers 205 pages of spaced repetition, in-depth study material teaching students to dissect and quickly solve study test questions.

Study Buddies

Studying with a trusted friend or classmate can make the NREMT preparation process more enjoyable but studying with an online instructor backed with a money back guarantee can prove to be very profitable for EMT students.

The Medical Study Buddy website offers students the opportunity to interact with an instructor in five 90 minute study sessions just prior to taking their NREMT exam.

Pass Your NREMT Exam On The First Attempt

Passing or Failing the Exam

Students can expect to find their exam results on the NREMT website within 1 to 2 business days. Passing students will then receive their registration card and paperwork in the mail within two weeks. They will also receive information regarding the process of renewing their license in two years.

Students who do not pass the exam will receive a detailed report explaining their competency in each area of the exam. The phrases “above passing”, “near passing”, and “below passing” are used to indicate a student’s performance in each category, letting students know which areas they need to review before taking the exam again.

Most EMT students pass the NREMT within the first two tries, but a third try is available for those who don’t. If a student does not pass on the third try, he or she will be required to participate in 24 hours of remedial training before attempting the exam for the fourth, fifth, and sixth time. Students who fail the exam six times must complete another EMT course before they are eligible to apply for the NREMT exam again.

After months of training, studying, and mentally preparing to crush the NREMT examination, there is nothing like receiving a shiny registration card in the mail to remind a student of the significance of his or her accomplishment. EMTs are the first line of defense in a medical emergency.

The responsibility of holding another’s life in your hands is a weighty one and EMTs rise to this challenge every day. With the right training and study preparation, taking and passing the NREMT is just the first step in becoming that critical link between an emergency and a happy ending.

If you’re ready to take and pass the NREMT exam, you can find online EMT and Paramedic practice tests that will attempt to prepare you to pass the examination on your very first attempt.  Just visit EMT-National-Training today for more information!

You Also Might Enjoy:

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EMT Classes in Alaska https://www.paramedictrainingspot.com/emt-classes-in-alaska/ Thu, 08 Jun 2017 19:23:14 +0000 http://www.paramedictrainingspot.com/?p=4227 EMT Schools in Alaska Below, you’ll find a list of schools in Alaska that are offering EMT and/or paramedic programs to their students.  Do note that some of these schools may not offer EMT I classes, so be sure to check each website thoroughly to see if the program matches your needs: University of Alaska, […]

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EMT Schools in Alaska

Below, you’ll find a list of schools in Alaska that are offering EMT and/or paramedic programs to their students.  Do note that some of these schools may not offer EMT I classes, so be sure to check each website thoroughly to see if the program matches your needs:

EMT Practice Tests

Usually, tuition for EMT school doesn’t cover textbooks.  While you may be assigned a Brady or Mosby textbook for your EMT class, it’s also recommended that you have additional reading (online or offline) to further your EMT knowledge.  

Some students choose to utilize Pearson’s online study guide (with numerous EMT practice test questions) or Brady’s EMT Achieve.

Others may purchase books like Emergency Care, the student supplement Workbook for Emergency Care, the Emergency Care and Transportation of the Sick and Injured, as well as its complimentary Student Workbook, which contains numerous multiple choice exercises.

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How to Pass the NREMT Exam in 7 Steps https://www.paramedictrainingspot.com/how-to-pass-the-nremt-exam-in-7-steps/ Wed, 22 Jun 2016 16:00:37 +0000 http://www.paramedictrainingspot.com/?p=9595 If you’re taking the NREMT exam for the first time, you may be fearful about how to prepare for it. And if you’re recertifying with the test or re-taking it due to previous failure, you need to have some solid studying and test-taking strategies in your tool box. Therefore, here are seven questions answered for […]

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If you’re taking the NREMT exam for the first time, you may be fearful about how to prepare for it. And if you’re recertifying with the test or re-taking it due to previous failure, you need to have some solid studying and test-taking strategies in your tool box.

Therefore, here are seven questions answered for you about the exam (one with a bit of a  daunting reputation), so you can slay this EMS dragon on your next (or hopefully first) attempt.

Step 1: Know How Hard the NREMT Exam Is

There’s no doubt about it: the NREMT exam has its challenging reputation for a reason.

What's the Best EMT Practice Test Available?According to the National Registry’s most recent published data from 2014, on a national average, approximately 33 percent of EMTs fail the test on the first try and 23 percent of paramedics fail on their first try.

While that statistic sounds like something between boot camp and making it into the NBA, it’s not as bad as a looks (see our second step), nor is this an entirely bad thing.

Look around at your EMS classmates and fellow test takers. Think about some of the hair-brained things they’ve said in response to an instructor’s or EMS director’s questions. Do you really want all of them trying to help real, sick or injured human beings, as well intentioned as they may be?

The NREMT exam is designed to weed out people who aren’t ready yet (“yet” being the operative word) to care for patients in the field. If your parent or kid in respiratory distress were lying on a cot, would you want someone who was kind of fuzzy about how to maintain an airway and administer oxygen taking care of them? Do you want the person who doesn’t know the tibia from the ulna splinting your broken bone?

High standards for the NREMT test are a good thing.

Pass Your NREMT Exam On The First Attempt

Step 2: Passing the NREMT test on the first try

Learn how to use NREMT Skill SheetsYes, you can pass the NREMT test on the first try—despite what you may have heard elsewhere. In fact, look at the statistics above. If 33 percent of EMTs and 23 percent of paramedics fail the exam, it means 67 percent and 73 percent, respectively, passed the test.

You can be in those passing percentages if you are aware of how the test works and how to study for it. Proper and thorough EMT prep is the way ace the exam.

Step 3: Understand How the NREMT test works

The NREMT test has two components: the cognitive test (what used to be the written test) and the psychomotor, or practical, test. The latter portion of the exam takes you through a bunch of skills stations, where an exam administrator checks off a sheet with steps for each skill, like immobilizing an injured joint or dealing with a medical emergency.

You can print and download these skills sheets on the National Registry website and use them to practice for your practical exam. You can also use the sheets to help you remember the order of care-giving elements when you sit down to take your cognitive exam.

As mentioned above, the cognitive test used to be of the fill-in-the-bubble written variety until 2007. At that point, the NREMT test was changed to a computer adaptive test (CAT).

Now, all exam candidates take the test online.

The online testing process allows for more accurate screening of qualified EMS personnel. The computer adaptive model means that when you answer a question correctly, the test advances to either a more difficult question on the same topic or a completely different topic altogether.

However, if you answer a question incorrectly, the computer wants to know if this is just a fluke or if you really don’t know this area of emergency prehospital care (remember, screening for qualified EMTs is a sound idea.) It will keep throwing questions at you on the same topic until you either fail that topic or start giving correct answers. The NREMT computer system needs to be sure with 95 percent certainty that you know the material.

The topics on the NREMT exam are roughly how your coursework was divided up: EMS operations; trauma; medical and OB/GYN; cardiac arrest and resuscitation; and airway, ventilation, and oxygen administration.

You need a minimum of 70 percent correct answers to pass, but since this is a reflection of your predicted performance in the field, of course, most people try to score much higher.

Pass Your NREMT Exam On The First Attempt

Step 4: Understand What to Expect on the Test?

Since the CAT model of testing on the NREMT exam bases each question on the previous answer, there is no skipping questions or going back to them later—that’s a tough change for people who like to take exam questions in any order they like.

But think of it this way: when you’re working on a live patient in the field, you shouldn’t be going back and saying, “Oops, I really meant to dress that wound before loading that guy for transport,” right?

Expect to see some logic applied to the test, which is in simple, multiple choice format. If you start getting easier questions on the same topic, it could mean you didn’t answer correctly at first. The computer is trying to determine if you know anything at all on the subject.

If the questions start getting harder, or they switch to a new topic, assume you answered a previous question correctly. If the exam cuts you off right around 70 questions, you probably did very well, as this is the minimum for the exam.

If you find yourself answering 120 questions—the maximum for the EMT-Basic test—you may have run into trouble. And if you’re getting a high number of questions, don’t give up, because you could still pass with a strong finish.

Step 5: Understand Where Others Fall Short

There are some spots on the NREMT exam where test takers typically get tripped up.

Here’s how to avoid that:

  • Don’t read more into a question or make it more complicated than it needs to be. Remember that all the information you need to arrive at for the answer is housed within the question itself; there’s no need to guess or throw a lot of “what ifs” into the equation.
  • In most cases, two possible answers can be eliminated immediately because they’re not remotely correct. Always look to see if you can whittle your answers down to only two choices (some questions, however, will be correctly answered with “None of the above” or “All of the above”).
  • Once you have two possible answer choices, look for the most straightforward answer. Sometimes both answers could be correct, but you want to find the one that is most correct.
  • Look for words that change the meaning of a question, like “always,” “never,”  “sometimes,” “anterior,” or “posterior.” Read each question carefully and understand what it is asking.
  • Be alert for patient information that indicates a critical situation. If you’re asked what to do next, it’s not going to be immobilizing a joint—more likely something like ventilating the patient, administering medication, or getting the patient ready for rapid transport.
  • Always look for airway problems. Why? Failure to secure a proper airway or to ventilate the patient when necessary has long been a problem in the prehospital setting. Airway mismanagement can lead to worsening of conditions, death, and legal liability. The NREMT exam wants to make sure you have this covered.
  • Watch your time. You can fail the exam by running out of time (approximately two hours) before answering enough questions for a satisfactory grade. Since you can’t go back to unanswered questions, make an educated guess from the two most plausible answers and move on.
  • Don’t forget to know relevant pediatric information for certain emergencies, like resuscitation and respiratory distress. While about 85 percent of the NREMT questions are about adults, roughly 15 percent will relate to treating children.
  • Be ready on exam day. Eat a solid meal, be well hydrated, use the restroom immediately before the exam, and have a good night’s sleep under your belt. Don’t drink a lot of caffeine, since it will only make you more nervous. Give yourself plenty of time to get to the testing facility. Don’t forget to bring your ID!

Step 6: Know How to Prepare for the NREMT exam?

There’s no magic bullet for passing the NREMT test—you either know the material or you don’t. You can significantly improve your chances, though, by using a methodical study process to learn the material and to practice taking the exam.

In addition to taking thorough course notes, doing all your reading, and forming a study group with your classmates or colleagues, using an online study guide is a wonderful new alternative that wasn’t available in the early days of the test.

There are loads of sites on the Internet now that offer to get you ready for the NREMT test, but only a few of them are truly high quality. EMT National Training is one test prep site that aims to prepare those that want to become EMTs and Paramedics properly pass the exam. How do they do this?  Well, they have study guides, practice questions, and simulation exams for all levels of responder.

With a subscription, you can log in to review material, create mini practice tests in any area you need, and take a full-length exam that simulates the real thing. The 3,000 questions available to you on EMT National Training have been composed by professionals who know how the NREMT exam works and the standards it tests for, based on NHTSA (National Highway Traffic Safety Administration) and AHA (American Heart Association) data.

The 110,000 paramedics and EMTs who have used this site like its downloadable study guide, superior customer service (you can call or email for explanations to any questions), and ability to be used on a tablet or smart phone.

Step 7: Understand That Mobile Apps Can Help Too

There are apps you can download for the NREMT test too, although they’re not as comprehensive as the site described above. Pocket Prep makes a highly rated test prep app that works on both iOS and Android devices and has 800 questions in its practice bank.

At a lower price point (in-app purchases run about $10.99 to $12.99), the Pocket Prep NREMT app is a good choice for people without access to a computer, for those on a super tight budget, or for those who only have a few weeks before the exam, making a subscription site not worthwhile.

The NREMT exam is tough, but it doesn’t have to strike fear in the hearts of every potential EMT and paramedic. If you follow the tips above and use a quality test preparation process, you can pass on your first try and join the ranks of those who proudly wear the Star of Life.

For more on this topic, please bookmark out Paramedic Training Spot Facebook page.

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What’s the Best EMT Study Guide? https://www.paramedictrainingspot.com/whats-the-best-emt-study-guide/ Sun, 05 Jun 2016 02:37:27 +0000 http://www.paramedictrainingspot.com/?p=9590 Many states require new and sometimes recertifying EMTs to pass the National Registry (NREMT) exam before they can begin work in the field. This is to make sure that the candidate is truly ready to treat live patients and has absorbed enough of their EMT-B training to actively help and not hurt anyone they care […]

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Many states require new and sometimes recertifying EMTs to pass the National Registry (NREMT) exam before they can begin work in the field. This is to make sure that the candidate is truly ready to treat live patients and has absorbed enough of their EMT-B training to actively help and not hurt anyone they care for.

While different colleges and other EMS training programs have varying criteria for passing a basic EMT class, the National Registry holds everyone to the same standards across the entire country—standards that are developed by the National Highway Traffic Safety Administration (NHTSA), a division of the United States Department of Transportation, and the American Heart Association (AHA).

Why You Should Take the NREMT Exam

Learn where you can find the top EMT study guides to prepare for the NREMT examination.Given the rigorous standards for this test, which is given as both a cognitive exam and a psychomotor exam, even if it is not required by your state, it’s a good idea to take it anyways. Why?

  • Knowing you have to take a national standardized test will make you up your game in your EMT class, and you may get a better grade.
  • Having National Registry status makes it easier to move to many other states to work as an EMT. If you’re not sure if your state has enough EMS work for you, or if you think you might be moving out of state in the future, the NREMT certification is an asset on your resume.
  • If you want to work as a professional EMT, it shows potential employers you are serious about your career.
  • Many volunteer fire departments require National Registry certification to ride with them.
  • You will know you have done your best to provide the best patient care possible once you start working in the field. And if you can stay calm and collected during this challenging exam, you are one step closer to maintaining the right demeanor on trying calls.

Pass Your NREMT Exam On The First Attempt

Where to Find High Quality Online NREMT Test Preparation

There are an abundance of NREMT test prep sites on the Internet today, so you need to do a bit of digging to see which ones are of the standard you want and have high ratings from other EMTs. Look for sites with comprehensive study guides, a large bank of sample questions, and stellar customer service should you have a question.

One very popular site is EMT National Training. With an A+ Better Business Bureau (BBB) rating and over 3,000 practice questions just like you’ll find on the NREMT test, it’s one of the more thorough sites out there. You can download a study guide and practice exams for first responder, basic EMT, advanced EMT, and paramedic level practice or work off their site from a computer or mobile device. Your exam progress can be tracked too, so you’ll know whether or not you’re improving as time goes on.

If you just have a bit of study time between other activities, you can create a custom exam of 10-50 questions to work on your most difficult areas of study. All the questions come with the rationales for the correct answers, but you can phone or email their professional staff for further explanation if that’s not enough.

When you’re ready for a full-length simulation exam, EMT National Training has that as well. Once your simulation exam is scored, you’ll see exactly how you fared in each section of the test. The National Registry divides the test into five topic areas, with approximately 20 percent of the questions in each area. You need to pass each topic competently, and of course, you want to know you can handle these areas in the field too, once you start work with an ambulance service.

Given what’s on the line with the NREMT exam and how much you’ve invested in your training, the EMT National Training subscription prices are pretty reasonable:

  • EMR 1 month $39.95
  • EMR 3 month $49.95
  • EMT 1 month $ 49.95
  • EMT 3 month $69.95
  • EMT 6 month $99.95
  • AEMT 1 month $59.95
  • AEMT 3 month $79.95
  • AEMT 6 month $99.95
  • Paramedic 1 month $69.95
  • Paramedic 3 month $99.95
  • Paramedic 6 month $129.95

Pass Your NREMT Exam On The First Attempt

If you’re looking for a slightly less pricey, even more mobile test prep site, Pocket Prep offers apps for both iOS and Android users that can be instantly installed on your phone or tablet for study on the go. You can customize your study plan by making different in-app purchases in the $10.99 to $12.99 range. They have 800 practice questions to select from, which is a decent amount for the money. Users on the Google Play Store and Apple Store consistently rate Pocket Prep’s apps very well.

How you study for the NREMT exam can radically affect your test outcome. Don’t wait until the last minute to study, and don’t try to guess at the type of questions you’ll be asked when there are plenty of sophisticated resources to give you precise exam preparation. Armed with good class notes, a structured study plan, and an online EMT study guide with practice questions, you can pass the NREMT exam with flying colors the first time you take it and get out in the field where you really want to be.

To download EMT Practice Tests, head over to EMT National Training and sign up for their subscription service!

How the NREMT Exam Works

The cognitive, or “sit down,” portion of the NREMT exam lasts for roughly two hours (it varies depending on your EMS level). This used to be a paper-and-pencil type of exam, but it was changed in 2007 to a computer adaptive test. This means that students take their tests online, and after each question, the computer decides what the next question will be—it’s not predetermined. If you answer a question about resuscitation incorrectly, for example, you’ll get another question about the same topic. If not, you’ll get a question on a different subject.

The computer wants to know with a 95 percent confidence level that you honestly know all the required material for NREMT certification. Therefore, the EMT-Basic exam can range from 70 questions to 120. Questions will jump around between all the necessary areas of examination: 1) EMS operations; 2) cardiology and resuscitation; 3) trauma; 4) medical and OB/GYN; and 5) airway, respiration, and ventilation.

Pass Your NREMT Exam On The First Attempt

How to Approach Studying for the NREMT Exam

The NREMT exam can be daunting in its length, intensity, and comprehensiveness. That means you want to start preparing for it as soon as possible. If you know at the outset of your EMS training that you’ll be sitting for the exam, you can start readying your materials in advance. Some strategies you can employ include:

  • starting a study group with other classmates
  • asking a certified EMT you know who did well on the exam to mentor you
  • making flash cards or index cards for important points
  • purchasing an anatomy and physiology coloring book to reinforce memorization
  • subscribing to an online study guide (see next section)

You want to keep all your class notes and make sure you stay current with your course assignments. As new material is presented, try to understand the “why” behind the protocols you learn, rather than just trying to memorize them. When you can put all the pieces together, you’ll do better on the NREMT exam and better in the field too.

An example of this is understanding the process of hypovolemic shock, where the body goes into shock from blood loss, a common situation with serious trauma patients. When you comprehend how cardiac output works (stroke volume x beats per minute [or heart rate]), it makes sense that a patient in shock would have a rapid pulse to compensate for the reduced stroke volume with each heartbeat.

Why You Should Use Online Study Guides

Do you feel overwhelmed by the volume of information on the NREMT exam? Did you miss sections or do less than well on them in class? Are you not sure what types of questions will be on the test? You are the perfect candidate for an online NREMT study program; in fact, these subscription systems and apps are great for anyone who wants to do well on the test and ace it on the first try. Many EMS students are disappointed when they purchase a study book to supplement their notes, but it doesn’t cover everything on the exam or give realistic sample questions. You don’t want to fail the exam because you were under-prepared for it.

The best online EMT exam prep sites provide study materials and practice tests that are prepared by people currently working in the field and teaching EMS. That means you’ll get sample questions that are just like those on the NREMT test, not something that’s too easy or off topic. Some cheap sites even have wrong answers to their questions, so you want a program that only offers information up to the current NHTSA and AHA standards.

Please bookmark Paramedic Training Spot for more details.

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  4. What’s the Best EMR Practice Test?
  5. How to Find the Best EMT Test Prep?

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What’s the Best EMT Practice Test? https://www.paramedictrainingspot.com/whats-the-best-emt-practice-test/ Fri, 27 May 2016 02:21:07 +0000 http://www.paramedictrainingspot.com/?p=9587 Whether you’re planning to work as a professional EMT or as a volunteer EMT with your local fire department, chances are you’ll need to pass your National Registry (NREMT) exam to get certified. The NREMT test is a challenging qualification to earn, and many EMS students dread sitting for it, having heard from more experienced […]

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Whether you’re planning to work as a professional EMT or as a volunteer EMT with your local fire department, chances are you’ll need to pass your National Registry (NREMT) exam to get certified. The NREMT test is a challenging qualification to earn, and many EMS students dread sitting for it, having heard from more experienced EMTs how daunting it is.

In 2013, according to the National Registry, about 70 percent of EMTs passed their NREMT exam on the first try, but the results vary widely by state. This article will take a look at what the NREMT exam is all about and how you can pass on your first try by using computerized training modules, especially those that include the best practice tests available.  We’ll also “unpack” the popular EMT prep site EMT National Training and help you walk away with a better understanding of how the study guides and practice exams offered there can aid you once you’re ready to take the NREMT examination.

Do you have to take the National Registry test?

Some states do not require the NREMT test, or they only require it to start work as an EMT, waiving it for recertification. Even if the state doesn’t require EMTs to take the NREMT exam, some smart departments ask their EMS candidates to take it anyway to make sure they know their stuff.

Heck, even if your department doesn’t require it, you may feel like you owe it to your patients to bring your “A” game every time you respond to a call. Do you really want to skate by in your EMS studies, or do you want to feel confident when you’re in the field managing emergencies? One way to know you can handle what’s thrown at you is to nail the NREMT test. Being able to respond under pressure to questions on the exam is a good first indicator that you will also be able to keep your cool on calls.

Pass Your NREMT Exam On The First Attempt

How does the NREMT exam work?

What's the Best EMT Practice Test Available?The NREMT exam is different for each level of EMS work, from basic to intermediate to paramedic. The basic EMT exam is two hours in length, contains 70-120 questions, and requires a minimum score of 70 percent to pass.

“Wait a minute,” you’re probably asking, “how can it range between 70 and 120 questions? Doesn’t everyone get the same exam?”

The answer to that is no, they don’t. In 2007, the National Registry changed the exam from a traditional pencil and paper format to a computerized test. Not only that, they made it a computer adaptive test (CAT).

On an adaptive exam, the computer bases each question on the answer you gave to the previous one. For example, if you are asked, “The tibia is a bone in the _______,” and you answer “inner ear” instead of “lower leg,” you’re going to get more questions about basic anatomy and orthopedics. The computer needs to deduce with a 95 percent confidence level that you know the material in each of the different exam sections:

  • operations
  • trauma
  • medical and OB/GYN
  • airway, respiration, and ventilation
  • cardiology and resuscitation

In general, the shorter your exam, the better you probably did on it because you answered the initial questions in each section satisfactorily. If you find yourself answering all 120 possible questions, you still may pass, however, provided you had a strong finish on the exam.

Which websites have the best practice tests?

There are a wealth of websites with NREMT practice questions and tests, but not all of them are of equal high quality. The site EMTprep.com is one popular choice with many EMTs. If offers a large database of questions and scores your exams on the spot, so you always know how you’re progressing in your test preparation. It also provides subscribers with a 100 percent pass guarantee.

Another extremely thorough site favored by seasoned EMS personnel is EMT National Training. The site has an excellent reputation with more than 110,000 EMTs and paramedics, an 8.9 out of 10 rating on Bizrate, and an A+ rating with the Better Business Bureau (BBB). They offer study guides and practice exams for all level of responder. Their bank of over 3,000 questions was compiled by working EMTs and paramedics, as well as EMS instructors, and you can enjoy instant scoring of your practice exams there too.

Furthermore, EMT National Training lets you select from 10 to 50 questions in any of the exam categories to create mini exams in the areas where you need the most help. While it’s great to take their simulation of the full exam, sometimes you want to be able to focus on your most challenging material. You may not need to answer question after question about cardiology when respiratory emergencies are causing you difficulty.

Pass Your NREMT Exam On The First Attempt

EMT National Training allows for tiered subscriptions depending on your exam level and how far in advance of the NREMT exam you plan to study:

  • EMR 1 month $39.95
  • EMR 3 month $49.95
  • EMT 1 month $ 49.95
  • EMT 3 month $69.95
  • EMT 6 month $99.95
  • AEMT 1 month $59.95
  • AEMT 3 month $79.95
  • AEMT 6 month $99.95
  • Paramedic 1 month $69.95
  • Paramedic 3 month $99.95
  • Paramedic 6 month $129.95

Once you purchase a subscription package, you simply log in and head to the section you need on that day to create your practice session. Unless you wish to download the optional included study guide, all the material is on EMT National Training’s site, so you don’t have to worry about computer memory or storage issues. The site is compatible with both Windows and Mac operating systems.

If you answer any practice questions incorrectly, you’ll be given the rationale for the proper answer. And if you are still puzzled by any of the material, EMT National Training offers stellar customer service by phone during business hours or offline at any time through their help center.

To download Online EMT and Paramedic Practice Tests, head over to EMT National Training and sign up for their subscription service.

How should you study for the NREMT test?

The hypothetical question above is only one type typically seen on the NREMT exam—many are more complicated and therefore more difficult to answer. For example, you may get a scenario-based question such as, “You respond to a call with a 70-year-old female who was found on the ground and reports having blacked out. A large gash is visible on the patient’s head and she is tachypneic (rapidly breathing in an abnormal way). What do you think most likely happened?”

You’ll probably be able to eliminate one or two answers right away based on their absurdity or unlikelihood, but it’s easy to doubt yourself under pressure.

By doing practice tests, you’ll learn that the most straightforward answer is usually the right one. You’ll also learn about situations where “All of the above” can be a correct answer.

It helps to run a bunch of these scenarios to get the hang of them and to feel more trusting of your intuitive responses based on your studies. Study guides that offer compact reminders of your material (like body systems, mnemonics, and standard treatment algorithms) and practice questions are the best way to study for the NREMT test.

Pass Your NREMT Exam On The First Attempt

Where can you find practice tests?

While it used to be that you had to study for exams like the NREMT by either concocting your own system, forming a study group, or buying a book, nowadays you can find numerous websites that help you review material and that offer practice tests. The best of these sites most importantly provide sample exam questions that are closest to the real NREMT test.

Secondly, the best sites have carefully combed their answers and review sections to ensure that you only receive correct information in keeping with the most current US DOT (United States Department of Transportation) National Highway Traffic Safety Administration (NHTSA) and American Heart Association (AHA) standards for EMS care. These are the ultimate national authorities when it comes to EMS treatment protocols, determined by clinical data and field statistics. When you get a practice question wrong on one of these top exam prep sites, they’ll provide you with the rationale behind the correct answer, so you understand why the question needed to be answered a certain way. Ideally, this won’t just help you pass your NREMT exam, but it will help you working with real patients in the field as well.

What about studying on the go?

A nice feature of EMT National Training is that your subscription will also work on your tablet or smart phone. If you’re studying for your NREMT exam while finishing EMT classes or working, and your time is at a premium, being able to do a few questions when you have a break is a great way to get in some study time. Mobile apps for NREMT study are ideal for quickie review sessions as well as for those who don’t have access to a computer.

Pocket Prep also sells highly rated NREMT exam apps for different EMS levels. You can somewhat customize the package you want by selecting various in-app purchases. These apps are available for a range of mobile device operating systems and, like EMT National Training, offer practice tests. You won’t get quite the range of questions you do with EMT National Training (Pocket Prep maxes out at 800 questions), but for a student on a very limited budget, these apps are good for giving a realistic feel for the exam.

With so much on the line, it’s wise to start your NREMT exam study as soon as possible. The quicker you can start thinking of course material in terms of the test, the more ready you’ll be on exam day. And the more ready you are for your NREMT exam, the better prepped you’ll be to handle real calls when that pager goes off.

Paramedic Training Spot offers readers in-depth articles to help better explain the overall process of becoming an EMT or paramedic.

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What Is the Best AEMT Practice Test? https://www.paramedictrainingspot.com/what-is-the-best-aemt-practice-test/ Fri, 20 May 2016 02:09:49 +0000 http://www.paramedictrainingspot.com/?p=9584 If you are currently taking advanced EMT coursework, or if you are thinking about becoming an advanced EMT, you may hear a lot of your colleagues and classmates talking about the NREMT exam, also known as the National Registry. If you’re unfamiliar with this test, here’s a bit of background for you, including the best […]

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If you are currently taking advanced EMT coursework, or if you are thinking about becoming an advanced EMT, you may hear a lot of your colleagues and classmates talking about the NREMT exam, also known as the National Registry. If you’re unfamiliar with this test, here’s a bit of background for you, including the best way study guides, practice tests, and simulation exams you can find to help you get prepared to hopefully pass on your first attempt.

How does Advanced EMT fit into the EMS tiers of care?

The EMS system in the United States is currently in a state of flux. The National Highway Traffic Safety Administration (NHTSA), which is a division of the US Department of Transportation (DOT), and the American Heart Association (AHA) decide on the national standards to which they would like all prehospital providers to adhere. As such, the National Registry administers exams to certify emergency care providers to these uniform standards (see below).

Discover the Best Practice AEMT Test

However, each state also has its own requirements for EMS licensure, and while some recognize the National Registry exam, others do not. Furthermore, there are currently three levels of prehospital EMS care between EMT-Basic and Paramedic: I-85, I-99, and Advanced EMT (AEMT).

The DOT and many EMS organizations would like to see a more unified approach to EMS care, and are phasing out the I-85 and I-99 levels, leaving AEMT as the sole tier between Basic and Paramedic. While some states will continue to use the other tiers and offer state tests for those levels, it is felt that eventually all EMS providers will have to merge with the DOT standards.

Why is the Advanced EMT license important? For some EMTs, it’s a chance to test the waters before making the jump to Paramedic, which entails quite a bit more coursework. Others don’t have the time for two years of paramedic training or the financial support of their fire departments for a full paramedic license.

Also, some communities use their Advanced EMTs quite well, integrating them with paramedic units for efficient and cost-effective patient care. It’s highly probable that more areas will employ this strategy as the other EMS tiers are phased out, and this will create more job opportunities for Advanced EMTs. The curriculum for AEMTs may evolve as well to include more of the skills now practiced at the intermediate (“I”) level. EMT and paramedic jobs are predicted to grow dramatically and faster than average between 2014 and 2024, according to the US Bureau of Labor Statistics.

Pass Your NREMT Exam On The First Attempt

Why is the NREMT exam important?

The National Registry exam for Advanced EMTs is a vital part of the licensing process for many EMTs, as well it should be. Some states won’t allow you to become licensed or re-licensed without passing the exam, and many have reciprocity rules in place when it comes to having National Registry status. This makes it much easier to move your license to another state should you need to move or find better EMS jobs outside your current state.

Passing the National Registry exam as an AEMT shows your department or a potential employer that you are career minded. Some fire departments or private ambulance services won’t hire without it. NREMT status also gives you confidence when entering the field for the first time, as the test is a very rigorous criterion for the ability to provide top-notch patient care. Many AEMTs feel like they owe it to their patients and the EMTs they ride with to maintain National Registry certification. When you study at the level needed to pass this exam, you will automatically improve your performance in the field. Getting EMTs nationally on board with NREMT standards would be a major step in increasing the level of prehospital care across the entire country.

Where can you find the best AEMT practice tests?

At the AEMT level, there are limited options for online study sites; there are far more apps and programs for Basic and Paramedic levels. However, EMT National Training offers a comprehensive exam prep program for Advanced EMTs that will do a great job of getting you ready for the NREMT test, and it will also help you pass any state tests you need to take.

EMT National Training has a selection of over 3,000 practice questions that you can assemble into short quizzes of 10 to 50 questions or full-length simulation exams like the real thing. Your quizzes can draw from all five areas of study, or you can focus only on those areas in which you need the most help. The questions are developed by working EMS personnel and EMS instructors, and they’re updated frequently, so you know they’re just like the ones you’ll find on the NREMT exam.

All answers to every Advanced EMT practice test come with the rationale behind them, so you learn the “whys,” not just the “whats” of EMS care. If you’re still stumped by any question, EMT National Training offers exceptional customer service, again with real EMS providers, via phone or email.

Other features over 110,000 EMTs and paramedics like about EMT National Training include:

  • an A+ rating with the Better Business Bureau (BBB)
  • reasonable subscription packages of one, three, and six months
  • three interactive skill stations
  • downloadable study guides
  • 100 percent pass guarantee—pass the NREMT test, or they will continue your subscription until you do, at no additional cost

The EMS system in the US is still evolving, but the Advanced EMT provider is a growing area of study and practice. If you decide to pursue this level of prehospital care, do yourself a favor and take the NREMT exam, whether it’s required or not. You’ll be more employable, and you’ll always know that with National Registry status, you are providing the best care possible. That confidence will serve you well in the field.

Pass Your NREMT Exam On The First Attempt

  • For more information about EMT Practice Tests, be sure to visit EMT National Training’s subscription service.

How does the National Registry exam work?

The National Registry exam for AEMTs is separated into two sections. You will be required to pass both an online cognitive exam and a psychomotor, or practical, exam. The practical exam consists of completing hands-on skills at various stations, such as trauma and respiratory care. A test administrator will check you off as you go through each station to make sure you performed all the skills required at each station.

The good news is that you can access the same checklists the test givers use at the National Registry website. Not only can you use these skill sheets for your psychomotor exam study but you can use them to help you study for the cognitive exam too. There will be many questions on the cognitive test that ask you about the order in which care steps are provided, and knowing the skill sheets in your sleep will help you nail these questions.

The cognitive portion of the exam has changed over the years. What used to be a paper-and-pencil exam is now a computer-based test taken online. The advantages to online testing are numerous:

  • Human errors are reduced.
  • Signup and administration of the test are much more efficient.
  • The data from the tests can be analyzed more easily at less cost.
  • Exam questions can be updated simply as needed when protocols change.
  • Test takers get their results back much faster (usually within a few days).

You will have two hours and 15 minutes to complete the exam, which consists of 135 questions. Approximately 85 percent of the material relates to adult patient care and about 15 percent to pediatric care. The exam covers the same five areas you will have studied in class: EMS operations; trauma; medical emergencies, including OB/GYN; respiratory care (airway, respiration, and ventilation); and cardiac emergencies with resuscitation.

At present, other EMS levels take a computer adaptive test for the NREMT, which means each question is determined by your previous answer. Get a question right, and the test moves on; answer incorrectly, and the test gives you another in the same vein. It would not be surprising to see the AEMT exam move to this format in the future.

Why Online Study for passing the NREMT?

Most AEMT students are serious about their studies and take excellent notes. This is a good first start in preparing for the NREMT exam. However, the hardest part of studying for the test is usually predicting the types of questions on the exam. You can purchase study guide books with practice questions, but these often become outdated very quickly. It’s better in most cases to find an online study program the most closely mimics the real exam by offering online practice tests.

Online practice tests let you get in the habit of taking tests via computer, which actually uses your brain in different ways than conventional paper tests. You’ll be assured, if you use a high-quality program, that the material is always current. You’ll also be able to track your progress when you take multiple practice tests.

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What Are the NREMT Skill Sheets? https://www.paramedictrainingspot.com/what-are-the-nremt-skill-sheets/ Fri, 13 May 2016 01:56:04 +0000 http://www.paramedictrainingspot.com/?p=9581 Many EMS students tend to put their focus on the written or “cognitive” National Registry (NREMT) exam, with little worry about the practical or “psychomotor” exam. For some, the written test feels more challenging, either because they consider themselves poor test takers in general or because the computer adaptive test (CAT) model doesn’t allow them […]

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Many EMS students tend to put their focus on the written or “cognitive” National Registry (NREMT) exam, with little worry about the practical or “psychomotor” exam. For some, the written test feels more challenging, either because they consider themselves poor test takers in general or because the computer adaptive test (CAT) model doesn’t allow them to skip questions and do them at the end, and it will increase the total number of questions whenever they give an incorrect answer.

Here’s some advice about why and how you should be putting the two parts of the NREMT exam together and why these skill sheets are a vital part of the EMT test prep process.

Study for Written and Practical Exams Together

Actually, compartmentalizing the two exams, as described above, is a poor strategy for test takers. What you want to do is integrate the material from the psychomotor exam with the cognitive exam. When you can visualize how you would go about dealing with a pulseless, non-breathing patient on the practical test, for example, it makes it easier to answer written questions that ask you to put resuscitation steps in order or that ask you to eliminate choices that would be inappropriate in that situation.

And of course, once you’re done with the written part of your certification, the bulk of your work as an EMT will be practical in nature, so you want to be able to know patient care algorithms in your sleep.

Pass Your NREMT Exam On The First Attempt

Understanding the Basics of Skill Sheets

Learn how to use NREMT Skill SheetsWhen you take the NREMT psychomotor exam, the administrators at each test station use a skill sheet as a checklist to make sure the test takers hit every point of each protocol. For example, at the Bleeding Control/Shock Management station, you would have to perform all the following EMT skills:

  • Takes or verbalizes appropriate body substance isolation precautions
  • Applies direct pressure to the wound
  • Applies tourniquet
  • Properly positions the patient
  • Administers high concentration oxygen
  • Initiates steps to prevent heat loss from the patient
  • Indicates the need for immediate transportation

In between these various steps, the examiner might give extra information, like informing you that the wound is continuing to bleed so you can adjust your treatment accordingly. The start and finish time at each station is recorded, and any critical information is also noted, such as if you mistakenly performed an inappropriate intervention.

How To Best Prepare for the Exam

Remember, once you have your Skill Sheets, you want to use them in conjunction with your written exam study to maximize your potential on both exams. For example, you may have a question on the cognitive test that asks about the order of immobilization with joint injuries. If you can recall your NREMT Skill Sheet for the Joint Immobilization station, you’ll know that first you immobilize the site of the injury, then the bone above the injury, and finally, the bone below the injury. When you get questions on a practice written test that want you to put anything in chronological order, you should immediately run through your practical test in your mind.

An ideal way to find the kind of practice test questions that best mimic the real exam is to use a reputable subscription review program like EMT National Training. They have over 3,000 practice questions in their data bank for emergency responders, EMTs, AEMTs, and paramedics. With their system, you can review material, custom build shorter or longer practice tests in the areas that challenge you most, and take full-length simulation exams.

A new feature on the EMT National Training site also provides interactive skill stations for three parts of the psychomotor exam: Bag Valve Mask Ventilation, Medical Assessment/Management, and Cardiac Arrest Management/AED. When you go back and forth between the practical and written exam sections, you’ll be reinforcing the material all the better. If you get questions wrong, the site provides rationale for the correct answers and even offers telephone and email support for more in-depth questions.

How to Use the Skill Sheets to Your Advantage

The great thing about the Skill Sheets is that access to them isn’t just limited to the test administrators. You can view, download, and print the skill sheets for each exam station from the National Registry website.

Unlike with other exams you may have taken, the NREMT practical test is not intended to trip you up or make you fail. The goal of the exam is to make sure than anyone serving as an EMT or paramedic is ready for the job, so the National Registry does everything possible to bolster students’ success. Skill sheets are available online for every exam level: First Responder (EMR), EMT-Basic, and Advanced (AEMT, I99, and Paramedic).

Once you’ve obtained the Skill Sheets for your level, you can use them to help prepare for the exam. While some people feel just covering all the bases on the sheets will allow you to pass, it’s a better rule of thumb to memorize the sheets in order, at least until your exam is over.

Once you’re working in the field, you’ll still perform certain steps in the same order as you did on the test, but the patient status will obviously be different, and you’ll have to jump around a bit (like if a patient regains and loses consciousness multiple times). Meanwhile, it will be easier for you to remember all the steps, and it will likely make your examiner happier if you perform the skills in the order in which they’re listed on the sheets.

Strategize for the Best Practical Exam Performance

The following are some top tips for creating the best strategy for a high NREMT practical exam score, using the Skill Sheets as part of your arsenal.

1.Use the Skill Sheets as an outline or a memory device for the practical stations—they are not a script in and of themselves. So, for example, when the sheet for Cardiac Arrest Management says “Checks patient responsiveness,” you wouldn’t simply say, “I’m checking patient responsiveness.” You would instead say something like, “Sir, can you hear me? Sir, open your eyes!” while applying appropriate sternal stimulation.

2. Don’t just read through the Skill Sheets and assume you know them. Try one of these testing mechanisms:

  • Use an interactive practice module like the ones on EMT National Training.
  • When studying alone, cover up the steps on the NREMT skill sheets, and force yourself to recite them without seeing the answers.
  • Work with a study group, and have one person simulate the examiner. Take turns rotating through the roles of patient, test taker, and administrator.
  • Create flash cards for each station, and have someone quiz you on the protocols.
  • Write each step for every station on a sticky note, and randomly rearrange them. Then, place them on a board or tabletop in the correct order, working from memory and logic.

3. When you review something for the cognitive test, make a mental and/or physical note of how it applies to the psychomotor test and vice versa. Don’t think of the exams as two separate entities but as different ways of expressing the same information.

4. Always know the underlying anatomical and physiological reasons behind the protocols you are using. When you understand the “why” of an algorithm, it goes from being something you could memorize and quickly forget to something you’ll remember for your career. You’ll also be able to explain it to a newbie once you’re a senior EMT.

For example, if you understand the concept of hypoperfusion (shock), it makes complete sense that you would need to position a patient properly, give oxygen, and minimize heat loss when treating a patient in shock from a bleeding emergency.

5. Remember that your mind is racing in any high-pressure situation, whether that’s your NREMT psychomotor exam or a real-life ambulance call. Time will probably seem to move very fast, and while you can’t dilly dally with providing care, it’s always fine to take a few seconds, breathe, and think about what the best response is. Don’t feel anxious about doing everything fast; some of the best EMTs in the field are those who are methodical and calm when they act.

Know that your Skill Sheets are like the foundation for a house; everything you do in the field is built off these protocols. When you understand the rationale behind them and when you can adapt them to real-life situations, you will be grateful for that framework, as you will when you make them part of your written and practical test study process. Even physicians in the most difficult subspecialties use step-by-step branching algorithms for patient care, and it’s a model that works. Embrace it now, and you’ll perform better on your NREMT exams and better as an EMT in the field.

Pass Your NREMT Exam On The First Attempt

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