How to Pass the National Registry Paramedic Exam

The National Registry Paramedic Exam is designed on a computer-based system and will range from 80 to 150 questions. The exam questions are taken directly from the National registry’s item bank and are designed to evaluate future paramedics’ understandings in the six major categories. Categories will include:

-Airway and Breathing




-OBGYN and Pediatric


Exams are designed to determine a student’s aptitude in pre-hospital care, focusing on specifics for each of the six categories to assure accreditation is only granted to those students with a satisfactory knowledge of practices. All students seeking accreditation in the three main categories of first-response, EMT-basic and EMT-paramedic must take the appropriate examination and receive a passing score.

The computer will not issue a passing grade until it reaches a 95% confidence in the student. This is based on how many questions have been issued verses correct answers. The test will continue until the 95% confidence rate has been achieved.

Why is the NREMT Exam important?

The NREMT exam is important to both the accreditation societies and the American public. High standards have been set for the exam to assure that paramedics and EMT staff are completely competent in all areas of medical care that will be encountered while working.

Vital mistakes can be made during the process of delivering a patient to hospital care and post physician that can be costly both financially and in terms of the patients well being. Therefore the NREMT exam has been designed to assure each new emergency response personnel are fully knowledgeable and posses the ability to correctly perform duties.

Pass Your NREMT Exam On The First Attempt

Develop a Strong Study Plan

Regardless of your test scores during courses it is essential to study before taking the NREMT exam. Most states use this particular test as opposed to designing a specific one because of the high standards set by the testing procedure. This assures that only students fully prepared to enter the field are passed. Students that have previously taken the exam recommend beginning a study plan before registering your test day to assure you are prepared to pass. This plan includes:

A strong study plan begins with re-reading the materials for an honest understanding of the student’s confidence in each area of the exam. Gather additional review materials and designate specific amounts of time everyday to studying.

Begin by reviewing the six main components found on the NREMT exam which will include airway, cardiology, medicine, OBGYN and Pediatric, trauma patients and operations. Allow one to two days per topic for review to begin with and more time can be devoted to specific areas the student determines require more detailed study.

Reviews can be done using the textbook from courses and workbooks that coincide with the chapter material. By week two students should acquire additional materials designed specifically for NREMT review. Highly recommended by former students is the ‘PassMedics Paramedic Study Guide’ which can be found in hard copy and e-book format online. Practice exams are also aviable at for a small fee.

In weeks closer to exam day, it is important to refine studying and assure students are fully prepared to pass. This can include many online study and review guides, practice tests and even online prep courses for additional last-minute assistance. Popular review sites for the NREMT exam include: for comprehensive study guides, practice tests and online prep courses offered for a nominal fee

NREMT Practice Exams Online at offers low cost prep and review guides, as well as a select few free sample tests

Develop Proper Testing Skills

In addition to a working knowledge of the six main categories found on the NREMT exam, each student should spend some time preparing for the actual testing procedure. This many include reading up on some excellent test taking tips such as the ones found on generated by paramedics, former students and practicing EMTs. It is important for each student to have a plan in place for tackling the actual exam to avoid confusion and frustration.

Testing tips of value include determining what each question is asking before placing an answer and double checking all directions for clarity. Many questions will involve specific scenarios encountered in every day practice so it is essential to read the question thoroughly before attempting an answer. Practice test websites and materials will also offer additional specific tips that should be considered when taking the exam:

  • Checking questions with a critical eye
  • Rereading each scenario from several perspectives
  • Commonly made mistakes and how to avoid them

Practice tests will also assist in this process and can be found online at many NREMT specific sites for a nominal fee or in some cases free. Websites such as generate multiple online practice tests with questions identical to those found on the National Registry Database. Similar sites include for free EMT practice tests.

On test day it is important to assure that the student is well rested and does not work the night before. Many former students advise that cramming before the test will decrease chances of passing and any last minute reading should only involve a glance at numbers and medications the student may have trouble remembering.

Pass Your NREMT Exam On The First Attempt

What Happens If I Fail the Exam?

The NREMT exam will issue a pass/fail score based on the number of correctly answered test questions as well as the 95% confidence issued by computer calculation. If a student receives a failing score, the computer will provide feedback concerning areas and questions missed to use for further study.

Students are allowed to retake the exam six times before required to retake the paramedic training courses. Three failed attempts and the tester must first complete a 48 hour remedial training course and provide documentation of completion. A 15 day waiting period is required between failed tests to allow for additional preparation time. It is important to use this wait time for a review based on the feedback given after testing to assure that more repeats are not necessary.

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