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What you need to know about the EMT Test
On April 7, 2025, a revised version of the EMT exam went live, and the previous version is no longer given. The purpose of the revision was to link questions to actual EMT job responsibilities better. The new exam is different in two main ways:
First, the content is organized differently. The revised exam is divided into five sections, like the previous version, but the titles have changed.
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The now-retired EMT exam included sections entitled Airway, Respiration, and Ventilation; Cardiology and Resuscitation; Trauma; Medical, Obstetrics, and Gynecology; and Operations.
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The revised exam still includes a section entitled Operations, but the other four sections are different. Here are the new sections and the percentage of the test devoted to each:
- Scene Size-up and Safety (15–19%)
- Primary Assessment (39–43%)
- Secondary Assessment (5–9%)
- Patient Treatment and Transport (20–24%)
- Operations (10–14%)
As you can see, the new exam focuses on the particular skills needed during each step of rescue instead of grouping the skills by the type of emergency.
The questions are in no particular order of topic, and subjects will be mixed throughout the exam. However, the questions will come from the five subject areas above.
The second main change concerns question types. In addition to standard multiple-choice questions, you will see questions in these formats:
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multiple response—You will need to choose two or three responses from a list of five or six.
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options table—Given a table and specific criteria, you must categorize, identify, or classify several options.
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build list—You will need to place options in a specified order.
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drag and drop—You must select and move options to the correct spots in a graphic.
Psychomotor Exam
While assessment of psychomotor tasks is not included on the EMT exam offered by Pearson VUE, these competencies are assessed in the following ways, and successful performance is required for certification:
You will be assessed on psychomotor tasks throughout your EMT coursework. During this time, you will need to prove that you can perform these tasks:
- patient assessment/management of a trauma patient
- patient assessment/management of a medical patient
- cardiac arrest management/AED
- bag-valve-mask ventilation of an apneic patient
- spinal immobilization (both seated and supine patient)
- long bone fracture immobilization
- joint dislocation immobilization
- traction splinting
- bleeding control/shock management
- upper airway adjuncts and suction
- mouth-to-mouth ventilation with supplemental oxygen
- supplemental oxygen administration to a breathing patient.
Additionally, you must pass a psychomotor exam certified by your state. For information about the psychomotor exam, contact your EMT course instructor or state EMS office.
Exam facts
Answers to all your questions about the EMT Test
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What are the costs?
The price of testing has not changed, so the EMT exam cost remains $104.
What should I bring?
When you have registered for the EMT exam online, you will receive access to specific information about items you need to bring to the testing site and those items that are prohibited during testing. This will vary depending on the testing site’s rules and regulations.
How is it scored?
Your exam will end when one of these occurs:
- The computer determines with 95% accuracy that your score is passing.
- The computer determines with 95% accuracy that your score is failing.
- The two-hour testing window ends.
Scores on the EMT exam range from 100 to 1,500, and you must score 950 to pass. Your scores will not be available at the testing center or by phone. Scores will be posted to the account you created to register for the exam within two business days.
What kind of job can I get?
People with emergency care certification provide a bridge between what may seem like a hopeless situation and definitive medical care in a healthcare facility. They are the people who first see, care for, and transport the sick and injured in emergency situations. There are four levels of emergency care certification listed here in order of skill level:
- emergency medical responder
- emergency medical technician
- advanced EMT
- paramedic
Our test prep materials cover concepts tested for the second category of certification on this list: the Emergency Medical Technician or NREMT exam. Our content is based on national standards, but check with your instructor if the information is different in your region or agency.
An EMT provides the backbone of the emergency care services in this country. This certification requires competency in basic life support, airway usage skills, use of automated external defibrillators, and assistance with certain medications.
Am I eligible?
You must be at least 18 years old and have successfully completed an approved EMT training course within the past two years. You must have a current CPR-BLS for healthcare provider or equivalent certification. There are several other avenues for testing eligibility and information about recertification in the EMT Candidate Handbook.
Note: During the exam registration process, you will be issued an Authorization to Test (ATT). This is only valid for 90 days. If not used within that time, you will have to repay the registration fee.
Why does it matter?
Agencies that hire emergency medical technicians want to be sure their employees are competent in administering emergency care. Some states may have additional or alternate EMT certification requirements, but most states require a person to attain a certain level of performance on the National Registry of EMTs exam or a similar state exam. This certification makes one eligible for a license, which is required for EMT employment.
What salary can I expect?
According to the Bureau of Labor Statistics, the job market for emergency care workers is growing faster than the average occupation. The average yearly pay for EMTs as of 2024 was just over $41,000. Higher wages are often available for more experienced workers.
When is it available?
Pearson VUE administers the EMT exam at its test centers, or you may take it at another location using OnVUE (a proctored system).
Before you can take the EMT exam, you must create an account on their website and follow the instructions for the application process. You must then log in to the National Registry of EMTs to apply to take this exam. Then, you will be given an authorization to test and information regarding exam sites and dates. You may use this link to access the EMT exam application process.
How much time is allowed?
You will have two hours to answer a minimum of 70 questions. Though there are a maximum of 120 items, as you take the test, the computer will attempt to determine whether you will pass or fail with 95% accuracy and may conclude the test before you have answered all questions. There will also be 10 unscored items. You will not know which ones these are, and they will not affect your score.
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