Free Advanced EMT Practice Test (updated 2024)

To become a certified Advanced Emergency Medical Technician (AEMT), you first need to complete the AEMT exam. This is a knowledge-based test that measures your understanding of the principles and practices of working as an AEMT.

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AEMT Exam Eligibility

To be eligible to take the Advanced EMT exam, you must meet the following requirements:

You must be at least 18 years old
You must hold a license from your state at the EMT level (or higher)
You must complete a state-approved AEMT course of study that either meets or exceeds the National Emergency Medical Services Education Standards for the Advanced Emergency Medical Technician
You must have a current CPR-BLS Healthcare Provider or equivalent credential

AEMT Exam Outline

The AEMT exam is itself comprised of a cognitive exam and a psychomotor exam, both of which must be passed in order to pass the AEMT exam.

AEMT Cognitive Exam

The cognitive exam contains 135 multiple-choice questions, 35 of which are unscored, and you will be given a time limit of 2 hours and 15 minutes. The 35 unscored questions are used to evaluate questions for future versions of the exam. They are unmarked, so you will not know which questions are scored and which are unscored.

The cognitive exam is split into five content areas:

Content Area	Percent of Exam	Adult/Pediatric Mix
Airway, Respiration, and Ventilation	28%-22%	85%/15%
Cardiology and Resuscitation	21%–25%	85%/15%
Trauma	14%–18%	85%/15%
Medical; Obstetrics and Gynecology	26%–30%	85%/15%
EMS Operations	11%–15%	85%/15%

AEMT Psychomotor Exam

The psychomotor exam is a “hands-on” exam comprised of nine skill stations. These stations are designed to assess your proficiency in various scenarios.

Patient Assessment – Trauma (10 minutes)

For this station, you will be asked to perform a full head-to-toe physical examination and describe how you would treat the patient.

Patient Assessment – Medical (15 minutes)

For this station, you will be asked to perform a full head-to-toe physical examination and voice treatment of a simulated patient.

Supraglottic Airway Device (3 attempts)

For this station, you will be asked to use simple airway maneuvers and adjusts, supplemental oxygen, and BVM to manage an apneic adult patient with a palpable carotid pulse. You will then be asked to insert a supraglottic airway device of your choosing.

Cardiac Arrest Management/AED (10 minutes)

For this station, you will be asked to manage a cardiac arrest scenario where the patient was unwitnessed.

Intravenous Therapy (6 minutes)

For this station, you will be given a specific scenario and have three attempts to establish a patient IV accordingly. The patient in this station will be a manikin.

Intravenous Bolus Medications (3 minutes)

For this station, you will be asked to use the IV line established in the previous station to administer an IV bolus of medication.

Pediatric Intraosseous Infusion (6 minutes)

For this station, you will have two attempts to establish an intraosseous line in a pediatric manikin.

Pediatric Respiratory Compromise (3 attempts)

For this station, you will be asked to manage an infant in respiratory distress by using supplemental oxygen, simple airway maneuvers, and adjuncts. you will then be asked to demonstrate BVM ventilation as the patient progresses to respiratory failure.

Random EMT Skills (5-10 minutes)

For this station, you will be tested on a randomly chosen EMT skill and will have a maximum of either 5 minutes or 10 minutes.

Bleeding control and shock management (10 minutes)
Long bone immobilization (5 minutes)
Joint immobilization (5 minutes)

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AEMT Exam Registration

To register for the AEMT exam, you must submit an application to NREMT. Once your application is reviewed, you will receive an authorization to test (ATT) for the cognitive exam and a psychomotor authorization to test (PATT). At the time of application, you must submit the $144 application fee.

Test Day

You should arrive at the testing center 30 minutes before your exam appointment. The facilitator will verify your ID and take your photo and digital signature. Your digital signature must match the signature on your ID.

Once the check-in process is complete, you will be asked to place all personal items in a secure locker outside the testing room, or in your car.

The proctor will then lead you to the testing area and provide information on how the exam process works.

You can take breaks as needed, but know that your time on break counts against your allotted testing time. If you do take a break during your exam, you cannot refer to any reference materials or use your mobile device.

Your AEMT Exam Scores

The score required to pass the exam varies. Your score and results of whether you passed the exam will be posted on your online account within two business days after you take the exam.

Retaking the AEMT Exam

If you fail the exam, you may submit an application to retake it 15 days after your first attempt.

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FAQs

Q

How many questions are on the AEMT exam?

A

There are 135 multiple-choice questions on the cognitive exam.

Q

How long is the AEMT exam?

A

The time limit for the cognitive exam is 2 hours and 15 minutes.

Q

How much does the AEMT exam cost?

A

The application fee for the exam is $144.

By Kate Nockunas

Kate has been Mometrix’s Nursing and Medical Editor for over four years. She has a bachelor’s degree in Communications from Vanderbilt University, a bachelor’s degree in Nursing from Marymount University, and a master’s degree in Education from Johns Hopkins. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU.

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