Advanced EMT Exam
This is a resource to help you prepare for the Advanced EMT course, covering required prerequisites, what to expect during your exam, plus other information to help prepare for success.
The Advanced EMT exam is part of a national, standardized certification process awarded from the National Registry of Emergency Medical Technicians. By successfully completing the exam, you have the knowledge and skills needed to enter an Advanced EMT position.
Prerequisites and Exam Eligibility
To be eligible to take the Advanced EMT exam, you must:
- Be at least 18 years old.
- Hold a license from your state at the EMT level (or higher) and also hold a current National Registry certification (NREMT).
- Have completed a state-approved Advanced Emergency Medical Technician (AEMT) course of study that either meets or exceeds the National Emergency Medical Services Education Standards for the Advanced Emergency Medical Technician. Note: You must have finished this course within the past 24 months, and the course program director must verify successful course completion on the National Registry website.
- Have a current CPR-BLS “Healthcare Provider” or equivalent credential.
- Have successfully completed the National Registry cognitive (knowledge) and psychomotor (skills) exams. Note: Once an exam is passed, it stays in effect for 12 months.
Applying for the Exam
Your application can be completed at www.nremt.org. You’ll be asked to complete your National Registry application. Once you pay your registration fee, you’ll get an electronic Authorization to Test (ATT) to confirm your eligibility.
The cost to take the exam is $115. The fee is non-refundable and cannot be transferred.
Once you receive your ATT following registration, you’ll receive more information on setting up your exam time and location.
You’ll have 2 hours and 15 minutes to complete the exam.
What to Bring
- Two forms of identification as covered in your ATT.
What Not to Bring
- Personal items such as:
- Mobile electronic devices
- Firearms or other weapons
- Hats and other non-religious head coverings
- Pens or pencils
Advanced EMT Practice Questions
What to Expect During Your Advanced EMT Exam
Format/Number of Questions: The test is computer-based, and consists of 135 questions.
Exam Content Areas
The Advanced EMT exam consists of two areas, including the Cognitive Exam and the Psychomotor Exam.
The Cognitive Exam
In general, the Cognitive Exam looks at five broad content areas. Here’s an overview of those areas, along with the relative percentage each area has as part of the whole, along with the weight of adult- and pediatric-related questions:
- Airway, Respiration & Ventilation (18% to 22%) with 85% Adult and 15% Pediatric
- Cardiology & Resuscitation (21% to 25%) with 85% Adult and 15% Pediatric
- Trauma (14% to 18%) with 85% Adult and 15% Pediatric
- Medical; Obstetrics & Gynecology (26% to 30%) with 85% Adult and 15% Pediatric
- EMS Operations (11% to 15%)
The Psychomotor Exam
The Psychomotor Exam includes 10 skill areas in a scenario approach.
Here are the scenario-related areas of assessment:
- Patient Assessment – Trauma: Includes a physical, complete assessment and voice treatment of a simulated patient, including scene size-up, initial assessment and resuscitation, focused history and physical exam and detailed physical exam
- Patient Assessment – Medical: Includes a physical, full assessment and voice treatment of a simulated patient. Includes scene size-up, initial assessment and resuscitation, history, rapid trauma assessment and ongoing assessment
- Ventilatory Management — Supraglottic Airway Device and Pediatric Respiratory Compromise: This includes an assessment on two ventilator management scenarios, including apneic adult and pediatric respiratory compromise
- Cardiac Arrest Management/AED: Evaluation includes ability to manage a cardiac arrest situation
- IV and Medication Skills: Includes Intravenous Therapy and Intravenous Bolus Medications
- Pediatric Intraosseous Infusion Skills: Involves establishing an intraosseous line in a manikin
- Spinal Immobilization (Supine Patient): Assesses the ability to immobilize an adult found supine with a possible unstable spine
- Random EMT Skills: Includes an assessment of several randomly identified EMT skills, including spinal immobilization seated patient, long bone immobilization, joint immobilization and bleeding control
Passing Score Calculation: The score required to pass varies. Your score and results of whether or not you passed the exam will be posted on your online account within two business days after you take the exam.
You have access to additional study resources through the Mometrix Academy. For a fee, you can access the Advanced EMT Study Guide, including videos and exam preparation details, along with a set of flashcards to assist you as you prepare to take the exam.
Advanced EMT Study Guide
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