FREE EMT Practice Test 2025 Official Study Guide [PDF]

Last Updated on July 5, 2025

FREE NREMT EMT Practice Test Questions and Answers Quiz 2025. Download the Free Official Study Guide with a printable PDF. EMT certification, or Emergency Medical Technician certification, signifies that an individual has completed the required training and passed the necessary exams to provide basic emergency medical care.

To enhance your preparation, consider taking an EMT practice test that covers a variety of scenarios you may encounter during the exam.

Serving the public as an Emergency Medical Technician (EMT) is among today’s most rewarding careers. The overwhelming majority of states in the U.S. require that you pass the National Registry of Emergency Medical Technicians (NREMT) exam to become certified and work as an EMT. Certification through the NREMT indicates that you have demonstrated entry-level competency as an EMT.

FREE EMT Practice Test 2025

The free EMT practice test available online is an excellent tool to gauge your knowledge and readiness.

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NREMT EMT Practice Test

NREMT EMT Practice Test
Emergency Medical Technician
Total Sample Items: 55
Time Limit: N/A

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1) Which of the following is an example of an objective observation?

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2) Your trauma patient has lost an unknown amount of blood. The patient is alert, his pulse rate is slightly elevated, and his BP is normal. Based on this information, the patient is most likely experiencing:

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3) During a negligence lawsuit, it is shown that the injury to the plaintiff was, at least in part, directly due to the EMT’s action or inaction. Which component of negligence is the EMT guilty of?

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4) Which of the following is a formalized process to help emergency workers deal with stress?

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5) You have just initiated BVM ventilations for your apneic patient. Which of the following is most important to help determine if artificial ventilations are being delivered effectively?

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6) Your patient is responsive only to painful stimuli. The airway is clear. How should you manage the patient’s airway?

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7) Due to the risk of hypoxia, suction time should not exceed:

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8) EMTs can help administer, but cannot carry, which of the following medications?

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9) Which of the following is widely considered to mark the beginning of the modern EMS system?

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10) You have completed the primary assessment on a conscious patient complaining of dyspnea. There is no trauma. Which of the following should be done next?

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11) Which of the following statements regarding the primary assessment is correct?

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12) Your trauma patient has a widening pulse pressure. You should suspect:

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13) What is the purpose of the rapid scan?

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14) What federal agency regulates all radio operations in the United States?

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15) Which of the following provides the best protection from exposure to an airborne disease?

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16) Which of the following moves is used when the scene is dangerous and the patient must be moved before providing care?

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17) Which of the following medications is used to reverse the effects of an opioid overdose?

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18) Which of the following indicates the need for supplemental oxygen by nasal cannula or non-rebreather?

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19) While assessing an infant, you note depressed fontanelles. This indicates that the infant:

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20) Which of the following medications is an adsorbent?

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21) Which of the following statements regarding stress is correct?

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22) Which of the following regarding homeostasis is correct?

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23) You have completed the primary assessment on an unresponsive multi-system trauma patient. Which of the following should be done next?

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24) You are called to a business for a patient with dizziness, headache, and nausea. As you enter the business, you detect a strong odor and your eyes begin to water. You should immediately:

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25) Which of the following medications is administered enterally?

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26) Which of the following is a common side effect of nitroglycerin administration?

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27) EMT roles and responsibilities include:

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28) While obtaining a patient history, you note the patient takes several prescription medications daily. This is known as:

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29) Which of the following terms refers to the degree of care a reasonable person with similar training should provide in a similar situation?

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30) Your patient presents with signs and symptoms of hypoperfusion. You note the patient’s blood pressure is lower each time you reassess vitals. This indicates the patient:

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31) EMS care today is based on:

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32) Which of the following is the backup system to the CO₂ drive?

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33) Eating disorders are more common among which of the following age groups?

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34) Which of the following statements is correct?

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35) Which of the following EMT activities is considered high risk for the patient?

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36) Which of the following statements regarding shock in pediatric patients is correct?

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37) From anatomical position, which of the following is the lateral bone in the forearm?

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38) You are assessing your patient for signs and symptoms of shock. You note tachycardia and pale, cool skin. These findings are:

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39) Your medical direction has just ordered administration of a medication for your patient. You should immediately:

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40) Which of the following is always your first priority while performing a physical exam on a patient?

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41) Your 5-year-old patient is unresponsive. To determine if chest compressions are indicated, you should immediately assess the:

42 / 55

42) Shock, or hypoperfusion, describes a state of:

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43) To ease a child’s anxiety, it is usually best to:

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44) Which of the following describes the EMT level of training?

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45) Which of the following terms refers to the actions an EMS provider is legally allowed to perform based on his or her license or certification level?

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46) Symptoms that are important to consider, but denied by the patient are known as:

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47) During your assessment, you note the patient has irregular breathing. This means the patient:

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48) Which of the following is a definitive sign of death?

49 / 55

49) Ventral refers to the:

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50) The frontal plane divides the body into:

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51) Which of the following statements regarding EMS radio communications is correct?

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52) Your adult patient is unconscious, breathing adequately, and has a pulse. There is no indication of trauma. The patient should be positioned:

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53) Your patient is two years old. She would be considered a(n):

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54) Which of the following are specific to resuscitation efforts and do not affect treatment prior to the patient entering cardiac arrest?

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55) Which of the following statements regarding the transfer of care report is correct?

Your score is

The NREMT certification exam is a “pass/fail” test. Its purpose is not to identify who is the “best” but to identify who is “competent.” Your future patients don’t care what you score on your certification exam.

They care about receiving competent and compassionate care for themselves and those they care about. This Crash Course gives you the essential information you need to prepare for the NREMT certification exam.

Completing an EMT practice test can significantly boost your confidence leading up to the certification exam.

EMT Exam:

The NREMT exam presents a series of multiple-choice questions designed with one best answer. It’s essential to understand that this adaptive test adjusts its difficulty according to your responses. Answering a question correctly typically leads to a slightly more challenging question, whereas an incorrect answer prompts a more straightforward question.

Many candidates find that reviewing an EMT practice test helps them identify areas where they need further study.

Test Name NREMT Practice Test 2025
Test purpose Certification of EMT
Total Items 70–120 questions
Question Type Multiple Choice Question
Test mode computerized adaptive test (CAT)
Time Limit 2 hours
Test Retake After 14 days
On-Screen Calculator Yes
EMT result validity 24 months
Application fee $104
Testing Authority Pearson VUE

Your NREMT exam will likely have between 70 and 120 questions. You will have two hours to complete the test. Less than 1% of candidates are unable to complete the exam within the allotted time. Take the time to read every question carefully. All questions will be multiple-choice, and each question will have four answer choices. You need to choose the “best” answer for the question posed.

Utilizing an EMT practice test will help you familiarize yourself with the exam format and types of questions.

 Here are the percentages for the topics found on the exam

Cognitive and Psychomotor Exams

EMT certification also includes passing cognitive and psychomotor exams. The cognitive exam assesses your understanding of emergency care fundamentals through questions covering medical emergencies, cardiology, trauma, and other related topics. The psychomotor exam puts your hands-on abilities to the test—everything from patient assessment to managing cardiac arrest scenarios.

Incorporating an EMT practice test into your study routine can streamline your exam preparation process.

Exam Result/Scoring

Typically, you can retrieve your score from the NREMT website 24 hours after you complete the exam. If you fail the exam, the NREMT will provide some detailed information about your performance in each of the exam categories. Candidates must wait at least 14 days before retaking the test.

After your exam, consider taking another EMT practice test to assess your understanding of the material.

The score report will highlight your strengths and weaknesses across various content areas, including airway, respiration, and ventilation; cardiology and resuscitation; trauma; medical, obstetric, and gynecologic care; and other relevant areas. If you see “above passing,” it means you answered these questions correctly at a level beyond the minimum standard.

“Near passing” indicates that you were close to the threshold, while “below passing” signifies that you need considerable improvement in that area. Beginning your analysis here allows you to understand where your knowledge base stands and which areas will require more focus if a retake is necessary.

Remember, regular practice with an EMT practice test is key to mastering the content areas covered in the exam.

Updates: https://www.nremt.org/EMT/Certification

EMT Certification Handbook