NREMT AEMT Pass Rate, Format & Study Guide

The NREMT AEMT examination has 135 items, of which 100 are scored and 35 are unscored pilot items, delivered as a fixed-length linear computer-based test (NREMT AEMT test plan, exam administered from July 1, 2024). Items are scored right or wrong with no partial credit, and the item types include multiple choice, multiple response, build list, drag-and-drop, options box, graphical items and scenario-based sets. The test plan has six areas: airway, respiration and ventilation (11%), cardiology and resuscitation (13%), trauma (9%), medical, obstetrics and gynecology (27%), EMS operations (8%) and clinical judgment (32%).

Many states use NREMT certification as the basis for licensing Advanced EMTs.

Students and graduates of a state-approved AEMT program who are preparing for the NREMT cognitive exam.

The certifying body does not publicly publish an official pass rate for this exam. Be wary of third-party sites citing a specific number here — treat any pass-rate claim you see elsewhere for this exam as unverified.

NREMT sets the limits on the number of attempts and the waiting time between them; check the NREMT policy for retesting before you register again.

NREMT sets the passing standard through a standard-setting study approved by its Board and does not publish the cut score in the test plan. The portal shows percentages only as a self-check. Format: 135 items in 3 hours, mixing several item types; this portal's practice is mostly multiple choice. No official pass rate is available for this exam, so none is quoted here.

The NREMT AEMT examination has 135 items, of which 100 are scored and 35 are unscored pilot items, delivered as a fixed-length linear computer-based test (NREMT AEMT test plan, exam administered from July 1, 2024). Items are scored right or wrong with no partial credit, and the item types include multiple choice, multiple response, build list, drag-and-drop, options box, graphical items and scenario-based sets. The test plan has six areas: airway, respiration and ventilation (11%), cardiology and resuscitation (13%), trauma (9%), medical, obstetrics and gynecology (27%), EMS operations (8%) and clinical judgment (32%). 135 items (100 scored plus 35 unscored pilot) · 3 hours · computer-based · multiple choice, multiple response, build list, drag-and-drop and scenario items. NREMT sets the passing standard through a standard-setting study approved by its Board and does not publish the cut score in the test plan. The portal shows percentages only as a self-check.

• Airway, Respiration & Ventilation11%
• Cardiology & Resuscitation13%
• Trauma9%
• Medical/Obstetrics/Gynecology27%
• EMS Operations8%
• Clinical Judgment32%

The content outline spreads questions across 6 areas: Airway, Respiration & Ventilation (11.0%); Cardiology & Resuscitation (13.0%); Trauma (9.0%); Medical/Obstetrics/Gynecology (27.0%); EMS Operations (8.0%); Clinical Judgment (32.0%).

You complete a state-approved AEMT program, then apply to NREMT, which verifies your course completion and the other entry requirements before it lets you test. Check the NREMT AEMT page for the current steps.

An NREMT examination fee per attempt plus your state's licensing fees; amounts are set by those bodies.

NREMT certification is renewed on a recertification cycle through continuing education; state licenses have their own renewal rules.

Start with the heaviest areas of the content outline: Clinical Judgment (32.0%); Medical/Obstetrics/Gynecology (27.0%); Cardiology & Resuscitation (13.0%). Then work through the remaining areas, and finish with timed full-length practice runs of 135 questions in one sitting.

The AEMT test plan used here applies to exams administered from July 1, 2024. Fees and policies change; this guide follows the official documents listed under Verification as of October 2026.