EMS Tests: EMR, EMT, AEMT, and Paramedic Practice Guide 2024

If you have any questions about the EMS test or are not sure which test is relevant for your position, please contact us at c.serv@jobtestprep.com and we will do our best to ensure you get the most accurate preparation for your upcoming assessment.


What is EMS?

EMS stands for Emergency medical service. It provides basic, intermediate, and advanced life support to patients who need to be transferred to a hospital. Professional EMS personnel are also available to provide immediate care at emergency scenes, such as natural disasters or accidents.

These roles include traditional healthcare occupations like Emergency Medical Responders (EMR), Emergency Medical Technicians (EMT), Paramedics, and first-responder positions, such as an EMT firefighters or an EMT police officers.

What Is an EMS Test?

EMS tests are adaptive cognitive examinations developed by the NREMT for professionals seeking national EMS certifications.

EMS Educational Standards are reflected in the content of the examination. Cognitive exams are administered on a computer at Pearson VUE testing centers.

The EMS cognitive exam consists only of multiple-choice questions and is split into five content areas.

  • Airway, Respiration, and Ventilation (18%-22%).
  • Cardiology and Resuscitation (20%-24%).
  • Trauma (14%-18%).
  • Obstetrics and Gynecology (27%-31%).
  • EMS Operations (10%-14%).

There is a split between Adult (85%) and Pediatric (15%) questions in each of the first four areas.

Emergency Medical Responder (EMR)

Emergency Medical Responders deliver rapid lifesaving care to critically ill patients.

As they wait for additional EMS resources to arrive, they provide important lifesaving interventions.

In addition, EMRs also provide assistance to higher-level personnel on the scene of an emergency as well as during transport.

A comprehensive EMS response would not be complete without Emergency Medical Responders. With minimal equipment, Emergency Medical Responders perform basic interventions under medical supervision.

Certification Requirments

  • Completion of an EMR course approved by the state.
  • Passing the National Registry EMR cognitive (knowledge) exam and a state-approved psychomotor (skills) exam.

EMR Test Question and Answer

In the event of inadequate or absent breathing, rescue breathing can:

A. The organs can be damaged as a result of hypoxia.
B. It can cause hypoxic injury to the brain.
C. Stop cardiac arrest.
D. Lead to cardiac arrest.


The correct answer is C

By providing rescue breathing, you can prevent hypoxic injury (injury caused by insufficient oxygen) to the organs and the brain, and potentially prevent cardiac arrest, which can occur if the heart muscle does not get enough oxygen.

You can find more information about the EMR test in the EMR test guide.

Emergency Medical Technicians (EMT)

The emergency medical technician (EMT) provides out-of-hospital emergency medical care and transportation to patients in critical condition.

EMTs have the basic knowledge and skills necessary to stabilize and safely transport patients in both non-emergency and routine medical situations to life-threatening emergencies.

Certification Requirements

  • Successful completion of a state-approved Emergency Medical Technician (EMT) course.
  • Have a current CPR-BLS for "Healthcare Provider" or equivalent credential.
  • Passing the National Registry EMT cognitive (knowledge) exam and the state-approved psychomotor (skills) exam.

EMT Test Question and Answer

In your professional opinion, which of the following statements accurately delineates the pain associated with acute myocardial infarction and a dissecting aortic aneurysm?

A. The pain stemming from an acute myocardial infarction manifests as a sharp, tearing sensation, while the pain from a dissecting aortic aneurysm is characterized by a feeling of tightness or pressure.

B. The pain associated with a dissecting aortic aneurysm frequently succeeds other symptoms, such as perspiration and nausea, a sequence not commonly observed in the onset of acute myocardial infarction pain.

C. Acute myocardial infarction pain presents as a sensation of tightness or pressure, whereas the pain from a dissecting aortic aneurysm often resembles a ripping or tearing sensation.

D. The pain arising from both a dissecting aortic aneurysm and an acute myocardial infarction exhibits an intermittent pattern and is commonly described as “stabbing” rather than a feeling of “pressure.”


The correct answer is C

This is the most accurate comparison of the two. Acute myocardial infarction (AMI), or a heart attack, is typically characterized by pain in the chest that can feel like pressure, tightness, or squeezing. This can be accompanied by other symptoms such as shortness of breath, sweating, and nausea.

On the other hand, a dissecting aortic aneurysm often presents with severe, sudden chest or back pain that can be described as ripping or tearing. The pain may move from the chest to the arms, neck, or jaw as the dissection progresses.

Other symptoms can include fainting, sweating, and shortness of breath, similar to an AMI. However, the nature of the pain is typically different between these two conditions.


You can find more information about the EMT test in the official NREMT EMT guide.

Advanced Emergency Medical Technician (AEMT)

As an Advanced Emergency Medical Technician, your primary responsibility is to provide basic and limited advanced emergency medical care and transportation for critical or emergent patients.

You will need to possess the basic knowledge and skills necessary to provide patient care and transportation. Advanced Emergency Medical Technicians are part of a comprehensive EMS response, working under medical supervision. An advanced EMT uses both basic and advanced equipment such as that found in an ambulance for medical interventions.

Certification Requirments

  • Current EMT level National Registry certification or higher.
  • Completion of a state-approved Advanced Emergency Medical Technician (AEMT) program.
  • Currently hold a CPR-BLS for "Healthcare Provider" or equivalent credential.
  • Passing the National Registry AEMT cognitive (knowledge) exam and psychomotor (skills) exam.

Advanced EMT Test Question and Answer

You and your partner Chris arrive at a scene of a multi-vehicle accident and discover a number of casualties. You've already requested more units for assistance. What is your subsequent course of action?

A. Conduct a comprehensive medical history of the patients.
B. Start immediate treatment of the patients.
C. Prioritize and perform patient triage.
D. Identify and treat the youngest individual first.


The correct answer is C

In a multi-car collision scenario involving several patients, the next best course of action would be to prioritize and triage the patients.

Triage is a vital step in emergency situations like this where resources are limited, and it helps determine the treatment priority based on each patient's condition.

The aim is to identify who requires immediate attention and who can wait, maximizing the survival rate in such mass casualty incidents.

Detailed patient histories and treatments will follow after the life-threatening conditions are addressed. It's important to note that age is not a primary factor in triage; the focus is on the severity of the condition.


You can find more information about the AEMT test in the official NREMT AEMT guide.

National Registered Paramedic

The Paramedic is an individual whose primary focus is providing advanced emergency medical care for critical and emergent patients. An individual in this position has the knowledge and skills required to provide patient care and transportation.

Paramedics conduct interventions with the basic and advanced equipment found in ambulances.

Certification Requirments

  • Current National Registry certification or state license at the EMT level or higher.
  • Passing the CAAHEP Paramedic education program or a program accredited by CoAEMSP "Letter of Review".
  • Passing the National Registry Paramedic cognitive (knowledge) exam and psychomotor (skills) exam.

Paramedic Test Question and Answer

What is Hamman's sign when it comes to trauma-related symptoms?

A. An ear bruising is seen behind the ears.
B. Each heartbeat is accompanied by a crunching sound.
C. Sounds of muffled heartbeats.
D. Inflammation of the jugular veins.


The Correct answer is B Each heartbeat is accompanied by a crunching sound.

As a result of air surrounding the pericardial sac, Hamman's sign produces a crunching sound with every heartbeat.

In most cases, it is caused by trauma to the tracheobronchial tree. There will be signs of shock and respiratory distress in the patient.

You can find more information about the paramedic test in the official NREMT paramedic guide.

EMS Testing Is Adaptive

The test begins with questions that are slightly below the passing level.

When a candidate answers most of the questions correctly, a higher-level item will be selected.

Inevitably, each test candidate will reach a point of peak proficiency beyond which incorrect responses will begin to occur.

The computer system continuously monitors this performance trajectory in real-time. All test answers are calibrated against a standardized scale to provide an accurate assessment of the candidate's proficiency level. Candidate performance on each item must therefore be optimal.

EMS Test Scores

The calculation process is as follows. If you answer the bare minimum questions, the computer ends the test:

  1. The computer's 95% sure you're passing.
  2. The computer's 95% sure you're not passing.
  3. You've run out of time.

One of the great things about Computer Adaptive Tests (or CAT exams) is that they can vary in length. Answering 60 questions might be enough to show that you have the proper skills and knowledge. People who are just starting out might need to answer more questions.

Each test has some questions that count and some that don't. There are 70 to 120 questions, with 10 of them not affecting your score. These are just for testing out new ideas to keep future tests fair and spot-on. The tricky part? You won't know which ones count and which ones don't.

If you fail to pass the test, you’ll get a breakdown of the results for each test section.

  • Above Passing – You've got a good handle on this topic, but it wouldn't hurt to review.
  • Near Passing – You're almost there, but not quite. This means you should probably focus on studying this topic more.
  • Below Passing – Time to hit the books on this topic.

This will allow you to see where you shine and where you need a little more work. It will also help you decide what to focus on if you decide to retake the test.

How Do I Prepare for An EMS Test?

Here are some practical strategies to help you optimize your performance in the examination:

1. Get access to accurate tests like EMS practice questions that will help you understand your current level and what areas you need to improve.

2. Be sure to review the current American Heart Association’s Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care thoroughly. You will be tested on your knowledge of this material.

3. When analyzing your results, measure your current level in each of the 5 sections of the test to understand your overall level.

4. Remember that the test is adaptive, so the preparation tests should also be adaptive.



EMT vs NREMT What’s the Difference?

An individual certified by NREMT becomes an EMT (Emergency Medical Technician) and possesses the knowledge and skills necessary to stabilize, transport, and assist victims of medical emergencies.

NREMT offers advanced emergency medical technician certification, which prepares EMTs for more specialized work.


What Is the Difference Between a Traditional EMT and An EMT Firefighter?

The EMT (Emergency Medical Technician) is a healthcare professional trained to provide basic emergency medical care to injured or ill individuals emergency.

They are responsible for assessing a patient's condition, providing initial medical care, and transporting the patient in a safe manner to a medical facility.

Alternatively, a firefighter EMT, also known as a Firefighter EMT or Firefighter Paramedic, is a firefighter who is also trained and certified as an EMT or paramedic in addition to being a firefighter.

Besides their firefighting duties, they are also capable of providing emergency medical care on the scene of an incident. A firefighter EMT is often the first member of the emergency response team to arrive on the scene of accidents, fires, and medical emergencies.

If you have any questions about the EMS test or are not sure which test is relevant for your position, please contact us at c.serv@jobtestprep.com and we will do our best to ensure you get the most accurate preparation for your upcoming assessment.


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