Test Taking Tips

If you are reading this article because you are already in the process of training to become and EMT-Intermediate: Congratulations! You are on your way to rising in the ranks of a profession that has proven to be a vital, time-honored part of public safety in the United States. EMTs are the backbone of emergency medicine. Without their help and intervention, millions of Americans would not live to be treated by an emergency physician. Being passing the NREMT- EMT-I cogitive exam is an indispensable step in becoming a certified EMT-I. This article presents background information and pointers that will help you get ready for this career defining examination.

What Is the NREMT?

The National Registry of Emergency Medical Technicians or NREMT is the nationally recognized organization that establishes the standards of competence for Emergency Medical Technicians. Created by the National Transportation and Safety Administration or NTSA, the NREMT develops the tests designed to evaluate competence in all the areas covered by the national EMT training curriculum created by the NTSA. Evaluation of EMT competence for the sake of public safety is the main objective of the examination. The EMT standards of the NTSA apply to all states in the United States, because a uniform standard of quality care is essential for implementation of best practices to secure public safety.

What Is the NREMT EMT-I Cognitive Exam?

According to the NREMT, the NREMT EMT-I Cognitive Exam is a computer based test that evaluates your ability to execute an appropriate emergency scenarios in five basic areas: Airway & Breathing, Cardiology, Medical, Trauma, and Operations. The content of the NREMT EMT-I Cognitive Exam is developed using multiple levels of input and feedback from EMT experts and practicing EMTs.

The test is designed such that there is only one correct answer. Every word is carefully evaluated, so that the test content is free of racial, cultural, language and gender bias. The answers are based on knowledge that is broadly available and found in commonly used EMT texts. The exam uses definitions and scenarios of medical and trauma situations that EMTs commonly have to respond to. 85 percent of clinical questions address adult problems, and 15 percent address problems seen in children.

What to Expect on the NREMT EMT-I Cognitive Exam

The NREMT EMT-I Cognitive test is a Computer Adapted Test or CAT. This means that the test uses computer algorithms that present you with questions based on the answers you give. The computer selects questions that challenge you progressively to solve problems and demonstrate knowledge appropriate for your EMT level and training. There is a single pass score. The pass score identifies that you have obtained the level of competence required by the NREMT. Scores below the pass level are failures. It is important that you answer every question to the best of your ability. Questions vary for each candidate, and you cannot go back and change answers.

Each item on the exam is carefully calibrated to measure a level of ability. Questions can start as a series of short questions based on important skills in the topics of airway, cardiology, medicine, trauma, or Operations. If you are able to answer most of these questions correctly, then the next items will test a higher level of ability. The number of questions you may be asked varies from 85 to 135. When the computer has a 95 percent certainty that your level of competence has been measured, the test will end. You are allowed a maximum of two hours and fifteen minutes to complete the test. Results are usually available within 24 to 48 hours, and are posted on the NREMT website. Access to results is password protected.

How to Relax and Deal with Stress Examination Day

The following steps will help you to avoid stress on examination day:

  • Get adequate sleep the night before. Avoid cramming, which increases anxiety.
  • Know exactly how you will get to your test center ahead of time.
  • Plan your transportation so that you arrive on time.
  • Don’t forget you will need 2 forms of ID. At least one of your IDs must have your picture on it. You will not be able to take the exam without proper ID.
  • Eat a protein rich breakfast. This can help you to stay alert and avoid being distracted by hunger.

The NREMT suggests that:

You should take your time and read each question carefully. Less than one percent of candidates do not finish the test, so there is plenty of time for you to read the question thoroughly. Knowing precisely what the question is asking improves your chances of performing to the best of your ability.

Stay calm. The CAT algorithm is designed to test your level of ability, so you may be tempted to feel that the test is hard.

Focus your attention on each question, one by one, then move on.

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