EMT B Test

EMT B Test To become a certified EMT-Basic professional, you will need to obtain your certification credential from the National Registry of Emergency Medical Technicians (NREMT).  Being certified means that you have met the prescribed standards of the NREMT which are recognized national by employers, the public and state licensing agencies.  Passing the EMT B test is an important part of the credentialing process.

After receiving certification, however, you are still required to become licensed by your state.  EMT state licensure is required in order to work in your state at the specified capacity.  If you are nationally certified, but not licensed in your state, you are not allowed to be an EMT.

To help you pass your EMT B test, check out our directory of EMT practice tests.

EMT B Requirements

In order to apply for your EMT B certification, you are required to:

  • Be at least 18 years old.
  • Have successfully completed a EMT-Basic course that is state approved and meets the standards of the U.S. DOT EMT-Basic National Standard Curriculum.
  • Submit an NREMT National Registry application.  This application is available online and includes a section on Licensing Action and Felony statements.
  • Have your program director verify the successful completion of your EMT-B course on the NREMT website.
  • Hold a current CPR credential for health care providers

EMT B Certification Process

The process to become EMT B certified is simple in concept.  The three steps required to become certified are:

  1. Successfully complete a state approved EMT-B training course
  2. Have your course program director verify course completion with the NREMT
  3. Pass both a written and practical exam

EMT B Test – Written/Cognitive Portion

The EMT B test is a comprehensive computer delivered exam that assesses a candidates knowledge of the entire range of EMS Care.  Specifically, the EMT-B test will cover the following areas:

  • Airway and Breathing
  • Cardiology
  • Trauma
  • Medical
  • Obstetrics and Pediatrics
  • EMT Operations

All of the questions on the exam are multiple choice. The EMT B test is given in a “Computer Adaptive Test” (CAT) format.  The CAT format uses a computer algorithm to modify the type and number of questions that a candidate is given based on how they have answered some initial questions.  For example, if a candidate answers an initial question correctly, the next question can be more difficult. Similarly, if an initial question is answered incorrectly, then the subsequent question may be easier.  Because of the nature of Computer Adaptive Testing, the number of test questions can vary from 70 to 120 questions.  Candidates are given 2 hours to complete the EMT-Basic examination.

The EMT B test does not have a traditional score that is required to pass.  Also, because the exam is tailored to each student’s ability, everyone taking the test is expected to find it difficult.

You are given three attempts to pass the exam.  If you do not pass within three attempts, you are required to complete 24 hours of remedial training before you can sit for the exam again.  After you take your remedial training, you are given another three attempts to pass the EMT B test.  If you fail the test a total of six times, you will be required to take the entire EMT Basic course again.

EMT B Test Schedule

The EMT B written test is administered by Pearson VUE.  Pearson VUE maintains test centers in hundreds of locations across the U.S.  To schedule your exam, you must:

  • Complete an account application on the NREMT website
  • Submit a $70 test fee.  Note: This test fee cannot be refunded or transferred and is good for only one test attempt.
  • Obtain an Authorization to Test (ATT) from the NREMT
  • Schedule your test with Pearson VUE.

EMT B Skills Test (Psychomotor Exam)

Demonstrating competency is a wide range of emergency care skills is required to obtain your EMT B certification.  Your EMT instructor is required to vouch that you have demonstrated the required skills in the following areas:

  • Trauma patient assessment and management
  • Medical patient assessment and management
  • AED/Cardiac arrest management
  • Apneic patient bag-valve-mask ventilation
  • Seated and supine patient spinal immobilization
  • long bone fracture and joint dislocation immobilization
  • Traction splinting
  • Shock management
  • Bleeding control
  • Mouth to mouth ventilation with supplemental oxygen
  • Upper airway adjuncts and suction
  • Supplemental oxygen administration to a breathing patient