COPR Advanced Care Paramedic (ACP) Examination — Information & Free Practice
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Exam Review
About COPR Advanced Care Paramedic (ACP) Examination
COPR Advanced Care Paramedic (ACP) Examination · CA
Key exam facts
- Provider
- Canadian Organization of Paramedic Regulators (COPR) administers the national entry-to-practice examination. Meazure Learning is COPR's contracted examination delivery provider; remote proctoring uses ProctorU.
- Format
- Computer-based online-proctored multiple-choice examination, with standalone items and linked patient-profile and case-scenario items. This practice bank uses independent four-option questions.
- Exam questions
- Total questions: 200.
- Time limit
- 240 minutes of answering time: two parts of 120 minutes, with one scheduled break of up to 10 minutes between parts. The timer pauses for the scheduled break; approved testing accommodations may adjust time and breaks.
- Passing score
- The pass standard is set using the Modified Angoff method and/or statistical equating. Only the Total Standard Score determines pass/fail; a fixed ACP raw percentage or numeric standard-score threshold is not published in the checked standard-setting sections. The handbook's illustrative PCP score report is not an ACP cutoff.
- Exam fee
- $650 plus applicable taxes for each ACP examination attempt, including a non-refundable $150 administration fee plus tax. Dollar amounts are quoted by the Canadian examination owner; the checked fee sections do not explicitly label an ISO currency code.
Topics covered
Professional Responsibilities (5%)
Communication (4.4%)
Health & Safety (3.3%)
Assessment & Diagnostics (23.3%)
Therapeutics (22.2%)
Integration (36.1%)
Transportation (2.8%)
Health Promotion & Public Safety (2.8%)
How to prepare
Work through the topics, read the explanation after each answer, and revisit the areas where you miss questions. Use the official outline and reference materials below to guide your study.
These independent practice questions are not actual exam items and do not guarantee a passing result.
Frequently asked questions
What is the exam format?
Computer-based online-proctored multiple-choice examination, with standalone items and linked patient-profile and case-scenario items. This practice bank uses independent four-option questions.
How many questions are on the exam?
Total questions: 200.
How long is the exam?
240 minutes of answering time: two parts of 120 minutes, with one scheduled break of up to 10 minutes between parts. The timer pauses for the scheduled break; approved testing accommodations may adjust time and breaks.
What is the passing score?
The pass standard is set using the Modified Angoff method and/or statistical equating. Only the Total Standard Score determines pass/fail; a fixed ACP raw percentage or numeric standard-score threshold is not published in the checked standard-setting sections. The handbook's illustrative PCP score report is not an ACP cutoff.
How much does the exam cost?
$650 plus applicable taxes for each ACP examination attempt, including a non-refundable $150 administration fee plus tax. Dollar amounts are quoted by the Canadian examination owner; the checked fee sections do not explicitly label an ISO currency code.
Official sources and references
- COPR — ACP preparation page
Examination Blueprint
- COPR — Examination Blueprints (ACP table)
p. 4, Revised Blueprint for the ACP Examination (2017)
- COPR — NOCP Examination Study Guide
p. 6, Exam Format
- COPR — NOCP Examination Study Guide
p. 7, Examination Taking Strategies
- COPR — NOCP Examination Study Guide
p. 6, Question Types
- COPR — NOCP Examination Study Guide
p. 5, Standard Setting
- COPR — ACP NOCP application information
Fees
- COPR Examination Handbook
p. 4, Abbreviations
- COPR ACP preparation information
Online Proctoring Preparation
- COPR Examination Handbook
p. 13, ACP NOCP timing
- COPR Examination Handbook
p. 13, timing accommodations
- COPR Examination Handbook
p. 22, score result
- COPR ACP application information
Fees, non-refundable administration fee paragraph
- COPR NOCP Examination Study Guide
p. 6, Question Types, 1(a) Patient Profiles
- COPR Examination Dates and Deadlines
2027 Examination Dates
Confirm current exam arrangements with the exam provider.