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National AEMT Certification — Requirements & Free Practice

US · License preparation

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National AEMT Certification

Licensing authority: National Registry of Emergency Medical Technicians

Initial by examination
AEMT Certification Examination
Applicant
Initial AEMT certification applicant in the full education program pathway
Qualifications
["Current National Registry certification or state license at the EMT level or higher","Successful completion of a state-approved AEMT course that includes the stated SMC or COAEMSP competency matrix, or a higher-level state-approved EMS course meeting or exceeding the AEMT Education Standards; the course must have been completed within the past two years and the Program Director must verify completion","AEMT certification candidates must meet the Recommended AEMT Student Minimum Competency (SMC) Matrix as a separate requirement as of July 1, 2024, including candidates using the higher-level course alternative","Successful completion of the National Registry AEMT certification examination"]

AEMT Certification Examination

Format
fixed-length linear computer-based test
Exam questions
Total questions: 135; Scored questions: 100; Unscored questions: 35; The total includes the scored and unscored questions.
Time limit
3 hours
Examination outline

The authority publishes percentage ranges for each content area. The practice percentages below use the midpoint of each range, normalized to 100%; they are not exact percentages published by the authority. Practice question counts may differ slightly because of rounding.

  • Airway, Respiration & Ventilation — Official range: 9–13% (Practice allocation: 10.89%)
    • Assessment
    • Pathophysiology
    • Management
  • Cardiology & Resuscitation — Official range: 11–15% (Practice allocation: 12.87%)
    • Assessment
    • Pathophysiology
    • Management
  • Trauma — Official range: 7–11% (Practice allocation: 8.91%)
    • Assessment
    • Pathophysiology
    • Management
  • Medical/Obstetrics/Gynecology — Official range: 25–29% (Practice allocation: 26.73%)
    • Assessment
    • Pathophysiology
    • Management
  • EMS Operations — Official range: 6–10% (Practice allocation: 7.92%)
    • Maintenance & operation of emergency vehicles and equipment
    • Leadership & professionalism
    • Communication & documentation
    • Preservation of medical & legal standards
    • Environment of care
  • Clinical Judgment — Official range: 31–35% (Practice allocation: 32.67%)
    • Communication
    • Leadership
    • Recognize cues
    • Analyze cues
    • Define hypothesis
    • Generate solutions
    • Take action
    • Evaluation
Examination sources