New NREMT Simulation Exams for EMT's and Paramedics new features to EMT-National-Training.com
#1
Posted 22 April 2009 - 10:27 AM
When you have completed the NREMT simulation exam you will be given links to your corrected exam with all possible answers and rationales. You will also have a link to a separate breakdown of how you did on each category (like the NREMT used to give you). This should help you see where you need improvement.
When we first launch the NREMT simulation exam we will have a link on your existing results, summary and create a test pages that will direct members to the new testing area with the new features. This testing area operates off a completely separate database so you will have access to two different testing areas..the old one and the new one. We would like members to start using the new testing area exclusively as soon as possible. We will continue to make both testing areas available to members for about 30 days so that old exams can still be viewed.
We know these additions to our application will be beneficial to our members in their pursuit of EMS certifications.
Travis
#2
Posted 29 April 2009 - 10:58 AM
#3
Posted 30 April 2009 - 10:38 AM
Travis
#4
Posted 01 May 2009 - 07:15 AM

Travis
#5
Posted 01 May 2009 - 05:14 PM
Travis
#6
Posted 05 May 2009 - 02:27 PM
Travis
I have been using the new version and I like it alot. But I notice one test will have 81 question, then another had 89 then another had 102. How does this system work? How does it choose how many question to give if it is not adaptive?
Cort
#7
Posted 05 May 2009 - 03:52 PM
Glad you like it. The system is set up so that you will get between 70-120 questions if you are signed up for EMT-B. The number of questions is chosen randomly, but the range of 70-120 has been defined by the NREMT. (though I know of plenty of people who have had it stop in the 60's).
The idea was to make it simulate the "not knowing when it will stop" aspect of the real NREMT exam.
Travis
#8
Posted 06 May 2009 - 10:42 AM
#9
Posted 06 May 2009 - 10:53 AM
Travis
#11
Posted 14 May 2009 - 01:09 PM
Cort
#12
Posted 14 May 2009 - 03:19 PM
Unfortunately there is no more 70% to pass. The psychometrics used by the NREMT are now proprietary and they do not give you a percentage per category topic with your results as they used to. Now you get "passing", "almost passing" and "below passing" or similar verbage. In the old NREMT exam, minimum competency was decided as being 70%. It could be anything now.
You are correct though in your assertion that if you fail one category you will fail the exam. You have to demonstrate you have at least the minimum competency level in each of the exam topics. You just don't know what that is. Comforting huh?
Travis
#13
Posted 14 May 2009 - 08:34 PM
Unfortunately there is no more 70% to pass. The psychometrics used by the NREMT are now proprietary and they do not give you a percentage per category topic with your results as they used to. Now you get "passing", "almost passing" and "below passing" or similar verbage. In the old NREMT exam, minimum competency was decided as being 70%. It could be anything now.
You are correct though in your assertion that if you fail one category you will fail the exam. You have to demonstrate you have at least the minimum competency level in each of the exam topics. You just don't know what that is. Comforting huh?
Travis
That sucks! So you said you knew people who had their test stop in the sixty count? They passed? I work with a guy who said his stop at 76, he passed. And I know other that went up in the hundreds one said 150. so the ones that go up into the hundreds is it safe to say they were borderline the entire time? the system seems really confusing to me.
#14
Posted 15 May 2009 - 08:54 AM
Yes, all of the tests that I know of that stopped in the 60 questions range passed. This was for EMT-B. The more questions you get on the exam, the longer the algorithm is taking to decide whether the person falls below OR above the competency line. (wherever that may be).
For the sake of argument, let's say that the competency level is set at a 7 out of 10. When the NREMT exam application has delivered enough questions to determine (with a 93% certainty) that the person falls above...or below that line, the exam ends.
I whipped up this graphic as an example of the NREMT psychometrics. The complete details of the psychometric competency levels are proprietary so this is just my interpretation of what the NREMT tells us about how the exams work.

The consensus is that the exam starts out delivering a question just below the competency level. If you get it correct you get a more difficult question. If you get it wrong you get an easier question. This pattern continues throughout the exam. The more time you spend above that competency line the better obviously. There is some more detailed information on our site here: NREMT Exam Details
Travis
#15
Posted 15 May 2009 - 11:42 AM
Yes, all of the tests that I know of that stopped in the 60 questions range passed. This was for EMT-B. The more questions you get on the exam, the longer the algorithm is taking to decide whether the person falls below OR above the competency line. (wherever that may be).
For the sake of argument, let's say that the competency level is set at a 7 out of 10. When the NREMT exam application has delivered enough questions to determine (with a 93% certainty) that the person falls above...or below that line, the exam ends.
I whipped up this graphic as an example of the NREMT psychometrics. The complete details of the psychometric competency levels are proprietary so this is just my interpretation of what the NREMT tells us about how the exams work.

The consensus is that the exam starts out delivering a question just below the competency level. If you get it correct you get a more difficult question. If you get it wrong you get an easier question. This pattern continues throughout the exam. The more time you spend above that competency line the better obviously. There is some more detailed information on our site here: NREMT Exam Details
Travis
Travis,
Thanks for the info. next week will be my 5th try. (Don't ask) I score really well with test books and on this site and another site i practice on. But for some reason i am batting zero on the NREMT-P. My tests stop at the following. 1. 81 2. 89 3.80 4. 84
First 2 times I was really nervous and left the test knowing i didn't do so well. But the last time I felt really good and had the blessing of several medics because they were quizing me non stop. But out of them all I did the best on #2 with below passing in 2 areas.
So when i hear medics with passing scores in the 70's and 80's and then others in the upper 100's, i wonder how can that be if mine stops in the 80's. Shouldn't it go to the full extent of the exam if I am not doing so hot?
Again, thanks for your time.
Cort
#16
Posted 15 May 2009 - 02:35 PM
I know it seems that the exam should deliver more questions if you are not doing that well, but the algorithm decided with a 93% certainty that you were below the "Happy Line" on each of your attempts.
I have not reviewed your exams on our site, but we are often able to see weaknesses that may not be so apparent to you the test taker. I suggest putting in a support ticket asking one of our Paramedics to review your exams for weaknesses. Also, the biggest mistake that we see with Paramedics taking the exams is that they jump right over BLS treatment answers and go straight to ALS. It's another form of over thinking the questions.
Travis
#17
Posted 19 May 2009 - 07:14 AM
I reviewed some of your exams and I believe I have identified some of your weaknesses. You need to study the new AHA CPR guidelines. I can tell by your answers that you do not have a complete grasp of all the changes. Also I see that your ECG strip interpretation could use some help as well. If you look at how many ECG strip questions that you missed I am sure you will agree. If you would like a more thorough review please put in a support ticket and we will be glad to help you out.
Travis
#18
Posted 19 May 2009 - 07:09 PM
#19
Posted 20 May 2009 - 06:07 AM
I reviewed some of your exams and I believe I have identified some of your weaknesses. You need to study the new AHA CPR guidelines. I can tell by your answers that you do not have a complete grasp of all the changes. Also I see that your ECG strip interpretation could use some help as well. If you look at how many ECG strip questions that you missed I am sure you will agree. If you would like a more thorough review please put in a support ticket and we will be glad to help you out.
Travis
Thanks for the info. I will put in for a support ticket. I took the test yesterday and stop at 84 questions. I felt really good going in, but coming out I was scratching my head. There are some off the wall questions and I saw some very simular questions but not so simular answers to those questions. Well this morning I found out I did not pass. To be honest I am frustrated. Is there away to take the test on paper?
Cort
#20
Posted 28 May 2009 - 06:51 PM
Cort
What were some of the off the wall questions? Any examples for others to use for assisted guidance?
Thank you!

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