We will be launching the new NREMT simulation examination features in the next couple days. This simulation delivers a timed, single question delivery exam with the exact same percentages of questions per category as the actual NREMT exam. Our simulation exam is NOT adaptive like the NREMT. It does not base each question delivered on the previous questions.

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

Cool I test on the 19th of May. When will this be up and running?

We are stilling working out a couple of kinks and doing some customization, but I will go ahead and make it available on Monday, May 4th.

Travis

I take back what I said above. I am on call today which likely means a lot of chair time. I will do my best to get it to a usable state and available today.




Travis

Another hour and the NREMT simulation mode will be available.

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

Cort,

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

How do we access this test? I test soon and I have been using this site for some time. I like it and just interested in this new testing.

When you login to the site click on the "Create an Exam" link at the top of the page. Once there you will see a paragraph with an explanation and link to the new testing area. Click this link and you will be in the new testing system with the simulation.

Travis

thank you I found it!

Wow. I really like the new version. I test in a few days and feel pretty good about it. I have been getting in the 80's for overall scores. But I have notice a few times where I look at the break down of my %'s in each subject I have gotten a few 69%. So if this were the real thing I would have fail the NREMT-P even though my other scores were in the 70's or better and I had one at 69%?

Cort

Cort,

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.

Cort,

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

Cort,

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

Cort,

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

I am studing to take the written test sometime in the next few weeks. I have only taken the written one time. I am trying to test out on the EMT-I level-I e-mail this site before starting and was told that the EMT-I here was more toward the 85 instead of the 99-so it was recommended that I study the EMT-P test site. I have been on this site for almost a mo-I have taken about all of the questions that you might have-is there anyway you can look back at all my grades, some low some high and let me know if I took the test in the next few wks that I would make a passing on the EMT I test, since I have been studing the EMT-P site. I know that some of the questions or situations or treatments I will not be able to do as EMT-I. I think or I hope you can look back at all my recent scores and give me your opinion and any suggestions. I just re-set some of my test scores but I wonder if you still show them in your system. I would like to know if I would have a change of passing the EMT_I since I have been taking the EMT-P test. thank you LInda Via.

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

What were some of the off the wall questions? Any examples for others to use for assisted guidance?

Thank you!

I took NR written test today and passed thanks to this site. I took almost 1700 questions in a month in preperation of NR. I had 85 questions on NR in 45 minutes. So thanks again!!!!!

I know I'm REALLY late on this topic, but I just wanted to say how much I absolutely LOVED the Simulated Exams! I know it's not adaptive, but it was still a really great learning / teaching / training tool for me. I have NO doubt that thanks to this site, I managed to pass my I/85 exam on the first try.

I know that adaptive isn't in the works, but if I had any improvement to offer, it would be to make the simulated exam adaptive.

The simulator rocks my wife used this site and pass her EMT-P test I used this site and passed my EMT-I85. Now I'm getting ready to take my NREMTP Test next week I have enjoyed this site and more than half of my class at Atlanta Fire Rescue are using it.

Thanks for letting us know.
Let us know how your testing goes. Good luck to you.

I HAVE FOR THE PAST MONTH USED THIS SITE ITS FREAKING GREAT THE SIMULATOR TEST CUT OFF ON MY LAST TIME TAKING IT AT 83 I GOT 99% I TAKE REGRISTRY NEXT WEEK I KNOW THAT I SHALL PASS MY PARAMEDIC TEST THE FIRST TIME THX TO HARD WORK AND THIS SITE




BRYAN TUMLIN FIREFIGHTER/EMT





SOON TO BECOME FIREFIGHTER/PARAMEDIC BRYAN TUMLIN

Never count your chickens before they hatch! We hope you ace the test and it looks like you know the material. Go in there and give it your best shot, but take your time and don't rush through the test. Simple mistakes from hurrying can sink you. GOOD LUCK!

How do I register for the simulated exam?

Hi,
You can access the simulated exam with a standard subscription to emt-national-training.com . When you subscribe to emt-national-training.com you can test in the regular categorized testing or in the simulated exams. Let us know if you have any questions. Good luck.

I am worried I just took my nremt exam basic the morning & the test stopped at 69 questions & said I was finished? What does that mean????

It means 1 of 2 things... you rock and you passed... or you get to take it again. You will know soon. Let us know how it turns out.

One observation about the CAT that the NREMT does; however you did on the last questions will indicate if you pass or fail the registry(unless you hit the max 250 questions). The reason for that is simple; since the CAT program stops once it determines your fate the last question you take when it stops you is the proverbial last straw. What I mean by that is if you are taking the test and you are one correct answer away from passing and you answer the next question, the program has no need to continue; likewise for failing. So if you are certain that you answered your last question correctly, then you passed and vice versa. One caveat to that is just because you think you are correct, it doesn't mean that you are just like if you think you missed the last one, it doesn't mean that you didn't put the right answer unknowingly. From a BLS standpoint it all comes down to think ABCs first. If those are addressed and resolved in the scenario, then move on. If airway, breathing, or circulation is compromised in any way, then likely that's your answer unless it's a safety question in which your safety and the safety of the team comes first, followed by bystanders and then the patients safety. if anyone else has thoughts or corrections feel free to chime in.