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Why did the NREMT change from pencil-and-paper exams to computer based testing?
When did the change take place?
Did the NREMT exam change?
Did the passing standard change for the NREMT exam with computer based testing?
Do all candidates take the same examination, or does each candidate take a different test?
With candidates receiving different test items, how will the NREMT ensure that each candidate is being correctly assessed?
Is the test easier?
Does it take more time to complete the computerized test compared to the paper version?
When are the computerized test results available?
What is the NREMT's policy for retaking the exam after an unsuccessful attempt?
Do I have to be an experienced computer user and be able to type to take the computer based examination?
When are the exams administered?
Where are the computerized tests administered?
Who is Pearson VUE and why are they good partners for the NREMT?
If the closest Pearson VUE test center is in another state, can a candidate test outside his or her state border?
Can exams be scheduled online?
Once an exam appointment is scheduled, can it be changed or even canceled?
What is the cost to take the computer based NREMT exam?
Why did the price of the exam increase?
When can I take my advanced level (Intermediate and Paramedic) practical exam?
Q. Why did the NREMT change from pencil-and-paper exams to computer based testing?
A. The implementation of computer based testing strengthens the NREMT's commitment to serving the EMS community and providing a valid and reliable exam process. It also provides numerous benefits to candidates, educators, and others in the EMS community as well as the American public, including:
  • More fair and precise evaluation of a candidate's competency
  • Rapid turnaround of test results
  • Choices on when and where to take the exam
  • Easier registration
  • Fortified exam security
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    Q. When did the change take place?
    A. The NREMT began administering computer based exams on January 1, 2007.
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    Q. Did the NREMT exam change?
    A. The only thing that changed was the format of the exam. Questions on the computer based exam cover the same subject matter as those on the pencil-and-paper exam.
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    Q. Did the passing standard change for the NREMT exam with computer based testing?
    A. The NREMT exam continues to measure entry-level competency; however, the way it is measured is now more precise and reliable.
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    Q. Do all candidates take the same examination, or does each candidate take a different test?
    A. Each candidate is presented with a unique set of test items, but all candidates are tested over the same subject matter and the test results are comparable. With computer adaptive testing, each candidate's examination is drawn from an item bank of thousands of questions. Each new question is selected based on how the individual candidate answered the previous question.
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    Q. With candidates receiving different test items, how will the NREMT ensure that each candidate is being correctly assessed?
    A. The test delivery system ensures that all test items meet content and psychometric specifications. All items are classified according to their content and statistical properties before they are administered in an operational test. The testing software then administers items according to the specifications so that each candidate is administered a fair examination of appropriate content coverage and difficulty.
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    Q. Is the test easier?
    A. The difficulty level of the exam does not change, but the exam is a more precise evaluation of each individual candidate's competency and understanding of the entry-level skills necessary to be an EMT.
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    Q. Does it take more time to complete the computerized test compared to the paper version?
    A. Experience with computerized testing reveals that it usually takes LESS time to complete the test. There is no test booklet and answer sheet to manage, and no "bubbles" to fill in with a pencil.
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    Q. When are the computerized test results available?
    A. Results are available on the NREMT Web site (www.nremt.org) in most cases the next business day after the candidate has completed the exam. A results letter is also mailed to the candidate within two to four weeks.
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    Q. What is the NREMT's policy for retaking the exam after an unsuccessful attempt?
    A. Candidates who do not pass the exam will be able to reschedule another exam 15 days after an unsuccessful attempt, which is sooner than with pencil-and-paper examinations.
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    Q. Do I have to be an experienced computer user and be able to type to take the computer based examination?
    A. The computer testing system has been designed so that it can be used by those with even minimal computer experience and typing skills. A tutorial is available to each candidate at the testing center prior to taking the examination.
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    Q. When are the exams administered?
    A. In most cases, whenever a candidate wants to schedule it! The NREMT exam is available during the day, in the evening and on some weekends.
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    Q. Where are the computerized tests administered?
    A. The NREMT exam is offered through Pearson VUE's extensive testing network which includes hundreds of testing centers across the United States.
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    Q. Who is Pearson VUE and why are they good partners for the NREMT?
    A. Pearson VUE is a global leader in providing computer based test delivery solutions for the professional licensure and certification market. Pearson VUE's technology investments ensure leading edge security as well as providing new services to test takers and the EMS community.
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    Q. If the closest Pearson VUE test center is in another state, can a candidate test outside his or her state border?
    A. Candidates can test at any Pearson VUE test center in the United States. The exam is the same regardless of which state it is taken in.
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    Q. Can exams be scheduled online?
    A. Exams can be scheduled online at the Pearson VUE Web site or by calling an 800-number after the candidate has received confirmation from the NREMT that he or she has successfully completed all of the necessary application steps.
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    Q. Once an exam appointment is scheduled, can it be changed or even canceled?
    A. Yes. Each candidate must contact Pearson VUE directly to cancel or change an appointment to test. This must occur no less than 24 hours prior to the scheduled appointment or the candidate will be charged for the exam.
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    Q. What is the cost to take the computer based NREMT exam?
    A. Exam Fees. Effective January 1, 2007

    EMT Level Exam Fee
    First Responder $65
    EMT Basic $70
    EMT Intermediate/85 $100
    EMT Intermediate/99 $100
    Paramedic $110
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    Q. Why did the price of the exam increase?
    A. The National Registry is committed to keeping its fees as low as possible. This is only the second time that the price of the NREMT exam has changed in the thirty five years since its inception. While the National Registry successfully negotiated a very competitive price for computer based administration of the NREMT exams, there are real costs associated with the increased levels of security and additional services offered by implementing computer based testing. We now have professional testing centers equipped with state of the art technology to provide the best security and testing experience for candidates. Candidates have more flexibility in scheduling their exams, and making the exams computer based allows us to process results immediately. The exams are also being converted to adaptive exams to deliver more precise and efficient assessment.
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    Q. When can I take my advanced level (Intermediate and Paramedic) practical exam?
    A. Advanced level candidates (Intermediate and Paramedic) may take the psychomotor evaluation (practical exam) following completion of the didactic and laboratory portions of an approved program if permitted by the program director and the State EMS Licensing Agency.
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