• 60 questions

AEMT Practice Test

Unofficial advanced EMT test prep questions in the six domains of the National Registry's AEMT test plan, clinical judgment included.

Which end-tidal CO2 range does the guideline give as the goal for most ventilated patients?

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Exam mode: 60 questions, 80 minutes.

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Unofficial practice questions, not affiliated with the National Registry of Emergency Medical Technicians. Bank checked October 9, 2026.

The real exam, as the National Registry describes it

Time limit
180 minutes
Length
135 items, the same number for every candidate. 35 of them are unscored pilot items.
Format
A linear, fixed-length test on computer. Once an answer is submitted you cannot return to it.
Item types
Multiple choice with four options, multiple response, build list, drag-and-drop, options box, graphical and scenario-based items. No partial credit.
Result
Pass or fail against a passing standard approved by the National Registry Board of Directors. No percent is published.
Where
Pearson VUE testing centers.
In use since
July 1, 2024. One examination: the separate psychomotor examination was discontinued and a clinical judgment domain was added.

Checked October 9, 2026 against National Registry Advanced Emergency Medical Technician Examination Specifications. Rules change, so confirm with the agency itself before your test.

The National Registry's AEMT and Paramedic examination page

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All 60 questions

Airway, respiration and ventilation 7

  • A capnography waveform has a shark-fin shape. What does the guideline tie this shape to? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Airway Management guideline. Outline: National Registry AEMT examination specifications, Airway, Respiration and Ventilation (9 to 13%).
  • A patient with known asthma has respiratory distress and signs of bronchospasm. Which nebulized albuterol dose does the guideline give? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Respiratory Distress (includes Bronchospasm, Pulmonary Edema) guideline. Outline: National Registry AEMT examination specifications, Airway, Respiration and Ventilation (9 to 13%).
  • How much volume should each bag-valve-mask breath deliver? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Airway Management guideline. Outline: National Registry AEMT examination specifications, Airway, Respiration and Ventilation (9 to 13%).
  • What is the most reliable way to confirm placement of an advanced airway, by the guideline? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Airway Management guideline. Outline: National Registry AEMT examination specifications, Airway, Respiration and Ventilation (9 to 13%).
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Airway, respiration and ventilation, continued

  • Which end-tidal CO2 range does the guideline give as the goal for most ventilated patients? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Airway Management guideline. Outline: National Registry AEMT examination specifications, Airway, Respiration and Ventilation (9 to 13%).
  • Which starting PEEP does the guideline call generally appropriate with a bag-valve mask? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Airway Management guideline. Outline: National Registry AEMT examination specifications, Airway, Respiration and Ventilation (9 to 13%).
  • You are ventilating an apneic adult with a bag-valve mask. How often does the guideline say to give a breath? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Airway Management guideline. Outline: National Registry AEMT examination specifications, Airway, Respiration and Ventilation (9 to 13%).

Cardiology and resuscitation 8

  • A stroke patient was last known well 3 hours ago. Which window does the guideline give for possible thrombolytic agents? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Suspected Stroke/Transient Ischemic Attack guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).
  • During CPR the end-tidal CO2 reads 8 mmHg. What does the guideline tell the team to do? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Cardiac Arrest (VF/VT/Asystole/PEA) guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).
  • For which rhythms does the Cardiac Arrest guideline prioritize early epinephrine? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Cardiac Arrest (VF/VT/Asystole/PEA) guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).
  • How is mean arterial pressure calculated in the Shock guideline? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Shock guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).
  • How soon should a 12-lead EKG be acquired for a patient with signs and symptoms of acute coronary syndrome? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Chest Pain/Acute Coronary Syndrome/STEMI guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).
  • Sublingual nitroglycerin may be repeated every 3 to 5 minutes as long as the systolic pressure stays above what value? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Chest Pain/Acute Coronary Syndrome/STEMI guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).
  • Which aspirin dose does the chest pain guideline give? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Chest Pain/Acute Coronary Syndrome/STEMI guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).
  • With an advanced airway in place during adult CPR, what ventilation rate does the guideline give? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Cardiac Arrest (VF/VT/Asystole/PEA) guideline. Outline: National Registry AEMT examination specifications, Cardiology and Resuscitation (11 to 15%).

Trauma 5

  • A 70 kg adult has partial-thickness burns over 30% of the body and is not in shock. By the Rule of 10, what is the starting fluid rate? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Burns guideline. Outline: National Registry AEMT examination specifications, Trauma (7 to 11%).
  • A burn patient is in shock 20 minutes after the fire. What does the Burns guideline say about the cause? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Burns guideline. Outline: National Registry AEMT examination specifications, Trauma (7 to 11%).
  • An adult trauma patient has a systolic pressure of 104 and a heart rate of 98. What does General Trauma Management say about IV fluids? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), General Trauma Management guideline. Outline: National Registry AEMT examination specifications, Trauma (7 to 11%).
  • For an adult with a moderate or severe closed head injury, which systolic pressure does the guideline say to maintain? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Head Injury guideline. Outline: National Registry AEMT examination specifications, Trauma (7 to 11%).
  • IV fluid is running for an adult in shock from blood loss, with no head injury. Which systolic pressure does General Trauma Management give as the resuscitation target? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), General Trauma Management guideline. Outline: National Registry AEMT examination specifications, Trauma (7 to 11%).

Medical, obstetrics and gynecology 16

  • A 16 kg child is in anaphylaxis. Which intramuscular epinephrine dose does the guideline give? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Anaphylaxis and Allergic Reaction guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • A patient has hives and itching with no other signs. Which drug does the guideline give at 1 mg/kg, up to 50 mg? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Anaphylaxis and Allergic Reaction guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • A woman who is 34 weeks pregnant is having a seizure. What should be assumed until arrival at the hospital? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Eclampsia/Pre-Eclampsia guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • After a delivery the mother is bleeding heavily. Which hands-on measure does the Childbirth guideline list for postpartum hemorrhage? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Childbirth guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • After the infant delivers and needs no resuscitation, when and where is the cord clamped? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Childbirth guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • An adult in anaphylaxis needs intramuscular epinephrine. Which dose and site does the guideline give? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Anaphylaxis and Allergic Reaction guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • An adult is in shock from a medical cause. Up to how much isotonic fluid does the Shock guideline set as the adult goal? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Shock guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • IV access cannot be established in an unconscious adult with a blood glucose of 38 mg/dL. Which drug is the option? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Hypoglycemia guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • IV access is failing in a patient in shock. At what point does the guideline say to place an IO needle? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Shock guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • To what temperature should IV fluids ideally be warmed for a hypothermic patient? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Hypothermia/Cold Exposure guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • What is the lowest acceptable systolic pressure for a 6-year-old, by the Shock guideline's formula? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Shock guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • What is the maximum adult field dose of IV dextrose, by the guideline? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Hypoglycemia guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • What is the pediatric dose of naloxone, by the guideline? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Opioid Poisoning/Overdose guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • What typical initial adult dose of naloxone does the guideline give by the IV or IM route? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Opioid Poisoning/Overdose guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • Which dextrose concentration does the Hypoglycemia guideline prefer, if available? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Hypoglycemia guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).
  • Why are patients who take sulfonylureas, such as glipizide, at particular risk after a low blood sugar is corrected? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Hypoglycemia guideline. Outline: National Registry AEMT examination specifications, Medical/Obstetrics/Gynecology (25 to 29%).

EMS operations 5

  • A 9-year-old has a life-threatening injury and no parent can be reached. Which doctrine lets EMS treat and transport? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Patient Refusals guideline. Outline: National Registry AEMT examination specifications, EMS Operations (6 to 10%).
  • Even with lights and sirens in use, what does Universal Care say about speed? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Universal Care guideline. Outline: National Registry AEMT examination specifications, EMS Operations (6 to 10%).
  • For a patient with a time-critical condition, when does Universal Care say to consider air medical transport, if available? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Universal Care guideline. Outline: National Registry AEMT examination specifications, EMS Operations (6 to 10%).
  • There is doubt about whether a Do Not Resuscitate form is valid. What is the best course, by the guideline? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Do Not Resuscitate Status/Advance Directives/Healthcare Power of Attorney Status guideline. Outline: National Registry AEMT examination specifications, EMS Operations (6 to 10%).
  • Which group of IV medications does the national scope of practice model name at the AEMT level? National Highway Traffic Safety Administration, National EMS Scope of Practice Model 2019 (August 2021 update), VI. Interpretive Guidelines, V. Medical Director Approved Medications. Outline: National Registry AEMT examination specifications, EMS Operations (6 to 10%).

Clinical judgment 19

  • A confused man's glucose reads 44 mg/dL and his left arm drifts downward. How does the stroke guideline treat this picture? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Suspected Stroke/Transient Ischemic Attack guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A critical patient needs several things done at once. How does Universal Care say to use the team? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Universal Care guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A man has chest pain and took sildenafil last night. His blood pressure is 138/84. Which drug should be avoided? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Chest Pain/Acute Coronary Syndrome/STEMI guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A man on CPAP for severe asthma grows drowsy and vomits into the mask. What does Airway Management say to do? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Airway Management guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A man with asthma is now in severe respiratory distress. Which step does the guideline give before any invasive airway? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Respiratory Distress (includes Bronchospasm, Pulmonary Edema) guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A man with asthma is tiring. He breathes 36 times a minute and his end-tidal CO2 is 40 mmHg. What does this combination indicate? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Respiratory Distress (includes Bronchospasm, Pulmonary Edema) guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A man with low blood sugar is conscious, can swallow and has a patent airway. Which treatment does the Hypoglycemia guideline give for this adult? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Hypoglycemia guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A newborn's heart rate is 80 a minute after drying and stimulation. What does Neonatal Resuscitation call for? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Neonatal Resuscitation guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A patient speaks only a language that no one on the crew knows. Which tool does the Functional Needs guideline list? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Functional Needs guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A woman pulled from a fire in a closed room is drowsy and short of breath, and then collapses. Which poisoning does the Burns guideline say to suspect strongly? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Burns guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • A woman's pulse oximeter reads 99% after an enclosed-space fire. How should that number be read? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Burns guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • After 30 seconds of effective ventilation with oxygen, a newborn's heart rate is 50. What is the next step? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Neonatal Resuscitation guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • After intramuscular epinephrine for anaphylaxis, a patient is still hypotensive 7 minutes later. What does the guideline allow? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Anaphylaxis and Allergic Reaction guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • An adult in shock receives a fluid bolus. Afterward he is worse, with new crackles in both lungs. What should you consider, by the Shock guideline? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Shock guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • An unresponsive overdose patient breathes 4 times a minute. Which plan follows the opioid guideline? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Opioid Poisoning/Overdose guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • En route you learn that a 58-year-old man with diabetes is confused and sweaty. On arrival he is awake but slurring his words. Which measurement does Universal Care call for in altered mental status or suspected stroke? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Universal Care guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • Ten minutes after treatment for low blood sugar, a man is alert and oriented, as usual. What does the guideline say about repeating the glucose check? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Hypoglycemia guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • You are first on scene at a bus rollover with about twenty injured. What does the Mass Casualty guideline have the senior EMS clinician do? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Trauma Mass Casualty Incident guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).
  • Your 12-lead EKG shows a STEMI. What does the chest pain guideline say to communicate, and to whom? NASEMSO, National Model EMS Clinical Guidelines, Version 3.0 (March 2022), Chest Pain/Acute Coronary Syndrome/STEMI guideline. Outline: National Registry AEMT examination specifications, Clinical Judgment (31 to 35%).

How this list was compiled: Our own questions, written to the content outline in "National Registry Advanced Emergency Medical Technician Examination Specifications" (https://www.nremt.org/admin/getmedia/ae90d9db-c974-49e1-a43b-f1dddd4ea365/AEMT-Test-Plan_Public_final, linked as "AEMT Certification Examination Test Plan" from https://www.nremt.org/Pages/Examinations/AEMT-and-Paramedic-Certification-Examinations; read 2026-10-09). The outline gives six content domains and their shares of the examination: Airway, Respiration and Ventilation 9 to 13%, Cardiology and Resuscitation 11 to 15%, Trauma 7 to 11%, Medical/Obstetrics/Gynecology 25 to 29%, EMS Operations 6 to 10%, Clinical Judgment 31 to 35%. The bank holds 7, 8, 5, 16, 5 and 19 questions (12%, 13%, 8%, 27%, 8% and 32% of 60). The clinical judgment questions are scenarios, and each explanation names the knowledge area of the outline it practices (communication, leadership, recognize cues, analyze cues, define hypothesis, generate solutions, take action, evaluation). Every fact was read on 2026-10-09 in the public source the question names: the National Model EMS Clinical Guidelines, Version 3.0 (National Association of State EMS Officials, March 2022; https://nasemso.org/docs.ashx?id=1444322, linked from the association's Clinical Guidelines page) or the National EMS Scope of Practice Model 2019 with Change Notices 1.0 and 2.0 (National Highway Traffic Safety Administration, August 2021 update; https://nasemso.org/docs.ashx?id=1442529). Licence: Questions, choices and explanations are original work of this site.

How it works

This free AEMT practice test has 60 questions of our own at the advanced emergency medical technician level. It is unofficial and not affiliated with or endorsed by the National Registry of Emergency Medical Technicians.

Read the full guide

What the AEMT exam covers

The National Registry's AEMT test plan, read October 9, 2026, weights airway, respiration and ventilation 9 to 13%, cardiology and resuscitation 11 to 15%, trauma 7 to 11%, medical, obstetrics and gynecology 25 to 29%, EMS operations 6 to 10% and clinical judgment 31 to 35%. The bank holds 7, 8, 5, 16, 5 and 19 questions.

Clinical judgment

The 19 clinical judgment questions are short scenarios. Each explanation names the step it practices, from recognizing cues to evaluating, or communication or leadership.

Timing and sources

Exam mode asks all 60 in 80 minutes, the pace of the real exam's 135 items in three hours. Each answer names its section of the National Model EMS Clinical Guidelines.

  • On the real exam you cannot go back after submitting an answer, and some items ask for several answers or an order.

Questions and answers

How many questions are on the AEMT exam?

135, the same number for every candidate, in three hours. Thirty-five are unscored pilot items, by the National Registry's AEMT examination specifications. It is a fixed-length test, not an adaptive one.

Is there still a psychomotor exam for AEMT?

Not at the National Registry. Since July 1, 2024 the AEMT certification examination is one computer-based exam, and a clinical judgment domain took the place of the separate psychomotor examination.

Is this a free AEMT practice test with real exam questions?

It is free, and the questions are our own. None repeats or rewords a National Registry item, and the Registry's sample items and sample packet were not used to write them.

What can an AEMT do that an EMT cannot?

The national scope of practice model adds supraglottic airways, peripheral IV and intraosseous access, and a short list of IV medications such as dextrose, epinephrine, glucagon and naloxone. State rules and the medical director decide what applies locally.

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