NREMT Candidate web

1 NREMT Candidate . INFORMATION. PREPARE FOR SUCCESS ON THE. NREMT COGNITIVE EXAMS. NREMT Candidate INFORMATION. Your exam result is measured against a predetermined competency level. CONGRATULATIONS Your performance on the previous question determines what question you will receive next. You are about to embark on an exciting and This means you are not able to go back and answer important role in serving your community as an questions or change your answers. EMS professional. Your certification by the NREMT means that you have met the necessary There is a minimum and maximum number of competencies to practice as an out-of-hospital questions for each exam (EMR 90 110, EMT 70. provider. Your certification is something you 120, & Paramedic 80 150) however your exam should take pride in. may be a different length than other Candidate 's. It is important to know that the length of the exam is National EMS Certification is based upon not an indicator of whether you pass or fail.

2 Your successful completion of cognitive (knowledge- exam will end when: based) and psychomotor evaluations. This brochure summarizes critical information 1. Your ability has been accurately determined regarding the cognitive exam. 2. You have received the maximum number of items 3. You have run out of time WHAT YOU SHOULD KNOW The NRAEMT and Intermediate/99 cognitive exams ABOUT THE EXAM are linear computer based tests (CBT). A linear CBT exam is a computer version of a paper- The NREMT certification process provides a valid, and-pencil exam. uniform method to assess the knowledge and skills required for competent practice of EMS All candidates must complete the maximum number of professionals throughout their careers. questions within the allotted time frame (AEMT 135. & I/99 150). There are several important concepts to keep in mind: Unlike CAT exams, candidates who take a linear exam can skip questions, mark questions for review, The NREMR, NREMT , and NRP cognitive exams and go back and change their answers provided time are computer adaptive tests (CAT).

3 Has not expired. There is no penalty for guessing. Any CAT is state-of-the-art in high stakes certification questions that are left blank are scored as incorrect. testing. It is the most accurate and fair evaluation Helpful Examination Information: technology available. CAT is different from most other forms of testing in that each exam adapts to All exam questions evaluate your ability to apply each Candidate 's ability level. Depending on how knowledge from your course and textbook to the a question is answered, the computer determines types of tasks and situations that are expected of the difficulty of the next question. Consequently, entry-level EMS professionals. Questions that are each Candidate 's testing experience will be answered incorrectly on the exam mean you could unique. choose the wrong assessment or treatment in the field. There are some general concepts to There is no minimum percentage of correct remember about the cognitive exam: questions needed to pass a CAT exam.

4 Exam scores are based on the characteristics of the There is only one best answer. The items are questions you get right and wrong, not how many written to determine how you would respond when you get right. providing patient care. Incorrect responses may be misunderstandings, common mistakes or inefficient Since questions get more difficult as you answer approaches that represent less-than-optimal care. them correctly, you will most likely perceive the exam as very challenging. However, a difficult question for you may be easy for someone else. 1. NREMT Candidate INFORMATION. Helpful Examination Information continued . Examination content reflects the National EMS ITEM EXAMPLES. Educational Standards, not local or state protocols. The NREMT avoids questions on specific details that have regional differences. To help you understand what to expect from exam Some topics in EMS are controversial, and questions, we have provided examples of the experts disagree on the single best approach to types of questions entry level providers are some situations.

5 The NREMT avoids testing over expected to answer on the exam. These three controversial areas. questions range in difficulty but are all either at the passing standard or above the passing Due to the CAT exam format, your performance standard. on the previous question determines what question you will receive next. This means you 1. Your patient fell while skateboarding and has a will not be able to go back and answer questions painful, swollen, deformed lower arm. You are or change your answers. You will be most unable to palpate the radial pulse. You should successful with CAT if you approach each immediately question individually. Do your best on each a. apply cold packs. question and then move on to the next question. *b. align the arm with gentle traction. NREMT exams focus on what providers should do c. splint the arm in the position found. in the field. The exam is not taken from any d.

6 Ask the patient to try moving the arm. single textbook or source. The exams are 2. Your patient is a disoriented 86 year old male intended to reflect the current accepted who has a history of terminal brain cancer. He practices of EMS. Fortunately, most textbooks fell out of bed and complains of severe right hip are up-to-date and written to a similar standard; pain. His wife called 9-1-1 for assistance in however, no single source thoroughly prepares you putting him back to bed. She tells you that he for the exam. You are encouraged to consult has DNR orders and that she does not want him multiple references, especially in areas in which transported. You should initially you are having difficulty. a. ask to see the DNR orders. Exam question resources include: the current *b. explain why he needs to be transported. American Heart Association's Guidelines for c. have her sign a refusal form.

7 Cardiopulmonary Resuscitation and Emergency d. call for law enforcement back-up. Cardiovascular Care, ( ), the National Highway Traffic Safety 3. You are called to a scene where law enforcement Administration's National EMS Education officers have detained a man who they thought Standards was drunk. They called you because he has a ( ), and the history of diabetes. You administer oral glucose Centers for Disease Control and Prevention's and within a minute the patient becomes Guidelines for the Field Triage of Injured Patients unresponsive. You should ( ). Another resource is a. remain at the scene under law enforcement the NREMT Practice Analysis, which is conducted authority and request ALS back-up. every five years to determine the actual patient care b. leave the glucose in place, complete a EMS providers provide. primary survey and transport. You do not need to be an experienced computer c.

8 Open his airway with an oropharyngeal user or be able to type to take the computer based airway and ventilate him. exam. The computer testing system has been *d. suction his mouth and begin transport. 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. You may want to visit the NREMT section of the Pearson VUE website for additional helpful information to prepare you for your exam. 2. NREMT Candidate INFORMATION. have your picture taken PEARSON VUE IS THE. store all belongings in a locker prior to entry into NREMT TEST PROVIDER the exam room be recorded (by audio and/or video) during the The NREMT selected Pearson VUE as its exclusive exam test provider. Pearson VUE is the world's largest assessment and testing business. They have an Your ATT letter contains important information about extensive network of testing centers and extensive what to bring and not bring to the exam site.

9 Be sure experience in delivering high-stakes computer to read your ATT letter carefully for specific information based tests. You will t a k e t h e exam at one of about what to expect to ensure that you are not two types of Pearson VUE testing centers: turned away on the day of your exam. 1. Pearson Professional Centers (PPCs) are testing centers that are owned and operated by PREPARING FOR THE EXAM. Pearson. They are located in most urban areas. Here are a few simple suggestions that will help you 2. Pearson VUE Testing Centers (PVTCs) have a to perform to the best of your ability on the contractual relationship with Pearson VUE and examination. are typically found in smaller towns and rural areas. PVTCs are used to increase the access to Study your textbook thoroughly and consider using EMS testing in rural areas. the accompanying workbooks to help you master the material.

10 In some cases, the closest Pearson VUE test center is located in another state. Candidates can test at Thoroughly review the current American Heart any authorized Pearson VUE test center in the Association's Guidelines for Cardiopulmonary United States at a convenient date, time and Resuscitation and Emergency Cardiovascular Care. location. The exam delivery process is the same You will be tested on this material at the level of regardless of where it is taken. the exam you are taking. The National Registry does not recommend a EXAM SECURITY particular study guide but recognizes that they can be useful. Study guides may help you identify your The NREMT takes exam security issues very weaknesses, but should be used carefully. Some seriously. Stringent security policies and study guides have many easy questions leading procedures are in place to protect the content of some candidates to believe that they are prepared exams and maintain the security of all data for the exam when more study is warranted.