How many questions on the NREMT cognitive exam?

Updated August 14, 2023


On the National Registry of Emergency Medical Technicians cognitive exam, you will have a minimum and maximum number of questions that you can be given.

If you are an AEMT you will be taking the Linear exam format and will have exactly 135 questions. However, if you are taking the EMR, EMT or Paramedic level cognitive exam you will be taking the Computer Adaptive Test (CAT) format.

The computer adaptive test can be as little as 70 questions and as many as 150 questions depending on what level of the exam you take.

 According to the NREMT these are the maximum and minimum number of questions for each exam:

  • EMR: 90-110
  • EMT: 70-120
  • AEMT: 135
  • Paramedic: 80-150

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