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Advanced EMT (AEMT) Certification Examination
Find the current format, timing, scoring, fees, eligibility, and testing options for AEMT, with direct links to official sources.
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Questions135 questions (fixed-length linear exam — every candidate receives the same number of items), of which 35 are unscored pilot items
Testing time3 hours (preceded by a 5-minute non-disclosure agreement and a 10-minute tutorial, which are not part of exam time)
ScoringPass/fail against a uniform passing standard: has the candidate reached the level of entry-level competency? Passing standard is identical for all candidates
Exam feeUSD 159.00 examination fee per attempt (rescheduling/cancelling through Pearson costs USD 30; rescoring costs USD 150.00; recertification fee separate)
Prep options
Study resources for AEMT
Independent prep
Courses and study resources
Exam overview
What to know before choosing your prep
- Who runs it
- NREMT
- Category
- Emergency Medical Services
- Current version
- AEMT Certification Examination — current specification, test plan determined through the 2019 National EMS Practice Analysis and the 2021 National EMS Practice Analysis Addendum (single certification examination format; technology-enhanced items in the exam since 2023)
- Where it applies
- United States — national
- Exam languages
- English
- Score scale
- 100–1500 scale; passing point indicated by 950
- Testing provider
- Pearson VUE (branded Professional Assessments at test centers)
- Format
- Fixed-length linear computer-based test (CBT) at authorized Pearson (Professional Assessments) testing centers
- Availability
- Year-round by appointment at authorized Pearson VUE test centers in the United States; ATT valid 90 days from posting
- Results
- Results posted to the candidate's National Registry account, generally within three business days (pass/fail only; scaled detail only if not passed)
- Remote testing
- Not available
Exam structure
Fixed-length linear exam with six content domains (published as ranges): Airway, Respiration & Ventilation 9–13%; Cardiology & Resuscitation 11–15%; Trauma 7–11%; Medical/Obstetrics/Gynecology 25–29%; EMS Operations 6–10%; Clinical Judgment 31–35%. Items are primarily multiple-choice plus multiple-response and technology-enhanced items (Build List, Drag-and-Drop, Option-Check Box) incorporated throughout En Route, Scene, and Post Scene EMS scenarios; pediatric content integrated throughout
Where rules vary
National certification exam, uniform nationwide; state EMS offices may additionally require a state license
Eligibility
Current National Registry certification or state license at the EMT level or higher; successful completion of a state-approved AEMT course including Student Minimum Competencies (SMC) or the COAEMSP Recommended Student Minimum Competency Matrix, completed within the past two years with Program Director verification
Retake policy
15-day wait after each attempt; six total chances to pass; remedial education required after three failures (uploaded with the fourth-attempt application)