New NREMT Question Types (TEIs)

The NREMT will begin scoring new question types on ALS exams on July 1, 2024. This is one of several changes that will affect AEMT and paramedic exams starting in July. We’ve already written about some of the other changes. Below we’ll take a look at each of the newest TEIs (technology enhanced items) so you know what to expect when you sit down to take your exam.

2025 Edit for EMT candidates: Starting April 7, 2025, the new questions will be scored on BLS exams. (If you see them on your exam before April 7, they're pilot items.) The questions types include drag and drop, option box, and build a list. BLS exams will not have clinical judgement scenarios.

Practice the New NREMT Question Types (TEIs)

Most students haven't seen questions like these on class tests. If you want to be the most prepared you can be, you can practice all the NREMT's new question types in these products:

• PASS apps (all levels) – These offer focused, challenging NREMT practice for people who already know the clinical material well.

• Review Plus apps (all levels) – These offer a great review of class material, with built-in NREMT prep.

• EMTReview.com membership (EMT and paramedic) – This is a complete, guided program for review and NREMT prep.

NREMT New Question Types

Drag and Drop

Drag and drop questions may be used in a variety of ways, including moving answer choices or repositioning items on a list. The NREMT has said there is no partial credit for these. Video example of NREMT drag & drop.

Option/Check Box

Option/Check Box questions require you to select answers or designate categories within a checkbox table. The NREMT has said there is no partial credit for these. You must check every box correctly. Video example of NREMT option boxes.

Build a List

Build a List questions give you a list of options in one column and a blank list in another column. Your job is to put the options in the correct order. (HINT: It’s a lot like following skill sheets.) Video example of NREMT Build a List.

Clinical Judgement Scenarios for ALS

The other new question format that starts scoring for ALS exams on July 1, 2024, is performance scenarios, also called clinical judgement scenarios. These are a series of questions based on the same scenario that test leadership, communication, and clinical judgment. Scenarios start en route and progress through scene and post scene.

Within a performance scenario, you may see a combination of drag and drop, option box, and build a list questions!

Image Courtesy of NREMT

Visit the NREMT’s website for more details about each of the new questions.

NREMT TEI Practice for EMT, AEMT and Paramedic

Limmer Education is actively developing new TEI questions and scenarios for our test prep. We continually update products as new content passes our quality assurance standards.

EMTReview.com: Practice Tests with All the New Question Types

For the most thorough NREMT TEI practice, we recommend EMTReview.com. Site membership includes practice exams with all the new question types.

Paramedic users have several different TEI-based tests, plus multiple performance scenarios. We even added a TEI-based test for EMT users! All of these are found within the Simulated Exams section.

EMTReview.com has practice exams with ALL the new question types

PASS and Review Apps: New Question Types Added for Paramedic, AEMT, and EMT

All of our PASS and Review Plus products now include build a list, option boxes, drag and drop, and multiple response items. The ALS products also include clinical judgement scenarios (10-12 questions per scenario), written and reviewed by a team of NREMT experts.

If you have questions about the NREMT's new question styles, drop a comment below!