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Apart from Pass or Fail, candidates are not provided with specific feedback regarding their exam performance.

Given a scenario of having just found an apneic adult patient with a palpable carotid pulse, candidates must demonstrate immediate management of the patient using simple airway maneuvers and adjuncts, bag-valve-mask device, and supplemental oxygen, followed by the placement of a supraglottic airway device (King®, Combitube®, etc.).

After remedial training is complete, the candidate is given three additional attempts to pass the Paramedic cognitive exam, provided all other requirements for National Certification are met.

Candidates who fail to pass after a total of six attempts are required to repeat the entire Paramedic course.

Additionally, candidates will be given a scenario of having just found an apneic patient with a palpable carotid pulse and must demonstrate immediate management of the patient using simple airway maneuvers and adjuncts, bag-valve-mask device, and supplemental oxygen.

Complete information about the National Registry Disciplinary Policy and Rights of Appeal can be found here.

The exam will cover the entire spectrum of EMS care including: Airway, Respiration & Ventilation; Cardiology & Resuscitation; Trauma; Medical; Obstetrics/Gynecology; EMS Operations.

Items related to patient care are focused on adult and geriatric patients (85%) and pediatric patients (15%).

The number of items a candidate can expect on the NRP exam will range from 80 to 150.

Each exam will have between 60 to 130 ‘live’ items that count toward the final score.After , candidates must submit official documentation verifying completion of remedial training.