EMT Exams in Missouri

EMT exams in Missouri are aimed at assessing the candidate’s dexterity for obtaining the certificate. In Missouri, for acquiring certificate, you first need to clear the NREMT (National Registry for Emergency Medical Technicians) exam. This exam is based on the national syllabus, designed by NHTSA (National Highway Traffic Safety Administration).

Components of Exam


Cognitive Exam

The NREMT exam is a computer adaptive test (CAT), in which a candidate can expect 70 to 120 questions. The candidate must complete the test in the given limited time of 2 hours. The questions are asked from the syllabus, specifically from the resuscitation and cardiology, airway, EMS operations, trauma, respiration and ventilation, and obstetrics/gynecology & medical. The questions, which are related to patient’s care, aimed 85% at geriatric patients and 15% at pediatric patients. To pass the exam, the applicant must meet the standard level of competency. For passing the test, it is required to offer secure and effectual entrance-level emergency medical care.

Psychomotor Exam

Psychomotor exams are conducted to check the capabilities of the candidates in diverse emergency care skills. In these exams, you may be asked to demonstrate any of the following skills:

  • Management/assessment of a medical patient
  • Joint dislocation immobilization
  • Management/assessment of a trauma patient
  • Traction splinting
  • Mouth-to-mouth ventilation with supplemental oxygen
  • Bag-valve-mask ventilation of an apneic patient
  • Bleeding control/shock management
  • Supplemental oxygen administration to a breathing patient
  • Cardiac arrest management/AED
  • Upper airway adjuncts and suction
  • Long bone fracture immobilization
  • Spinal immobilization (both seated and supine patient)

The candidates are also required to qualify a state-level EMT psychomotor exam.

Examination Registration and Scheduling Procedure

Register Via Internet

The candidate must possess a legitimate VISA or MasterCard for online registration. In order to register for EMT examination online, candidates can access the PSI’s registration website www.psiexams.com, which is accessible 24 hours a day. Log into PSI’s website, complete the registration procedure and submit it online. After submitting the registration form, the candidate will receive information of the available dates and locations for scheduling the examination. The aspirant can select the desired location and exam date.

Register Via Telephone

After internet, the second fastest way to register for the examination is via telephone.  Candidates can register via PSI’s IVR (Interactive Voice Response System) during business hours or even during non-business hours. For registration through telephone, candidates must have a legitimate MasterCard or VISA. Complete the registration procedure, which includes the credit card number and the expiration date. Candidates can call and register through Automated Registration System any time. After completing the procedure, candidate will be able to schedule the date of examination and location.

Register Via Fax

To register via fax, candidates are ought to have a legitimate MasterCard or VISA. After completing the registration procedure, fax the completed form. This service remains available twenty-four hours a day. If the information provided by the candidate is incorrect or incomplete, the form will be returned to the candidate for modifications.

Examination Fee


If the candidate wishes to appear for the initial cognitive and psychomotor test, then he/she has to pay $70. If the candidate is scheduling both parts of the exam for retest, then he/she has to pay $70. And, if you are retesting only the skills or only the assessment, you will have to pay $35 separately for each.

Cancelling and Rescheduling an Examination Appointment

If the candidate desires to cancel the examination appointment without forfeiting the fee, he has to inform 2 days before the scheduled examination date. The applicant can call PSI at (800) 733-9267 in order to cancel or reschedule the date of examination. Applicant can also use the internet or the automated system to reschedule or cancel the examination appointment.

Note: Voice mail message will be non-acceptable. 

Missed Appointment or Late Cancellation

If the candidate doesn’t appear on the date of examination or doesn’t inform the cancellation 2 days before the scheduled date of examination or appear after the exam starts or if the applicant’s identification is not proper, in all these circumstances the candidate’s registration will be deemed as invalid, and the applicant would not be allowed to appear in the scheduled examination. Also, the examination fee will get forfeited.

Reporting to the Examination Site

You must appear at least half an hour before the commencement of the exam for the purpose of identification verification. You need to carry two identification forms; one of these must be issued by the government and must bear your signature along with photograph (passport, driver’s license, state ID, military ID). The second ID must contain the candidate’s pre-printed name and signature. The identification that you have provided must go with the name mentioned on the examination registration form.

EMT intermediate and paramedic applicants must carry their Emergency Medical Technician certification card to the examination site for the purpose of sitting in the test. The applicant can bring a reinstatement letter issued by OEMS if he/she doesn’t have the current certification card.

Exam Results & Retest Information

The applicant can see the results on the NREMT’s password secure website just after giving the exam. The candidate must log in to view the results. The minimum passing marks are 70%. After passing the exam, candidates will be sent NREMT’s National EMS Certification credentials.

If the candidate fails to clear the exam, he will receive an information sheet, which will let him/her know if he/she is “above”, “near”, or “below” the level of entry level competency in different content areas. When you reappear in the examination, you get the masked test items. It means the masked items will not be appeared in future exams taken by you.

For retest, the applicant can apply after 15 days of the last appeared examination. The applicant will have 6 chances to pass the examination. The candidate must submit official documents verifying the completion of 24 hours of remedial program after 3 attempts. The three additional opportunities will be provided to you only if you fulfil the other pre-requisites for National Certification. Applicants, who fail in all six attempts, will need to complete the whole EMT course.

Tips for Preparing for Exams 

  • Always read the right and correct information.
  • Read the questions carefully.
  • Pay special concentration to the topics pertinent to airway and respiratory.
  • Don’t give too much time to one question. Do not over read it.
  • Study well and make sure that you have covered the whole syllabus.
  • Make notes of what you study.
  • Highlight the key topics or idea.

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