The National Registry does not count responses to piloted items towards the candidate's score. The National Registry collects enough data from candidate responses to pilot items to estimate each item’s level of difficulty and evaluate the item for evidence of bias. Items are then pilot tested during live examinations. This review process includes internal and external subject matter expert review, referencing, and editing. Incorrect responses are not partially correct.

Next, the item goes through an extensive review process to ensure: First, external subject matter experts draft an item, also known as a test question. The National Registry uses the same process to develop all test items. A linear CBT exam is a fixed-length, computer version of a paper and pencil exam. A passing standard, identical for all candidates at their level of certification, is used to determine whether a candidate is successful or unsuccessful on the cognitive examination.Ĭandidates seeking National EMS Certification as an Advanced EMT take linear examinations. The National Registry uses the CAT format for Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), and Paramedic (NRP) examinations. CAT examinations allow shorter, more precise tests individualized to each candidate’s level of knowledge and skills. The National Registry has two examination formats for the cognitive examination: Computer Adaptive Tests (CAT) and Linear examinations. About the National Registry Cognitive Examinations

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