I am going to include an older post of mine from Dec that may help you..Dec 2013, "I just took the NREMT-B and found it very interesting. I have a 20+ years of experience as a Paramedic (supervisor, trainer), Firefighter, and LEO. I let my certs drop. (Bad mistake)! I am looking to get back on the road a bit and had to retake my EMT training. I in the classroom I found I had to stop thinking like a paramedic and not treat the patient but memorize the book. It was tough, especially since things have changed a bit with time. I did it though and graduated will a 100% average (the college told me it was the highest average they had ever seen). I studied hard and enjoyed the journey again. Then I started to study for the NREMT exam. I took it within 2 weeks of graduating. When the first question came on screen I was taken back a bit.. I had to start treating patients again! I had trained myself to answer according to what the book had told me to do and now I was faced with real patient scenarios that were different from the book. I must agree with some of the other post that some of the answers I had to choose from were not (IMO) the best treatment, but I had to choose the best of the worst. It was challenging. I assume the test is getting us to think like an EMT in the field and not just sitting in front of a book. It does that! I thought on the way to take the exam I should be able to pass. I studied hard and was prepared. The examiner told me I may be cut off with only 70 questions answered. To be honest, I thought I would pass in 70-80. After my test cut off at 70 I was not really sure if I had passed. I knew many of the answers I had given were my "best, educated guess". I believe the exam is trying to find out how we react in the field with the knowledge we learned in class. I does a good job at that! It will truly pull out of you what is stored in there.. I passed." Two weeks after my passing grade I received a phone call from a instructor, asking my opinion on the test. I was informed that most of the students were failing the NREMT and they could not understand why. Hindsight, and wanting to help future students, I did some further research. I found the Brady book looked a lot like the test. I was helping a classmate who was really struggling and suggested the Brady on line practice exams. At the time of their test, (Feb 2014) they were still shaky but had taken my advise. They passed at 70 questions. I suggest you study with the practice exams and the book. I think you will see some of the questions will look very familiar.