I took and passed the NREMT-P on the first shot back in the summer of 2007, two years after graduating from my EMT-P course. I didn't find it particularly difficult. There were a fair amount of questions pertaining to chemistry, A&P, and such. Having already taken college level A&P and pharm, you should be well prepared for those type of questions. If you just took an in-program watered down, two week "A&P for EMS," or a one week "Pharm for EMS," then you probably won't do so well. Matter of fact, every single person I've spoken to that took both a human biology/A&P course and pharmacology passed the NR-P or NR-I on the first shot. Every single person I've spoken to that failed the registry lacked these college classes, and had instead received the crash course cliff's notes version of these classes.
If you haven't completed these college level courses and end up failing the NR, I recommend taking the above into serious consideration.
If you haven't completed these college level courses and end up failing the NR, I recommend taking the above into serious consideration.
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