Do not take this personally. I do not know you and would say this to anyone.
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I hope you took a state recognized EMT-B course that had in depth course and practical time. If you did not, you need to retake another one.
What is your ultimate goal? Where do you see yourself in EMS in 5 years?
I have not taken the NREMT and can not comment on the quality of its question pool. However, EMT is just procedure memorization. There is no critical thinking skills required to become an EMT. You do not need to know dosage formulas, cardiac rythms, or ACLS guidelines.
Where is the breakdown? What is giving you such a hard time with this test? I don't want to discourage you, but honestly I do. If you have failed this test twice, how am I to know that you will be competent on the road?
Let's leave the "some people are bad test takers" BS out of this discussion too. I don't care what kind of test taker you are, you know the stuff or you don't.
Please, with out being rude or offering any personal attacks, explain to us why you think you have missed this test twice?