Some find it extremly hard, some dont. Mine turned off in 60 some questions and i passed.
When I took it in 1992, anytime anything "airway" (A, B, C's) was an answer, that was always the correct one to choose. I think "scene safety" has taken precedence.
Bear in mind, that the NREMT writes their tests based off those candidates meeting a minimum standard. Always begin formulating your answers with your basic assessment and then go towards your ALS stuff.
Go easy early.
Nevermind I see when the OP posted this now.