NREMT-EMT · Cognitive exam 2025 outline

NREMTEMT Prep

Level up before the real exam does.

911 call to hospital, one chapter at a time

2,093 questions, forty chapters of notes and scenarios that run a call start to finish. Free to start and works offline; the notes are free forever.

Start practicingSee a sample question

How the real exam works →

  • Free to start
  • Works offline
  • Private by default

Made by Olivier Testa, an EMT who passed the NREMT studying with LevlPrep. Why I built it

In this course

Five domains, weighted as on the exam. Pick one to drill it.

  1. 01Primary AssessmentImpression, ABCs, life threats and priority. 876 questions39 to 43%of the exam
  2. 02Patient Treatment & TransportInterventions, medications and transport. 633 questions20 to 24%of the exam
  3. 03Scene Size-Up & SafetyHazards, PPE, resources and triage. 182 questions15 to 19%of the exam
  4. 04OperationsEquipment, documentation, legal and wellness. 266 questions10 to 14%of the exam
  5. 05Secondary AssessmentHistory, the focused exam and reassessment. 136 questions5 to 9%of the exam
NREMT · Patient Treatment & Transport

try one, it’s free

A patient has a penetrating chest wound with an audible sucking sound on inspiration. Your next action is to:

Choose one answer

pick one to see why

Seal the wound first.An open chest wound is sealed first, with a vented chest seal or an occlusive dressing, so air stops entering the chest through it; then watch for a developing tension pneumothorax.

Try a drill →

70 to 120 questions, computer-adaptive2 hours whatever length you get$104 exam fee, per attempt15 days wait before a retake

The real exam. Figures checked September 2026. Confirm every one on nremt.org before you book.

First Responder

Level 1 · 0 XP · 0 / 100 XP to Level 2. One level and one streak count across every LevlPrep course.

Answer a few questions and your topic-area readings appear here.

Start here

A 20-question domain drill

Short and focused, with each answer checked as you go. Your weakest topics show up on the dashboard once you have answered a few.

Start a drill
Review queue

Nothing due yet

Anything you miss comes back when you are about to forget it, not on a fixed date.

Open review →
Today’s goal

0 of 15

Questions, cards and tool steps from any LevlPrep subject count toward a daily goal and a shared streak.

Practice now →

The lead

Open the notesFree forever Every chapter of the EMT curriculum, with glossary terms, flowcharts and mnemonics alongside.Airway ManagementCh 9Primary AssessmentCh 12Respiratory EmergenciesCh 19Cardiac EmergenciesCh 20Bleeding ControlCh 29EMS OperationsCh 38

How this course works

1

Run a 20-question drill

Short and focused, with every answer explained. Your weakest topic areas show up once you have answered a few. Start a drill →

2

Read what it points to

Forty chapters of notes, free forever, from the call to the handover. Open the notes →

3

Sit a timed exam

A full length exam on the clock, scored by domain when you finish, so test day feels familiar. See the exams →

100questions on the clockStart a timed examExamsFull length, exam paced, scored by domain when you finish.

Watch the lessons

18:58Intro to EMS: How the EMS System Works (EMT Chapter 1)Video lesson · 19 min

All videos on our YouTube channel →

Tools

Body MapFreeA real 3D model. Turn the body, tap a region and get the structures, landmarks and findings.ScenariosPremiumTwenty-five branching calls, dispatch to handover.Skill SheetsFreeThe psychomotor stations and what fails them.

All 6 tools →

Body Map figure from BodyParts3D © 2008 Life Science Integrated Database Center, CC BY-SA 2.1 JP.

Free

Everything to start

Start now, with no card.

  • Study notes, glossary, flowcharts, mnemonics, flashcards and the body map
  • 15 practice or review questions a day, any topic
  • One full timed exam and one adaptive exam
Start practicing
Premium · NREMT-EMT

$20.30

Founding price, $29 from February 1, 2027. One payment for 90 days.

  • The full 2,093-question bank, unlimited
  • Unlimited timed and adaptive exams
  • Unlimited missed-question review and spaced repetition
  • Readiness score and domain breakdowns
  • The clinical scenario simulator
  • The interactive lessons after chapter 8
Unlock for $20.30

Full refund within 7 days · Never renews · Secure checkout by Polar

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Questions

What the exam covers
The National Registry’s EMT exam since 7 April 2025 follows a call from arrival to handover. Every question here is tagged by the step it tests, and practice exams draw them in the exam’s proportions.
What the NREMT-EMT exam is actually like.
The format, the clock, the cost, who can sit it, what happens if you fail, and what to bring. The practice here trains the content; this page covers everything around it. Read how the real exam works.
  • The format: adaptive, not fixed
  • What it covers: the 2025 exam outline
  • Who can sit it
  • Cost
  • If you don’t pass
  • On the day
  • The week before
Question types in the bank
  • ASingle best answer
  • NSelect N (the item says how many)
  • SBuild list (drag steps into order)
  • DDrag and drop (sort items into groups)
  • TOptions table (one choice per row)
These are the item types on the National Registry’s exam. Each works by dragging, by tapping an item then its place, or from the keyboard. The Adaptive exam simulates the exam’s adaptive format.
Are the exam figures current?
Figures checked September 2026. Confirm every one on nremt.org before you book.
Is this course free?
All notes are free forever. Study notes, glossary, flowcharts, mnemonics, flashcards and the body map.
Is LevlPrep affiliated with the exam?
Independent study aid. Not affiliated with or endorsed by the National Registry of Emergency Medical Technicians.
Who makes LevlPrep?
An independent project, not a company or a training program. Premium is an optional one-time pass, and what is free is listed course by course. No ads.
How are the questions written?
Every question in every course is original, written for LevlPrep with an explanation on each one. Automated checks look for answer-position and length tells. Sources and checks.
How do I see what changed?
Corrected questions, new lessons and site fixes are listed, dated, on What’s new.
Start practicing