Intro
The EMT exam changed in 2025. Below is exactly what’s on it, how it’s scored and delivered, and a step-by-step way to prep using printable practice. The goal: fewer surprises, faster improvement, and a calm test day.

  • Format: Computer Adaptive Test (CAT); 70–120 items, 2 hours, 10 unscored pilot items. NREMT
  • New content domains (with % of exam):
    • Scene Size-up & Safety: 15–19%
    • Primary Assessment: 39–43%
    • Secondary Assessment: 5–9%
    • Patient Treatment & Transport: 20–24%
    • Operations: 10–14%. NREMT

Item Types You’ll See

Multiple Choice, Multiple Response, Options Table, Build List, and Drag-and-Drop (all fully scored as right/wrong; no partial credit). Practice the mechanics, not just the content. NREMT

What to Master in Each Domain

Primary Assessment (39–43%) — airway, breathing, circulation priorities; life-threats, baseline vitals, rapid treatment vs rapid transport.
Patient Treatment & Transport (20–24%) — airway/ventilation/oxygenation, hemorrhage control, meds within scope, packaging, safe movement.
Scene Size-up & Safety (15–19%) — PPE, hazards, resource request, triage.
Operations (10–14%) — documentation, equipment readiness, inventory, provider well-being.
Secondary Assessment (5–9%) — focused exam, history, reassessment loops. NREMT

A Simple 90-Minute Study Block (repeatable)

  1. 15 min: Rapid review of one domain (printable one-pager).
  2. 45 min: 25–35 practice questions with rationales.
  3. 20 min: Error log: what concept, what misread, what fix?
  4. 10 min: Re-do 5 missed items (spaced retrieval).

Quick Quiz (3 items + rationales)

  1. A 67-year-old is pale, cool, and confused. RR 10/shallow; radial weak. First priority?
    Answer: Open airway, support ventilation/oxygenation; then perfusion. Rationale: Airway/breathing before circulation if inadequate.
  2. MVC with entrapped driver; downed power line on hood. Next step?
    Answer: Establish scene safety—request utility, deny entry. Rationale: Hazard control precedes patient contact.
  3. Wheezing adult, speaking in phrases, SpO₂ 88%. Best immediate action?
    Answer: Administer bronchodilator per protocol and titrate oxygen. Rationale: Treat likely bronchospasm and hypoxemia; monitor response.

Practice Now (Printable)

Independent publisher; not affiliated with NREMT or any testing organization.