NREMT EMT study guide
NREMT EMT, administered by NREMT, is mapped here as 5 topic areas; the heaviest are Primary Assessment (41%), Patient Treatment & Transport (22%) and Scene Size-Up & Safety (17%).
About this course: What do you do FIRST? Train the triage reflex - scene-safe before touch, ABCs in order, life threats treated as found.
NREMT EMT at a glance
- Questions
- 70–120
- Time allowed
- 120 minutes
- Passing standard
- CAT uses an entry-level competency standard and reports failed attempts on a 100–1500 scale with a passing point of 950, rather than a fixed percent-correct cutoff
- Standard / edition
- National Registry EMT Candidate Handbook and current updated EMT examination page, checked October 9, 2026
- Administered by
- NREMT
Source: National Registry EMT Candidate Handbook and current updated EMT examination page, checked October 9, 2026, NREMT. Confirm current details with the exam owner before you book.
- National Registry EMT Candidate Handbook
- National Registry Updated EMR and EMT Certification Examinations
Topic areas and weights
| Topic area | Weight | Concepts | Guide |
|---|---|---|---|
| Primary Assessment | 41% | 7 | Section below |
| Patient Treatment & Transport | 22% | 2 | Section below |
| Scene Size-Up & Safety | 17% | 2 | Section below |
| EMS Operations | 12% | 0 | Section below |
| Secondary Assessment | 8% | 0 | Section below |
Study plan in this course
- What Do You Do First?: Primary Assessment Sequence — 7 cards · free
- Open and Protect the Airway: Airway Management — 7 cards · free
- Breathing: Oxygen or Ventilate?: Breathing & Oxygenation — 7 cards · free
- Catch Shock Early: Circulation & Shock — 7 cards · full course
- High-Quality CPR: CPR & AED — 7 cards · full course
- Stop the Bleed: Bleeding Control — 6 cards · full course
- The EMT Drug Box: EMT Medications — 9 cards · full course
- Trauma Care Essentials: Trauma & Spinal Care — 7 cards · full course
- Move Right, Hand Off Clean: Moving & Transport Decisions — 6 cards · full course
- Size Up the Scene: Scene Size-Up & Safety — 9 cards · full course
- Many Patients, One System: MCI & START Triage — 8 cards · full course
- The Law of the Call: Medical-Legal & Consent — 6 cards · full course
- Run the Call, Keep the Record: EMS Operations & Documentation — 6 cards · full course
- The Story and the Details: Secondary Assessment & History — 7 cards · full course
Primary Assessment
Primary Assessment carries 41% of the NREMT EMT blueprint used in this course, the largest of its 5 weighted areas. It spans 7 concepts. The course teaches it in 6 study units: Primary Assessment Sequence, Airway Management, Breathing & Oxygenation, Circulation & Shock, CPR & AED and Bleeding Control.
What Primary Assessment covers
- What does AVPU measure, and what are its four levels? — NASEMSO National Model EMS Clinical Guidelines v3.0
- Which manual airway maneuver is used when you suspect a spinal injury? — 2025 AHA Guidelines Part7: Adult Basic Life Support
- What is the bag-valve-mask ventilation rate for an adult in respiratory arrest WITH a pulse? — 2025 AHA Guidelines Part7: Adult Basic Life Support
- What are the correct adult CPR compression rate and depth? — AHA 2025 / American Red Cross: item-scoped CPR evidence
- What is the compression-to-ventilation ratio for adult CPR with one or two rescuers? — AHA 2025 / American Red Cross: item-scoped CPR evidence
- When you arrive at an AED, what is the priority sequence? — AHA 2025 / American Red Cross: item-scoped CPR evidence
- How does CPR change for an infant? — AHA 2025 / American Red Cross: item-scoped CPR evidence
Official references for Primary Assessment
- NASEMSO National Model EMS Clinical Guidelines v3.0
- 2025 AHA Guidelines Part7: Adult Basic Life Support
- AHA 2025 / American Red Cross: item-scoped CPR evidence
In the app this area comes with 41 memory cards and 49 module-quiz questions and is part of the free starting modules.
Patient Treatment & Transport
Patient Treatment & Transport carries 22% of the NREMT EMT blueprint used in this course, the second-largest of its 5 weighted areas. It spans 2 concepts. The course teaches it in 3 study units: EMT Medications, Trauma & Spinal Care and Moving & Transport Decisions.
What Patient Treatment & Transport covers
- When is oral glucose indicated, and when is it contraindicated? — NASEMSO National Model EMS Clinical Guidelines v3.0
- When is naloxone given, and what care comes FIRST? — NASEMSO National Model EMS Clinical Guidelines v3.0
Official references for Patient Treatment & Transport
- NASEMSO National Model EMS Clinical Guidelines v3.0
- NASEMSO v3.0 model protocol bands + EpiPen/EpiPen Jr prescribing-label product bands
- NHTSA National EMS Education Standards 2021, current February 2025 resource
In the app this area comes with 22 memory cards and 27 module-quiz questions in the full course.
Scene Size-Up & Safety
Scene Size-Up & Safety carries 17% of the NREMT EMT blueprint used in this course, the third-largest of its 5 weighted areas. It spans 2 concepts. The course teaches it in 2 study units: Scene Size-Up & Safety and MCI & START Triage.
What Scene Size-Up & Safety covers
- What is the FIRST priority on every call, before touching a patient? — NASEMSO National Model EMS Clinical Guidelines v3.0
- What four questions does scene size-up answer? — NASEMSO National Model EMS Clinical Guidelines v3.0
Official references for Scene Size-Up & Safety
- NASEMSO National Model EMS Clinical Guidelines v3.0
- CDC Core Infection Prevention and Control Practices
- NHTSA National EMS Education Standards 2021, current February 2025 resource
- HHS REMM START Adult Triage
In the app this area comes with 17 memory cards and 20 module-quiz questions in the full course.
EMS Operations
EMS Operations carries 12% of the NREMT EMT blueprint used in this course, the 4th-largest of its 5 weighted areas. The course teaches it in 2 study units: Medical-Legal & Consent and EMS Operations & Documentation.
Official references for EMS Operations
- NHTSA National EMS Education Standards 2021, current February 2025 resource
- NASEMSO National Model EMS Clinical Guidelines v3.0
In the app this area comes with 12 memory cards and 15 module-quiz questions in the full course.
Secondary Assessment
Secondary Assessment carries 8% of the NREMT EMT blueprint used in this course, the 5th-largest of its 5 weighted areas. The course teaches it in 1 study unit: Secondary Assessment & History.
Official references for Secondary Assessment
In the app this area comes with 7 memory cards and 9 module-quiz questions in the full course.
Official references
- NHTSA National EMS Education Standards 2021, current February 2025 resource
- CDC Core Infection Prevention and Control Practices
- HHS REMM START Adult Triage
- NASEMSO National Model EMS Clinical Guidelines v3.0
- 2025 AHA Guidelines Part7: Adult Basic Life Support
- AHA 2025 / American Red Cross: item-scoped CPR evidence
- NASEMSO v3.0 model protocol bands + EpiPen/EpiPen Jr prescribing-label product bands