NREMT practice testPractice like the NREMT actually tests.
An adaptive practice exam that gets harder when you’re right, plus scenario lessons for each domain.
The lesson plan
31 lessons in 5 chapters · about 5 minutes each
- 39–43%
1Primary assessment10
- CPR compression depth and rate Lesson 1 · free
- General impression from the doorway
- AVPU and level of consciousness
- Airway: head-tilt or jaw-thrust
- Breathing: rate, depth, effort
- Circulation: pulse, skin, bleeding
- Tourniquets for life-threatening bleeding
- Shock: spot it early
- Vital signs and pulse oximetry
- When to load and go
- 15–19%
2Scene size-up and safety5
- Scene safety before patient care
- PPE for the hazard you expect
- Count patients, call resources early
- Triage at a crowded scene
- Hazmat, traffic and violent scenes
- 5–9%
3Secondary assessment3
- SAMPLE and OPQRST histories
- Head-to-toe or focused exam
- Reassessment: what changed and why
- 20–24%
4Treatment and transport9
Patient Treatment and Transport
- AED: pads, analyze, shock
- Oxygen: cannula or nonrebreather
- Bag-mask ventilation that works
- Chest pain and stroke calls
- Epi, naloxone, aspirin, oral glucose
- Splints and spinal motion restriction
- Childbirth and newborn care
- Kids and older adults are different
- Radio report and handoff
- 10–14%
5Operations4
- Rig check before the call
- Documentation and patient refusals
- Lifting, stress and your health
- Test day: adaptive exam, explained
Built on NREMT Emergency Medical Technician (EMT) Examination Specifications · 2025
Read lesson 1: High-quality compressions
Your heart is a pump. Every beat sends blood to your brain and body, carrying the oxygen they need.
In cardiac arrest the heart stops pumping. Blood stops, and the brain gets no oxygen. Damage can start in four minutes.
Now you are the pump. The heart sits between breastbone and spine. Each push squeezes blood out; each rise lets it refill.
Adult compressions go two to two point four inches deep. That’s the green band.
Watch a tired rescuer. After a minute and a half to two minutes, depth starts to slip. Too shallow, and less blood moves.
Push hard. Every compression lands in the band. With a partner, switch compressors about every two minutes. That is about when tired hands start to slip.
Push fast: one hundred to one twenty compressions a minute. Keep pauses short. When you stop, the pressure you built drops almost at once.
Thirty compressions, then two breaths. That is the adult cycle, alone or with a partner, until an advanced airway is in.
One rescuer, adult patient. What is the compression-to-breath ratio?
- 15 : 2
- 30 : 2
- 5 : 1
Answer: 30 : 2. 30 : 2 for any adult without an advanced airway, one rescuer or two. Once an advanced airway is in, compressions go nonstop with one breath every 6 seconds.
Let the chest come all the way back up every time. Leaning on it keeps the heart from refilling fully.
Next lesson: General impression from the doorway
The full class, $34 at launch.
Paid once, when it opens. Lesson 1 is free now.
- Adaptive practice exam
- Scenario lessons, voiced
- Readiness by domain
Not affiliated with the National Registry of EMTs.
Questions
How does the practice exam work?
It adapts: harder when you’re right, easier when you’re not. At the end you see your readiness in each of the five domains.
Does this replace my EMT course?
No. To sit for the NREMT you need a state-approved EMT course with in-person skills and clinical training.
Is this affiliated with the National Registry?
No. ClassMetric is independent prep, and its questions are original.
When does it open, and what will it cost?
Lesson 1 is free now. The full class opens at $34, paid once.