The NREMT cognitive exam is a dynamic, computer-adaptive test (CAT) that adjusts the difficulty of questions based on your performance. It's designed to assess how well you understand and can apply EMS concepts in realistic situations.

What’s tested under the updated NREMT content domains for EMTs? Here’s a closer look:

• Scene Size-Up and Safety: This domain evaluates your ability to quickly and accurately assess an emergency scene for potential hazards, ensuring the safety of yourself, your crew, and the patient. It also includes planning your initial approach to the situation and identifying the number of patients and additional resources needed.
• Primary Assessment: This critical domain focuses on the rapid identification and immediate management of any immediate life threats to the patient. It encompasses the systematic evaluation of the patient's airway, breathing, circulation, and level of consciousness, which helps establish the urgency of their condition and prioritize immediate interventions.
• Secondary Assessment: Following the primary assessment, this domain involves a more detailed and systematic examination of the patient. This includes gathering a comprehensive medical history (SAMPLE history), performing a thorough physical assessment (head-to-toe or focused exam), and identifying any underlying medical conditions or injuries that will influence subsequent patient care and transport decisions.
• Patient Treatment and Transport: This expansive domain covers the full spectrum of interventions you'll provide to the patient. This ranges from managing major body systems (respiratory, cardiovascular, musculoskeletal, nervous) to safe and effective medication administration, controlling life-threatening bleeding, addressing environmental emergencies, and securely preparing the patient for transport to a medical facility. It emphasizes appropriate interventions based on patient presentation.
• Operations: This domain addresses broader aspects of EMS operations and professional conduct. It includes effective communication with dispatch, other healthcare providers, and scene personnel, efficient management of equipment inventory, proper documentation, and ensuring the ambulance is properly stocked, maintained, and ready for immediate response.

Note: Pediatric patient care scenarios are integrated throughout all these domains, ensuring comprehensive understanding across all age groups.

You'll receive between 70 to 120 questions, and the exam can conclude early once a passing standard is determined. Our NREMT exam simulator accurately replicates this unpredictable scoring structure, allowing you to track your readiness with precision.