You’ve put in the hours, survived clinicals, and made it through paramedic school, but now comes the true test: passing the NREMT Paramedic Exam.
And make no mistake: this isn’t an exam you can wing. It’s intense, adaptive, and designed to challenge even the most seasoned test-taker. To succeed, you need a strategy.
That’s exactly what you get with How To NREMT.
We specialize in helping students pass the NREMT Cognitive Exam. Our 10-step Paramedic Test Prep Course is built from the ground up for serious candidates who want to study smarter, not harder.
Whether you’re testing for the first time or coming back for another attempt, we’ll give you the tools, system, and support to get it done.
What Makes Our Paramedic Prep Course Different?
Passing the NREMT exam isn’t a matter of memorizing facts. Instead, you must know how to break down questions, apply clinical judgment, and stay calm under pressure. Our course is built to mimic the exam in format, difficulty, and structure, so nothing on test day feels unfamiliar.
Here’s what you get with full access:
- The complete 10-Step Training Plan with tracking
- Over 2,000 NREMT-style practice questions
- Clinical Judgment and TEI practice: Drag & Drop, Build List, Checkbox formats
- 1,900+ pre-made flashcards
- NREMT exam simulator scored out of 1500
- Anatomy & Physiology review with an assessment
- 2-hour video: 101 Tips & Tricks
- All new content updates
- Unlimited live group coaching
- 24/7 access to your AI tutor, Mr. How To
This is the exact prep platform thousands of EMS students rely on to pass their certification exam and start their careers with confidence.
What’s Covered: NREMT Paramedic Exam Domains
As of 2025, the National Registry exam for paramedics focuses on six domains, each reflecting real-world scenarios and requiring applied knowledge, not just textbook facts. Pediatric patient care is integrated throughout all content areas.
Airway, Respiration & Ventilation
Learn advanced airway management, oxygenation techniques, ventilator settings, waveform capnography, and intubation protocols.
Cardiology & Resuscitation
Train to recognize cardiac emergencies, interpret ECGs, understand pharmacologic interventions, and lead resuscitation efforts using current AHA standards.
Trauma
Build confidence in trauma scene management, hemorrhage control, spinal precautions, multi-system trauma prioritization, and decision-making under pressure.
Medical/Obstetrics/Gynecology
Cover a wide range of conditions from diabetic emergencies to behavioral health and OB/GYN presentations. Includes stroke care, seizure management, sepsis recognition, and more.
EMS Operations
Understand how to function within EMS systems, including disaster response, triage, radio communication, legal responsibilities, and scene safety.
Clinical Judgment
The most heavily weighted section. You’ll learn how to analyze complex patient scenarios, synthesize data, choose interventions, and adapt as new information arises. This is the thinking part of the test, and we train you to handle it like a pro.
Inside the 10-Step Training Plan
Our flagship 10-step training system walks you through a logical sequence that builds knowledge, confidence, and test-taking skill with every step.
Step 1: Watch Masterclass Videos
Learn how the exam works, what to expect, and how to approach it strategically.
Step 2: Review All Flashcards
Access 1,900+ expertly curated flashcards. No need to make your own.
Step 3: Complete A&P Review
Reinforce foundational knowledge with a dedicated Anatomy & Physiology course and a readiness test.
Step 4: Practice with 2,000+ Questions
Answer questions that look, feel, and score like the real test.
Step 5: Study the Documents
Use the included vital sign sheets, drug lists, and study guides to sharpen your prep.
Step 6: Watch the 101 Tips & Tricks Video
Two hours of insider strategies to help you eliminate wrong answers and think like the test-maker.
Step 7: Pass Three Final Exams
Simulate the real testing experience under pressure. Your goal: three 80%+ scores in a row.
Step 8: Train with TEIs
Master Technology Enhanced Items (TEIs) such as Build List, Checkbox, and Drag & Drop formats introduced in the July 2024 update.
Step 9: Take the NREMT Exam Simulator
See how your performance scores out of 1500, the same as the real exam.
Step 10: Complete the “Am I Ready to Test?” Checklist
Before you even schedule your test, you’ll have a clear yes or no.
Exam Format: What to Expect
- Number of Questions: 110 to 150
- Time Limit: 3.5 hours
- Exam Type: Computer Adaptive Test (CAT)
- Scoring: Out of 1500; passing score is 950
- Includes: Clinical judgment scenarios and unscored pilot questions
- No hands-on skills tested
Built for Students Like You
This course is made for:
- First-time paramedic test-takers
- Students who’ve failed before and want a better approach
- Busy EMTs making the jump to ALS-level care
- Those returning to testing after time away
- Anyone ready to stop guessing and start prepping strategically
Pricing Options
Choose a plan that fits your timeline and budget. All plans include access to every feature.
- Monthly Access – $33.00: Cancel anytime. Great for short-term review or trying the platform.
- 3 Months – $69.00: Regular price $99. Save 30% and give yourself room to prepare properly.
- 2 Years – $180.00: Regular price $792. Best for students juggling work, school, or long-term planning.
- Lifetime Access + 3 Hours of Tutoring – $300.00: Includes everything… forever. Plus three hours of one-on-one coaching to sharpen your skills.
