Free NREMT AEMT Practice Test

Forty original, unofficial questions in this free NREMT AEMT practice test, with an explanation and source under every question. Free, no signup.

Question 1

Cardiology · Multiple choice

You are doing chest compressions on an adult in cardiac arrest. The CPR feedback device shows a rate of 132 per minute and a depth of 2.7 inches (about 6.9 cm). What correction should you make?

• A. Keep the rate and push deeper, to at least 3 inches
• B. Slow to 100–120 per minute and reduce depth to 2–2.4 inches (5–6 cm)
• C. Slow to 80–100 per minute and keep the current depth
• D. Change nothing until the next rhythm check

How to use it: Pick an answer, then open Show answer and explanation under the question. Want a timed practice run? Answer all 40 before checking any, and don't go back — the real AEMT exam doesn't let you return to a submitted question. An average budget of 80 seconds per question (3 hours ÷ 135 items) gives 53 minutes 20 seconds for all 40; this is a pacing exercise, not an official per-question limit. Your score here is practice feedback, not a pass prediction.

The set follows the current National Registry AEMT test plan and includes multiple-response, build-list, classification, and options-box practice and two clinical-judgment scenarios. These are text-based practice versions, not the official testing interface.

Practice questions

Question 2

Medical/OB-GYN · Multiple choice

A 29-year-old man is found on a bathroom floor with a syringe nearby. He responds only to pain. Respirations are 6 per minute and shallow, SpO2 is 84% on room air, pupils are pinpoint, and he has a carotid pulse of 64. What is the best initial management?

• A. Give naloxone, then wait for him to wake up fully before doing anything else
• B. Place him in the recovery position and transport without other intervention
• C. Apply a nonrebreather mask at 15 L/min and monitor
• D. Ventilate with a bag-valve mask and oxygen, and give naloxone titrated to restore adequate breathing

Question 3

Airway · Multiple choice

A 24-year-old with asthma is sitting upright, speaking in two-word sentences, with diffuse expiratory wheezes. RR 30, HR 118, SpO2 89% on room air. She is alert. Which treatment best fits her presentation and AEMT scope?

• A. Nebulized inhaled beta-agonist bronchodilator (such as albuterol) with oxygen, titrating SpO2 toward 94–98%
• B. Nitroglycerin 0.4 mg sublingual
• C. Oral glucose
• D. Withhold oxygen so you do not suppress her respiratory drive

Question 4

Trauma · Multiple response

A 72-year-old driver was in a moderate-speed collision. He is alert and follows commands. BP 104/70, HR 118, RR 24, SpO2 93% on room air, motor GCS 6. Which TWO findings meet a red (high-risk) criterion in the 2021 National Guideline for the Field Triage of Injured Patients?

Select 2.

• A. Respiratory rate of 24
• B. Systolic BP of 104 mmHg
• C. Room-air SpO2 of 93%
• D. Heart rate greater than systolic BP
• E. Motor GCS of 6

Question 5

Medical/OB-GYN · Multiple response

A 66-year-old woman developed right-sided facial droop and arm drift 40 minutes ago, witnessed by her husband. BP 196/104, HR 88, SpO2 96% on room air. Using the cited NASEMSO national model stroke guideline, which THREE actions are appropriate?

Select 3.

• A. Give nitroglycerin to bring the blood pressure down
• B. Check her blood glucose
• C. Give oral glucose before checking her blood glucose
• D. Elevate the head of the stretcher 15–30 degrees, keeping the head and neck in neutral alignment
• E. Apply high-flow oxygen regardless of her SpO2
• F. Document the time she was last known well and who reported it

Question 6

Clinical judgment — Evaluation · Multiple choice

Ten minutes after a protocol-approved dose of sublingual nitroglycerin for chest pain, your patient says he feels lightheaded. BP has fallen from 132/84 to 86/56. He is pale but alert, and his lungs are clear. What is the best next step?

• A. Give a second nitroglycerin dose because the pain has not fully resolved
• B. Have him stand and walk to the stretcher to save time
• C. Withhold further nitroglycerin, keep him lying down, give an isotonic fluid bolus per protocol, and reassess
• D. Stop monitoring, because hypotension is an expected side effect

Question 7

EMS Operations · Multiple choice

At a bus crash you are using START triage. An adult cannot walk. She is breathing at 34 per minute without airway repositioning. What category does she receive?

• A. Minor (green)
• B. Delayed (yellow)
• C. Immediate (red)
• D. Expectant (black)

Question 8

Cardiology · Options box

Each patient has ongoing chest pain of suspected cardiac origin. Assume nitroglycerin is authorized and all other contraindications have been excluded. Applying only the cited national model guideline’s blood-pressure and recent-PDE-inhibitor criteria, mark each patient Give or Withhold.

Question 9

Medical/OB-GYN · Multiple choice

A 58-year-old insulin-dependent man is confused and cannot follow commands to swallow. His blood glucose is 38 mg/dL. Two IV attempts have failed. Which intervention is best?

• A. Oral glucose gel between his cheek and gum
• B. Glucagon by intramuscular injection per protocol
• C. No treatment until IV access is obtained at the hospital
• D. Have him drink orange juice

Question 10

Airway · Multiple choice

A 6-year-old in cardiac arrest now has a supraglottic airway in place, and two-rescuer CPR continues with uninterrupted compressions. How often should you ventilate?

• A. 1 breath every 2–3 seconds
• B. 1 breath every 6 seconds
• C. 2 breaths after every 15 compressions, pausing compressions
• D. 1 breath every 10 seconds

Question 11

Medical/OB-GYN · Multiple choice

Medical direction orders 250 mL of normal saline over 30 minutes. Your administration set delivers 10 drops/mL. What drip rate should you set? Round to the nearest whole drop per minute.

• A. 42 gtt/min
• B. 8 gtt/min
• C. 125 gtt/min
• D. 83 gtt/min

Question 12

Trauma · Multiple choice

You applied a windlass tourniquet 2–3 inches above a gushing thigh wound and tightened it until the windlass will not turn any further. Bright red bleeding continues. What should you do next?

• A. Remove the tourniquet and use direct pressure only
• B. Loosen the tourniquet slightly to relieve the patient's pain
• C. Apply a second tourniquet above the first, closer to the heart
• D. Place the second tourniquet directly over the wound

Question 13

Medical/OB-GYN · Classification (text version of drag-and-drop)

Classify each patient by the highest-severity American Diabetes Association hypoglycemia level met.

Categories: Level 1, Level 2, Level 3.

1. Glucose 66 mg/dL; alert, shaky, eating a snack on her own
2. Glucose 49 mg/dL; alert and talking and able to treat the low glucose without assistance
3. Glucose 58 mg/dL; confused and needs another person's help to treat it
4. Glucose 52 mg/dL; sweaty and anxious but able to drink juice without assistance

Question 14

Clinical judgment — Recognize cues · Multiple choice

From the doorway you see a 2-year-old lying limp on the couch. She does not look at you, is grunting with retractions between her ribs, and her skin is mottled. Using the pediatric assessment triangle, what is your general impression?

• A. Critically ill — appearance, work of breathing, and circulation are all abnormal; begin immediate intervention and prepare for rapid transport
• B. Stable — complete a full head-to-toe exam before deciding on urgency
• C. Respiratory distress only, because her appearance is normal
• D. Circulation is adequate because the skin is mottled rather than pale

Question 15

Cardiology · Multiple choice

A 61-year-old has had 30 minutes of crushing substernal chest pressure. He is alert, speaking in full sentences, SpO2 97% on room air, BP 146/90, lungs clear. He has no aspirin allergy and no bleeding history. Which medication should he get first?

• A. Naloxone
• B. High-flow oxygen by nonrebreather mask
• C. Oral glucose
• D. Chewable, non-enteric-coated aspirin, 162–325 mg

Question 16

Medical/OB-GYN · Multiple choice

A man calls 911 at 06:40 because his wife woke up with slurred speech and left arm weakness. She was normal when they went to bed at 22:15. She woke at 06:20. What time do you report as last known well?

• A. 06:40
• B. 06:20
• C. 22:15
• D. The time you arrived

Question 17

Airway · Build list

An unresponsive adult medical patient with no trauma has a definite pulse, inadequate breathing, gurgling, and visible oral secretions. The gag reflex is absent. Suction, an appropriately sized OPA, and the bag-valve mask are ready, and the OPA can be inserted promptly without delaying ventilation. Put these steps for preparing and ventilating this patient's airway in order.

Arrange in order, first to last.

• A. Insert an appropriately sized oropharyngeal airway
• B. Open the airway with a head tilt–chin lift
• C. Ventilate with a bag-valve mask and oxygen, observing chest rise
• D. Suction the mouth and oropharynx

Question 18

EMS Operations · Multiple choice

You are dispatched to a tanker truck rollover with a visible vapor cloud. How should you approach and stage?

• A. From downwind and downhill so you can see the vapor clearly
• B. From upwind, uphill, and/or upstream, staying clear of vapor, smoke, and spills
• C. Straight to the driver, because patient care comes first
• D. Through the vapor cloud quickly with the windows up

Question 19

Medical/OB-GYN · Multiple choice

A 26-year-old woman fainted at work. She now has lower abdominal pain and light vaginal bleeding; her last period was 7 weeks ago. HR 126, BP 86/58, skin pale and cool. Which impression and plan fit best?

• A. Likely a simple faint; obtain a refusal
• B. Menstrual cramps — advise an over-the-counter pain reliever
• C. Kidney stone — position of comfort and routine transport
• D. Possible ruptured ectopic pregnancy with hemorrhagic shock — treat for shock, establish IV access, and transport rapidly with early notification

Question 20

Trauma · Multiple choice

You are ventilating a 45-year-old with an isolated severe head injury through a supraglottic airway. There are no signs of brain herniation. Blood pressure and perfusion remain stable, and the airway seal and capnography waveform are satisfactory. Review the trend, then choose the best action.

• A. Slow the ventilation rate to bring ETCO2 back toward normal (about 35–45 mmHg)
• B. Continue as you are — the SpO2 is excellent
• C. Ventilate even faster to push ETCO2 below 25
• D. Stop ventilating until the ETCO2 rises

Scenario 1 — A confused man at home (Questions 21–25)

Dispatch: 67-year-old man "not acting right."

Scene: His wife says he takes insulin, skipped lunch, and was fine 45 minutes ago. He is sitting in a kitchen chair, confused and sweaty, with slurred speech and weakness in his right arm. He can say his name but not where he is. There is no sign of trauma.

Vital signs: HR 104, BP 152/88, RR 18, SpO2 96% on room air, skin cool and diaphoretic, blood glucose 41 mg/dL.

The next five questions follow this patient from scene to handoff.

Question 21

Clinical judgment — Recognize cues · Multiple response

Which THREE findings are most relevant to his most immediate threat?

Select 3.

• A. BP of 152/88
• B. Insulin use with a skipped meal
• C. SpO2 of 96%
• D. Blood glucose of 41 mg/dL
• E. His age of 67
• F. Cool, sweaty skin with confusion

Question 22

Clinical judgment — Define hypothesis · Multiple choice

What best explains his slurred speech and right arm weakness right now?

• A. An acute stroke — go straight to the stroke center without addressing glucose
• B. Bell's palsy
• C. Hypoglycemia, which can mimic a stroke — correct the glucose, then repeat the stroke assessment
• D. Hypertensive emergency that needs blood pressure lowering

Question 23

Clinical judgment — Take action · Multiple choice

Your partner established an IV in his left forearm. He still cannot reliably follow commands to swallow. Which treatment is best?

• A. Oral glucose gel
• B. IV dextrose per protocol
• C. Hold treatment until the hospital
• D. Nitroglycerin for the blood pressure

Question 24

Clinical judgment — Evaluation · Multiple choice

Ten minutes later he is alert and oriented, his speech is clear, grip strength is equal, and glucose is 108 mg/dL. He says he feels fine and does not want to go to the hospital. What is the best approach?

• A. Assess his decision-making capacity, explain the risks of refusing (including the low glucose coming back), involve medical direction per protocol, and document thoroughly
• B. Leave right away, since he is alert
• C. Tell him he is not allowed to refuse after receiving any medication
• D. Transport him against his will because he received dextrose

Question 25

Clinical judgment — Communication · Multiple response

He agrees to transport. Which THREE items belong in your verbal handoff at the hospital?

Select 3.

• A. Glucose readings with their times
• B. Only the final set of vital signs, since the earlier ones no longer matter
• C. The dextrose given, when it was given, and how he responded
• D. A diagnosis of stroke, because that was your first impression
• E. His initial stroke-like findings and the reassessment after treatment
• F. Leave out the dextrose, since his glucose is now normal

Question 26

Medical/OB-GYN · Multiple choice

After a precipitous delivery at home, you dry, warm, and stimulate a term newborn. At 45 seconds the baby is apneic with a heart rate of 80 per minute. What should you do next?

• A. Keep drying and stimulating for 2 more minutes
• B. Give blow-by oxygen and reassess in 5 minutes
• C. Begin chest compressions at a 3:1 ratio
• D. Begin positive-pressure ventilation with a bag-mask

Question 27

Cardiology · Multiple choice

A 17-year-old soccer player collapsed while sprinting and was briefly unresponsive. He is now alert and says he feels fine; his parent is with him and his vital signs are normal. Which statement best guides your care?

• A. Fainting in a young, healthy athlete is almost always harmless; release him to his parent
• B. Have him run a short sprint to see if it happens again
• C. Fainting during exertion often signals a dangerous cardiac cause — acquire and transmit a 12-lead ECG if your system does, request ALS per protocol, and transport for emergency department evaluation
• D. Give oral glucose and release him if he feels better

Question 28

Trauma · Multiple choice

A 4-year-old fell from a second-story window. He is crying, pale, with a capillary refill of 4 seconds. HR 158, BP 76/48. How should you read the blood pressure?

• A. Normal for a 4-year-old
• B. Hypotensive — the lower limit for ages 1–10 is about 70 + (2 × age), which is 78 mmHg here
• C. Hypertensive
• D. Not useful in children, so ignore it

Question 29

EMS Operations · Multiple choice

A 41-year-old man cut his wrist and told his roommate he wanted to end his life. The bleeding is controlled. He is alert and oriented and firmly refuses transport. Which statement is correct?

• A. Because he is alert and oriented he can refuse; get a signature and leave
• B. Leave and ask the roommate to drive him in later
• C. Restrain him immediately by yourself
• D. Under the national model refusal guideline, do not accept this as a routine refusal; contact medical direction, follow applicable law and local protocol for emergency evaluation and transport, and request law enforcement if needed without putting yourself in danger

Question 30

Medical/OB-GYN · Multiple choice

A 34-year-old with type 1 diabetes feels shaky and sweaty after a long run. She is alert, swallows normally, and her blood glucose is 58 mg/dL. Your protocol uses the ADA's 15–15 approach for a patient who can safely swallow. Which plan is most appropriate?

• A. Give about 15 grams of fast-acting oral carbohydrate (such as oral glucose) and recheck glucose in about 15 minutes
• B. Start an IV and give dextrose before anything else
• C. Give intramuscular glucagon right away
• D. No treatment, since she is alert

Question 31

Airway · Multiple choice

You insert a supraglottic airway in an apneic adult with a pulse. With bag ventilation you see no chest rise, hear no breath sounds, and waveform capnography shows a flat line. What should you do?

• A. Assume the capnography is faulty and keep ventilating
• B. Remove the device, reopen the airway, ventilate with a bag-valve mask and airway adjunct, then reattempt or manage per protocol
• C. Increase the ventilation rate to 30 per minute
• D. Increase the oxygen flow to 25 L/min

Question 32

Cardiology · Multiple choice

A 63-year-old with a left ventricular assist device (LVAD) called for weakness. He is alert and talking, and his skin is warm and dry. You cannot feel a radial pulse, the pulse oximeter will not give a reading, and you hear a continuous mechanical hum over his chest. What is the best interpretation and action?

• A. He is pulseless — start CPR
• B. Disconnect the controller to get an accurate pulse
• C. These findings can be expected with a continuous-flow pump; judge perfusion clinically, check the device for alarms, and contact the VAD coordinator or trained companion
• D. Wait until a pulse can be felt before transporting

Question 33

Medical/OB-GYN · Build list

After the initial birth assessment identifies a term newborn who needs resuscitation, put these selected steps in order. Follow the pathway in which apnea or bradycardia persists, and perform later steps only when their stated conditions are met.

Arrange in order, first to last.

• A. Reassess breathing and heart rate after the initial steps
• B. Begin chest compressions (3:1 with ventilations) if the heart rate stays below 60 after 30 seconds of ventilation that moves the chest
• C. Warm, dry, and stimulate; position the airway
• D. Begin positive-pressure ventilation for apnea, gasping, or a heart rate below 100

Question 34

Clinical judgment — Leadership and communication · Multiple choice

Your EMT partner is about to squeeze oral glucose gel into the mouth of a hypoglycemic patient who responds only to pain. What should you do?

• A. Speak up right away and directly: stop the oral glucose, explain that the patient cannot safely swallow, and propose IV dextrose or glucagon per protocol
• B. Say nothing; correcting a partner on scene undermines teamwork
• C. Let it happen and mention it in your documentation
• D. Step away to get the stretcher

Question 35

Medical/OB-GYN · Multiple choice

A 71-year-old man has sudden severe abdominal and back pain. You feel a pulsating mass in his abdomen, and his left femoral pulse is weaker than his right. HR 112, BP 96/60. What is the most likely cause?

• A. Kidney stone
• B. A leaking or ruptured abdominal aortic aneurysm
• C. Appendicitis
• D. Inflamed gallbladder

Scenario 2 — A reaction at a restaurant (Questions 36–40)

Dispatch: 34-year-old woman with trouble breathing at a restaurant.

Scene: She has a known shellfish allergy and ate a dish containing shrimp 15 minutes ago. She has widespread hives, says her throat feels tight, and has audible wheezing. She is anxious but alert. She did not bring her epinephrine auto-injector.

Vital signs: HR 128, BP 84/50, RR 28, SpO2 91% on room air.

The next five questions follow this patient from initial assessment through treatment and reassessment.

Question 36

Clinical judgment — Recognize cues · Multiple response

Which THREE findings show this is more than a skin-only allergic reaction?

Select 3.

• A. Her age of 34
• B. BP of 84/50
• C. Throat tightness and wheezing
• D. That she is anxious
• E. That she is alert and talking
• F. SpO2 of 91% on room air

Question 37

Clinical judgment — Define hypothesis · Multiple choice

What is your working impression?

• A. Mild allergic reaction limited to hives
• B. Panic attack
• C. Asthma attack unrelated to the meal
• D. Anaphylaxis with shock

Question 38

Clinical judgment — Take action · Build list

Starting just before first patient contact, arrange these selected milestones through reassessment after the first epinephrine dose. Other urgent care may occur concurrently.

Arrange in order, first to last.

• A. Give intramuscular epinephrine (1 mg/mL) into the mid-anterolateral thigh per protocol
• B. Reassess her symptoms and vital signs after the first epinephrine dose
• C. Rapidly identify the life threats involving airway, breathing, and circulation
• D. Confirm scene safety and use appropriate PPE

Question 39

Clinical judgment — Evaluation · Multiple choice

During initial care, oxygen and protocol-directed IV fluid resuscitation were started, and transport with ALS support was arranged. Seven minutes after the first epinephrine dose her BP is 88/54, wheezing persists, and SpO2 is 92% on oxygen. What is the best next step?

• A. Wait 30 minutes for the first dose to take full effect
• B. Repeat IM epinephrine per protocol, continue oxygen and IV fluids with reassessment, assist ventilation if breathing becomes inadequate, and continue urgent transport with ALS support if available
• C. Give an oral antihistamine instead and cancel further epinephrine
• D. Sit her bolt upright and walk her to the ambulance

Question 40

Clinical judgment — Leadership and communication · Multiple choice

As you prepare the repeat dose, your partner hands you a vial and says, "Here's the epi." What should you do before giving it?

• A. Read the vial label yourself, verify the drug, concentration, protocol dose and IM route, then confirm the checked details out loud with your partner
• B. Give it immediately; your partner already checked it
• C. Draw up the full vial so you don't need a third dose
• D. Ask your partner to give it IV instead to save time

Score your practice test

Give yourself one point only when an item is fully correct — every required choice selected, every row placed, every step in order. The real exam scores each item the same all-or-nothing way, with no partial credit.

For a partial run, divide the number correct by the number checked and record how many remain unanswered. For a completed run, use 40 as the denominator and count unanswered items as wrong. For example, 8 correct out of 10 checked is 80% with 30 unanswered; ending the full test there gives 8/40, or 20%.

Domain tally (write your number correct in each):

Read your result as feedback on these 40 questions, not a prediction. The real exam reports pass or fail against a standard set by expert panels, and 40 items — a handful per domain — cannot estimate your score on it. What it can do is point you at what to review: a miss in one domain is worth a look; repeated misses on the same idea are worth a study session. A percentage on a practice test doesn't convert to the official scaled score. Details are on our NREMT exam results page.

How the real NREMT AEMT exam works

The AEMT Certification Examination has been a single exam since July 1, 2024; there is no separate National Registry AEMT psychomotor exam anymore. Your course must still verify your competency, and your state may have its own requirements. Here is what you will face, from the National Registry's handbook, test plan, and full-education requirements:

Three rules to check in your prep. The 2019 AEMT handbook listed a 2-hour-15-minute limit; the current handbook and test plan say 3 hours. AEMT is fixed-length and linear. The AEMT test plan says you cannot return to an item after you submit it, and unanswered items at the time limit are scored wrong. Plan to answer each question once, carefully, and keep moving.

To practice the official item formats, try the National Registry's AEMT sample items on a desktop or laptop, and read the Clinical Judgment Domain Sample Packet.

What the AEMT exam covers

The test plan has six domains, with pediatric care woven through the clinical ones. This practice test allocates its questions within those published ranges:

Pediatric and newborn care appear in questions 10, 14, 26, 27, 28, 33.

Clinical judgment is the largest domain. It is the reasoning that ties the other domains together, which is why it shows up here as two full scenarios plus stand-alone questions.

Clinical judgment, step by step

The National Registry defines clinical judgment as a cycle you run again each time the setting changes — En Route, Scene, and Post Scene — plus communication and leadership. Here is what each step asks of you, and where this test practices it:

A useful habit for these cases: fix the immediate threat before the interesting finding, and after every intervention, look again.

Review your misses

A missed question is only useful if you know why you missed it. For each one, name what changed the answer:

• Fact: you didn't know the rule or number.
• Cue: you knew it but overlooked a finding in the stem.
• Priority or scope: you picked something reasonable, but not first — or not within AEMT scope.
• Math: a calculation or unit slipped.
• Instructions: you selected the wrong number of choices or misread the task.

Then read the explanation and the section of the source it links, close both, and explain the answer out loud in one or two sentences. Treat a lucky guess like a miss. A simple log keeps this honest:

Redo your missed questions in a few days without looking at the explanations first. For everything else, the AEMT handbook points candidates to their textbook and course materials, the current American Heart Association CPR and ECC guidelines, and the National EMS Education Standards; the National Registry does not endorse any prep product. And keep your local protocols separate in your head: the national exam tests the national standard, while your state and medical director decide what you actually do on a shift (National Registry: certification and licensure).

Which guidelines should I study?

Study the current AHA guidelines alongside your course materials; the clinical explanations here cite current guidance, including the 2025 AHA CPR and ECC guidelines. The National Registry said in October 2025 that it is reviewing live exam questions against the 2025 AHA guidelines, removing any that conflict, and expects newly aligned questions to become operational within 12–15 months (NREMT, Oct. 27, 2025). So the exam's resuscitation content is changing in stages, not on one date.

Common questions

Who can take the AEMT exam?

For the full-education pathway, you need a current National Registry certification or state license at the EMT level or higher, plus a state-approved AEMT course that includes the required student competencies, or a qualifying higher-level state-approved EMS course. The course must have been completed within the past two years and verified by your program director. Already state licensed or returning after a lapse? Use the National Registry's pathway for your situation. See NREMT exam registration for the application steps.

What if I don't pass?

For initial AEMT certification, you can reapply once your results post if you remain eligible and have attempts left. You have up to six attempts; remedial education is required before the fourth. A 15-day wait applies, but the handbook and formal policy describe its starting date differently. See the NREMT exam retake policy for the full rules, and confirm your earliest test date before booking.

Are these real NREMT questions?

No. Every question here is original, written for practice and checked against the published guidelines cited in its explanation. National Registry exam content is confidential, and sharing or reconstructing it violates the candidate agreement.

Related NREMT resources

• NREMT exam registration — applying, your ATT, and scheduling with Pearson
• NREMT exam results — when results post and how to read a failing score report
• NREMT exam retake policy — attempts, waiting period, and remediation
• NREMT exam accommodations — requesting testing accommodations
• NREMT recertification — keeping your AEMT certification after you pass

Sources

Exam facts were checked against the National Registry pages and documents below on October 20, 2026. Clinical explanations were checked against the cited guidelines on the same date; your local protocols may differ.

• National Registry AEMT Examination Specifications (AEMT Certification Examination Test Plan), National Registry of Emergency Medical Technicians — pp. 1–6: administration from July 1, 2024; domains and weights (p. 4); clinical judgment steps (p. 2); fixed-length linear CBT, no return after submitting, 3 hours, 135 items, 35 unscored (p. 5); item types and dichotomous scoring (p. 6)
• AEMT Candidate Handbook, Part 4: About the Examination, National Registry of Emergency Medical Technicians — Examination Format; Preparation; Starting the Examination; Examination Results; Retesting
• AEMT Full Education Program pathway, National Registry of Emergency Medical Technicians — Requirements for Certification; Examination Details; AEMT Fees
• AEMT and Paramedic Certification Examinations, National Registry of Emergency Medical Technicians — Examination Content (domain table); TEIs; sample items; Cost ($159); FAQ (no psychomotor exam from July 1, 2024)
• How the 2025 AHA Guidelines Impact National Registry Examinations (Oct. 27, 2025), National Registry of Emergency Medical Technicians — Review of current examination content (conflicting items removed); new aligned items expected operational within 12–15 months
• AEMT Certification pathways, National Registry of Emergency Medical Technicians — Full Education Program, State Licensed, and Re-entry pathways
• Retesting Policy 62.10, version 4, National Registry of Emergency Medical Technicians — pp. 1–2: initial-certification attempts, remediation and retest scheduling
• National EMS Certification and State Licensure, National Registry of Emergency Medical Technicians — Certification versus state licensure distinction
• AEMT Candidate Handbook — historical 2019 edition, National Registry of Emergency Medical Technicians — Printed p. 18, Taking the Exam: historical 2-hour-15-minute limit
• National Model EMS Clinical Guidelines, Version 3.0 — Universal Care Guideline; Shock; vital-sign appendix, NASEMSO Medical Directors Council — pp. 9–17: initial care, oxygen titration, transfer of care and pediatric assessment; p. 110: hypotension as a late sign of pediatric shock; p. 405: pediatric vital-sign reference
• National Model EMS Clinical Guidelines, Version 3.0 — Patient Refusals, NASEMSO Medical Directors Council — pp. 23–25: state-law variation, capacity assessment, suicidal intent, medical direction and documentation
• National Model EMS Clinical Guidelines, Version 3.0 — Chest Pain/ACS/STEMI, NASEMSO Medical Directors Council — pp. 31–33, especially p. 32 Treatment and Interventions 3: aspirin 162–325 mg; nitrate SBP and 48-hour PDE-inhibitor screen; nitrate-associated hypotension
• National Model EMS Clinical Guidelines, Version 3.0 — Suspected Stroke/TIA, NASEMSO Medical Directors Council — pp. 48–50: glucose assessment, model treatment threshold and positioning, no field BP lowering; p. 50: last known well for wake-up stroke
• National Model EMS Clinical Guidelines, Version 3.0 — Syncope; Abdominal Pain, NASEMSO Medical Directors Council — pp. 27–28: exertional syncope and hemorrhagic causes; pp. 51–52: abdominal aortic and ectopic-pregnancy emergencies
• 2025 AHA Guidelines — Implantable Left Ventricular Assist Devices, American Heart Association — Part 10, §18: recommendations 1–3, Synopsis, and supportive text; assess perfusion and device function
• 2025 AHA Guidelines for CPR and ECC — Part 7: Adult Basic Life Support, American Heart Association — §7.3: rate 100–120/min; depth at least 2 in (5 cm), avoid >2.4 in (6 cm)
• 2025 AHA/AAP Guidelines for CPR and ECC — Part 5: Neonatal Resuscitation, American Heart Association / American Academy of Pediatrics — §11.1 recommendation 1: ventilation by 60 seconds for apnea/gasping or HR <100 after initial steps; §6.2: compressions if HR <60 after 30 seconds of effective ventilation, 3:1 ratio
• 2025 AHA Guidelines — Opioid Overdose, American Heart Association — Part 10, §21.11 recommendations 1, 3–4 and supporting text: ventilation with a definite pulse, opioid antagonist, protective reflexes and avoiding delays in resuscitation
• Anaphylaxis: Diagnosis and Treatment — WAO guideline poster, World Allergy Organization — p. 1: diagnostic criteria and treatment steps 3–10; simultaneous help, IM epinephrine and positioning; adult maximum and repeat interval
• Hypoglycemia Guidelines (based on Standards of Care in Diabetes—2025), American Diabetes Association — Level 1/2/3 definitions; 15 g fast-acting carbohydrate and recheck in 15 minutes; glucagon when unable or unwilling to take carbohydrate by mouth
• National Guideline for the Field Triage of Injured Patients (2021), American College of Surgeons Committee on Trauma — PDF p. 2, Red Criteria: Mental Status & Vital Signs; adult/older-adult thresholds and pediatric age 0–9 SBP <70 + 2×age
• START Adult Triage Algorithm (text version), U.S. HHS, Chemical Hazards Emergency Medical Management (CHEMM) — START Adult Triage Algorithm: respiratory-rate decision and four categories, including Expectant (black)
• Guidelines for Prehospital Management of Traumatic Brain Injury, 3rd Edition, Brain Trauma Foundation — pp. 4–5: assessment recommendations, including the end-tidal CO2 target of 35–45 mmHg
• How to Apply a Tourniquet (Nov. 27, 2024), American Red Cross — 2–3 inches above the wound; tighten until bleeding stops; second tourniquet above the first if bleeding continues
• 2024 Emergency Response Guidebook, PHMSA / Transport Canada — Safety Precautions, printed p. 4 (PDF p. 6): approach cautiously from upwind, uphill and/or upstream; avoid vapors, fumes, smoke and spills
• National EMS Scope of Practice Model 2019, including Change Notices 1.0 and 2.0, NHTSA Office of EMS — Printed p. 25 SGA/capnography; p. 27 ECG acquisition/transmission versus interpretation; pp. 28–30 medication/route matrix; AEMT footnote 5 on p. 29 (PDF pp. 39, 41–44)
• 2025 AHA/AAP Guidelines — Part 6: Pediatric Basic Life Support, American Heart Association / American Academy of Pediatrics — Top 10 Take-Home Messages, no. 3: 20–30 breaths/min during CPR with an advanced airway or rescue breathing with a pulse
• National Model EMS Clinical Guidelines, Version 3.0 — Hypoglycemia, NASEMSO Medical Directors Council — pp. 84–86: clinical cues, safe oral treatment, IV dextrose and glucagon after unsuccessful IV access; separate release criteria
• National Model EMS Clinical Guidelines, Version 3.0 — Airway Management, NASEMSO Medical Directors Council — pp. 179–183: positioning, suction, OPA without gag, BVM support, chest rise and waveform capnography
• National Model EMS Clinical Guidelines, Version 3.0 — Respiratory Distress, NASEMSO Medical Directors Council — pp. 190–191, especially p. 191 Treatment and Interventions 1(a) and 4(a): oxygen titration and inhaled beta-agonists
• Hypoglycemia: Billing and Coding — clinical level definitions, American Diabetes Association — p. 1, three clinical Level 1/2/3 panels
• Emergency Treatment of Anaphylaxis: Guidelines for Healthcare Providers, Resuscitation Council UK — pp. 24–26, §§4/4.4: concurrent initial treatment and positioning; pp. 31–32: oxygen, early IV fluids for shock, adjunct limits
• Transient Ischemic Attack (TIA), American Stroke Association — Diagnosis and Treatment: transient focal symptoms still require emergency evaluation
• Bell's Palsy, NIH / National Institute of Neurological Disorders and Stroke — Overview and Signs and Symptoms: facial nerve weakness and associated manifestations
• 2025 Neonatal Resuscitation Algorithm, American Heart Association / American Academy of Pediatrics — p. 1: initial birth assessment, initial steps, reassessment and conditional ventilation/compression branches
• What Is Aortic Aneurysm?, NIH / National Heart, Lung, and Blood Institute — Aneurysm definition and distinction between rupture and dissection
• Aortic Aneurysm Symptoms, NIH / National Heart, Lung, and Blood Institute — Abdominal aortic aneurysm symptoms and rupture warning signs
• TeamSTEPPS: Check-Back (or Repeat-Back), Agency for Healthcare Research and Quality — Opening definition and sender/receiver/source confirmation process
• Independent Double Checks: Worth the Effort if Used Judiciously and Properly, Institute for Safe Medication Practices / ECRI — Conduct Double Checks Independently; compare product and order without being told the expected finding
• Anaphylaxis: A 2023 Practice Parameter Update, AAAAI / ACAAI Joint Task Force on Practice Parameters — PDF pp. 4 and 19: adult IM epinephrine, early treatment and supportive oxygen/fluids
• Signs, Symptoms, and Treatment for Hypoglycemia, American Diabetes Association — Common signs and symptoms; How do you treat low blood glucose?; 15–15 Rule
• National Model EMS Clinical Guidelines, Version 3.0 — Implantable Ventricular Assist Devices — assessment, NASEMSO Medical Directors Council — p. 39: non-pulsatile flow, perfusion assessment, pump hum, alarms and VAD coordinator contact
• Derived calculation (Castleport worked math) — Drip rate (gtt/min) = volume (mL) × drop factor (gtt/mL) ÷ time (min)

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By the Castleport Test Prep Editorial Team.