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NREMT · EMT-Basic cognitive exam

OnScene.
Pass the NREMT.

Scenario-based study built for shift changes and the moments between calls. 450 questions weighted to the NREMT 5-domain blueprint — designed for when a textbook is too much.

450
Scenario Qs
140
SRS flashcards
60 Qs
Practice exam
17
Badges
OnScene EMT-B
11day streak
Keep your 11-day streak alive.
Up next
Primary assessment · ABCDE
Level
Lvl 5
To next
190 XP
Progress
64%
Start scenario
Blueprint coverage
68%
Last practice exam: 76% — above the NREMT pass line

Built for between calls. Not the lecture hall.

450 scenario-based questions

Across 11 study topics, weighted to the NREMT 5-domain blueprint so what you study reflects what's actually on the test.

140 SRS flashcards

Drug indications, dosages, age-banded vitals, and BLS algorithms. The cards that trip you up come back sooner.

60-question practice exam

Mirrors the real Pearson VUE adaptive test so you know if you're ready before you sit for it.

Cited explanations

Grounded in the National EMS Education Standards 2021, Scope of Practice 2019, and 2025 AHA Guidelines for CPR & ECC — not folklore from a 10-year-old prep book.

Streaks, XP, 17 badges

Five-minute sessions on a shift change compound into mastery by test day. Earn badges as you cover the blueprint.

Offline & private

Works on the truck, in the bay, or wherever your shift takes you. No account, no tracking, no ads.

Every NREMT topic, covered.

11 study topics weighted to the NREMT blueprint. Explanations cite the National EMS Education Standards 2021, Scope of Practice 2019, and the 2025 AHA Guidelines for CPR & ECC.

Scene size-up & safety
BSI, scene safety, MOI, NOI — 15-19% of exam
Primary assessment
ABCDE, AVPU, life threats — 39-43% of exam
Secondary assessment
SAMPLE, OPQRST, vitals — 5-9% of exam
Patient treatment & transport
Airway, BLS, splinting — 20-24% of exam
EMS operations
MCI, hazmat, lifting — 10-14% of exam
Pharmacology
Drug indications, dosages, contraindications
Cardiology & resuscitation
2025 AHA Guidelines, BLS algorithms, AED
Trauma
Bleeding, shock, head and spine, environmental
Special populations
Pediatrics, geriatrics, obstetrics
Medical emergencies
Respiratory, cardiac, neurologic, behavioral
EMS systems & legal
Scope of practice, consent, HIPAA, documentation

Frequently asked questions.

Which exam does OnScene cover?+

OnScene covers the NREMT EMT-Basic cognitive certification exam — the Pearson VUE computer-adaptive test required for entry-level EMT certification in most US states.

How are questions weighted?+

Every question is weighted to the NREMT 5-domain blueprint: Scene Size-Up & Safety (15-19%), Primary Assessment (39-43%), Secondary Assessment (5-9%), Patient Treatment & Transport (20-24%), and EMS Operations (10-14%) — so what you study reflects what you'll actually see on test day.

What's the source material?+

Explanations are grounded in the National EMS Education Standards 2021, the National EMS Scope of Practice 2019, and the 2025 AHA Guidelines for CPR & ECC. Drug dosages, age-banded vitals, and BLS algorithms come from those primary sources.

What's included for free vs. Full Access?+

The free tier opens the EMS Systems unit, 20 flashcards, and one practice topic. Full Access is a one-time $14.99 unlock for every topic, all 140 flashcards, and the full 60-question practice exam. No subscription, no ads.

Who is OnScene for?+

EMT-Basic students preparing for the NREMT cognitive exam, EMR-to-EMT bridge students, IFT crews retaking after a lapsed certification, and fire academies running NREMT prep blocks.

Earn your patch.

OnScene is live on the App Store. Free to try, $14.99 one-time for every topic, the full flashcard deck, and the practice exam.