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EMT I99 (NREMT-I) Resources
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Understanding the exact breakdown of the EMT Intermediate 99 test will help you know what to expect and how to most effectively prepare. The EMT Intermediate 99 has multiple-choice questions . The exam will be broken down into the sections below:
| EMT Intermediate 99 Exam Blueprint | ||
|---|---|---|
| Domain Name | % | Number of Questions |
| Airway - Respiration & Ventilation | 17-21% | 19 |
| Cardiology & Resuscitation | 17-21% | 19 |
| Trauma | 18-22% | 20 |
| Medical/Obstetrics/Gyn | 26-30% | 29 |
| EMS Ops | 12-16% | 13 |
EMT Intermediate 99 Study Tips by Domain
- Open and maintain the airway with the least invasive method first (jaw-thrust if trauma suspected)—red flag: gurgling, stridor, or inability to speak signals immediate airway intervention.
- Confirm ventilation effectiveness with chest rise, breath sounds, and continuous waveform capnography when available; common trap: relying on pulse oximetry alone (it lags and can be falsely normal early).
- Provide oxygen titrated to patient status and protocol—priority rule: ventilate first if inadequate respirations; oxygen alone won’t fix hypoventilation or apnea.
- Bag-valve-mask ventilation should be at an appropriate rate with a good mask seal and airway adjunct; red flag: rising resistance or poor chest rise suggests obstruction, poor positioning, or inadequate seal.
- Use adjuncts appropriately (OPA for unconscious without gag, NPA if intact gag unless contraindicated)—contraindication cue: suspected basilar skull fracture or severe midface trauma is a stop sign for NPA.
- Monitor for and manage complications of assisted ventilation—common trap: hyperventilation (too fast/too much volume) leading to decreased venous return, gastric inflation, and worsening hypotension.
- Begin high-quality CPR immediately for pulseless patients—rate 100–120/min, depth 2–2.4 in, full recoil, minimal interruptions; red flag: stopping compressions for pulse checks longer than 10 seconds.
- Defibrillate VF/pulseless VT as soon as a defibrillator is available and resume CPR right after the shock; common trap: waiting to “confirm” a rhythm while compressions are paused.
- For asystole/PEA, focus on CPR, airway/ventilation, and rapid identification of reversible causes (H’s/T’s); priority rule: do not shock asystole—it wastes time off the chest.
- Manage symptomatic bradycardia with oxygen, IV access, and atropine 0.5 mg IV q3–5 min (max 3 mg) and be ready to pace; contraindication cue: avoid delaying transcutaneous pacing when there is hypotension, altered mental status, signs of shock, ischemic chest discomfort, or acute heart failure.
- Treat unstable tachycardia (hypotension, AMS, shock, ischemic chest pain, acute HF) with synchronized cardioversion—sedate if possible without delaying; common trap: synchronizing on polymorphic VT (treat as VF with unsynchronized defib).
- For suspected ACS, give aspirin 160–325 mg chewed unless true allergy/active bleeding and nitroglycerin only if SBP ≥ 90 and no PDE-5 inhibitor use (24 h sildenafil/vardenafil, 48 h tadalafil); red flag: inferior MI with RV involvement—nitro can precipitate profound hypotension.
- Control life-threatening hemorrhage first—direct pressure, wound packing, and tourniquet for uncontrolled extremity bleeding; red flag: don’t waste time on distal pulse checks before bleeding is controlled.
- Suspect tension pneumothorax with severe dyspnea, hypotension, and absent breath sounds on one side after chest trauma—priority is rapid recognition and ventilatory support; common trap: waiting for “tracheal deviation” as a required sign.
- Manage open chest wounds with an occlusive dressing secured on three sides when indicated and reassess often; red flag: if ventilation worsens, lift a corner to vent trapped air and support with BVM as needed.
- For suspected spinal injury, prioritize manual in-line stabilization and airway/ventilation over perfect immobilization; common trap: delaying airway interventions because a collar/backboard isn’t on yet.
- Treat shock early with high-flow oxygen as indicated, rapid control of bleeding, and judicious fluid resuscitation per protocol to maintain perfusion; red flag: permissive hypotension is contraindicated in suspected TBI (avoid under-perfusion).
- In major trauma, minimize scene time (≤10 minutes when feasible) and transport to the appropriate trauma-capable facility; common trap: performing nonessential splinting or detailed exams before addressing ABCs and rapid transport.
- Hypoglycemia: treat any altered mental status with a glucose check early; red flag is giving insulin or missing hypoglycemia when the patient is diaphoretic, tachycardic, and confused.
- Opioid overdose: prioritize ventilation over naloxone; common trap is pushing naloxone to full arousal instead of titrating to adequate respirations and causing acute withdrawal/agitation.
- Acute coronary syndrome mimic: nausea, diaphoresis, weakness, and epigastric pain can be cardiac even without chest pain; red flag is assuming “GI” only and delaying ECG/aspirin per protocol.
- Stroke: determine last known well time and check glucose before labeling as CVA; common trap is missing hypoglycemia or failing to identify anticoagulant use that raises hemorrhage risk.
- Seizure: protect airway and treat ongoing seizures per protocol, but don’t restrain or place objects in the mouth; red flag is persistent postictal hypoventilation requiring assisted ventilation.
- Obstetrics emergencies: in third-trimester supine patients, left lateral displacement is a priority rule to reduce hypotension; red flag is painless vaginal bleeding (possible placenta previa) — do not perform a vaginal exam and transport promptly.
- Follow NREMT scene safety/BSI sequence every time; red flag: entering before identifying hazards (traffic, violence, HAZMAT) is a frequent test trap.
- Use a structured primary triage method (START/JumpSTART if specified) and tag based on breathing, perfusion, mental status; red flag: spending more than ~60 seconds per patient delays overall survival.
- Know when to request ALS, additional units, or specialty resources early; priority rule: call for extra help as soon as you recognize multiple patients, entrapment, or deteriorating airway/ventilation.
- Document times and key findings precisely (dispatch, arrival, patient contact, interventions, transport) and maintain chain of custody when indicated; red flag: missing times or unsecured evidence can be treated as a care and legal failure.
- Practice safe ambulance operations and patient compartment safety; red flag: unrestrained providers/patients and unsecured equipment during transport are high-yield safety violations.
- Coordinate with incident command and communicate with medical control using a clear radio report (age, chief complaint, vitals, interventions, ETA); common trap: omitting critical vitals or failing to clarify orders/read-backs.
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Pass the EMT Intermediate 99 Exam with Realistic Practice Tests from Exam Edge
Preparing for your upcoming EMT Intermediate 99 (NREMT-I) Certification Exam can feel overwhelming — but the right practice makes all the difference. Exam Edge gives you the tools, structure, and confidence to pass on your first try. Our online practice exams are built to match the real EMT I99 exam in content, format, and difficulty.
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These EMT Intermediate 99 practice exams are designed to simulate the real testing experience by matching question types, timing, and difficulty level. This approach helps you get comfortable not just with the exam content, but also with the testing environment, so you walk into your exam day focused and confident.
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EMT Intermediate 99 Aliases Test Name
Here is a list of alternative names used for this exam.
- EMT Intermediate 99
- EMT Intermediate 99 test
- EMT Intermediate 99 Certification Test
- EMT I99 test
- NREMT
- NREMT NREMT-I
- NREMT-I test
- EMT Intermediate 99 (NREMT-I)
- EMT Intermediate 99 certification
