# How To NREMT vs Impulse Test Prep

The clearest difference is rating: Impulse Test Prep at 5.0 against How To NREMT's 4.3. Impulse Test Prep also leads on in-app purchases (none vs 1) and review sentiment (100% vs 67%). On price, ratings volume, ads and device support there is nothing between them.

Both are free to download. How To NREMT sells 1 one-off in-app purchase. Impulse Test Prep asks for nothing beyond the download.

Impulse Test Prep holds the better App Store score, 5.0 against 4.3. Both are backed by a comparable volume of ratings — 3 and 2 respectively. Written reviews point the same way: 67% of How To NREMT's written reviews are positive against 100% of Impulse Test Prep's.

How To NREMT ships an update every 14 months, Impulse Test Prep every 11 days. The most recent releases landed on October 11, 2026 and October 19, 2026 respectively.

## The numbers

| Metric | How To NREMT | Impulse Test Prep |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [4.3 (3 ratings)](https://appshunter.io/ios/app/how-to-nremt/id6484317090/reviews) | **[5.0 (2 ratings)](https://appshunter.io/ios/app/impulse-test-prep/id6790257919/reviews)** |
| Number of ratings | **3** | 2 |
| Positive reviews | 66.7% of reviews | **100.0% of reviews** |
| In-app purchases | Yes | **No** |
| Ads | No | No |
| Update frequency | Every 14 months | **Every 11 days** |
| Monetization | Free with in-app purchases | **Free** |
| Size | 29 MB | 8 MB |
| Requires iOS | 15.1 | **15.0** |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 4+ | 12+ |
| Developer | [The How To](https://appshunter.io/developer/1740587325) | [Impulse Learning LLC](https://appshunter.io/developer/6790257921) |

## What reviewers say

### How To NREMT

[App page](https://appshunter.io/ios/app/how-to-nremt/id6484317090)

Prepare for and pass the NREMT exam with this comprehensive learning tool. Practice new item types, clinical judgment scenarios, and mock exams with expert guidance. Get instant feedback and remediation to master the material.

**Highlights:** TEI & Clinical Judgment Scenario Practice, NREMT Exam Simulator, Expert EMS Professional Guidance, Mock Exams with Progress Tracking, Instant Feedback and Remediation, Timely Content Updates

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| 101 Final Tips and Tricks | $74.99 | one-time |


### Impulse Test Prep

[App page](https://appshunter.io/ios/app/impulse-test-prep/id6790257919)

Prepare for your NREMT certification exams with adaptive practice questions and detailed rationales. This tool mimics the computer-adaptive format of the actual test, focusing on your weak areas across all EMS levels. Includes simulators, trainers, and a reference library to enhance your learning.

**Highlights:** Adaptive mock exams, Rationales for every answer, Cardiac-arrest simulator, ECG rhythm and 12-lead trainer, Spaced-repetition flashcards, Progress dashboard, Full reference library

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is How To NREMT free?

How To NREMT is free to download, with in-app purchases available.

### Is Impulse Test Prep free?

Impulse Test Prep is free to download, with no in-app purchases.

### Which has better reviews, How To NREMT or Impulse Test Prep?

Impulse Test Prep is rated higher. How To NREMT averages 4.3 out of 5 from 3 ratings, while Impulse Test Prep averages 5.0 from 2 ratings.

### Do How To NREMT or Impulse Test Prep have ads?

Neither How To NREMT nor Impulse Test Prep shows ads.

### Which is updated more often, How To NREMT or Impulse Test Prep?

How To NREMT ships an update every 14 months, and Impulse Test Prep every 11 days. Most recently, How To NREMT was updated on October 11, 2026 and Impulse Test Prep on October 19, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*