Page 1 of 110
“NRCME DOT EXAM QUESTIONS AND
ANSWERS VERIFIED 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NRCME DOT Practice Test EXAM fully solved & updated 2026(latest version
verified for accuracy) (Questions + Answers) Solved 100% Correct!!
You are examining a driver who meets the physical qualification standards
outlined in the FMCSRs with the exception that he does not meet the hearing
standard. How should you fill out the Medical Examiner Determination section
of his Medical Examination Report Form, MCSA-5875?
A) Check the box "determination pending" and require additional audiology
evaluation
B) Check the box "accompanied by a SPE certificate"
C) Check the box "qualified by operation of 49 CFR 391.64 Federal"
D) Check the box "accompanied by a waiver/exemption" and indicate hearing
as type
D) Check the box "accompanied by a waiver/exemption" and indicate hearing as
type
According to FMCSA, the whisper test is sufficient to screen for hearing acuity
at what minimum distance?
A) 12 feet
, Page 2 of 110
B) 10 feet
C) 5 feet
D) 3 feet
C) 5 feet
According to FMCSA's classification, a BP of 162/104, confirmed by repeat
measure, is:
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
B) Stage 2
Which of the following are disqualifying?
A) Pacemaker
B) Implantable defibrillator
C) Both are disqualifying
D) Neither are disqualifying
B) Implantable defibrillator
The driver's BP is 148/96 x 2. You verify her history, which indicates she has
previously had normal BPs and her exam indicates she is otherwise qualified..
You may certify her for:
A) 3 months
B) 6 months
C) 1 year
D) 2 years
C) 1 year
The driver's current BP is 135/76. Your records indicate a history of Stage 3
hypertension 4 years ago. The maximum certification for this driver is:
A) 3 months
B) 6 months
, Page 3 of 110
C) 1 year
D) 2 years
B) 6 months
A harsh, medium pitch systolic murmur detected at the 3rd left intercostal
space is consistent with
A) Pulmonic stenosis
B) Ventricular septal defect
C) Aortic insufficiency
D) Mitral stenosis
A) Pulmonic stenosis
Last year, the driver was certified for 1-year, due to a a Stage 1 BP. On her next
recertification, she qualified for 3-months as her BP was still Stage 1. She now
presents 3 months later with confirmed BP of 128/82 , tolerating her
antihypertensives. Which of the following should the ME do?
A) Recognize that a complete exam is unnecessary as the ME is the same one
who provided the last exam and certificate the recent 3-month certificate
B) Certify the driver for 6 months due to her BP previously being elevated for
more than a year
C) Certify the driver for 12 months since BP now controlled and educate her on
importance of maintenance
D) Educate the driver to carry print out from her electronic BP monitor with her
C) Certify the driver for 12 months since BP now controlled and educate her on
importance of maintenance
A 28 year old driver requests a new driver exam. He was diagnosed with
diabetes 5 weeks ago and is doing well on insulin. His sister has diabetes so
he was familiar IDDM before diagnosed. He was aware of the option to be
qualified on insulin, presents for his exam. What action should you take?
A) Inform driver he must be on insulin for 6 months prior to the examination
B) Conduct the exam but note temporarily disqualified until his 6th month
anniversary of insulin treatment
C) Conduct the exam and certify him for 1 year if otherwise qualified,
, Page 4 of 110
documenting his understanding of self-management
D) Refer the driver to his regularly treating clinician to undergo an assessment
then return with the ITDM form
D) Refer the driver to his regularly treating clinician to undergo an assessment then
return with the ITDM form
What conditions are required by the insulin-treated driver to meet the
requirements as a qualified CMV driver?
A) Must have a glucometer with memory for documentation
B) Must have a battery-operated refrigerator for storing insulin in the vehicle
C) Must use a continuous insulin pump with memory for documentation
D) Must have candy bars at the ready for suspected low blood sugar reactions
A) Must have a glucometer with memory for documentation
A driver with a history of diabetes treated by insulin presents for
recertification. He describes an episode of hypoglycemia shortly after his last
certification resulting in loss of consciousness. His insulin was adjusted and
he has had no hypoglycemic events since. You should first:
A) Disqualify the driver
B) Qualify the driver for only 6 months
C) Ask to see any interim ITDM forms from his regular clinician
D) Request full copies of all diabetes records over the page 5 years
C) Ask to see any interim ITDM forms from his regular clinician
A driver with diabetes presents for recertification. His treatment includes an
incretin mimetic. Records from his endocrinology specialist provide clearance
and report good tolerance of medication, driver's self- monitoring, and A1C
6.9%. Exam in your office is within normal limits. You should
A) Disqualify driver until off incretin mimetic
B) Qualify driver for 3 months
C) Qualify driver for 1 year
D) Qualify driver for 2 years
D) Qualify driver for 2 years
“NRCME DOT EXAM QUESTIONS AND
ANSWERS VERIFIED 2026 ”LATEST EXAM 2026
– 2027 SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST VERSION)
WELL REVISED 100% GUARANTEE PASS
NRCME DOT Practice Test EXAM fully solved & updated 2026(latest version
verified for accuracy) (Questions + Answers) Solved 100% Correct!!
You are examining a driver who meets the physical qualification standards
outlined in the FMCSRs with the exception that he does not meet the hearing
standard. How should you fill out the Medical Examiner Determination section
of his Medical Examination Report Form, MCSA-5875?
A) Check the box "determination pending" and require additional audiology
evaluation
B) Check the box "accompanied by a SPE certificate"
C) Check the box "qualified by operation of 49 CFR 391.64 Federal"
D) Check the box "accompanied by a waiver/exemption" and indicate hearing
as type
D) Check the box "accompanied by a waiver/exemption" and indicate hearing as
type
According to FMCSA, the whisper test is sufficient to screen for hearing acuity
at what minimum distance?
A) 12 feet
, Page 2 of 110
B) 10 feet
C) 5 feet
D) 3 feet
C) 5 feet
According to FMCSA's classification, a BP of 162/104, confirmed by repeat
measure, is:
A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4
B) Stage 2
Which of the following are disqualifying?
A) Pacemaker
B) Implantable defibrillator
C) Both are disqualifying
D) Neither are disqualifying
B) Implantable defibrillator
The driver's BP is 148/96 x 2. You verify her history, which indicates she has
previously had normal BPs and her exam indicates she is otherwise qualified..
You may certify her for:
A) 3 months
B) 6 months
C) 1 year
D) 2 years
C) 1 year
The driver's current BP is 135/76. Your records indicate a history of Stage 3
hypertension 4 years ago. The maximum certification for this driver is:
A) 3 months
B) 6 months
, Page 3 of 110
C) 1 year
D) 2 years
B) 6 months
A harsh, medium pitch systolic murmur detected at the 3rd left intercostal
space is consistent with
A) Pulmonic stenosis
B) Ventricular septal defect
C) Aortic insufficiency
D) Mitral stenosis
A) Pulmonic stenosis
Last year, the driver was certified for 1-year, due to a a Stage 1 BP. On her next
recertification, she qualified for 3-months as her BP was still Stage 1. She now
presents 3 months later with confirmed BP of 128/82 , tolerating her
antihypertensives. Which of the following should the ME do?
A) Recognize that a complete exam is unnecessary as the ME is the same one
who provided the last exam and certificate the recent 3-month certificate
B) Certify the driver for 6 months due to her BP previously being elevated for
more than a year
C) Certify the driver for 12 months since BP now controlled and educate her on
importance of maintenance
D) Educate the driver to carry print out from her electronic BP monitor with her
C) Certify the driver for 12 months since BP now controlled and educate her on
importance of maintenance
A 28 year old driver requests a new driver exam. He was diagnosed with
diabetes 5 weeks ago and is doing well on insulin. His sister has diabetes so
he was familiar IDDM before diagnosed. He was aware of the option to be
qualified on insulin, presents for his exam. What action should you take?
A) Inform driver he must be on insulin for 6 months prior to the examination
B) Conduct the exam but note temporarily disqualified until his 6th month
anniversary of insulin treatment
C) Conduct the exam and certify him for 1 year if otherwise qualified,
, Page 4 of 110
documenting his understanding of self-management
D) Refer the driver to his regularly treating clinician to undergo an assessment
then return with the ITDM form
D) Refer the driver to his regularly treating clinician to undergo an assessment then
return with the ITDM form
What conditions are required by the insulin-treated driver to meet the
requirements as a qualified CMV driver?
A) Must have a glucometer with memory for documentation
B) Must have a battery-operated refrigerator for storing insulin in the vehicle
C) Must use a continuous insulin pump with memory for documentation
D) Must have candy bars at the ready for suspected low blood sugar reactions
A) Must have a glucometer with memory for documentation
A driver with a history of diabetes treated by insulin presents for
recertification. He describes an episode of hypoglycemia shortly after his last
certification resulting in loss of consciousness. His insulin was adjusted and
he has had no hypoglycemic events since. You should first:
A) Disqualify the driver
B) Qualify the driver for only 6 months
C) Ask to see any interim ITDM forms from his regular clinician
D) Request full copies of all diabetes records over the page 5 years
C) Ask to see any interim ITDM forms from his regular clinician
A driver with diabetes presents for recertification. His treatment includes an
incretin mimetic. Records from his endocrinology specialist provide clearance
and report good tolerance of medication, driver's self- monitoring, and A1C
6.9%. Exam in your office is within normal limits. You should
A) Disqualify driver until off incretin mimetic
B) Qualify driver for 3 months
C) Qualify driver for 1 year
D) Qualify driver for 2 years
D) Qualify driver for 2 years
