NRCME DOT PRACTICE TEST EXAM FULLY SOLVED & UPDATED 2025-
2026(LATEST VERSION VERIFIED FOR ACCURACY) (QUESTIONS + ANSWERS)
SOLVED 100% CORRECT!!
What minimum PaO2 level is recommended if the driver has an ABG due to a
chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - CORRECT ANSWER-D.
To be qualified, the driver should meet a minimum arterial blood gas (PaO2)
greater than 65.
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in
his left ear. All other aspects of his physical examination are unremarkable. The
examiner should:
a. Disqualify the driver because he "failed" the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his
left ear. - CORRECT ANSWER-B.
The driver is qualified to drive without restriction as long as he is able to
perceive a whispered voice at 5 feet in 1 ear.
A driver reports for an examination 6 weeks after suffering a mild heart attack
and presents a note from his cardiologist stating that he is able to return to
work immediately without restriction. Included within the note, the
cardiologist provides recent testing information showing that the driver had an
,ETT that showed he was able to reach 12 METS during the test. His
echocardiogram showed an ejection fraction of 65%. The examination of the
driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
CORRECT ANSWER-A.
The driver has not completed the recommended 2-month waiting period, but
all other requirements for medical clearance and required testing have been
met. The driver would be certified for 1 year at the completion of the waiting
period.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing
requirements
to drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption - CORRECT ANSWER-B.
,The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz.
This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have
an average hearing loss of less than or equal to 40 in the better ear. This does
not have to be met in both ears.
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right.
The examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in
the driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision meets minimum standards. - CORRECT ANSWER-A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
During examination, the medical examiner notices that the driver is distant,
lacks eye contact and shows absolutely no emotional response during the
exam. The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers
from alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is
any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving - CORRECT ANSWER-B.
, The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a
mental health expert to make a diagnosis prior to certification.
A driver admits to the use of marijuana for the treatment of his glaucoma,
which is legal in the State in which he lives. He provides medical
documentation for the glaucoma indicating he is able to drive a truck. He began
using the marijuana about three months ago. His current medical card has no
limitations listed and is for 2 years. His certification examination is within
normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing
provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - CORRECT ANSWER-A.
Use of marijuana is prohibited by Federal law while driving a CMV and trumps
State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - CORRECT ANSWER-B.
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild depression."
He reports he has not considered or attempted suicide. The examiner should:
2026(LATEST VERSION VERIFIED FOR ACCURACY) (QUESTIONS + ANSWERS)
SOLVED 100% CORRECT!!
What minimum PaO2 level is recommended if the driver has an ABG due to a
chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - CORRECT ANSWER-D.
To be qualified, the driver should meet a minimum arterial blood gas (PaO2)
greater than 65.
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in
his left ear. All other aspects of his physical examination are unremarkable. The
examiner should:
a. Disqualify the driver because he "failed" the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his
left ear. - CORRECT ANSWER-B.
The driver is qualified to drive without restriction as long as he is able to
perceive a whispered voice at 5 feet in 1 ear.
A driver reports for an examination 6 weeks after suffering a mild heart attack
and presents a note from his cardiologist stating that he is able to return to
work immediately without restriction. Included within the note, the
cardiologist provides recent testing information showing that the driver had an
,ETT that showed he was able to reach 12 METS during the test. His
echocardiogram showed an ejection fraction of 65%. The examination of the
driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. -
CORRECT ANSWER-A.
The driver has not completed the recommended 2-month waiting period, but
all other requirements for medical clearance and required testing have been
met. The driver would be certified for 1 year at the completion of the waiting
period.
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing
requirements
to drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption - CORRECT ANSWER-B.
,The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz.
This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have
an average hearing loss of less than or equal to 40 in the better ear. This does
not have to be met in both ears.
During the examination of a commercial driver, the examiner notices that the
driver's peripheral vision is 70 degrees to the left and 80 degrees to the right.
The examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in
the driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's
peripheral vision meets minimum standards. - CORRECT ANSWER-A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
During examination, the medical examiner notices that the driver is distant,
lacks eye contact and shows absolutely no emotional response during the
exam. The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers
from alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to
consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is
any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any
limitations with driving - CORRECT ANSWER-B.
, The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a
mental health expert to make a diagnosis prior to certification.
A driver admits to the use of marijuana for the treatment of his glaucoma,
which is legal in the State in which he lives. He provides medical
documentation for the glaucoma indicating he is able to drive a truck. He began
using the marijuana about three months ago. His current medical card has no
limitations listed and is for 2 years. His certification examination is within
normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing
provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - CORRECT ANSWER-A.
Use of marijuana is prohibited by Federal law while driving a CMV and trumps
State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. - CORRECT ANSWER-B.
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild depression."
He reports he has not considered or attempted suicide. The examiner should:
