NRCME NEWEST VERSION 2025 REAL EXAM WITH QUESTIONS
AND ANSWERS(VERIFIED ANSWERS) WITH RATIONALES
what is the #1 cause of fatalities in the US involving CMVs?
FATIGUE
ways to reduce fatigue in drivers...
- schedule
- question routines during PE
PE requirements
T/F: a driver does not need to have a PE done before returning to work after an illness or injury that
interferes with driving
FALSE
a driver DOES need to have a PE done
how often does every CMV driver need to be medically recertified?
a. 6 months
b. 1 year
c. 2 years
,d. 4 years
c. 2 years
this is the MAX length of time... medical examiner can certify for < 2yrs if more frequent monitoring is
required
driver qualifications
- must have been trained in an approved DOT/FMCSA training program
- valid drivers license --> denotes ability to pilot CMV > 10,001lbs or vehicle that transports > 16
passengers or carries hazardous material
- must have current Medical Examiner's certificate at all times while operating CMV
- must be in random drug and alcohol testing program if CMV > 26,001lbs
T/F: farmers are exempt for local hauling within a 200 mi radius of their farm
FALSE
they are exempt within 150 mi radius... if hired, they must have a CMV PE
physical requirements
- no loss of foot, leg, hand, or arm
- no impairment of hand or finger that interferes with prehension or power grasping
,- no impairment of arm, foot, or leg that interferes with ability to drive
- no medical hx of DM treated with insulin that is poorly controlled
- no hx of cardiac conditions that cause syncope, dyspnea, collapse, or CHF
drivers with physical impairments that affect their ability to operate CMVs or have missing limbs must
maintain a ________ certificate
what does this application include?
Skill Performance Evaluation (SPE)
**drivers are tested at regional centers throughout the US
SPE Application:
- unilateral SPE certificate application
- driver employment application
- medical exam report
- medical examiner's certificate stating "accompanied by SPE"
- medical eval from physiatrist or ortho surgery
- copy of road test and certificate
- driver's license
, - state motor vehicle driving record x 3 years
- copy of SPE certificate with physical defects
for how long must a copy of a driver's medical examiner's certificate and medical exam report be
retained on file at the office?
a. 1 year
b. 2 years
c. 3 years
d. 5 years
c. 3 years
the driver must sign the certificate
T/F: HIPPA dies not apply to DOT exams when dealing with the employer or another provider
TRUE
however, any 3rd party must have a signed release form from the driver
(discretionary guides/non-discretionary standards) immediately disqualify the driver when conditions
are met
AND ANSWERS(VERIFIED ANSWERS) WITH RATIONALES
what is the #1 cause of fatalities in the US involving CMVs?
FATIGUE
ways to reduce fatigue in drivers...
- schedule
- question routines during PE
PE requirements
T/F: a driver does not need to have a PE done before returning to work after an illness or injury that
interferes with driving
FALSE
a driver DOES need to have a PE done
how often does every CMV driver need to be medically recertified?
a. 6 months
b. 1 year
c. 2 years
,d. 4 years
c. 2 years
this is the MAX length of time... medical examiner can certify for < 2yrs if more frequent monitoring is
required
driver qualifications
- must have been trained in an approved DOT/FMCSA training program
- valid drivers license --> denotes ability to pilot CMV > 10,001lbs or vehicle that transports > 16
passengers or carries hazardous material
- must have current Medical Examiner's certificate at all times while operating CMV
- must be in random drug and alcohol testing program if CMV > 26,001lbs
T/F: farmers are exempt for local hauling within a 200 mi radius of their farm
FALSE
they are exempt within 150 mi radius... if hired, they must have a CMV PE
physical requirements
- no loss of foot, leg, hand, or arm
- no impairment of hand or finger that interferes with prehension or power grasping
,- no impairment of arm, foot, or leg that interferes with ability to drive
- no medical hx of DM treated with insulin that is poorly controlled
- no hx of cardiac conditions that cause syncope, dyspnea, collapse, or CHF
drivers with physical impairments that affect their ability to operate CMVs or have missing limbs must
maintain a ________ certificate
what does this application include?
Skill Performance Evaluation (SPE)
**drivers are tested at regional centers throughout the US
SPE Application:
- unilateral SPE certificate application
- driver employment application
- medical exam report
- medical examiner's certificate stating "accompanied by SPE"
- medical eval from physiatrist or ortho surgery
- copy of road test and certificate
- driver's license
, - state motor vehicle driving record x 3 years
- copy of SPE certificate with physical defects
for how long must a copy of a driver's medical examiner's certificate and medical exam report be
retained on file at the office?
a. 1 year
b. 2 years
c. 3 years
d. 5 years
c. 3 years
the driver must sign the certificate
T/F: HIPPA dies not apply to DOT exams when dealing with the employer or another provider
TRUE
however, any 3rd party must have a signed release form from the driver
(discretionary guides/non-discretionary standards) immediately disqualify the driver when conditions
are met
