NRCME TEST QUESTIONS / 240+ COMPLETE QUESTIONS AND CORRECT
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
1. What minimum PaO2 Correct answer is "D". To be qualified, the driver should meet a minimum
level is necessary if the arterial blood gas (PaO2) greater than 65.
driver has an ABG due
to a chronic respiratory
disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
2. A driver first perceives Correct answer is "B". The driver is qualified to drive without restriction
a whispered voice at as long as he is able to perceive a whispered voice at 5 feet in 1 ear.
5 feet in his right ear
and 4 feet in his left
ear. All other aspects of
his physical examina-
tion are unremarkable.
The examiner should:
a.Permanently disqual-
ify the driver because
he "failed" the whis-
pered voice test.
b.Certify the driver for
2 years.
c.Certify the driver for 1
year.
d.Require an audio-
metric test to deter-
mine the extent of
hearing loss in his left
ear.
, NRCME TEST QUESTIONS / 240+ COMPLETE QUESTIONS AND CORRECT
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
3. A driver reports for an Correct answer is "A". The driver has not completed the required 2-mon-
examination 6 weeks thwaiting period, but all other requirements for medical clearance and
after suffering a mild required testing have been met. The driver would be certified for 1 year at
heart attack and pre- the completion of the waiting period. The date of the certification would
sents a note from be from the date of the original examination.
his cardiologist stating
that he is able to return
to work immediate-
ly without restriction.
Included within the
note, the cardiologist
provides recent test-
ing information show-
ing that the driver had
an ETT that showed
he was able to reach
12 METS during the
test. His echocardio-
gram showed an ejec-
tion fraction of 65%.
The examination of the
driver is unremarkable.
The examiner should:
a. Temporarily disquali-
fy the driver.
b. Qualify the driver for
1 year.
c. Qualify the driver for
2 years.
d. Consult with the car-
, NRCME TEST QUESTIONS / 240+ COMPLETE QUESTIONS AND CORRECT
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
diologist to determine
if the driver suffers
from angina.
4. A driver provides an Correct answer is "B". The examiner would average the results from 500
audiometric test docu- Hz, 1000 Hz and 2000 Hz. This average is 38.33 in the Right and 43.33 in
menting the following: the Left ear. A driver must have an average hearing loss of less than or
1. 500 Hz: 2. 1000 HZ: 3. equal to 40 in the better ear. This does not have to be met in both ears.
2000 HZ: 4. 4000 Hz:
35 Right ear; 40 Left ear
40 Right ear; 45 Left ear
40 Right ear; 45 Left
ear 50 Right ear; 50 Left
ear
5.
The medical examiner
should:
a. Disqualify the driver
because he does not
meet minimum hear-
ing requirementsto dri-
ve.
b. Certify the driver for
2years.
c. Certify the driver for
1 year.
d. Require the driver
to obtain a hearing ex-
emption.
5.
, NRCME TEST QUESTIONS / 240+ COMPLETE QUESTIONS AND CORRECT
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
During the examina- Correct answer is "A". A driver must exhibit a minimum peripheral vision
tion of a commercial of 70 degrees bilaterally.
driver, the examiner
notices that the dri-
ver's peripheral vision
is 70 degrees to the
left and 80 degrees to
the right. The examiner
should:
a. Qualify the driver for
2 years.
b. Require the driver to
obtain a vision exemp-
tion because of the lim-
itation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver con-
sult with an Ophthal-
mologist to determine
if the driver's periph-
eral vision meets mini-
mum standards.
6. During examination, Correct answer is "B". The driver exhibits what may be considered a
the medical examiner "flat affect" which is seen in schizophrenia and in severe depression. The
notices that the dri- driver should be evaluated by a mental health expert to make a diagnosis
ver is distant, lacks eye prior to certification.
contact and shows ab-
solutely no emotion-
al response during the
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
1. What minimum PaO2 Correct answer is "D". To be qualified, the driver should meet a minimum
level is necessary if the arterial blood gas (PaO2) greater than 65.
driver has an ABG due
to a chronic respiratory
disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
2. A driver first perceives Correct answer is "B". The driver is qualified to drive without restriction
a whispered voice at as long as he is able to perceive a whispered voice at 5 feet in 1 ear.
5 feet in his right ear
and 4 feet in his left
ear. All other aspects of
his physical examina-
tion are unremarkable.
The examiner should:
a.Permanently disqual-
ify the driver because
he "failed" the whis-
pered voice test.
b.Certify the driver for
2 years.
c.Certify the driver for 1
year.
d.Require an audio-
metric test to deter-
mine the extent of
hearing loss in his left
ear.
, NRCME TEST QUESTIONS / 240+ COMPLETE QUESTIONS AND CORRECT
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
3. A driver reports for an Correct answer is "A". The driver has not completed the required 2-mon-
examination 6 weeks thwaiting period, but all other requirements for medical clearance and
after suffering a mild required testing have been met. The driver would be certified for 1 year at
heart attack and pre- the completion of the waiting period. The date of the certification would
sents a note from be from the date of the original examination.
his cardiologist stating
that he is able to return
to work immediate-
ly without restriction.
Included within the
note, the cardiologist
provides recent test-
ing information show-
ing that the driver had
an ETT that showed
he was able to reach
12 METS during the
test. His echocardio-
gram showed an ejec-
tion fraction of 65%.
The examination of the
driver is unremarkable.
The examiner should:
a. Temporarily disquali-
fy the driver.
b. Qualify the driver for
1 year.
c. Qualify the driver for
2 years.
d. Consult with the car-
, NRCME TEST QUESTIONS / 240+ COMPLETE QUESTIONS AND CORRECT
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
diologist to determine
if the driver suffers
from angina.
4. A driver provides an Correct answer is "B". The examiner would average the results from 500
audiometric test docu- Hz, 1000 Hz and 2000 Hz. This average is 38.33 in the Right and 43.33 in
menting the following: the Left ear. A driver must have an average hearing loss of less than or
1. 500 Hz: 2. 1000 HZ: 3. equal to 40 in the better ear. This does not have to be met in both ears.
2000 HZ: 4. 4000 Hz:
35 Right ear; 40 Left ear
40 Right ear; 45 Left ear
40 Right ear; 45 Left
ear 50 Right ear; 50 Left
ear
5.
The medical examiner
should:
a. Disqualify the driver
because he does not
meet minimum hear-
ing requirementsto dri-
ve.
b. Certify the driver for
2years.
c. Certify the driver for
1 year.
d. Require the driver
to obtain a hearing ex-
emption.
5.
, NRCME TEST QUESTIONS / 240+ COMPLETE QUESTIONS AND CORRECT
TAILED ANSWERS / 2025-2026
Study online at https://quizlet.com/_gk9ej6
During the examina- Correct answer is "A". A driver must exhibit a minimum peripheral vision
tion of a commercial of 70 degrees bilaterally.
driver, the examiner
notices that the dri-
ver's peripheral vision
is 70 degrees to the
left and 80 degrees to
the right. The examiner
should:
a. Qualify the driver for
2 years.
b. Require the driver to
obtain a vision exemp-
tion because of the lim-
itation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver con-
sult with an Ophthal-
mologist to determine
if the driver's periph-
eral vision meets mini-
mum standards.
6. During examination, Correct answer is "B". The driver exhibits what may be considered a
the medical examiner "flat affect" which is seen in schizophrenia and in severe depression. The
notices that the dri- driver should be evaluated by a mental health expert to make a diagnosis
ver is distant, lacks eye prior to certification.
contact and shows ab-
solutely no emotion-
al response during the
