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Exam (elaborations)

NRCME Examination Practice Questions with Complete Solutions

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NRCME Examination Practice Questions with Complete Solutions

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January 9, 2026
Number of pages
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Written in
2025/2026
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NRCME Examination Practice
Questions with Complete Solutions16

An unrestricted CMV Driver Medical Certificate must be renewed:

A) Annually

B) Every 2 eyars

C) Every 4 years

D) When the state issued driver's license is renewed - ANSWERS-B) Every 2 years



FMCSA regulate interstate commercial operations including the:

A) Driver

B) Vehicle

C) Motor Carrier

D) All of the above - ANSWERS-D) All of the above



The primary mission of FMCSA is to:

A) improve the quality of the highways

B) promote the safety of the roads

C) regulate the performance of medical exams

D) ensure state regulations coincide with federal regulations - ANSWERS-B) promote the safety
of the roads



Drivers of which of the following vehicles DO NOT require a CMV certificate?

A) vehicles weighing over 26,000 lb

B) vehicles weighing under 26,000 lbs and transporting hazardous material with placarding

,C) Vehicles weighing under 10,000 lb and designed to transport up to 12 persons (including
driver) without compensation

D) drivers of all the above require CMV certification - ANSWERS-C) Vehicles weighing under
10,000 lb and designed to transport up to 12 persons (including driver) without compensation



What differentiates whether certification is required for interstate versus intrastate?

A) The carrier's job description for the driver

B) The driver's medical history

C) the state in which the driver's CDL is issued

D) The origination and/or destination of the commerce or goods - ANSWERS-D) The origination
and/or destination of the commerce or goods



You wish to review records on a driver who is otherwise qualified and designate him as
"determination pending" for the 30 days remaining on his current certification. Upon review of
the records, you amend him to qualified for one year. What date do you designate on your
certificate?

A) One year from the date you qualify the driver and amend the pending status

B) One year from the date the exam was conducted - ANSWERS-A) One year from the date you
qualify the driver and amend the pending status



According to regulation, which of the following must be evaluated as part of the eye exam?



A) pupil reaction

B) iris symmetry

C) conjunctival injection

D) tonometry pressures - ANSWERS-A) pupil reaction



Vision testing may be performed and certified by which of the following?

, A) licensed ophthalmologist

B) licensed optometrist

C) certified medical examiner

D) all of the above - ANSWERS-D) All of the above



The driver's corrected visual acuity is: right eye 20/40, left eye 20/80, both eyes 20/40. The
examiner should



A) Refer the driver to optometrist for second opinion

B) Disqualify driver and inform of the visual exemption program

C) End the examination at this point as it will not qualify

D) Continue the exam and explain to driver the process for approval of monocular vision -
ANSWERS-D) Continue the exam and explain to driver the process for approval of monocular
vision



Which of the following is not a required eye exam procedure or assessment?



A) Fundoscopic exam

B) Confrontation

C) Pupillary reaction

D) Extraocular movement - ANSWERS-A) Fundoscopic exam



A driver who wears corrective contact lenses has the following uncorrected visual acuity: right
eye 20/80, left eye 20/40, both eyes 20/60. He has the following corrected visual acuity: right
eye 20/40, left eye 20/20, both eyes 20/40. Which of the following advice should the examiner
provide?

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