NRCME (DOT) NEWEST EXAM 2026/2028 ACTUAL EXAM
TEST BANK| NRCME (DOT) CERTIFICATION EXAM PREP
WITH COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ |PDF
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. ANSWER👀 A.
This is Stage 3 hypertension. The driver is disqualified until his blood pressure is
less than 140/90 mm Hg at which time he will have a maximum certification of 6
months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the time
of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years ANSWER👀 A.
Because the driver has a history of hypertension (he is taking medication), and he
had Stage 1 hypertension during his exam, he would be provided a 1- time, 3-
month certificate in order to lower his blood pressure to an acceptable level
during that time.
During the examination, a driver is found to have a positive "Babinski" reflex. The
examiner should:
a. Certify the driver for 1 year.
,b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Not certify the driver until s/he has a neurological consultation. ANSWER👀
D.
A positive Babinski reflex is indicative of abnormalities in the motor control
pathways leading from the cerebral cortex and is widely used as a diagnostic aide
in disorders of the central nervous system. The examiner should obtain clearance
from a neurologist prior to reconsidering the driver for certification.
All of the following are required components of all DOT medical examinations
EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination ANSWER👀 D.
There are four required components of every examination: vision, hearing, blood
pressure and urinalysis. Ophthalmoscopic examination is not required but may be
done if deemed necessary.
A driver reports in his history that he was treated for epilepsy 14 years ago but
stopped taking anti-epileptic medication on his own since his move to your area
11 years ago. He has not seen a neurologist nor a health care provider in over 10
years and reports no seizures during this period. The examiner should:
a. Request medical clearance, and if obtained the driver may be certified for 1
year.
b. Request medical clearance, and if obtained the driver may be certified for 2
years.
c. Refer the driver to the epilepsy/seizure exemption program.
d. Disqualify the driver. ANSWER👀 D.
Even though the driver reports exceeding the 10-year waiting period, it was not
under medical supervision and the driver discontinued medication use and
treatment outside of medical oversight. Since the driver cannot obtain a
documented medical history this driver does not meet the non-discretionary
epilepsy standard until it is established that the driver is 10 years seizure-free
while off anti-convulsant.
,A driver reports for a re-certification examination 8 weeks after having triple
coronary artery bypass surgery.
He presents a note from his treating provider stating that he is able to return to
driving without restriction. Additionally, the note mentions that the driver's
results of his ETT were normal, and his echo showed a left ventricular ejection
fraction of 75%. The examiner should:
a. Disqualify the driver until he has completed the recommended waiting
period.
b. Disqualify the driver because his ejection fraction is too low.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ANSWER👀 A.
Following CABG, there is a recommended 3-month waiting period. Since the
driver is only at 8 weeks post-op, he would have to wait 4 more weeks until he
can certify. Once he completes his waiting period, he would be certified for 1 year
from the date of the original examination.
A 40-year-old driver presents for certification three months after undergoing
surgery for carpal tunnel syndrome. The examiner should next:
a. Order an EMG.
b. Assess grip strength.
c. Obtain assurance that the driver has completed the prescribed physical
therapy. ANSWER👀 B.
Assessing grip strength is the next logical step to assess if the driver can safely
operate a commercial motor vehicle.
A blood pressure of 166/92 mm Hg would be?
a. Considered normal.
b. Stage 1 hypertension.
c. Stage 2 hypertension.
d. Stage 3 hypertension. ANSWER👀 C.
The driver has Stage 2 hypertension (160 - 179/100 - 109).
Lasegue's sign tests for:
, a. Lumbosacral radicular irritation.
b. Early peritonitis.
c. Benign vertigo, as opposed to a central etiology.
d. Amblyopia ANSWER👀 A.
Lasegue's sign or straight leg raising test is a neurodynamic exam to assess nerve
root irritation in the lumbosacral area.
The driver uses hearing aids during the whisper test. He is able to hear at 5 feet
on the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ANSWER👀 D.
The driver is able to use hearing aids during the whisper test (and this should be
marked on the form). A driver must only qualify in 1 ear to certify and there is no
limitation of certification time.
The minimum acceptable spirometry values required to certify a driver are:
a. FEV1 70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio 65%
c. FEV1 65%, FVC 65%, FEV1/FVC ratio 65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio 60% ANSWER👀 B.
The minimum acceptable values are 65%, 60%, and 65% (FEV1, FVC, FEV1/FVC
ratio).
A driver presenting to your office marks down that he is taking "nitroglycerin" for
angina and he has been doing so for a few years. Upon questioning he indicates
that he has needed more nitroglycerin recently because his episodes have
become more frequent. Your best course of action is to:
a. Council the driver to increase his dose of medication.
b. Certify the driver for 1 year.
c. Provide a 1-time, 3-month certificate to monitor his condition.
d. Disqualify the driver and refer him to his cardiologist for further evaluation.
ANSWER👀 D.
TEST BANK| NRCME (DOT) CERTIFICATION EXAM PREP
WITH COMPLETE 300 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+ |PDF
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. ANSWER👀 A.
This is Stage 3 hypertension. The driver is disqualified until his blood pressure is
less than 140/90 mm Hg at which time he will have a maximum certification of 6
months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the time
of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years ANSWER👀 A.
Because the driver has a history of hypertension (he is taking medication), and he
had Stage 1 hypertension during his exam, he would be provided a 1- time, 3-
month certificate in order to lower his blood pressure to an acceptable level
during that time.
During the examination, a driver is found to have a positive "Babinski" reflex. The
examiner should:
a. Certify the driver for 1 year.
,b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Not certify the driver until s/he has a neurological consultation. ANSWER👀
D.
A positive Babinski reflex is indicative of abnormalities in the motor control
pathways leading from the cerebral cortex and is widely used as a diagnostic aide
in disorders of the central nervous system. The examiner should obtain clearance
from a neurologist prior to reconsidering the driver for certification.
All of the following are required components of all DOT medical examinations
EXCEPT?
a. Vision
b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination ANSWER👀 D.
There are four required components of every examination: vision, hearing, blood
pressure and urinalysis. Ophthalmoscopic examination is not required but may be
done if deemed necessary.
A driver reports in his history that he was treated for epilepsy 14 years ago but
stopped taking anti-epileptic medication on his own since his move to your area
11 years ago. He has not seen a neurologist nor a health care provider in over 10
years and reports no seizures during this period. The examiner should:
a. Request medical clearance, and if obtained the driver may be certified for 1
year.
b. Request medical clearance, and if obtained the driver may be certified for 2
years.
c. Refer the driver to the epilepsy/seizure exemption program.
d. Disqualify the driver. ANSWER👀 D.
Even though the driver reports exceeding the 10-year waiting period, it was not
under medical supervision and the driver discontinued medication use and
treatment outside of medical oversight. Since the driver cannot obtain a
documented medical history this driver does not meet the non-discretionary
epilepsy standard until it is established that the driver is 10 years seizure-free
while off anti-convulsant.
,A driver reports for a re-certification examination 8 weeks after having triple
coronary artery bypass surgery.
He presents a note from his treating provider stating that he is able to return to
driving without restriction. Additionally, the note mentions that the driver's
results of his ETT were normal, and his echo showed a left ventricular ejection
fraction of 75%. The examiner should:
a. Disqualify the driver until he has completed the recommended waiting
period.
b. Disqualify the driver because his ejection fraction is too low.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ANSWER👀 A.
Following CABG, there is a recommended 3-month waiting period. Since the
driver is only at 8 weeks post-op, he would have to wait 4 more weeks until he
can certify. Once he completes his waiting period, he would be certified for 1 year
from the date of the original examination.
A 40-year-old driver presents for certification three months after undergoing
surgery for carpal tunnel syndrome. The examiner should next:
a. Order an EMG.
b. Assess grip strength.
c. Obtain assurance that the driver has completed the prescribed physical
therapy. ANSWER👀 B.
Assessing grip strength is the next logical step to assess if the driver can safely
operate a commercial motor vehicle.
A blood pressure of 166/92 mm Hg would be?
a. Considered normal.
b. Stage 1 hypertension.
c. Stage 2 hypertension.
d. Stage 3 hypertension. ANSWER👀 C.
The driver has Stage 2 hypertension (160 - 179/100 - 109).
Lasegue's sign tests for:
, a. Lumbosacral radicular irritation.
b. Early peritonitis.
c. Benign vertigo, as opposed to a central etiology.
d. Amblyopia ANSWER👀 A.
Lasegue's sign or straight leg raising test is a neurodynamic exam to assess nerve
root irritation in the lumbosacral area.
The driver uses hearing aids during the whisper test. He is able to hear at 5 feet
on the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ANSWER👀 D.
The driver is able to use hearing aids during the whisper test (and this should be
marked on the form). A driver must only qualify in 1 ear to certify and there is no
limitation of certification time.
The minimum acceptable spirometry values required to certify a driver are:
a. FEV1 70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio 65%
c. FEV1 65%, FVC 65%, FEV1/FVC ratio 65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio 60% ANSWER👀 B.
The minimum acceptable values are 65%, 60%, and 65% (FEV1, FVC, FEV1/FVC
ratio).
A driver presenting to your office marks down that he is taking "nitroglycerin" for
angina and he has been doing so for a few years. Upon questioning he indicates
that he has needed more nitroglycerin recently because his episodes have
become more frequent. Your best course of action is to:
a. Council the driver to increase his dose of medication.
b. Certify the driver for 1 year.
c. Provide a 1-time, 3-month certificate to monitor his condition.
d. Disqualify the driver and refer him to his cardiologist for further evaluation.
ANSWER👀 D.
