NRCME EXAM TEST BANK 2025–2026 –
COMPLETE 320 Q&As WITH VERIFIED
ANSWERS (GRADE A+)
SECTION 1: ALCOHOLISM AND SUBSTANCE USE DISORDERS (Questions 1-
40)
1. Which of the following is a requirement for a driver with a history of
alcoholism to be certified?
A. No residual disqualifying physical impairment
B. Successful treatment with naltrexone
C. Currently in counseling and/or treatment
D. No more than one current alcohol-related disorder
Answer: A
2. Which of the following is a disqualifying condition?
A. A past clinical diagnosis of alcoholism
B. A breath alcohol result of 0.019%
C. An alcohol-related stable physical condition, regardless of the time element
D. Use of methadone
Answer: D
3. Ongoing voluntary attendance at self-help groups (e.g., 12-step
programs) for maintenance of recovery from alcoholism:
A. Is required for all drivers recovering from alcoholism
B. Is disqualifying
C. Is allowed but not required for drivers recovering from alcoholism
D. Fulfills the requirement for rehabilitation following a violation of alcohol
rules
Answer: C
4. A current diagnosis of alcoholism is:
A. Not disqualifying if the driver is in treatment
B. Disqualifying
C. Only disqualifying if there is a positive breath alcohol test
,D. Not addressed in FMCSA regulations
Answer: B
5. A breath alcohol result of what level or higher renders the driver
unqualified to drive?
A. 0.01%
B. 0.02%
C. 0.04%
D. 0.08%
Answer: B
6. A driver with a history of alcoholism must have completed which of
the following to be certified?
A. Inpatient rehabilitation
B. Counseling and/or treatment
C. 12-step program participation
D. Medication-assisted treatment
Answer: B
7. Which of the following is TRUE regarding a driver with a history of
alcoholism?
A. They must remain in counseling indefinitely
B. They must not have a current alcohol-related disorder
C. They must take naltrexone daily
D. They must attend AA meetings weekly
Answer: B
8. A driver who tests positive for alcohol at 0.02% or higher:
A. May be certified if it is their first offense
B. Is unqualified to drive
C. May be certified with a 3-month certificate
D. Must complete a rehabilitation program
Answer: B
9. Which of the following is NOT a disqualifying condition related to
alcohol?
A. Current diagnosis of alcoholism
B. Alcohol-related unstable physical condition
C. Past history of alcoholism with completed treatment
,D. Positive breath alcohol test of 0.02% or higher
Answer: C
10. A driver admits to occasional use of marijuana for recreational
purposes. The medical examiner should:
A. Certify the driver if no other issues are found
B. Disqualify the driver
C. Certify for 3 months with follow-up
D. Require a drug test
Answer: B
11. A driver admits to using marijuana for medical purposes in a state
where it is legal. The medical examiner should:
A. Certify the driver
B. Disqualify the driver
C. Certify for 1 year
D. Refer to a specialist
Answer: B
12. Use of methadone for maintenance treatment of opioid addiction is:
A. Permitted with a 1-year certificate
B. Disqualifying
C. Permitted with a 3-month certificate
D. Permitted if prescribed by a physician
Answer: B
13. Which of the following substances, when used, is disqualifying for a
commercial driver?
A. Prescribed blood pressure medication
B. Over-the-counter cold medication
C. Marijuana
D. Prescribed insulin
Answer: C
14. A driver with a history of substance abuse who has completed
treatment and is currently abstinent:
A. May be certified if otherwise qualified
B. Must be disqualified permanently
C. Must wait 5 years before certification
, D. Must provide negative drug tests for 2 years
Answer: A
15. What is the certification interval for a driver recovering from
alcoholism who is otherwise qualified?
A. 3 months
B. 6 months
C. 1 year
D. 2 years
Answer: C
16. Which of the following is TRUE regarding a driver with a history of
drug abuse?
A. Any history of drug abuse is permanently disqualifying
B. A driver with a history of drug abuse may be certified if they have
completed treatment and are currently abstinent
C. Drug abuse is not addressed in FMCSA regulations
D. Only illegal drug use is disqualifying
Answer: B
17. A driver who has been convicted of driving under the influence (DUI)
within the past 5 years:
A. May be certified if otherwise qualified
B. Is disqualified from operating a CMV
C. May be certified with a 3-month certificate
D. Must complete a rehabilitation program
Answer: B
18. A driver presents with a positive urine drug screen for
amphetamines. The driver has a valid prescription for Adderall. The
medical examiner should:
A. Certify the driver
B. Disqualify the driver
C. Certify for 3 months
D. Require a letter from the prescribing physician
Answer: D
19. Which of the following is TRUE regarding the use of Schedule I
substances?
COMPLETE 320 Q&As WITH VERIFIED
ANSWERS (GRADE A+)
SECTION 1: ALCOHOLISM AND SUBSTANCE USE DISORDERS (Questions 1-
40)
1. Which of the following is a requirement for a driver with a history of
alcoholism to be certified?
A. No residual disqualifying physical impairment
B. Successful treatment with naltrexone
C. Currently in counseling and/or treatment
D. No more than one current alcohol-related disorder
Answer: A
2. Which of the following is a disqualifying condition?
A. A past clinical diagnosis of alcoholism
B. A breath alcohol result of 0.019%
C. An alcohol-related stable physical condition, regardless of the time element
D. Use of methadone
Answer: D
3. Ongoing voluntary attendance at self-help groups (e.g., 12-step
programs) for maintenance of recovery from alcoholism:
A. Is required for all drivers recovering from alcoholism
B. Is disqualifying
C. Is allowed but not required for drivers recovering from alcoholism
D. Fulfills the requirement for rehabilitation following a violation of alcohol
rules
Answer: C
4. A current diagnosis of alcoholism is:
A. Not disqualifying if the driver is in treatment
B. Disqualifying
C. Only disqualifying if there is a positive breath alcohol test
,D. Not addressed in FMCSA regulations
Answer: B
5. A breath alcohol result of what level or higher renders the driver
unqualified to drive?
A. 0.01%
B. 0.02%
C. 0.04%
D. 0.08%
Answer: B
6. A driver with a history of alcoholism must have completed which of
the following to be certified?
A. Inpatient rehabilitation
B. Counseling and/or treatment
C. 12-step program participation
D. Medication-assisted treatment
Answer: B
7. Which of the following is TRUE regarding a driver with a history of
alcoholism?
A. They must remain in counseling indefinitely
B. They must not have a current alcohol-related disorder
C. They must take naltrexone daily
D. They must attend AA meetings weekly
Answer: B
8. A driver who tests positive for alcohol at 0.02% or higher:
A. May be certified if it is their first offense
B. Is unqualified to drive
C. May be certified with a 3-month certificate
D. Must complete a rehabilitation program
Answer: B
9. Which of the following is NOT a disqualifying condition related to
alcohol?
A. Current diagnosis of alcoholism
B. Alcohol-related unstable physical condition
C. Past history of alcoholism with completed treatment
,D. Positive breath alcohol test of 0.02% or higher
Answer: C
10. A driver admits to occasional use of marijuana for recreational
purposes. The medical examiner should:
A. Certify the driver if no other issues are found
B. Disqualify the driver
C. Certify for 3 months with follow-up
D. Require a drug test
Answer: B
11. A driver admits to using marijuana for medical purposes in a state
where it is legal. The medical examiner should:
A. Certify the driver
B. Disqualify the driver
C. Certify for 1 year
D. Refer to a specialist
Answer: B
12. Use of methadone for maintenance treatment of opioid addiction is:
A. Permitted with a 1-year certificate
B. Disqualifying
C. Permitted with a 3-month certificate
D. Permitted if prescribed by a physician
Answer: B
13. Which of the following substances, when used, is disqualifying for a
commercial driver?
A. Prescribed blood pressure medication
B. Over-the-counter cold medication
C. Marijuana
D. Prescribed insulin
Answer: C
14. A driver with a history of substance abuse who has completed
treatment and is currently abstinent:
A. May be certified if otherwise qualified
B. Must be disqualified permanently
C. Must wait 5 years before certification
, D. Must provide negative drug tests for 2 years
Answer: A
15. What is the certification interval for a driver recovering from
alcoholism who is otherwise qualified?
A. 3 months
B. 6 months
C. 1 year
D. 2 years
Answer: C
16. Which of the following is TRUE regarding a driver with a history of
drug abuse?
A. Any history of drug abuse is permanently disqualifying
B. A driver with a history of drug abuse may be certified if they have
completed treatment and are currently abstinent
C. Drug abuse is not addressed in FMCSA regulations
D. Only illegal drug use is disqualifying
Answer: B
17. A driver who has been convicted of driving under the influence (DUI)
within the past 5 years:
A. May be certified if otherwise qualified
B. Is disqualified from operating a CMV
C. May be certified with a 3-month certificate
D. Must complete a rehabilitation program
Answer: B
18. A driver presents with a positive urine drug screen for
amphetamines. The driver has a valid prescription for Adderall. The
medical examiner should:
A. Certify the driver
B. Disqualify the driver
C. Certify for 3 months
D. Require a letter from the prescribing physician
Answer: D
19. Which of the following is TRUE regarding the use of Schedule I
substances?
