NRCME Test Bank Questions with Verified Solutions
(Latest Update 2026)
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2
hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - correct answers A. Drivers
with diabetes should self monitor blood glucose before driving and every 4 hours
while driving. Blood glucose monitoring logs should be submitted annually. There
is no specific requirement for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - correct answers D) Drivers with
insulin dependent diabetes cannot be certified but may be eligible for a diabetes
exemption
Which of the following is true?
Page 1 of 89
,NRCME Test Bank Questions with Verified Solutions
(Latest Update 2026)
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating diabetes is
hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition - correct
answers A) The greatest risk for medication use for drivers with diabetes in
hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying
condition. Diabetes is a CHD equivalent condition.
What is the recommended certification interval for a driver with diabetes
mellituse who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years - correct answers C) Drivers with non-insulin dependent diabetes
should be certified for a maximum of one year
A diabetes exemption may be issued by:
A) An endocrinologist
Page 2 of 89
,NRCME Test Bank Questions with Verified Solutions
(Latest Update 2026)
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - correct answers D) Only the FMCSA can grant exemptions
A driver with diabetes mellliktus who uses insulin is determined to be otherwise
medically qualified. The medical examiner must indicate that a diabetes
exemption is required on the :
A) Medical Examination Report status section and Medical Examiners Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - correct answers A) Exemption
requirements must be noted on the Medical Examination Report status section
and the Medical Examiners Certificate
If glucose is detected on urinalysis in a driver with no history of diabetes, an
appropriate next step is:
A) Endocrinology consultation
B) One year clearance and recommendation to see personal physician
C) Fingerstick or blood glucose determination
Page 3 of 89
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2026)
D) Temporary disqualification - correct answers C) The medical examiner
should first determine blood glucose and then make an appropriate certification
determination and referral
Drivers with a history of _____________ severe hypoglycemic reactions in the
past year or _____________ severe hypoglycemic reactions in the past five years
should not be certifed.
A) one, three
B) one, two
C) two, three
D) two, five - correct answers B) A driver should not be certified if the driver
has had one hypoglycemic reaction in the past year or two in the past five years.
Which of the following is not a criteria that the FMCSA uses to define a severe
hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred without warning - correct
answers B) FMCSA defines severe hypoglycemia as reactions that result in
Page 4 of 89
(Latest Update 2026)
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every 2
hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - correct answers A. Drivers
with diabetes should self monitor blood glucose before driving and every 4 hours
while driving. Blood glucose monitoring logs should be submitted annually. There
is no specific requirement for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - correct answers D) Drivers with
insulin dependent diabetes cannot be certified but may be eligible for a diabetes
exemption
Which of the following is true?
Page 1 of 89
,NRCME Test Bank Questions with Verified Solutions
(Latest Update 2026)
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating diabetes is
hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition - correct
answers A) The greatest risk for medication use for drivers with diabetes in
hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying
condition. Diabetes is a CHD equivalent condition.
What is the recommended certification interval for a driver with diabetes
mellituse who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years - correct answers C) Drivers with non-insulin dependent diabetes
should be certified for a maximum of one year
A diabetes exemption may be issued by:
A) An endocrinologist
Page 2 of 89
,NRCME Test Bank Questions with Verified Solutions
(Latest Update 2026)
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - correct answers D) Only the FMCSA can grant exemptions
A driver with diabetes mellliktus who uses insulin is determined to be otherwise
medically qualified. The medical examiner must indicate that a diabetes
exemption is required on the :
A) Medical Examination Report status section and Medical Examiners Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - correct answers A) Exemption
requirements must be noted on the Medical Examination Report status section
and the Medical Examiners Certificate
If glucose is detected on urinalysis in a driver with no history of diabetes, an
appropriate next step is:
A) Endocrinology consultation
B) One year clearance and recommendation to see personal physician
C) Fingerstick or blood glucose determination
Page 3 of 89
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2026)
D) Temporary disqualification - correct answers C) The medical examiner
should first determine blood glucose and then make an appropriate certification
determination and referral
Drivers with a history of _____________ severe hypoglycemic reactions in the
past year or _____________ severe hypoglycemic reactions in the past five years
should not be certifed.
A) one, three
B) one, two
C) two, three
D) two, five - correct answers B) A driver should not be certified if the driver
has had one hypoglycemic reaction in the past year or two in the past five years.
Which of the following is not a criteria that the FMCSA uses to define a severe
hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred without warning - correct
answers B) FMCSA defines severe hypoglycemia as reactions that result in
Page 4 of 89
