Page 1 of 110
NRCME TEST QUESTIONS / 240+ EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS [2025-2026]
Terms in this set (243) Q & A
>> What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
- answer- is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2)
greater than 65.
>> A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.
All other aspects of his physical examination are unremarkable. The examiner should:
a.Permanently disqualify the driver because he "failed" the whispered voice test.
b.Certify the driver for 2 years.
c.Certify the driver for 1 year.
d.Require an audiometric test to determine the extent of hearing loss in his left ear.
- answer- is "B". The driver is qualified to drive without restriction as long as he is able to
perceive a whispered voice at 5 feet in 1 ear.
, Page 2 of 110
>> A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work immediately
without restriction. Included within the note, the cardiologist provides recent testing
information showing that the driver had an ETT that showed he was able to reach 12 METS
during the test. His echocardiogram showed an ejection fraction of 65%. The examination of
the driver is unremarkable. The examiner should:
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina.
- answer- is "A". The driver has not completed the required 2-monthwaiting period, but all
other requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period. The date of the
certification would be from the date of the original examination.
>> A driver provides an audiometric test documenting the following:
1. 500 Hz: 2. 1000 HZ: 3. 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 hearing requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
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d. Require the driver to obtain a hearing exemption.
- answer- is "B". The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz.
This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an average
hearing loss of less than or equal to 40 in the better ear. This does not have to be met in both
ears.
>> During the examination of a commercial driver, the examiner notices that the driver'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 exemption because of the limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral
vision meets minimum standards.
- answer- is "A". A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
>> During examination, the medical examiner notices that the driver is distant, lacks eye
contact and shows absolutely no emotional response during the exam. The examiner's best
response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on
the driver's ability to drive a CMV.
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d. Require a skill performance evaluation to ascertain if the driver has any limitations with
driving.
- answer- is "B". The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a mental health
expert to make a diagnosis prior to certification.
>> A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in
the State in which he lives. He provides medical documentation for the glaucoma indicating
he is able to drive a truck. He began using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years. His certification examination is within
normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
- answer- is "A". Use of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
>> A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
- answer- is "B". This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
NRCME TEST QUESTIONS / 240+ EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS [2025-2026]
Terms in this set (243) Q & A
>> What minimum PaO2 level is necessary if the driver has an ABG due to a chronic
respiratory disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
- answer- is "D". To be qualified, the driver should meet a minimum arterial blood gas (PaO2)
greater than 65.
>> A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.
All other aspects of his physical examination are unremarkable. The examiner should:
a.Permanently disqualify the driver because he "failed" the whispered voice test.
b.Certify the driver for 2 years.
c.Certify the driver for 1 year.
d.Require an audiometric test to determine the extent of hearing loss in his left ear.
- answer- is "B". The driver is qualified to drive without restriction as long as he is able to
perceive a whispered voice at 5 feet in 1 ear.
, Page 2 of 110
>> A driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from his cardiologist stating that he is able to return to work immediately
without restriction. Included within the note, the cardiologist provides recent testing
information showing that the driver had an ETT that showed he was able to reach 12 METS
during the test. His echocardiogram showed an ejection fraction of 65%. The examination of
the driver is unremarkable. The examiner should:
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina.
- answer- is "A". The driver has not completed the required 2-monthwaiting period, but all
other requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period. The date of the
certification would be from the date of the original examination.
>> A driver provides an audiometric test documenting the following:
1. 500 Hz: 2. 1000 HZ: 3. 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 hearing requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
, Page 3 of 110
d. Require the driver to obtain a hearing exemption.
- answer- is "B". The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz.
This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an average
hearing loss of less than or equal to 40 in the better ear. This does not have to be met in both
ears.
>> During the examination of a commercial driver, the examiner notices that the driver'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 exemption because of the limitation in the driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral
vision meets minimum standards.
- answer- is "A". A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
>> During examination, the medical examiner notices that the driver is distant, lacks eye
contact and shows absolutely no emotional response during the exam. The examiner's best
response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from
alcoholism.
b.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on
the driver's ability to drive a CMV.
, Page 4 of 110
d. Require a skill performance evaluation to ascertain if the driver has any limitations with
driving.
- answer- is "B". The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a mental health
expert to make a diagnosis prior to certification.
>> A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in
the State in which he lives. He provides medical documentation for the glaucoma indicating
he is able to drive a truck. He began using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years. His certification examination is within
normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
- answer- is "A". Use of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
>> A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
- answer- is "B". This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
