NRCME (DOT) Test Bank | Latest 2025/2026 Update | Questions with Approved Answers | 100% Correct.

NRCME (DOT) Test Bank | Latest
2025/2026 Update | Questions with
Approved Answers | 100% Correct.

A driver with a history of acute bleeding ulcer may be certified if:
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A) Pain has subsided
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B) Driver tolerates food without nausea and vomiting
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C) Bleeding has subsided
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D) The underlying cause has been identified and recurrence risk is
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low following treatment
i,- D) Drivers with bleeding ulcers i,- i,-i,- i,- i,- i,- i,- i,- i,-



should not be certified until the underlying cause has been
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identified and the recurrence risk is low i,- i,- i,- i,- i,- i,-




A driver with a successful kidney transplant can be certified
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A) True i,-




B) False
i,- i,-i,- i,- A) Kidney transplants are not disqualifying
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Which of the following is true?
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A) Medical marijuana use if disqualifying
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B) The medical examiner should drug test the driver for marijuana
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if the driver gives a history of recent marijuana's
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,C) A driver with a history of only occasional marijuana may not
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have to complete a substance abuse professional assessment
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D) Marijuana is a Schedule II drug
i,- A) If a driver gives a history
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of recent marijuana use, the driver should be referred for
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substance abuse professional evaluation regardless of drug test
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result. Drivers with a history of marijuana use, or a drug test
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positive for marijuana, must undergo substance abuse
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professional assessment and complete any recommended i,- i,- i,- i,- i,- i,-



rehabilitation prior to returning to driving. Marijuana is a i,- i,- i,- i,- i,- i,- i,- i,- i,-



Schedule I drug. i,- i,-




Which of the following is a requirement for a driver with a history
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of alcoholism to be certified?
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A) No residual disqualifying physical impairment
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B) Successful treatment with naltrexone
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C) Currently in counseling and/or treatment
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D) No more than one current alcohol-related disorder
i,- i,- A)
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Treatment with naltrexone is not required for driver certification
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for a driver with a history of alcoholism. A driver with a history of
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alcoholism must have completed counseling and/or treatment
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and must not have a current alcohol-related disorder in order to
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be certified.
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Which of the following is a disqualifying condition?
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,A) A past clinical diagnosis of alcoholism
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B) A breath alcohol result of 0.019%
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C) An alcohol-related stable physical condition, regardless of the
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time element i,-




D) Use of methadone
i,- D) A current diagnosis of alcoholism is
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disqualifying. A breath alcohol result of 0.02% or higher renders i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



the driver unqualified to drive. An alcohol-related unstable
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physical condition is disqualifying. i,- i,- i,-




Ongoing voluntary attendance at self-help groups (e.g. 12 step
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programs) for maintenance of recovery from alcoholism: i,- i,- i,- i,- i,- i,-




A) Is required for all drivers recovering from alcoholism
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B) Is disqualifying
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C) Is allowed but not required for drivers recovering from
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alcoholism
D) Fulfills the requirement for rehabilitation following a violation
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of alcohol rules.
i,- C) 12-step or similar programs do not fulfill
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rehabiliation requirements for drivers with a violation of alcohol i,- i,- i,- i,- i,- i,- i,- i,- i,-



(or drug) regulations. Participation in such programs is allowed,
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but not required, and is not disqualifying.
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Which of the following is a mental health professional that the
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medial examiner may refer to or consult with?
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1) Breath alcohol technician (BAT)
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, 2) Designated employer representative (DER)
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3) Medical review officer (MRO)
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4) Substance abuse professional (SAP)
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A) 1, 2, and 3
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B) 1 and 3 only
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C) 2 and 4 only
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D) 4 only
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E) all of the above
i,- According to the FMCSA, all of these are
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defined as mental health professionals i,- i,- i,- i,-




Which of the following is a requirement for drivers with a
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diabetes exemption? i,-




A) Possess a rapidly absorbable form of glucose while driving
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B) Self—monitor blood glucose one hour before driving and at
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least once every 2 hours while driving
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C) Plan to submit blood glucose monitoring logs every 6 months
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D) Maintain a Hemoglobin A1C value less than 7
i,- A. Drivers i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-



with diabetes should self monitor blood glucose before driving
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and every 4 hours while driving. Blood glucose monitoring logs
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should be submitted annually. There is no specific requirement
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for HgA1C level.
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