NRCME TEST BANK EXAM ACTUAL LATEST
QUESTIONS & VERIFIED ANSWERS
1. A driver who has Hepatitis C who is stable and whose condition does not
represent a safety risk may be certified
A) True
B) False
Answer: A) Hepatitis C is not disqualifying
2. A driver with a history of acute bleeding ulcer may be certified if:
A) Pain has subsided
B) Driver tolerates food without nausea and vomiting
C) Bleeding has subsided
D) The underlying cause has been identified and recurrence risk is low fol-
lowing treatment
Answer: D) Drivers with bleeding ulcers should not be certified until the
underlying cause has been identified and the recurrence risk is low
3. A driver with a successful kidney transplant can be certified
A) True
B) False
Answer: A) Kidney transplants are not disqualifying
4. Which of the following is true?
,A) Medical marijuana use if disqualifying
B) The medical examiner should drug test the driver for marijuana if the
driver gives a history of recent marijuana's
C) A driver with a history of only occasional marijuana may not have
to complete a substance abuse professional assessment
D) Marijuana is a Schedule II drug
Answer: A) If a driver gives a history of recent marijuana use, the driver
should be referred for substance abuse professional evaluation
regardless of drug test result. Drivers with a history of marijuana use, or
a drug test positive for marijuana, must undergo substance abuse
professional assessment and complete any recommended rehabilitation
prior to returning to driving. Marijuana is a Schedule I drug.
5. 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) Treatment with naltrex- one is not required for driver
certification for a driver with a history of alcoholism. A driver with a
history of alcoholism must have completed counseling and/or treatment
and must not have a current alcohol-related disorder in order to be
certified.
,6. 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
ele- ment
D) Use of methadone
Answer: D) A current diagnosis of alcoholism is disqualifying. A breath
alcohol result of 0.02% or higher renders the driver unqualified to
drive. An alcohol-related unstable physical condition is disqualifying.
7.Which of the following is a requirement for drivers with a diabetes
exemp- tion?
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
Answer: 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.
8.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
, certifi- cation
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption
Answer: D) Drivers with insulin dependent diabetes cannot be certified
but may be eligible for a diabetes exemption
9.Which of the following is true?
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
Answer: 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.
10. 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
Answer: C) Drivers with non-insulin dependent diabetes should be
certified for a maximum of one year
QUESTIONS & VERIFIED ANSWERS
1. A driver who has Hepatitis C who is stable and whose condition does not
represent a safety risk may be certified
A) True
B) False
Answer: A) Hepatitis C is not disqualifying
2. A driver with a history of acute bleeding ulcer may be certified if:
A) Pain has subsided
B) Driver tolerates food without nausea and vomiting
C) Bleeding has subsided
D) The underlying cause has been identified and recurrence risk is low fol-
lowing treatment
Answer: D) Drivers with bleeding ulcers should not be certified until the
underlying cause has been identified and the recurrence risk is low
3. A driver with a successful kidney transplant can be certified
A) True
B) False
Answer: A) Kidney transplants are not disqualifying
4. Which of the following is true?
,A) Medical marijuana use if disqualifying
B) The medical examiner should drug test the driver for marijuana if the
driver gives a history of recent marijuana's
C) A driver with a history of only occasional marijuana may not have
to complete a substance abuse professional assessment
D) Marijuana is a Schedule II drug
Answer: A) If a driver gives a history of recent marijuana use, the driver
should be referred for substance abuse professional evaluation
regardless of drug test result. Drivers with a history of marijuana use, or
a drug test positive for marijuana, must undergo substance abuse
professional assessment and complete any recommended rehabilitation
prior to returning to driving. Marijuana is a Schedule I drug.
5. 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) Treatment with naltrex- one is not required for driver
certification for a driver with a history of alcoholism. A driver with a
history of alcoholism must have completed counseling and/or treatment
and must not have a current alcohol-related disorder in order to be
certified.
,6. 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
ele- ment
D) Use of methadone
Answer: D) A current diagnosis of alcoholism is disqualifying. A breath
alcohol result of 0.02% or higher renders the driver unqualified to
drive. An alcohol-related unstable physical condition is disqualifying.
7.Which of the following is a requirement for drivers with a diabetes
exemp- tion?
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
Answer: 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.
8.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
, certifi- cation
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption
Answer: D) Drivers with insulin dependent diabetes cannot be certified
but may be eligible for a diabetes exemption
9.Which of the following is true?
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
Answer: 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.
10. 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
Answer: C) Drivers with non-insulin dependent diabetes should be
certified for a maximum of one year
