2026 NRCME TEST BANK EXAMS TEST PAPER
QUESTIONS AND ANSWERS SURE A+
✔✔The certification determination for a driver who presents with a confirmed BP of
182/86 is
A) Qualify for 3 months
B) Disqualify until BP is <180/110
C) Disqualify until BP is <160/100
D) Disqualify until BP is <=140/90 - ✔✔Drivers with Stage 3 hypertension are
disqualifying until blood pressure is stabilized at <=140/90.
✔✔The maximum period of certification for a driver disqualified for Stage 3
hypertension, but who has, at the certification examination, a BP less than or equal
140/90, is:
A) One year
B) Six months
C) Three months
D) Two years - ✔✔B) Drivers with Stage 3 hypertension are certified for maximum six-
month intervals.
✔✔A driver treated for hypertension presents on September 8, 2012 with a blood
pressure of 142/96. The driver is given a three-month certification until December 8,
,2012. On blood pressure check one month later, on October 14, 2012, the driver's blood
pressure is 144/72. The driver should be certified for __________________.
A) Do not certify
B) Three months to January 14, 2013
C) One year to September 8, 2018
D) The driver remains certified for the three month-interval until December 8, 2012 -
✔✔D) The three month certification reminds valid. The driver did not qualify for a one-
year certification, nor did the driver's blood pressure disqualify the driver. If the driver
fails to meet the requirement to lower blood pressure to >=140/90 by December 8,
2012,, the driver will be disqualified until blood pressure is stabilized at <=140/90
✔✔The one-time use of a 3-month certificate for blood pressure greater than 140/90
can be provided to a drivers:
A) Only once in the driver's lifetime
B) On consecutive examinations until the driver's blood pressure is less than or equal to
140/90
C) When the driver has no previous history of the hypertension and has a blood
pressure of 162/84
D) When the driver has a blood pressure of 182/84 - ✔✔C) A 3-month certificate may
be issued more than once in a driver's lifetime. A 3-month Certificate may not be issued
consecutively - a driver may not receive consecutive 3-month certificates. A blood
pressure of 182/84 is disqualifying, and the driver may not be certified until the driver
has a blood pressure of <=140/90.
✔✔The maximum certification period for a driver with Stage 1 hypertension is:
A) Three months
B) One year
C) Two years
D) Do not certify - ✔✔B) Stage 1 hypertension (SBP 140-159, DBP 90-99) has a
maximum certification interval of one year. This interval is used when the driver has no
history of or treatment for hypertension. If the driver has a history of or treatment for
hypertension, the driver should be certified for a maximum of three months.
✔✔What is the certification for a driver with a one-time, three month certificate, who
achieves a BP<=140/90?
A) Six-month certification from the date of the initial certification examination
B) One-year certification from the date of the initial certification examination
C) One-year certification from the date of the documented BP<=140/90
D) Two-year certification from the date of the documented BP<=140/90 - ✔✔B) The
date of the last complete examination is always used as the basis for the certification
interval. A driver with a one-time three-month certificate may be certified for one year
after documentation of a BP <=140/90.
, ✔✔The stage of BP elevation should be based on the lower of the systolic or diastolic
BP result (e.g. if systolic equals Stage 1 and diastolic equals Stage 2, the driver should
be certified according to Stage 1 guidelines.)
A) True
B) False - ✔✔B) Blood pressure stage is based on the highest level of either systolic or
diastolic blood pressure.
✔✔The FMCSA considers ___________________ elevated BP readings at consecutive
examinations as readings that confirm elevated BP.
A) Three
B) Four
C) Two
D) Five - ✔✔C) Two consecutive blood pressure readings, either at the same
examination or on consecutive examinations, are considered by the FMCSA as an
indication of elevated blood pressure.
✔✔What is the maximum certification period for drivers with hypertension?
A) Three months
B) One year
C) Two years
D) Six months - ✔✔B) For a driver diagnosed with hypertension, the maximum
certification interval is one year.
✔✔When a driver has a BP equivalent to Stage 2 hypertension a medical certification
for what time period can be issued?
A) One time, six months
B) One time, one year
C) One time, three months
D) One time, two years - ✔✔C) The maximum certification interval for Stage 2
hypertension is three months. This is intended to allow the driver to follow up with
his/her treating physician to be placed on medication for hypertension treatment
✔✔The expiration date for one-year certification, following issuance of a one-time, three
month certificate:
A) Should be noted on the Medical Examiner's Certificate
B) Should be noted in the comments section or elsewhere in the Medical Examination
Report
C) Both a and b
D) Neither a and b - ✔✔C) The expiration date must be noted on both the Medical
Examiners Certificate and in the Medical Examination Report
✔✔Which of the following is true?
1) CMV drivers have an increased propensity for the development of hypertension that
exceeds the risk seen in other professions
QUESTIONS AND ANSWERS SURE A+
✔✔The certification determination for a driver who presents with a confirmed BP of
182/86 is
A) Qualify for 3 months
B) Disqualify until BP is <180/110
C) Disqualify until BP is <160/100
D) Disqualify until BP is <=140/90 - ✔✔Drivers with Stage 3 hypertension are
disqualifying until blood pressure is stabilized at <=140/90.
✔✔The maximum period of certification for a driver disqualified for Stage 3
hypertension, but who has, at the certification examination, a BP less than or equal
140/90, is:
A) One year
B) Six months
C) Three months
D) Two years - ✔✔B) Drivers with Stage 3 hypertension are certified for maximum six-
month intervals.
✔✔A driver treated for hypertension presents on September 8, 2012 with a blood
pressure of 142/96. The driver is given a three-month certification until December 8,
,2012. On blood pressure check one month later, on October 14, 2012, the driver's blood
pressure is 144/72. The driver should be certified for __________________.
A) Do not certify
B) Three months to January 14, 2013
C) One year to September 8, 2018
D) The driver remains certified for the three month-interval until December 8, 2012 -
✔✔D) The three month certification reminds valid. The driver did not qualify for a one-
year certification, nor did the driver's blood pressure disqualify the driver. If the driver
fails to meet the requirement to lower blood pressure to >=140/90 by December 8,
2012,, the driver will be disqualified until blood pressure is stabilized at <=140/90
✔✔The one-time use of a 3-month certificate for blood pressure greater than 140/90
can be provided to a drivers:
A) Only once in the driver's lifetime
B) On consecutive examinations until the driver's blood pressure is less than or equal to
140/90
C) When the driver has no previous history of the hypertension and has a blood
pressure of 162/84
D) When the driver has a blood pressure of 182/84 - ✔✔C) A 3-month certificate may
be issued more than once in a driver's lifetime. A 3-month Certificate may not be issued
consecutively - a driver may not receive consecutive 3-month certificates. A blood
pressure of 182/84 is disqualifying, and the driver may not be certified until the driver
has a blood pressure of <=140/90.
✔✔The maximum certification period for a driver with Stage 1 hypertension is:
A) Three months
B) One year
C) Two years
D) Do not certify - ✔✔B) Stage 1 hypertension (SBP 140-159, DBP 90-99) has a
maximum certification interval of one year. This interval is used when the driver has no
history of or treatment for hypertension. If the driver has a history of or treatment for
hypertension, the driver should be certified for a maximum of three months.
✔✔What is the certification for a driver with a one-time, three month certificate, who
achieves a BP<=140/90?
A) Six-month certification from the date of the initial certification examination
B) One-year certification from the date of the initial certification examination
C) One-year certification from the date of the documented BP<=140/90
D) Two-year certification from the date of the documented BP<=140/90 - ✔✔B) The
date of the last complete examination is always used as the basis for the certification
interval. A driver with a one-time three-month certificate may be certified for one year
after documentation of a BP <=140/90.
, ✔✔The stage of BP elevation should be based on the lower of the systolic or diastolic
BP result (e.g. if systolic equals Stage 1 and diastolic equals Stage 2, the driver should
be certified according to Stage 1 guidelines.)
A) True
B) False - ✔✔B) Blood pressure stage is based on the highest level of either systolic or
diastolic blood pressure.
✔✔The FMCSA considers ___________________ elevated BP readings at consecutive
examinations as readings that confirm elevated BP.
A) Three
B) Four
C) Two
D) Five - ✔✔C) Two consecutive blood pressure readings, either at the same
examination or on consecutive examinations, are considered by the FMCSA as an
indication of elevated blood pressure.
✔✔What is the maximum certification period for drivers with hypertension?
A) Three months
B) One year
C) Two years
D) Six months - ✔✔B) For a driver diagnosed with hypertension, the maximum
certification interval is one year.
✔✔When a driver has a BP equivalent to Stage 2 hypertension a medical certification
for what time period can be issued?
A) One time, six months
B) One time, one year
C) One time, three months
D) One time, two years - ✔✔C) The maximum certification interval for Stage 2
hypertension is three months. This is intended to allow the driver to follow up with
his/her treating physician to be placed on medication for hypertension treatment
✔✔The expiration date for one-year certification, following issuance of a one-time, three
month certificate:
A) Should be noted on the Medical Examiner's Certificate
B) Should be noted in the comments section or elsewhere in the Medical Examination
Report
C) Both a and b
D) Neither a and b - ✔✔C) The expiration date must be noted on both the Medical
Examiners Certificate and in the Medical Examination Report
✔✔Which of the following is true?
1) CMV drivers have an increased propensity for the development of hypertension that
exceeds the risk seen in other professions
