NRCME DOT Practice Test EXAM fully solved & updated
2025-2026(latest version verified for accuracy) (Questions
+ Answers) Solved 100% Correct!!
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C
Terms in this set (280)
What minimum PaO2 level is recommended D.
if the driver has an ABG due to a chronic To be qualified, the driver should meet a minimum arterial
respiratory disorder? blood gas (PaO2) greater than 65.
a.70 mm Hg
b.55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
A driver first perceives a whispered voice at B.
5 feet in his right ear and 4 feet in his left The driver is qualified to drive without restriction as long as
he ear. All other aspects of his physical is able to perceive a whispered voice at 5 feet in 1 ear.
examination are unremarkable. The examiner
should:
a.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.
,7/20/26, 8:59 NRCME DOT Practice Test EXAM fully solved & updated 2025-2026(latest version verified for accuracy) (Questions +
PM Answers) Sol…
A driver reports for an examination 6 weeks A.
after suffering a mild heart attack and The driver has not completed the recommended 2-month
presents a note from his cardiologist stating waiting period, but all other requirements for medical
that he is able to return to work immediately clearance and required testing have been met. The driver
without restriction. Included within the note, would be certified for 1 year at the completion of the waiting
the cardiologist provides recent testing period.
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.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.
A driver provides an audiometric test B.
documenting the following: The examiner would average the results from 500 Hz, 1000
1. 500 Hz: 35 Right ear; 40 Left ear Hz and 2000 Hz. This average is 38.33 in the Right and 43.33
2.1000 HZ: 40 Right ear; 45 Left ear in the Left ear. A driver must have an average hearing loss of
3.2000 HZ: 40 Right ear; 45 Left ear less than or equal to 40 in the better ear. This does not have
4. 4000 Hz: 50 Right ear; 50 Left ear to be met in both ears.
The medical examiner should:
a.Disqualify the driver because he does not
meet minimum hearing requirements
to drive.
b.Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a
hearing exemption
During the examination of a commercial A.
driver, the examiner notices that the driver's A driver must exhibit a minimum peripheral vision of 70
peripheral vision is 70 degrees to the degrees bilaterally.
left and 80 degrees to the right. The
examiner should:
a.Qualify the driver for 2years.
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.
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,7/20/26, 8:59 NRCME DOT Practice Test EXAM fully solved & updated 2025-2026(latest version verified for accuracy) (Questions +
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During examination, the medical examiner B.
notices that the driver is distant, lacks The driver exhibits what may be considered a "flat affect"
eye contact and shows absolutely no which is seen in schizophrenia and in severe depression. The
emotional response during the exam. The driver should be evaluated by a mental health expert to
examiner's best response should be: make a diagnosis prior to certification.
a. Provide the driver with a "CAGE"
questionnaire to determine if he suffers
from alcoholism.
b. Disqualify the driver and refer him to
a mental health professional prior to
consideration for certification.
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.
d. Require a skill performance evaluation
to ascertain if the driver has any limitations
with driving
A driver admits to the use of marijuana A.
for the treatment of his glaucoma, which is Use of marijuana is prohibited by Federal law while driving a
legal in the State in which he lives. He CMV and trumps State law in this matter.
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.
A driver has a blood pressure of 136/92 mm B.
Hg. This is: This is Stage 1 Hypertension, which is defined as 140-159/90 -
99.
a.Within normal limits and would not
affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
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, 7/20/26, 8:59 NRCME DOT Practice Test EXAM fully solved & updated 2025-2026(latest version verified for accuracy) (Questions +
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A driver is taking Celexa for the treatment A.
of what he calls a "mild depression." He Medical clearance is recommended for all mental health
reports he has not considered or attempted disorders. Celexa is an SSRI or 2nd Generation anti-
suicide. The examiner should: depressant and is acceptable.
a. Certify only after obtaining
written clearance for the depression
from the treating mental health
professional.
b.Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no
longer requiring medication for the
treatment of depression.
For a driver with insulin-treated C.
diabetes mellitus, the medical examiner The medical examiner must receive the form and begin
can only accept Form MCSA-5870 if it the medical examination no later than 45 days after the
has been properly completed within date signed on the form; however, the medical certification
the last: determination does not need to be completed within 45 days.
a.25 days. BG logs should be 3 month periods
b. 30 days.
c. 45 days.
d. 60 days.
What minimum PaO2 level on an ABG C.
performed for a chronic respiratory disorder
is necessary to certify a commercial
driver?
a.55 mm Hg.
b.60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg.
A driver is taking Topamax for the treatment A.
of migraine headaches. He reports good Topamax is a medication that is used for seizure control. The
management of his headaches, and they examiner should confirm with the prescribing provider that
never seem to interfere with his driving the driver does not take it to control seizures, and he is
ability with the medication. The medical capable of driving a CMV.
examiner should?
a.Obtain medical clearance for the
condition and the medication.
b. Disqualify the driver because he is
taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
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2025-2026(latest version verified for accuracy) (Questions
+ Answers) Solved 100% Correct!!
Students also studied
Flashcard sets Study guides
C
Terms in this set (280)
What minimum PaO2 level is recommended D.
if the driver has an ABG due to a chronic To be qualified, the driver should meet a minimum arterial
respiratory disorder? blood gas (PaO2) greater than 65.
a.70 mm Hg
b.55 mm Hg
c. 60 mm Hg
d. 65 mm Hg
A driver first perceives a whispered voice at B.
5 feet in his right ear and 4 feet in his left The driver is qualified to drive without restriction as long as
he ear. All other aspects of his physical is able to perceive a whispered voice at 5 feet in 1 ear.
examination are unremarkable. The examiner
should:
a.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.
,7/20/26, 8:59 NRCME DOT Practice Test EXAM fully solved & updated 2025-2026(latest version verified for accuracy) (Questions +
PM Answers) Sol…
A driver reports for an examination 6 weeks A.
after suffering a mild heart attack and The driver has not completed the recommended 2-month
presents a note from his cardiologist stating waiting period, but all other requirements for medical
that he is able to return to work immediately clearance and required testing have been met. The driver
without restriction. Included within the note, would be certified for 1 year at the completion of the waiting
the cardiologist provides recent testing period.
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.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.
A driver provides an audiometric test B.
documenting the following: The examiner would average the results from 500 Hz, 1000
1. 500 Hz: 35 Right ear; 40 Left ear Hz and 2000 Hz. This average is 38.33 in the Right and 43.33
2.1000 HZ: 40 Right ear; 45 Left ear in the Left ear. A driver must have an average hearing loss of
3.2000 HZ: 40 Right ear; 45 Left ear less than or equal to 40 in the better ear. This does not have
4. 4000 Hz: 50 Right ear; 50 Left ear to be met in both ears.
The medical examiner should:
a.Disqualify the driver because he does not
meet minimum hearing requirements
to drive.
b.Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a
hearing exemption
During the examination of a commercial A.
driver, the examiner notices that the driver's A driver must exhibit a minimum peripheral vision of 70
peripheral vision is 70 degrees to the degrees bilaterally.
left and 80 degrees to the right. The
examiner should:
a.Qualify the driver for 2years.
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.
https://quizlet.com/1148838970/nrcme-dot-practice-test-exam-fully-solved-updated-2025-2026latest-version-verified-for-accuracy- 2/
questions-answers-… 71
,7/20/26, 8:59 NRCME DOT Practice Test EXAM fully solved & updated 2025-2026(latest version verified for accuracy) (Questions +
PM Answers) Sol…
During examination, the medical examiner B.
notices that the driver is distant, lacks The driver exhibits what may be considered a "flat affect"
eye contact and shows absolutely no which is seen in schizophrenia and in severe depression. The
emotional response during the exam. The driver should be evaluated by a mental health expert to
examiner's best response should be: make a diagnosis prior to certification.
a. Provide the driver with a "CAGE"
questionnaire to determine if he suffers
from alcoholism.
b. Disqualify the driver and refer him to
a mental health professional prior to
consideration for certification.
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.
d. Require a skill performance evaluation
to ascertain if the driver has any limitations
with driving
A driver admits to the use of marijuana A.
for the treatment of his glaucoma, which is Use of marijuana is prohibited by Federal law while driving a
legal in the State in which he lives. He CMV and trumps State law in this matter.
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.
A driver has a blood pressure of 136/92 mm B.
Hg. This is: This is Stage 1 Hypertension, which is defined as 140-159/90 -
99.
a.Within normal limits and would not
affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
https://quizlet.com/1148838970/nrcme-dot-practice-test-exam-fully-solved-updated-2025-2026latest-version-verified-for-accuracy- 3/
questions-answers-… 71
, 7/20/26, 8:59 NRCME DOT Practice Test EXAM fully solved & updated 2025-2026(latest version verified for accuracy) (Questions +
PM Answers) Sol…
A driver is taking Celexa for the treatment A.
of what he calls a "mild depression." He Medical clearance is recommended for all mental health
reports he has not considered or attempted disorders. Celexa is an SSRI or 2nd Generation anti-
suicide. The examiner should: depressant and is acceptable.
a. Certify only after obtaining
written clearance for the depression
from the treating mental health
professional.
b.Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no
longer requiring medication for the
treatment of depression.
For a driver with insulin-treated C.
diabetes mellitus, the medical examiner The medical examiner must receive the form and begin
can only accept Form MCSA-5870 if it the medical examination no later than 45 days after the
has been properly completed within date signed on the form; however, the medical certification
the last: determination does not need to be completed within 45 days.
a.25 days. BG logs should be 3 month periods
b. 30 days.
c. 45 days.
d. 60 days.
What minimum PaO2 level on an ABG C.
performed for a chronic respiratory disorder
is necessary to certify a commercial
driver?
a.55 mm Hg.
b.60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg.
A driver is taking Topamax for the treatment A.
of migraine headaches. He reports good Topamax is a medication that is used for seizure control. The
management of his headaches, and they examiner should confirm with the prescribing provider that
never seem to interfere with his driving the driver does not take it to control seizures, and he is
ability with the medication. The medical capable of driving a CMV.
examiner should?
a.Obtain medical clearance for the
condition and the medication.
b. Disqualify the driver because he is
taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
https://quizlet.com/1148838970/nrcme-dot-practice-test-exam-fully-solved-updated-2025-2026latest-version-verified-for-accuracy- 4/
questions-answers-… 71
