NRCME TEST BANK 2025
NRCME TEST BANK 2025/2026
COMPLETE ALL 400 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||ALREADY GRADED A+
The impairment benchmark for FMCSA for alcohol is
A) 0.01
B) 0.03
C) 0.04
D) 0.08
C) FMCSA recommendations use the degree of imipairment produced by a 0.04 percent food alcohol
concentration as a benchmark for impairment
A driver with monocular vision who has been granted a federal vision exemption or who is qualified
by operation of 49 CFR 391.64 must have an annual physical examination.
A) True
B) False
A) Even though a vision exemption is provided for two years, the driver must undergo annual
examinatin
Who of the following is not qualified to perform the vision testing portion of the interstate CMV
driver physical examination?
A) An optometrist
B) The medical examiner
C) A licensed vision testing technician
D) An ophthalmologist
C) Vision testing must be performed by the medical examiner, an optometrist, or ophthalmology
Which of the following is true with regard to horizontal field of vision testing include:
A) Passing parameters are 75 degrees in left and right eye visual fields
B) Medial examiners may use a variety of methods in the clinical setting to measure field of vision,
including reasonably reliable and accurate tests
C) Telescopic lenses that redirect peripheral vision to compensate for loss of central vision are
acceptable corrective lenses for meeting commercial driving qualificatin requirements
D) Specialized ophthalmological equipment should not be used for precise measurement to
determine if vision meets the 70 degree requirement
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, NRCME TEST BANK 2025
B) Passing parapets for field of vision are 70 degrees in left and right visual fields. Telescopic lenses
that redirect peripheral vision to compensate for loss of central vision are not acceptable. Specialized
ophthalmological equipment may be used to measure vision parameters.
Which of the following will always disqualify a driver from being certified without federal exemption?
A) Abnormal reactivity to light
B) 70 degrees horizontal field of vision in each eye
C) Monocular vision
D) Floaters
C) Without a federal exemption or grandfathered status, monocular vision will always disqualify a
driver from being certified.
For a driver to be certified without a waiver for color recognition, they must ________________
A) Correctly identify the true colors of signs and traffic lights
B) Sufficiently recognize traffic signals and devices showing the standard red, amber and green
traffic signal colors
C) Be able to identify the different signs and traffic lights through shape and positional analysis
D) Pass an Ishahara color vision test
B) Drivers must be able to recognize red, yellow, and green traffic signal colors
A driver with monocular vision who has been grandfathered must provide proof of grandfathered
status at what time?
A) Within three oaths of certification
B) When the certification is issued
C) Before the certification process is complete
D) Never
C) Drivers with monocular vision who have grandfathered status must provide proof of such status
before the medical examiner may issue certification
The maximum duration of a federally-granted waiver or exemption is _______________
A) Three months
B) Six months
C) One year
D) Two years
D) Waiver durations may vary, although they cannot exceed two years
The medical examiner's role in the exemption process is _______________
A) Issuing the exemption
B) Advising the FMCSA on the severity of the driver's impairment
C) Providing the driver contact information for the Federal Vision Exemption Program
D) Performing vision testing
C) The medical examiner's role in securing a vision exemption is to help the driver get in contact with
the Federal Vision Exemption Program
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, NRCME TEST BANK 2025
Under what conditions may a driver diagnosed with lazy eye be certified?
A) Under any conditions — lazy eye is not considered a visual impairment for CMV operators
B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption
C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption
D) Only by federal exemptoin
C) Drivers with lazy eye must meet federal vision standards for certification (20/40 visual acuity in
both eyes) or seek a federal exemption
Medical examiners may grant vision exemptions for drivers that do not meet vision qualification
standards
A) True
B) False
B) Only the FMCSA may grant exemptions of any type
Under what circumstances is an ophthalmologist and only an ophthalmologist qualified to perform
an examination?
A) Under no conditions — optometrist and medical examiners are always qualified to perform vision
testing
B) Only when the driver is diagnosed with aphakia
C) Only when specialized testing is required to resolve an inconclusive examination
D) Under no conditions — ophthalmologists are not qualified to examine CMV drivers
C) The assistance of an ophthalmologist is only required if specialized testing is necessary
Which of the following is considered grounds for additional testing?
A) Blurry vision
B) Presence of floaters
C) Distance vision uncorrected 20/35 in each eye
D) Field of vision testing of 70 degrees in each eye
A) The presence of floaters is not in and of itself an indication for additional testing. Distance vision
of 20/40 or better is considered acceptable, and field of vision of 70 degrees in each eye meets vision
testing requirements.
A driver with monocular vision who has been granted a federal vision exemption or who is qualified
by operation of 49CFR391.64 must have a physical examination every ________________________?
A) Six months
B) Year
C) Two years
D) Within six onths of the date of renewal of the vision exemption
B) Although a federal vision exemption is usually granted for two years, the driver must be examined
annually.
To pass the interstate CMV driver vision exam, a visual acuity of ___________________ corrected or I
corrected is required.
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A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye
B) Monocular vision is disqualifying. Drivers must be able to see at least 20/40 in each eye and both
eyes combined.
What eye conditions must the medical examiner ask the driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular degeneration
D) These "ask about" eye conditions require referral to an eye specialist if the driver indicates a
history of these conditions
FMCSA vision testing standards require field of vision of at least _______ in the horizontal meridian
of _____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both
B) Field of vision should be performed on both eyes, and adequate field of vision of at least 70
degrees in each eye must be demonstrated
Certification of vision testing results may be performed by any of the following except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist
C) The FMCSA allows the medical examiner, an ophthalmologist, or an optometrist to perform and
certify vision testing results.
The driver requiring vision correction may be certified for up to
A) Six months
B) One year
C) Two years
D) Five years
C) Drivers requiring vision correction may be certified for up to two years.
A driver may use telescopic lenses that redirect peripheral vision to compensate for loss of central
vision as corrective lenses for meeting CMV qualification requirements
A) True
B) False
A+ TEST BANK 4
NRCME TEST BANK 2025/2026
COMPLETE ALL 400 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||ALREADY GRADED A+
The impairment benchmark for FMCSA for alcohol is
A) 0.01
B) 0.03
C) 0.04
D) 0.08
C) FMCSA recommendations use the degree of imipairment produced by a 0.04 percent food alcohol
concentration as a benchmark for impairment
A driver with monocular vision who has been granted a federal vision exemption or who is qualified
by operation of 49 CFR 391.64 must have an annual physical examination.
A) True
B) False
A) Even though a vision exemption is provided for two years, the driver must undergo annual
examinatin
Who of the following is not qualified to perform the vision testing portion of the interstate CMV
driver physical examination?
A) An optometrist
B) The medical examiner
C) A licensed vision testing technician
D) An ophthalmologist
C) Vision testing must be performed by the medical examiner, an optometrist, or ophthalmology
Which of the following is true with regard to horizontal field of vision testing include:
A) Passing parameters are 75 degrees in left and right eye visual fields
B) Medial examiners may use a variety of methods in the clinical setting to measure field of vision,
including reasonably reliable and accurate tests
C) Telescopic lenses that redirect peripheral vision to compensate for loss of central vision are
acceptable corrective lenses for meeting commercial driving qualificatin requirements
D) Specialized ophthalmological equipment should not be used for precise measurement to
determine if vision meets the 70 degree requirement
A+ TEST BANK 1
, NRCME TEST BANK 2025
B) Passing parapets for field of vision are 70 degrees in left and right visual fields. Telescopic lenses
that redirect peripheral vision to compensate for loss of central vision are not acceptable. Specialized
ophthalmological equipment may be used to measure vision parameters.
Which of the following will always disqualify a driver from being certified without federal exemption?
A) Abnormal reactivity to light
B) 70 degrees horizontal field of vision in each eye
C) Monocular vision
D) Floaters
C) Without a federal exemption or grandfathered status, monocular vision will always disqualify a
driver from being certified.
For a driver to be certified without a waiver for color recognition, they must ________________
A) Correctly identify the true colors of signs and traffic lights
B) Sufficiently recognize traffic signals and devices showing the standard red, amber and green
traffic signal colors
C) Be able to identify the different signs and traffic lights through shape and positional analysis
D) Pass an Ishahara color vision test
B) Drivers must be able to recognize red, yellow, and green traffic signal colors
A driver with monocular vision who has been grandfathered must provide proof of grandfathered
status at what time?
A) Within three oaths of certification
B) When the certification is issued
C) Before the certification process is complete
D) Never
C) Drivers with monocular vision who have grandfathered status must provide proof of such status
before the medical examiner may issue certification
The maximum duration of a federally-granted waiver or exemption is _______________
A) Three months
B) Six months
C) One year
D) Two years
D) Waiver durations may vary, although they cannot exceed two years
The medical examiner's role in the exemption process is _______________
A) Issuing the exemption
B) Advising the FMCSA on the severity of the driver's impairment
C) Providing the driver contact information for the Federal Vision Exemption Program
D) Performing vision testing
C) The medical examiner's role in securing a vision exemption is to help the driver get in contact with
the Federal Vision Exemption Program
A+ TEST BANK 2
, NRCME TEST BANK 2025
Under what conditions may a driver diagnosed with lazy eye be certified?
A) Under any conditions — lazy eye is not considered a visual impairment for CMV operators
B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption
C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption
D) Only by federal exemptoin
C) Drivers with lazy eye must meet federal vision standards for certification (20/40 visual acuity in
both eyes) or seek a federal exemption
Medical examiners may grant vision exemptions for drivers that do not meet vision qualification
standards
A) True
B) False
B) Only the FMCSA may grant exemptions of any type
Under what circumstances is an ophthalmologist and only an ophthalmologist qualified to perform
an examination?
A) Under no conditions — optometrist and medical examiners are always qualified to perform vision
testing
B) Only when the driver is diagnosed with aphakia
C) Only when specialized testing is required to resolve an inconclusive examination
D) Under no conditions — ophthalmologists are not qualified to examine CMV drivers
C) The assistance of an ophthalmologist is only required if specialized testing is necessary
Which of the following is considered grounds for additional testing?
A) Blurry vision
B) Presence of floaters
C) Distance vision uncorrected 20/35 in each eye
D) Field of vision testing of 70 degrees in each eye
A) The presence of floaters is not in and of itself an indication for additional testing. Distance vision
of 20/40 or better is considered acceptable, and field of vision of 70 degrees in each eye meets vision
testing requirements.
A driver with monocular vision who has been granted a federal vision exemption or who is qualified
by operation of 49CFR391.64 must have a physical examination every ________________________?
A) Six months
B) Year
C) Two years
D) Within six onths of the date of renewal of the vision exemption
B) Although a federal vision exemption is usually granted for two years, the driver must be examined
annually.
To pass the interstate CMV driver vision exam, a visual acuity of ___________________ corrected or I
corrected is required.
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, NRCME TEST BANK 2025
A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye
B) Monocular vision is disqualifying. Drivers must be able to see at least 20/40 in each eye and both
eyes combined.
What eye conditions must the medical examiner ask the driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular degeneration
D) These "ask about" eye conditions require referral to an eye specialist if the driver indicates a
history of these conditions
FMCSA vision testing standards require field of vision of at least _______ in the horizontal meridian
of _____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both
B) Field of vision should be performed on both eyes, and adequate field of vision of at least 70
degrees in each eye must be demonstrated
Certification of vision testing results may be performed by any of the following except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist
C) The FMCSA allows the medical examiner, an ophthalmologist, or an optometrist to perform and
certify vision testing results.
The driver requiring vision correction may be certified for up to
A) Six months
B) One year
C) Two years
D) Five years
C) Drivers requiring vision correction may be certified for up to two years.
A driver may use telescopic lenses that redirect peripheral vision to compensate for loss of central
vision as corrective lenses for meeting CMV qualification requirements
A) True
B) False
A+ TEST BANK 4
