NRCME TEST BANK 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||ALREADY GRADED A+
A driver with a history of kidney disease with or without transplant:
A) Is medically disqualified
B) Must be assessed regarding the severity, stability, medications
used, and medication side effects/adverse reactions
C) Should not be assessed for functional ability to operate a CMV
safely
D) Should have the medical certificaton determination made by a
renal specialist Correct Answer B) ASsessment for kidney
disease must be ade on a case-by-case basis. Dialysis of any
kind is disqualifying. The medical examiner may choose to
test the driver for functional ability to operate a CMV safely.
The medical certification decision must be made by the
medical examiner.
Which of the following is not a disqualifying condition?
A) Peritoneal dialysis
B) Hemodialysis
,C) Hernia
D) Peripheral neuropathy Correct Answer Any type of dialysis is a
disqualifying condition. Peripheral neuropathy is usually
disqualifying. Although a hernia may be disqualifying, often a
driver can be certified if the symptoms and/or examination
findings are mild or if the hernia has been surgically repaired and
the condition has stabilized (there is no specified waiting period
following hernia treatment, including surgery).
Urinalysis is required for the driver physical examination and the
results must include
A) Specific gravity, creatinine, bilirubin, and glucose
B) Creatinine, bilirubin, blood, and protein
C) Specific gravity, protein, blood, and glucose
D) Specific gravity, bilirubin, blood, and protein Correct Answer C)
Specific gravity, protein, blood, and glucose should be checked at
every driver examination
Disqualifying conditions include:
A) Chronic constipation
B) Obesity
C) Cystitis
D) Dialysis Correct Answer D) Dialysis of any type of disqualifying
,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 Correct Answer A) Hepatitis C is not disqualifying
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 following treatment Correct Answer D) Drivers with bleeding
ulcers should not be certified until the underlying cause has been
identified and the recurrence risk is low
A driver with a successful kidney transplant can be certified
A) True
B) False Correct Answer A) Kidney transplants are not
disqualifying
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 Correct 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.
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 Correct
Answer A) Treatment with naltrexone 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.
Which of the following is a disqualifying condition?
A) A past clinical diagnosis of alcoholism
B) A breath alcohol result of 0.019%
EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||ALREADY GRADED A+
A driver with a history of kidney disease with or without transplant:
A) Is medically disqualified
B) Must be assessed regarding the severity, stability, medications
used, and medication side effects/adverse reactions
C) Should not be assessed for functional ability to operate a CMV
safely
D) Should have the medical certificaton determination made by a
renal specialist Correct Answer B) ASsessment for kidney
disease must be ade on a case-by-case basis. Dialysis of any
kind is disqualifying. The medical examiner may choose to
test the driver for functional ability to operate a CMV safely.
The medical certification decision must be made by the
medical examiner.
Which of the following is not a disqualifying condition?
A) Peritoneal dialysis
B) Hemodialysis
,C) Hernia
D) Peripheral neuropathy Correct Answer Any type of dialysis is a
disqualifying condition. Peripheral neuropathy is usually
disqualifying. Although a hernia may be disqualifying, often a
driver can be certified if the symptoms and/or examination
findings are mild or if the hernia has been surgically repaired and
the condition has stabilized (there is no specified waiting period
following hernia treatment, including surgery).
Urinalysis is required for the driver physical examination and the
results must include
A) Specific gravity, creatinine, bilirubin, and glucose
B) Creatinine, bilirubin, blood, and protein
C) Specific gravity, protein, blood, and glucose
D) Specific gravity, bilirubin, blood, and protein Correct Answer C)
Specific gravity, protein, blood, and glucose should be checked at
every driver examination
Disqualifying conditions include:
A) Chronic constipation
B) Obesity
C) Cystitis
D) Dialysis Correct Answer D) Dialysis of any type of disqualifying
,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 Correct Answer A) Hepatitis C is not disqualifying
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 following treatment Correct Answer D) Drivers with bleeding
ulcers should not be certified until the underlying cause has been
identified and the recurrence risk is low
A driver with a successful kidney transplant can be certified
A) True
B) False Correct Answer A) Kidney transplants are not
disqualifying
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 Correct 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.
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 Correct
Answer A) Treatment with naltrexone 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.
Which of the following is a disqualifying condition?
A) A past clinical diagnosis of alcoholism
B) A breath alcohol result of 0.019%
