1|Page
NRCME DOT Practice Test Exam || Most Recent Exam
2026 Actual Complete Real Exam Questions And
Correct Answers||VERIFIED EXAM!!! (Verified
Answers) Already Graded A+ ||Newest Exam!!!
If glucose is detected on urinalysis in a driver with no
history of diabetes, an appropriate next step is:
A) Endocrinology consultation
B) One year clearance and recommendation to see
personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification - Answers-C) The medical
examiner should first determine blood glucose and then
make an appropriate certification determination and
referral
Drivers with a history of _____________ severe
hypoglycemic reactions in the past year or
_____________ severe hypoglycemic reactions in the
past five years should not be certifed.
A) one, three
B) one, two
C) two, three
,2|Page
D) two, five - Answers-B) A driver should not be certified if
the driver has had one hypoglycemic reaction in the past
year or two in the past five years.
Which of the following is not a criteria that the FMCSA
uses to define a severe hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred
without warning - Answers-B) FMCSA defines severe
hypoglycemia as reactions that result in seizure, loss of
consciousness, need of assistance from another person,
and a period of impaired congitive function that occurred
without warning
Which diabetes mellitus risk poses the greatest threat to
public safety
A) Hyperglycemia
B) Peripheral neuropathy
C) Hypoglycemia
D) Metabolic encephalopathy - Answers-C) Although
hyperglycemia, peripheral neuropathy, and metabolic
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encephalopathy all pose significant risks for safe driving,
hypoglycemia poses the greatest risk. The risk is
particularly pronounced in drivers who use insulin. FMCSA
defines a hypoglycemia episode as one that results in
seizure, loss of consciousness, need of assistance from
another person, or a period of impaired cognitive function
that occurs without warning.
A driver with a diabetes exemption should check glucose
levels when?
A) One hour before driving and at least once every four
hours while driving
B) One hour before driving and at least every eight hours
while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - Answers-A)
Driver's with diabetes exemption should check glucose
values one hour before driving and once every four hours
while driving
A driver with diabetes melllitus who uses insulin is
determined to be otherwise medically qualified. The
medical examiner must indicate that a diabetes exemption
is required on the :
, 4|Page
A) Medical Examination Report status section and Medical
Examiners Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - Answers-A)
Exemption requirements must be noted on the Medical
Examination Report status section and the Medical
Examiners Certificate
Which of the following is true for diagnosis of a hernia?
A) The driver should be referred to a surgeon to determine
whether repair of a hernia is necessary
B) The waiting period following hernia surgery is two
weeks
C) Inguinal hernias have been associated with an
increased risk for CMV accidents
D) The maximum certification interval for a driver with a
hernia is two years - Answers-D) The medical examiner
can use his/her judgment as to whether a driver should be
referred to a surgeon or other specialist. There is no
specified waiting period following hernia surgery - the
driver should not be certified until the medical examiner
NRCME DOT Practice Test Exam || Most Recent Exam
2026 Actual Complete Real Exam Questions And
Correct Answers||VERIFIED EXAM!!! (Verified
Answers) Already Graded A+ ||Newest Exam!!!
If glucose is detected on urinalysis in a driver with no
history of diabetes, an appropriate next step is:
A) Endocrinology consultation
B) One year clearance and recommendation to see
personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification - Answers-C) The medical
examiner should first determine blood glucose and then
make an appropriate certification determination and
referral
Drivers with a history of _____________ severe
hypoglycemic reactions in the past year or
_____________ severe hypoglycemic reactions in the
past five years should not be certifed.
A) one, three
B) one, two
C) two, three
,2|Page
D) two, five - Answers-B) A driver should not be certified if
the driver has had one hypoglycemic reaction in the past
year or two in the past five years.
Which of the following is not a criteria that the FMCSA
uses to define a severe hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred
without warning - Answers-B) FMCSA defines severe
hypoglycemia as reactions that result in seizure, loss of
consciousness, need of assistance from another person,
and a period of impaired congitive function that occurred
without warning
Which diabetes mellitus risk poses the greatest threat to
public safety
A) Hyperglycemia
B) Peripheral neuropathy
C) Hypoglycemia
D) Metabolic encephalopathy - Answers-C) Although
hyperglycemia, peripheral neuropathy, and metabolic
,3|Page
encephalopathy all pose significant risks for safe driving,
hypoglycemia poses the greatest risk. The risk is
particularly pronounced in drivers who use insulin. FMCSA
defines a hypoglycemia episode as one that results in
seizure, loss of consciousness, need of assistance from
another person, or a period of impaired cognitive function
that occurs without warning.
A driver with a diabetes exemption should check glucose
levels when?
A) One hour before driving and at least once every four
hours while driving
B) One hour before driving and at least every eight hours
while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - Answers-A)
Driver's with diabetes exemption should check glucose
values one hour before driving and once every four hours
while driving
A driver with diabetes melllitus who uses insulin is
determined to be otherwise medically qualified. The
medical examiner must indicate that a diabetes exemption
is required on the :
, 4|Page
A) Medical Examination Report status section and Medical
Examiners Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - Answers-A)
Exemption requirements must be noted on the Medical
Examination Report status section and the Medical
Examiners Certificate
Which of the following is true for diagnosis of a hernia?
A) The driver should be referred to a surgeon to determine
whether repair of a hernia is necessary
B) The waiting period following hernia surgery is two
weeks
C) Inguinal hernias have been associated with an
increased risk for CMV accidents
D) The maximum certification interval for a driver with a
hernia is two years - Answers-D) The medical examiner
can use his/her judgment as to whether a driver should be
referred to a surgeon or other specialist. There is no
specified waiting period following hernia surgery - the
driver should not be certified until the medical examiner
