1|Page
NRCME Test Bank 2026 | Expert
Verified Questions And Accurate
Answers
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
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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.
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Which of the following is a disqualifying condition?
A) A past clinical diagnosis of alcoholism
B) A breath alcohol result of 0.019%
C) An alcohol-related stable physical condition, regardless of the time element
D) Use of methadone - correct-answer -D) A current diagnosis of alcoholism is
disqualifying. A breath alcohol result of 0.02% or higher renders the driver
unqualified to drive. An alcohol-related unstable physical condition is
disqualifying.
Ongoing voluntary attendance at self-help groups (e.g. 12 step programs) for
maintenance of recovery from alcoholism:
A) Is required for all drivers recovering from alcoholism
B) Is disqualifying
C) Is allowed but not required for drivers recovering from alcoholism
D) Fulfills the requirement for rehabilitation following a violation of alcohol rules. -
correct-answer -C) 12-step or similar programs do not fulfill rehabiliation
requirements for drivers with a violation of alcohol (or drug) regulations.
Participation in such programs is allowed, but not required, and is not
disqualifying.
Which of the following is a mental health professional that the medial examiner
may refer to or consult with?
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1) Breath alcohol technician (BAT)
2) Designated employer representative (DER)
3) Medical review officer (MRO)
4) Substance abuse professional (SAP)
A) 1, 2, and 3
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above - correct-answer -According to the FMCSA, all of these are
defined as mental health professionals
The maximal certification internal for a driver with a history of drug abuse or
alcoholism is
A) Six months
B) One year
C) Two years
D) Do not certify - correct-answer -C) Drivers with a history of drug abuse or
alcoholism may be certified forup to two years. Drivers may be subject to drug
and/or alcohol testing more frequently, but such testing is performed under 49
CFR Part 40 drug and alcohol testing regulations, not under 49 CFR Part 391.41
driver qualification standards
NRCME Test Bank 2026 | Expert
Verified Questions And Accurate
Answers
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
,2|Page
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.
,3|Page
Which of the following is a disqualifying condition?
A) A past clinical diagnosis of alcoholism
B) A breath alcohol result of 0.019%
C) An alcohol-related stable physical condition, regardless of the time element
D) Use of methadone - correct-answer -D) A current diagnosis of alcoholism is
disqualifying. A breath alcohol result of 0.02% or higher renders the driver
unqualified to drive. An alcohol-related unstable physical condition is
disqualifying.
Ongoing voluntary attendance at self-help groups (e.g. 12 step programs) for
maintenance of recovery from alcoholism:
A) Is required for all drivers recovering from alcoholism
B) Is disqualifying
C) Is allowed but not required for drivers recovering from alcoholism
D) Fulfills the requirement for rehabilitation following a violation of alcohol rules. -
correct-answer -C) 12-step or similar programs do not fulfill rehabiliation
requirements for drivers with a violation of alcohol (or drug) regulations.
Participation in such programs is allowed, but not required, and is not
disqualifying.
Which of the following is a mental health professional that the medial examiner
may refer to or consult with?
, 4|Page
1) Breath alcohol technician (BAT)
2) Designated employer representative (DER)
3) Medical review officer (MRO)
4) Substance abuse professional (SAP)
A) 1, 2, and 3
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above - correct-answer -According to the FMCSA, all of these are
defined as mental health professionals
The maximal certification internal for a driver with a history of drug abuse or
alcoholism is
A) Six months
B) One year
C) Two years
D) Do not certify - correct-answer -C) Drivers with a history of drug abuse or
alcoholism may be certified forup to two years. Drivers may be subject to drug
and/or alcohol testing more frequently, but such testing is performed under 49
CFR Part 40 drug and alcohol testing regulations, not under 49 CFR Part 391.41
driver qualification standards
