NRCME TEST BANK QUESTIONS
AND EXPERT VERIFIED ANSWERS
2026 EXAM GRADED A+ LATEST
UPDATE
Which of the following is a requirement for drivers with a diabetes
exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least
once every 2 hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - ANSWER- A.
Drivers with diabetes should self monitor blood glucose before
driving and every 4 hours while driving. Blood glucose monitoring
logs should be submitted annually. There is no specific requirement
for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
,B) Must maintain a hemoglobin A1C level of less than 7 to qualify for
certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - ANSWER- D) Drivers
with insulin dependent diabetes cannot be certified but may be
eligible for a diabetes exemption
Which of the following is true?
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating
diabetes is hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition -
ANSWER- A) The greatest risk for medication use for drivers with
diabetes in hypoglycemia, not hyperglycemia. Peripheral
neuropathy is disqualifying condition. Diabetes is a CHD equivalent
condition.
What is the recommended certification interval for a driver with diabetes
mellituse who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years - ANSWER- C) Drivers with non-insulin dependent
diabetes should be certified for a maximum of one year
,A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - ANSWER- D) Only the FMCSA can grant
exemptions
A driver with diabetes mellliktus who uses insulin is determined to be
otherwise medically qualified. The medical examiner must indicate that
a diabetes exemption is required on the :
A) Medical Examination Report status section and Medical Examiners
Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - ANSWER- A) Exemption
requirements must be noted on the Medical Examination Report
status section and the Medical Examiners Certificate
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 - ANSWER- 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
D) two, five - ANSWER- 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
- ANSWER- 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
AND EXPERT VERIFIED ANSWERS
2026 EXAM GRADED A+ LATEST
UPDATE
Which of the following is a requirement for drivers with a diabetes
exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least
once every 2 hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - ANSWER- A.
Drivers with diabetes should self monitor blood glucose before
driving and every 4 hours while driving. Blood glucose monitoring
logs should be submitted annually. There is no specific requirement
for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
,B) Must maintain a hemoglobin A1C level of less than 7 to qualify for
certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - ANSWER- D) Drivers
with insulin dependent diabetes cannot be certified but may be
eligible for a diabetes exemption
Which of the following is true?
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating
diabetes is hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition -
ANSWER- A) The greatest risk for medication use for drivers with
diabetes in hypoglycemia, not hyperglycemia. Peripheral
neuropathy is disqualifying condition. Diabetes is a CHD equivalent
condition.
What is the recommended certification interval for a driver with diabetes
mellituse who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years - ANSWER- C) Drivers with non-insulin dependent
diabetes should be certified for a maximum of one year
,A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - ANSWER- D) Only the FMCSA can grant
exemptions
A driver with diabetes mellliktus who uses insulin is determined to be
otherwise medically qualified. The medical examiner must indicate that
a diabetes exemption is required on the :
A) Medical Examination Report status section and Medical Examiners
Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - ANSWER- A) Exemption
requirements must be noted on the Medical Examination Report
status section and the Medical Examiners Certificate
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 - ANSWER- 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
D) two, five - ANSWER- 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
- ANSWER- 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
