Page 1 of 157
NRCME DOT PRACTICE TEST EXAM NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {280 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
What minimum PaO2 level is recommended if the driver has an
ABG due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - ✔✔✔ Correct Answer > D.
To be qualified, the driver should meet a minimum arterial blood
gas (PaO2) greater than 65.
After a diagnosis of Meniere's disease, what is the
recommendation for certification of a driver?
a. Certification if no reported dizziness or vertigo.
b. Certification after a 1 year waiting period if hearing standards
are met and there are no
symptoms of vertigo.
,Page 2 of 157
c. Certification after a 2-month waiting period free of symptoms
of vertigo.
d. Meniere's disease is progressive and considered completely
disabling. Disqualify. - ✔✔✔ Correct Answer > D.
A driver reports a suicide attempt 10 months earlier, following
the break-up of his marriage. He noted seeing a psychiatrist and
he takes Citalopram daily and he reports he feels fine now and is
moving on with his life. He provides a release from his doctor
that he may return to work without restrictions. The medical
examiner should:
a. Disqualify the driver.
b. Require a CAGE questionnaire.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ✔✔✔ Correct Answer > A.
The driver is disqualified because he has not completed the
recommended waiting period for suicide attempt of 1 year. Once
he has completed this, he may be certified for 1 year due to the
continued treatment of depression (taking an SSRI).
Which of these is intrastate (as opposed to interstate)
commerce?
,Page 3 of 157
a. A UPS driver delivers packages from far and wide within a
single city.
b. A semi driver drives a long-haul route from Florida to Texas.
c. A commercial driver makes a run from New Orleans, LA to
Monroe, LA, but passes through
Mississippi on the route.
d. ALL of the above are examples of interstate commerce, not
intrastate. - ✔✔✔ Correct Answer > D.
The U.S. Department of Transportation regulates interstate
commerce, which is defined as trade, traffic or transportation
involving the crossing of a state or national boundary. The vehicle
and its contents must cross or there must be the intent to cross a
boundary: (1) Between a place in a state and a place outside that
state (including a place outside of the United States); (2) Between
two places in a state, through another state, or a place outside of
the United States; (3) Between two places in the state as part of
trade, traffic or transportation originating or
terminating outside the state or the United States. In the case of
answer A, the contents are traveling across state lines.
Which of the following diagnoses is NOT always disqualifying?
a. Narcolepsy.
, Page 4 of 157
b. Bipolar Disorder.
c. ICD insertion.
d. Current Alcoholism. - ✔✔✔ Correct Answer > B.
An obese driver's urinalysis shows 500mg/dL of glucose. He
claims he is not diabetic, but it is simply because of the 20-ounce
bottle of soda he drank in the hour before the test. What should
be done?
a. Place in determination pending and refer to PCP.
b. Certify for 1 year and recheck at that time.
c. Use determination pending and have the patient return for a
repeat glucose dipstick within 45 days.
d. Disqualify. - ✔✔✔ Correct Answer > A.
When clinical signs exist indicating a driver may not have
disclosed use of a scheduled drug or substance, the medical
examiner:
a. May request a non-Department of Transportation drug test.
b. Must refer for a DOT drug test
c. Must obtain consultation from a substance abuse professional
NRCME DOT PRACTICE TEST EXAM NEWEST 2026
ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {280 Q & A} ALREADY GRADED A+ |
BRAND NEW! | 100% GUARANTEED PASS
What minimum PaO2 level is recommended if the driver has an
ABG due to a chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mm Hg - ✔✔✔ Correct Answer > D.
To be qualified, the driver should meet a minimum arterial blood
gas (PaO2) greater than 65.
After a diagnosis of Meniere's disease, what is the
recommendation for certification of a driver?
a. Certification if no reported dizziness or vertigo.
b. Certification after a 1 year waiting period if hearing standards
are met and there are no
symptoms of vertigo.
,Page 2 of 157
c. Certification after a 2-month waiting period free of symptoms
of vertigo.
d. Meniere's disease is progressive and considered completely
disabling. Disqualify. - ✔✔✔ Correct Answer > D.
A driver reports a suicide attempt 10 months earlier, following
the break-up of his marriage. He noted seeing a psychiatrist and
he takes Citalopram daily and he reports he feels fine now and is
moving on with his life. He provides a release from his doctor
that he may return to work without restrictions. The medical
examiner should:
a. Disqualify the driver.
b. Require a CAGE questionnaire.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ✔✔✔ Correct Answer > A.
The driver is disqualified because he has not completed the
recommended waiting period for suicide attempt of 1 year. Once
he has completed this, he may be certified for 1 year due to the
continued treatment of depression (taking an SSRI).
Which of these is intrastate (as opposed to interstate)
commerce?
,Page 3 of 157
a. A UPS driver delivers packages from far and wide within a
single city.
b. A semi driver drives a long-haul route from Florida to Texas.
c. A commercial driver makes a run from New Orleans, LA to
Monroe, LA, but passes through
Mississippi on the route.
d. ALL of the above are examples of interstate commerce, not
intrastate. - ✔✔✔ Correct Answer > D.
The U.S. Department of Transportation regulates interstate
commerce, which is defined as trade, traffic or transportation
involving the crossing of a state or national boundary. The vehicle
and its contents must cross or there must be the intent to cross a
boundary: (1) Between a place in a state and a place outside that
state (including a place outside of the United States); (2) Between
two places in a state, through another state, or a place outside of
the United States; (3) Between two places in the state as part of
trade, traffic or transportation originating or
terminating outside the state or the United States. In the case of
answer A, the contents are traveling across state lines.
Which of the following diagnoses is NOT always disqualifying?
a. Narcolepsy.
, Page 4 of 157
b. Bipolar Disorder.
c. ICD insertion.
d. Current Alcoholism. - ✔✔✔ Correct Answer > B.
An obese driver's urinalysis shows 500mg/dL of glucose. He
claims he is not diabetic, but it is simply because of the 20-ounce
bottle of soda he drank in the hour before the test. What should
be done?
a. Place in determination pending and refer to PCP.
b. Certify for 1 year and recheck at that time.
c. Use determination pending and have the patient return for a
repeat glucose dipstick within 45 days.
d. Disqualify. - ✔✔✔ Correct Answer > A.
When clinical signs exist indicating a driver may not have
disclosed use of a scheduled drug or substance, the medical
examiner:
a. May request a non-Department of Transportation drug test.
b. Must refer for a DOT drug test
c. Must obtain consultation from a substance abuse professional
