NRCME DOT CERTIFICATION EXAM PREP
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS VERIFIED PRACTICE SOLUTION
GRADED A+
⩥ What percentage of NRCME exam questions focus on determining
qualification & disposition? Answer: 30%
⩥ Which regulations govern the NRCME exam? Answer: 49 CFR
391.41-391.49
⩥ What is the maximum certification interval for a fully qualified
driver? Answer: 2 years
⩥ What is the minimum blood pressure for a 2-year certification?
Answer: ≤ 140/90
⩥ What blood pressure range typically results in a 1-year certification?
Answer: Stage 2 Hypertension (160--109)
⩥ What is the required vision standard for NRCME certification?
Answer: At least 20/40 in each eye and both eyes together
, ⩥ What is the required horizontal field of vision for NRCME
certification? Answer: ≥ 70° in each eye
⩥ What is the hearing standard for NRCME certification using the
forced whisper test? Answer: Hear forced whisper ≥ 5 feet in one ear
⩥ What must be documented if a driver leaves before completing the
vision portion of the exam? Answer: The incomplete exam must be
documented and submitted as incomplete/temporarily disqualified.
⩥ What is the waiting period after a single provoked seizure for
certification? Answer: Typically, a waiting period is required based on
the underlying cause and recurrence risk.
⩥ What form must an insulin-treated diabetic driver complete? Answer:
Insulin-Treated Diabetes Mellitus Assessment Form (MCSA-5870)
⩥ What is the certification outcome for a driver with severe
hypoglycemia in the last 6 months? Answer: Typically cannot certify
until stability and cause are addressed.
⩥ What is the certification strategy for a driver with coronary artery
disease post-MI? Answer: Waiting periods and documentation are
required for certification.
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS VERIFIED PRACTICE SOLUTION
GRADED A+
⩥ What percentage of NRCME exam questions focus on determining
qualification & disposition? Answer: 30%
⩥ Which regulations govern the NRCME exam? Answer: 49 CFR
391.41-391.49
⩥ What is the maximum certification interval for a fully qualified
driver? Answer: 2 years
⩥ What is the minimum blood pressure for a 2-year certification?
Answer: ≤ 140/90
⩥ What blood pressure range typically results in a 1-year certification?
Answer: Stage 2 Hypertension (160--109)
⩥ What is the required vision standard for NRCME certification?
Answer: At least 20/40 in each eye and both eyes together
, ⩥ What is the required horizontal field of vision for NRCME
certification? Answer: ≥ 70° in each eye
⩥ What is the hearing standard for NRCME certification using the
forced whisper test? Answer: Hear forced whisper ≥ 5 feet in one ear
⩥ What must be documented if a driver leaves before completing the
vision portion of the exam? Answer: The incomplete exam must be
documented and submitted as incomplete/temporarily disqualified.
⩥ What is the waiting period after a single provoked seizure for
certification? Answer: Typically, a waiting period is required based on
the underlying cause and recurrence risk.
⩥ What form must an insulin-treated diabetic driver complete? Answer:
Insulin-Treated Diabetes Mellitus Assessment Form (MCSA-5870)
⩥ What is the certification outcome for a driver with severe
hypoglycemia in the last 6 months? Answer: Typically cannot certify
until stability and cause are addressed.
⩥ What is the certification strategy for a driver with coronary artery
disease post-MI? Answer: Waiting periods and documentation are
required for certification.
