NRCME DOT Practice Exam Prep Test Bank
NRCME DOT PRACTICE EXAM PREP TEST BANK NEWEST 2026/2027
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A driver admits to the use of marijuana for the treatment of his glaucoma, which
is legal in the State in which he lives. He provides medical documentation for the
glaucoma indicating he is able to drive a truck. He began using the marijuana
about three months ago. His current medical card has no limitations listed and is
for 2 years. His certification examination is within normal limits. The medical
examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing
provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer-A.
Use of marijuana is prohibited by Federal law while driving a CMV and trumps
State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
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, NRCME DOT Practice Exam Prep Test Bank
d. Stage 3 Hypertension. - Correct Answer-B.
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild depression." He
reports he has not considered or attempted suicide. The examiner should:
a. Certify only after obtaining written clearance for the depression from the
treating mental health professional.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. - Correct Answer-A.
Medical clearance is recommended for all mental health disorders. Celexa is an
SSRI or 2nd Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only
accept Form MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. - Correct Answer-C.
The medical examiner must receive the form and begin the medical examination
no later than 45 days after the date signed on the form; however, the medical
certification determination does not need to be completed within 45 days.
2|Page
, NRCME DOT Practice Exam Prep Test Bank
BG logs should be 3 month periods
What minimum PaO2 level on an ABG performed for a chronic respiratory
disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - Correct Answer-C.
A driver is taking Topamax for the treatment of migraine headaches. He reports
good management of his headaches, and they never seem to interfere with his
driving ability with the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer-A.
Topamax is a medication that is used for seizure control. The examiner should
confirm with the prescribing provider that the driver does not take it to control
seizures, and he is capable of driving a CMV.
You are evaluating an insulin-treated diabetic driver for certification. Which of the
following is most important to ask about?
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, NRCME DOT Practice Exam Prep Test Bank
a. Serum glucose reading at time of initial diagnosis of diabetes.
b. Use of insulin at bedtime.
c. Availability of readily available supply of glucose. - Correct Answer-C.
Ensure the driver operates a CMV with a supply of glucose available in case of the
development of hypoglycemia.
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - Correct Answer-A.
This is Stage 3 hypertension. The driver is disqualified until his blood pressure is
less than 140/90 mm Hg at which time he will have a maximum certification of 6
months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the time
of the examination?
a. 3 months
b. 6 months
c. 1 year
4|Page
NRCME DOT PRACTICE EXAM PREP TEST BANK NEWEST 2026/2027
ACTUAL EXAM COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
|ALREADY GRADED A+||BRAND NEW VERSION!!
A driver admits to the use of marijuana for the treatment of his glaucoma, which
is legal in the State in which he lives. He provides medical documentation for the
glaucoma indicating he is able to drive a truck. He began using the marijuana
about three months ago. His current medical card has no limitations listed and is
for 2 years. His certification examination is within normal limits. The medical
examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing
provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer-A.
Use of marijuana is prohibited by Federal law while driving a CMV and trumps
State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
1|Page
, NRCME DOT Practice Exam Prep Test Bank
d. Stage 3 Hypertension. - Correct Answer-B.
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild depression." He
reports he has not considered or attempted suicide. The examiner should:
a. Certify only after obtaining written clearance for the depression from the
treating mental health professional.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. - Correct Answer-A.
Medical clearance is recommended for all mental health disorders. Celexa is an
SSRI or 2nd Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only
accept Form MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. - Correct Answer-C.
The medical examiner must receive the form and begin the medical examination
no later than 45 days after the date signed on the form; however, the medical
certification determination does not need to be completed within 45 days.
2|Page
, NRCME DOT Practice Exam Prep Test Bank
BG logs should be 3 month periods
What minimum PaO2 level on an ABG performed for a chronic respiratory
disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. - Correct Answer-C.
A driver is taking Topamax for the treatment of migraine headaches. He reports
good management of his headaches, and they never seem to interfere with his
driving ability with the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer-A.
Topamax is a medication that is used for seizure control. The examiner should
confirm with the prescribing provider that the driver does not take it to control
seizures, and he is capable of driving a CMV.
You are evaluating an insulin-treated diabetic driver for certification. Which of the
following is most important to ask about?
3|Page
, NRCME DOT Practice Exam Prep Test Bank
a. Serum glucose reading at time of initial diagnosis of diabetes.
b. Use of insulin at bedtime.
c. Availability of readily available supply of glucose. - Correct Answer-C.
Ensure the driver operates a CMV with a supply of glucose available in case of the
development of hypoglycemia.
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - Correct Answer-A.
This is Stage 3 hypertension. The driver is disqualified until his blood pressure is
less than 140/90 mm Hg at which time he will have a maximum certification of 6
months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at the time
of the examination?
a. 3 months
b. 6 months
c. 1 year
4|Page
