NRCME TEST BANK COMPREHENSIVE EXAM ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔An audio metric test yields the following results:
Left ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 55 dB loss
Right ear: 500 Hz, 40 dB loss
1000 Hz, 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify only when accompanied by a hearing aid.
B) Do not certify
C) Certify for two years
D) Certify for one year - ✔✔B) The passing requirements for audio metric testing are an
average loss in the better ear of not more than 40 dB for when averaged across 500,
1000, 2000 Hz
✔✔Which of the following is true?
A) Stage 1 hypertension is associated with immediate safety risks.
B) Stage 2 hypertension is associated with immediate safety risks.
C) Stage 3 hypertension is associated with unacceptable risk for sudden incapacitation
of the driver.
D) All stages of hypertension are associated with immediate safety risks. - ✔✔C) Stage
1 and 2 hypertension's are not associated with immediate safety risks.
✔✔On examination, a BP of 140/90 is obtained. A follow up BP is 140/90. What
certification option may bee considered?
A) The medial examiner should certify for 6 months if the driver is not taking
antihypertension medications.
B) If the driver is taking antihypertensive medications, 6 months should be the maximum
certification period.
C) The medical examiner may obtain additional BP readings and/or use his/her clinical
judgment ad consider BP and overall driver fitness for duty to determine certification
status and certification period.
D) The medial examiner should not certify based not the BP readings. - ✔✔C) The
medical examiner may use additional BP readings and/or clinical judgment to make an
appropriate certification determination.
✔✔What date is used to determine the expiration date for a driver with a one-time, three
month certificate who achieves a BP less than or equal to 140/90 before the three-
month certificate expires, and what is the certification period?
A) Two-year certification based on date of initial certification examination.
B) One-year certification based on the date of the initial certification examination.
,C) One-year certification based on date of documented BP <=140/90.
D) If the medical examiner performs a complete recertification examination, in addition
to the following up on BP, then two-year expiration would be based on the current date.
- ✔✔B) Certification is determined from the last date of complete examination. If a new
complete certification examination was performed on the date of the confirmation of
acceptable blood pressure, then a one-year certification would have been based on the
date of that last complete certification examination.
✔✔Which of the following is true with regard to hypertension?
A) The higher value of either systolic or diastolic blood pressure determines the stage of
hypertension.
B) Stage 1 hypertension is BP of 140-149/90-99.
C) Stage 2 hypertension is BP of 150-169/100-109.
D) Stage 3 hypertension is BP >=170/110 - ✔✔A) The higher value of either systolic or
diastolic blood pressure determines blood pressure stage. Stage 1 is 140-159/90-99,
Stage 2 is 160-179/100-109, and Stage 3 is >=180/110
✔✔What is the BP range for stage 1 hypertension?
A) 140/90 through 159/99 or 140-159/90-99
B) 140/90 through 149/99 or 140-149/90-99
C) 150/90 through 159/99 or 150-159/90-99
D) 160/100 through 179/109 or 160-179/100-109 - ✔✔A) Stage 1 hypertension is
SBP/DBP of 140-159/90-99
✔✔The certification determination for a driver who presents with a confirmed BP of
182/86 is
A) Qualify for 3 months
B) Disqualify until BP is <180/110
C) Disqualify until BP is <160/100
D) Disqualify until BP is <=140/90 - ✔✔Drivers with Stage 3 hypertension are
disqualifying until blood pressure is stabilized at <=140/90.
✔✔The maximum period of certification for a driver disqualified for Stage 3
hypertension, but who has, at the certification examination, a BP less than or equal
140/90, is:
A) One year
B) Six months
C) Three months
D) Two years - ✔✔B) Drivers with Stage 3 hypertension are certified for maximum six-
month intervals.
✔✔A driver treated for hypertension presents on September 8, 2012 with a blood
pressure of 142/96. The driver is given a three-month certification until December 8,
2012. On blood pressure check one month later, on October 14, 2012, the driver's blood
pressure is 144/72. The driver should be certified for __________________.
, A) Do not certify
B) Three months to January 14, 2013
C) One year to September 8, 2018
D) The driver remains certified for the three month-interval until December 8, 2012 -
✔✔D) The three month certification reminds valid. The driver did not qualify for a one-
year certification, nor did the driver's blood pressure disqualify the driver. If the driver
fails to meet the requirement to lower blood pressure to >=140/90 by December 8,
2012,, the driver will be disqualified until blood pressure is stabilized at <=140/90
✔✔The one-time use of a 3-month certificate for blood pressure greater than 140/90
can be provided to a drivers:
A) Only once in the driver's lifetime
B) On consecutive examinations until the driver's blood pressure is less than or equal to
140/90
C) When the driver has no previous history of the hypertension and has a blood
pressure of 162/84
D) When the driver has a blood pressure of 182/84 - ✔✔C) A 3-month certificate may
be issued more than once in a driver's lifetime. A 3-month Certificate may not be issued
consecutively - a driver may not receive consecutive 3-month certificates. A blood
pressure of 182/84 is disqualifying, and the driver may not be certified until the driver
has a blood pressure of <=140/90.
✔✔The maximum certification period for a driver with Stage 1 hypertension is:
A) Three months
B) One year
C) Two years
D) Do not certify - ✔✔B) Stage 1 hypertension (SBP 140-159, DBP 90-99) has a
maximum certification interval of one year. This interval is used when the driver has no
history of or treatment for hypertension. If the driver has a history of or treatment for
hypertension, the driver should be certified for a maximum of three months.
✔✔What is the certification for a driver with a one-time, three month certificate, who
achieves a BP<=140/90?
A) Six-month certification from the date of the initial certification examination
B) One-year certification from the date of the initial certification examination
C) One-year certification from the date of the documented BP<=140/90
D) Two-year certification from the date of the documented BP<=140/90 - ✔✔B) The
date of the last complete examination is always used as the basis for the certification
interval. A driver with a one-time three-month certificate may be certified for one year
after documentation of a BP <=140/90.
✔✔The stage of BP elevation should be based on the lower of the systolic or diastolic
BP result (e.g. if systolic equals Stage 1 and diastolic equals Stage 2, the driver should
be certified according to Stage 1 guidelines.)
A) True
QUESTIONS AND ANSWERS SURE A+
✔✔An audio metric test yields the following results:
Left ear: 500 Hz, 35 dB loss
1000 Hz, 35 dB loss
2000 Hz, 55 dB loss
Right ear: 500 Hz, 40 dB loss
1000 Hz, 45 dB loss
2000 Hz, 40 dB loss
What is the certification determination?
A) Certify only when accompanied by a hearing aid.
B) Do not certify
C) Certify for two years
D) Certify for one year - ✔✔B) The passing requirements for audio metric testing are an
average loss in the better ear of not more than 40 dB for when averaged across 500,
1000, 2000 Hz
✔✔Which of the following is true?
A) Stage 1 hypertension is associated with immediate safety risks.
B) Stage 2 hypertension is associated with immediate safety risks.
C) Stage 3 hypertension is associated with unacceptable risk for sudden incapacitation
of the driver.
D) All stages of hypertension are associated with immediate safety risks. - ✔✔C) Stage
1 and 2 hypertension's are not associated with immediate safety risks.
✔✔On examination, a BP of 140/90 is obtained. A follow up BP is 140/90. What
certification option may bee considered?
A) The medial examiner should certify for 6 months if the driver is not taking
antihypertension medications.
B) If the driver is taking antihypertensive medications, 6 months should be the maximum
certification period.
C) The medical examiner may obtain additional BP readings and/or use his/her clinical
judgment ad consider BP and overall driver fitness for duty to determine certification
status and certification period.
D) The medial examiner should not certify based not the BP readings. - ✔✔C) The
medical examiner may use additional BP readings and/or clinical judgment to make an
appropriate certification determination.
✔✔What date is used to determine the expiration date for a driver with a one-time, three
month certificate who achieves a BP less than or equal to 140/90 before the three-
month certificate expires, and what is the certification period?
A) Two-year certification based on date of initial certification examination.
B) One-year certification based on the date of the initial certification examination.
,C) One-year certification based on date of documented BP <=140/90.
D) If the medical examiner performs a complete recertification examination, in addition
to the following up on BP, then two-year expiration would be based on the current date.
- ✔✔B) Certification is determined from the last date of complete examination. If a new
complete certification examination was performed on the date of the confirmation of
acceptable blood pressure, then a one-year certification would have been based on the
date of that last complete certification examination.
✔✔Which of the following is true with regard to hypertension?
A) The higher value of either systolic or diastolic blood pressure determines the stage of
hypertension.
B) Stage 1 hypertension is BP of 140-149/90-99.
C) Stage 2 hypertension is BP of 150-169/100-109.
D) Stage 3 hypertension is BP >=170/110 - ✔✔A) The higher value of either systolic or
diastolic blood pressure determines blood pressure stage. Stage 1 is 140-159/90-99,
Stage 2 is 160-179/100-109, and Stage 3 is >=180/110
✔✔What is the BP range for stage 1 hypertension?
A) 140/90 through 159/99 or 140-159/90-99
B) 140/90 through 149/99 or 140-149/90-99
C) 150/90 through 159/99 or 150-159/90-99
D) 160/100 through 179/109 or 160-179/100-109 - ✔✔A) Stage 1 hypertension is
SBP/DBP of 140-159/90-99
✔✔The certification determination for a driver who presents with a confirmed BP of
182/86 is
A) Qualify for 3 months
B) Disqualify until BP is <180/110
C) Disqualify until BP is <160/100
D) Disqualify until BP is <=140/90 - ✔✔Drivers with Stage 3 hypertension are
disqualifying until blood pressure is stabilized at <=140/90.
✔✔The maximum period of certification for a driver disqualified for Stage 3
hypertension, but who has, at the certification examination, a BP less than or equal
140/90, is:
A) One year
B) Six months
C) Three months
D) Two years - ✔✔B) Drivers with Stage 3 hypertension are certified for maximum six-
month intervals.
✔✔A driver treated for hypertension presents on September 8, 2012 with a blood
pressure of 142/96. The driver is given a three-month certification until December 8,
2012. On blood pressure check one month later, on October 14, 2012, the driver's blood
pressure is 144/72. The driver should be certified for __________________.
, A) Do not certify
B) Three months to January 14, 2013
C) One year to September 8, 2018
D) The driver remains certified for the three month-interval until December 8, 2012 -
✔✔D) The three month certification reminds valid. The driver did not qualify for a one-
year certification, nor did the driver's blood pressure disqualify the driver. If the driver
fails to meet the requirement to lower blood pressure to >=140/90 by December 8,
2012,, the driver will be disqualified until blood pressure is stabilized at <=140/90
✔✔The one-time use of a 3-month certificate for blood pressure greater than 140/90
can be provided to a drivers:
A) Only once in the driver's lifetime
B) On consecutive examinations until the driver's blood pressure is less than or equal to
140/90
C) When the driver has no previous history of the hypertension and has a blood
pressure of 162/84
D) When the driver has a blood pressure of 182/84 - ✔✔C) A 3-month certificate may
be issued more than once in a driver's lifetime. A 3-month Certificate may not be issued
consecutively - a driver may not receive consecutive 3-month certificates. A blood
pressure of 182/84 is disqualifying, and the driver may not be certified until the driver
has a blood pressure of <=140/90.
✔✔The maximum certification period for a driver with Stage 1 hypertension is:
A) Three months
B) One year
C) Two years
D) Do not certify - ✔✔B) Stage 1 hypertension (SBP 140-159, DBP 90-99) has a
maximum certification interval of one year. This interval is used when the driver has no
history of or treatment for hypertension. If the driver has a history of or treatment for
hypertension, the driver should be certified for a maximum of three months.
✔✔What is the certification for a driver with a one-time, three month certificate, who
achieves a BP<=140/90?
A) Six-month certification from the date of the initial certification examination
B) One-year certification from the date of the initial certification examination
C) One-year certification from the date of the documented BP<=140/90
D) Two-year certification from the date of the documented BP<=140/90 - ✔✔B) The
date of the last complete examination is always used as the basis for the certification
interval. A driver with a one-time three-month certificate may be certified for one year
after documentation of a BP <=140/90.
✔✔The stage of BP elevation should be based on the lower of the systolic or diastolic
BP result (e.g. if systolic equals Stage 1 and diastolic equals Stage 2, the driver should
be certified according to Stage 1 guidelines.)
A) True
