NRCME Exam
NRCME EXAM NEWEST 2025/2026 COMPLETE ALL 200
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A driver with monocular vision who has been grandfathered must provide proof of
grandfathered status at what time?
A) Within three oaths of certification
B) When the certification is issued
C) Before the certification process is complete
D) Never
C) Drivers with monocular vision who have grandfathered status must provide
proof of such status before the medical examiner may issue certification
The maximum duration of a federally-granted waiver or exemption is
_______________
A) Three months
B) Six months
C) One year
D) Two years
D) Waiver durations may vary, although they cannot exceed two years
The medical examiner's role in the exemption process is _______________
A) Issuing the exemption
B) Advising the FMCSA on the severity of the driver's impairment
C) Providing the driver contact information for the Federal Vision Exemption
Program
D) Performing vision testing
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, NRCME Exam
C) The medical examiner's role in securing a vision exemption is to help the driver
get in contact with the Federal Vision Exemption Program
Under what conditions may a driver diagnosed with lazy eye be certified?
A) Under any conditions — lazy eye is not considered a visual impairment for CMV
operators
B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption
C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption
D) Only by federal exemption
C) Drivers with lazy eye must meet federal vision standards for certification (20/40
visual acuity in both eyes) or seek a federal exemption
Medical examiners may grant vision exemptions for drivers that do not meet
vision qualification standards
A) True
B) False
B) Only the FMCSA may grant exemptions of any type
Under what circumstances is an ophthalmologist and only an ophthalmologist
qualified to perform an examination?
A) Under no conditions — optometrist and medical examiners are always qualified
to perform vision testing
B) Only when the driver is diagnosed with aphakia
C) Only when specialized testing is required to resolve an inconclusive
examination
D) Under no conditions — ophthalmologists are not qualified to examine CMV
drivers
C) The assistance of an ophthalmologist is only required if specialized testing is
necessary
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, NRCME Exam
Which of the following is considered grounds for additional testing?
A) Blurry vision
B) Presence of floaters
C) Distance vision uncorrected 20/35 in each eye
D) Field of vision testing of 70 degrees in each eye
A) The presence of floaters is not in and of itself an indication for additional
testing. Distance vision of 20/40 or better is considered acceptable, and field of
vision of 70 degrees in each eye meets vision testing requirements.
A driver with monocular vision who has been granted a federal vision exemption
or who is qualified by operation of 49CFR391.64 must have a physical examination
every ________________________?
A) Six months
B) Year
C) Two years
D) Within six months of the date of renewal of the vision exemption
B) Although a federal vision exemption is usually granted for two years, the driver
must be examined annually.
To pass the interstate CMV driver vision exam, a visual acuity of
___________________ corrected or uncorrected is required.
A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye
B) Monocular vision is disqualifying. Drivers must be able to see at least 20/40 in
each eye and both eyes combined.
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, NRCME Exam
What eye conditions must the medical examiner ask the driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular degeneration
D) These "ask about" eye conditions require referral to an eye specialist if the
driver indicates a history of these conditions
FMCSA vision testing standards require field of vision of at least _______ in the
horizontal meridian of _____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both
B) Field of vision should be performed on both eyes, and adequate field of vision
of at least 70 degrees in each eye must be demonstrated
Certification of vision testing results may be performed by any of the following
except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist
C) The FMCSA allows the medical examiner, an ophthalmologist, or an optometrist
to perform and certify vision testing results.
The driver requiring vision correction may be certified for up to
A) Six months
B) One year
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NRCME EXAM NEWEST 2025/2026 COMPLETE ALL 200
QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY
GRADED A+||ALREADY GRADED A+
A driver with monocular vision who has been grandfathered must provide proof of
grandfathered status at what time?
A) Within three oaths of certification
B) When the certification is issued
C) Before the certification process is complete
D) Never
C) Drivers with monocular vision who have grandfathered status must provide
proof of such status before the medical examiner may issue certification
The maximum duration of a federally-granted waiver or exemption is
_______________
A) Three months
B) Six months
C) One year
D) Two years
D) Waiver durations may vary, although they cannot exceed two years
The medical examiner's role in the exemption process is _______________
A) Issuing the exemption
B) Advising the FMCSA on the severity of the driver's impairment
C) Providing the driver contact information for the Federal Vision Exemption
Program
D) Performing vision testing
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, NRCME Exam
C) The medical examiner's role in securing a vision exemption is to help the driver
get in contact with the Federal Vision Exemption Program
Under what conditions may a driver diagnosed with lazy eye be certified?
A) Under any conditions — lazy eye is not considered a visual impairment for CMV
operators
B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption
C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption
D) Only by federal exemption
C) Drivers with lazy eye must meet federal vision standards for certification (20/40
visual acuity in both eyes) or seek a federal exemption
Medical examiners may grant vision exemptions for drivers that do not meet
vision qualification standards
A) True
B) False
B) Only the FMCSA may grant exemptions of any type
Under what circumstances is an ophthalmologist and only an ophthalmologist
qualified to perform an examination?
A) Under no conditions — optometrist and medical examiners are always qualified
to perform vision testing
B) Only when the driver is diagnosed with aphakia
C) Only when specialized testing is required to resolve an inconclusive
examination
D) Under no conditions — ophthalmologists are not qualified to examine CMV
drivers
C) The assistance of an ophthalmologist is only required if specialized testing is
necessary
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, NRCME Exam
Which of the following is considered grounds for additional testing?
A) Blurry vision
B) Presence of floaters
C) Distance vision uncorrected 20/35 in each eye
D) Field of vision testing of 70 degrees in each eye
A) The presence of floaters is not in and of itself an indication for additional
testing. Distance vision of 20/40 or better is considered acceptable, and field of
vision of 70 degrees in each eye meets vision testing requirements.
A driver with monocular vision who has been granted a federal vision exemption
or who is qualified by operation of 49CFR391.64 must have a physical examination
every ________________________?
A) Six months
B) Year
C) Two years
D) Within six months of the date of renewal of the vision exemption
B) Although a federal vision exemption is usually granted for two years, the driver
must be examined annually.
To pass the interstate CMV driver vision exam, a visual acuity of
___________________ corrected or uncorrected is required.
A) 20/20 in each eye individually and both eye combined
B) 20/40 in each eye individually and both eyes combined
C) 20/20 in at least one eye
D) 20/40 in at least one eye
B) Monocular vision is disqualifying. Drivers must be able to see at least 20/40 in
each eye and both eyes combined.
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, NRCME Exam
What eye conditions must the medical examiner ask the driver about?
A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma
B) Lazy eye, cataracts, aphasia, floaters, retinopathy
C) Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies
D) Retinopathy, cataracts, aphasia, glaucoma, macular degeneration
D) These "ask about" eye conditions require referral to an eye specialist if the
driver indicates a history of these conditions
FMCSA vision testing standards require field of vision of at least _______ in the
horizontal meridian of _____________ eye (s).
A) 50, one
B) 70, both
C) 85, one
D) 85, both
B) Field of vision should be performed on both eyes, and adequate field of vision
of at least 70 degrees in each eye must be demonstrated
Certification of vision testing results may be performed by any of the following
except:
A) An ophthalmologist
B) The medical examiner
C) Automated vision testing equipment
D) An optometrist
C) The FMCSA allows the medical examiner, an ophthalmologist, or an optometrist
to perform and certify vision testing results.
The driver requiring vision correction may be certified for up to
A) Six months
B) One year
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