Science Medicine Cardiology
NRCME TEST QUESTIONS / 240+ COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS / 2025-2026
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What minimum PaO2 level is necessary if Correct answer is "D". To be qualified, the driver should meet a minimum arterial
the driver has an ABG due to a chronic blood gas (PaO2) greater than 65.
respiratory disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
A driver first perceives a whispered voice at Correct answer is "B". The driver is qualified to drive without restriction as long as he
5 feet in his right ear and 4 feet in his left is able to perceive a whispered voice at 5 feet in 1 ear.
ear. All other aspects of his physical
examination are unremarkable. The
examiner should:
a.Permanently disqualify the driver because
he "failed" the whispered voice test.
b.Certify the driver for 2 years.
c.Certify the driver for 1 year.
d.Require an audiometric test to determine
the extent of hearing loss in his left ear.
,A driver reports for an examination 6 weeks Correct answer is "A". The driver has not completed the required 2-monthwaiting
after suffering a mild heart attack and period, but all other requirements for medical clearance and required testing have
presents a note from his cardiologist been met. The driver would be certified for 1 year at the completion of the waiting
stating that he is able to return to work period. The date of the certification would be from the date of the original
immediately without restriction. Included examination.
within the note, the cardiologist provides
recent testing information showing that the
driver had an ETT that showed he was able
to reach 12 METS during the test. His
echocardiogram showed an ejection
fraction of 65%. The examination of the
driver is unremarkable. The examiner
should:
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to
determine if the driver suffers from angina.
A driver provides an audiometric test Correct answer is "B". The examiner would average the results from 500 Hz, 1000 Hz
documenting the following: and 2000 Hz. This average is 38.33 in the Right and 43.33 in the Left ear. A driver
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 must have an average hearing loss of less than or equal to 40 in the better ear. This
Hz: does not have to be met in both ears.
35 Right ear; 40 Left ear 40 Right ear; 45
Left ear 40 Right ear; 45 Left ear 50 Right
ear; 50 Left ear
5.
The medical examiner should:
a. Disqualify the driver because he does
not meet minimum hearing requirementsto
drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing
exemption.
During the examination of a commercial Correct answer is "A". A driver must exhibit a minimum peripheral vision of 70 degrees
driver, the examiner notices that the driver's bilaterally.
peripheral vision is 70 degrees to the left
and 80 degrees to the right. The examiner
should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision
exemption because of the limitation in the
driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an
Ophthalmologist to determine if the
driver's peripheral vision meets minimum
standards.
, During examination, the medical examiner Correct answer is "B". The driver exhibits what may be considered a "flat affect" which
notices that the driver is distant, lacks eye is seen in schizophrenia and in severe depression. The driver should be evaluated by
contact and shows absolutely no emotional a mental health expert to make a diagnosis prior to certification.
response during the exam. The examiner's
best response should be:
a. Provide the driver with a "CAGE"
questionnaire to determine if he suffers
from
alcoholism.
b.
c. Certify the driver with a 1-time, 3-month
certificate to determine if there is any
effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to
ascertain if the driver has any limitations
with driving.
A driver admits to the use of marijuana for Correct answer is "A". Use of marijuana is prohibited by Federal law while driving a
the treatment of his glaucoma, which is CMV and trumps State law in this matter.
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.
A driver has a blood pressure of 136/92 mm Correct answer is "B". This is Stage 1 Hypertension, which is defined as 140-159/90 -
Hg. This is: 99.
a. Within normal limits and would not affect
the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
A driver is taking Celexa for the treatment Correct answer is "A". Medical clearance is required for all mental health disorders.
of what he calls a "mild depression." He Celexa is an SSRI or 2nd Generation anti-depressant and is acceptable.
reports he has not considered or
attempted suicide. The examiner should?
a.Temporarily disqualify the driver until he
obtains written clearance for the
depression and the medication from the
treating provi
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.
NRCME TEST QUESTIONS / 240+ COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS / 2025-2026
Save
Students also studied
ADN 520 Exam 2 Medical diagnosis and over diagnosi... NUR 620 Final JB learn
Teacher 47 terms Teacher 13 terms Teacher 47 terms Teacher
Mudryk_gotyou Preview teacher03155 Preview denisjoshua77 Preview fan
What minimum PaO2 level is necessary if Correct answer is "D". To be qualified, the driver should meet a minimum arterial
the driver has an ABG due to a chronic blood gas (PaO2) greater than 65.
respiratory disorder?
a.70mmHg
b.55mmHg
c.60mmHg
d.65mmHg
A driver first perceives a whispered voice at Correct answer is "B". The driver is qualified to drive without restriction as long as he
5 feet in his right ear and 4 feet in his left is able to perceive a whispered voice at 5 feet in 1 ear.
ear. All other aspects of his physical
examination are unremarkable. The
examiner should:
a.Permanently disqualify the driver because
he "failed" the whispered voice test.
b.Certify the driver for 2 years.
c.Certify the driver for 1 year.
d.Require an audiometric test to determine
the extent of hearing loss in his left ear.
,A driver reports for an examination 6 weeks Correct answer is "A". The driver has not completed the required 2-monthwaiting
after suffering a mild heart attack and period, but all other requirements for medical clearance and required testing have
presents a note from his cardiologist been met. The driver would be certified for 1 year at the completion of the waiting
stating that he is able to return to work period. The date of the certification would be from the date of the original
immediately without restriction. Included examination.
within the note, the cardiologist provides
recent testing information showing that the
driver had an ETT that showed he was able
to reach 12 METS during the test. His
echocardiogram showed an ejection
fraction of 65%. The examination of the
driver is unremarkable. The examiner
should:
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to
determine if the driver suffers from angina.
A driver provides an audiometric test Correct answer is "B". The examiner would average the results from 500 Hz, 1000 Hz
documenting the following: and 2000 Hz. This average is 38.33 in the Right and 43.33 in the Left ear. A driver
1. 500 Hz: 2. 1000 HZ: 3. 2000 HZ: 4. 4000 must have an average hearing loss of less than or equal to 40 in the better ear. This
Hz: does not have to be met in both ears.
35 Right ear; 40 Left ear 40 Right ear; 45
Left ear 40 Right ear; 45 Left ear 50 Right
ear; 50 Left ear
5.
The medical examiner should:
a. Disqualify the driver because he does
not meet minimum hearing requirementsto
drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing
exemption.
During the examination of a commercial Correct answer is "A". A driver must exhibit a minimum peripheral vision of 70 degrees
driver, the examiner notices that the driver's bilaterally.
peripheral vision is 70 degrees to the left
and 80 degrees to the right. The examiner
should:
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision
exemption because of the limitation in the
driver's
left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an
Ophthalmologist to determine if the
driver's peripheral vision meets minimum
standards.
, During examination, the medical examiner Correct answer is "B". The driver exhibits what may be considered a "flat affect" which
notices that the driver is distant, lacks eye is seen in schizophrenia and in severe depression. The driver should be evaluated by
contact and shows absolutely no emotional a mental health expert to make a diagnosis prior to certification.
response during the exam. The examiner's
best response should be:
a. Provide the driver with a "CAGE"
questionnaire to determine if he suffers
from
alcoholism.
b.
c. Certify the driver with a 1-time, 3-month
certificate to determine if there is any
effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to
ascertain if the driver has any limitations
with driving.
A driver admits to the use of marijuana for Correct answer is "A". Use of marijuana is prohibited by Federal law while driving a
the treatment of his glaucoma, which is CMV and trumps State law in this matter.
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.
A driver has a blood pressure of 136/92 mm Correct answer is "B". This is Stage 1 Hypertension, which is defined as 140-159/90 -
Hg. This is: 99.
a. Within normal limits and would not affect
the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
A driver is taking Celexa for the treatment Correct answer is "A". Medical clearance is required for all mental health disorders.
of what he calls a "mild depression." He Celexa is an SSRI or 2nd Generation anti-depressant and is acceptable.
reports he has not considered or
attempted suicide. The examiner should?
a.Temporarily disqualify the driver until he
obtains written clearance for the
depression and the medication from the
treating provi
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.
