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NRCME (DOT) TESTBAK LATEST VERSION EXAM WITH ACTUAL 170 QUESTION AND CORRECT DETAILED AN, Exams of Nursing

Chapman UniversityNursing

NRCME (DOT) TESTBAK LATEST VERSION EXAM WITH ACTUAL 170 QUESTION AND CORRECT DETAILED ANSWERS WITH RATIONALES.

Typology: Exams

2024/2025

Available from 07/01/2025

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NRCME (DOT) TESTBAK LATEST VERSION EXAM
WITH ACTUAL 170 QUESTION AND CORRECT
DETAILED ANSWERS WITH RATIONALES.
NRCME (DOT) Practice Exam: 170
Questions with Answers and Rationales
FMCSA Regulations and Role of the Medical Examiner (30
Questions)
1. What is the primary mission of the Federal Motor Carrier Safety Administration
(FMCSA)?
A. Regulate vehicle manufacturing
B. Reduce crashes involving commercial motor vehicles
C. License commercial drivers
D. Monitor fuel efficiency
Answer: B. Reduce crashes involving commercial motor vehicles
Rationale: The FMCSA’s mission is to reduce crashes, injuries, and fatalities involving
large trucks and buses.
2. Who can perform a DOT physical examination?
A. Any licensed physician
B. A certified medical examiner listed on the NRCME
C. A registered nurse
D. A physical therapist
Answer: B. A certified medical examiner listed on the NRCME
Rationale: Only healthcare providers certified and listed on the NRCME can perform
DOT physicals.
3. How often must a certified medical examiner report completed DOT exams to the
FMCSA?
A. Weekly
B. Monthly
C. Quarterly
D. Annually
Answer: B. Monthly
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Download NRCME (DOT) TESTBAK LATEST VERSION EXAM WITH ACTUAL 170 QUESTION AND CORRECT DETAILED AN and more Exams Nursing in PDF only on Docsity!

NRCME (DOT) TESTBAK LATEST VERSION EXAM

WITH ACTUAL 170 QUESTION AND CORRECT

DETAILED ANSWERS WITH RATIONALES.

NRCME (DOT) Practice Exam: 170

Questions with Answers and Rationales

FMCSA Regulations and Role of the Medical Examiner (

Questions)

  1. What is the primary mission of the Federal Motor Carrier Safety Administration (FMCSA)? A. Regulate vehicle manufacturing B. Reduce crashes involving commercial motor vehicles C. License commercial drivers D. Monitor fuel efficiency Answer : B. Reduce crashes involving commercial motor vehicles Rationale : The FMCSA’s mission is to reduce crashes, injuries, and fatalities involving large trucks and buses.
  2. Who can perform a DOT physical examination? A. Any licensed physician B. A certified medical examiner listed on the NRCME C. A registered nurse D. A physical therapist Answer : B. A certified medical examiner listed on the NRCME Rationale : Only healthcare providers certified and listed on the NRCME can perform DOT physicals.
  3. How often must a certified medical examiner report completed DOT exams to the FMCSA? A. Weekly B. Monthly C. Quarterly D. Annually Answer : B. Monthly

Rationale : Certified medical examiners must report all completed exams monthly, even if no exams are performed.

  1. What is the maximum certification period for a driver with no medical restrictions? A. 1 year B. 2 years C. 3 years D. 4 years Answer : B. 2 years Rationale : An unrestricted Commercial Motor Vehicle Driver Medical Certificate is valid for up to 2 years.
  2. What must a medical examiner evaluate during a driver’s eye examination? A. Pupil reactivity B. Iris symmetry C. Conjunctival injection D. Corneal thickness Answer : A. Pupil reactivity Rationale : Pupil reactivity is a required cranial nerve test on the Medical Examination Report Form.
  3. A driver presents with a valid vision exemption. What is the maximum certification period? A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Drivers with vision exemptions can be certified for up to 1 year.
  4. What is the role of the Substance Abuse Professional (SAP) in the DOT process? A. Perform physical exams B. Evaluate drivers for substance abuse issues C. Issue medical certificates D. Conduct vision tests Answer : B. Evaluate drivers for substance abuse issues Rationale : The SAP evaluates drivers who violate FMCSA drug and alcohol regulations.
  5. Which of the following is regulated by the FMCSA? A. Driver qualifications B. Vehicle maintenance C. Motor carrier operations D. All of the above Answer : D. All of the above Rationale : The FMCSA regulates drivers, vehicles, and motor carriers to ensure safety.
  6. What is the minimum waiting period after a myocardial infarction (MI) before certification? A. 1 month B. 2 months C. 3 months D. 6 months

B. Proceed with the examination C. Perform functional testing D. Refer to orthopedics Answer : B. Proceed with the examination Rationale : An SPE certificate allows drivers with limb impairments to be examined normally, focusing on their ability to operate a CMV safely.

  1. What is the maximum certification period for a driver with controlled hypertension? A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Drivers with controlled hypertension (BP <140/90) can be certified for up to 1 year.
  2. Which condition requires a 1-year waiting period before certification? A. Myocardial infarction B. Transient ischemic attack (TIA) C. Coronary artery bypass graft (CABG) D. Pacemaker implantation Answer : B. Transient ischemic attack (TIA) Rationale : A 1-year waiting period is required post-TIA to ensure no seizure risk.
  3. What is the Epworth Sleepiness Scale used for? A. Assess vision acuity B. Evaluate sleep apnea risk C. Measure blood pressure D. Test hearing Answer : B. Evaluate sleep apnea risk Rationale : The Epworth Sleepiness Scale assesses daytime sleepiness, guiding the need for sleep studies.
  4. A driver with a history of alcohol abuse must: A. Be disqualified permanently B. Complete SAP evaluation C. Be certified for 1 year D. Provide a blood alcohol test Answer : B. Complete SAP evaluation Rationale : Drivers with substance abuse issues must be evaluated by a SAP before certification.
  5. What is the minimum waiting period after coronary artery bypass graft (CABG)? A. 1 month B. 2 months C. 3 months D. 6 months Answer : C. 3 months Rationale : A 3-month waiting period ensures recovery and cardiac stability post-CABG.
  1. Which vision standard must a driver meet? A. 20/20 in each eye B. 20/40 in each eye and both eyes C. 20/50 in one eye D. 20/60 in both eyes Answer : B. 20/40 in each eye and both eyes Rationale : Drivers must have at least 20/40 vision in each eye and binocularly.
  2. A driver with a hearing loss must perceive a whispered voice at what distance? A. 3 feet B. 4 feet C. 5 feet D. 6 feet Answer : C. 5 feet Rationale : A driver must perceive a whispered voice at 5 feet in at least one ear.
  3. What should a medical examiner do if a driver smells of alcohol during the exam? A. Certify for 1 year B. Disqualify and advise to return sober C. Administer a breathalyzer D. Ignore the smell Answer : B. Disqualify and advise to return sober Rationale : Signs of alcohol use during the exam warrant disqualification and rescheduling.
  4. Which condition is an absolute disqualifier? A. Controlled diabetes B. Parkinson’s disease C. Hypertension D. Allergic rhinitis Answer : B. Parkinson’s disease Rationale : Parkinson’s disease is disqualifying due to motor and neurological impairments.
  5. What is the maximum certification period for a driver with a diabetes exemption? A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Drivers with diabetes exemptions can be certified for up to 1 year with monitoring.
  6. What must a driver with insulin-dependent diabetes carry while driving? A. A glucose meter B. Rapidly absorbable glucose C. Insulin pump D. Blood pressure monitor Answer : B. Rapidly absorbable glucose Rationale : Drivers must carry glucose to manage hypoglycemia.

B. Disqualify C. Certify for 6 months D. Require a cardiologist evaluation Answer : B. Disqualify Rationale : CHF with LVEF <40% is disqualifying due to cardiac risk.

  1. A driver with controlled atrial fibrillation can be certified for how long? A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Controlled atrial fibrillation allows certification for up to 1 year with monitoring.
  2. A driver with a pacemaker implanted 2 months ago should be: A. Certified for 1 year B. Disqualified until 3 months post-implantation C. Certified for 6 months D. Disqualified permanently Answer : B. Disqualified until 3 months post-implantation Rationale : A 3-month waiting period is required post-pacemaker to ensure stability.
  3. Which condition requires a 6-month waiting period before certification? A. Percutaneous coronary intervention (PCI) B. Transient ischemic attack C. Stroke D. Seizure Answer : A. Percutaneous coronary intervention (PCI) Rationale : A 6-month waiting period is required post-PCI to ensure recovery.
  4. A driver with a history of syncope should be: A. Certified for 1 year B. Disqualified until cleared C. Certified for 3 months D. Certified with restrictions Answer : B. Disqualified until cleared Rationale : Syncope requires evaluation to rule out underlying causes before certification.
  5. A driver with a blood pressure of 160/100 mmHg should be: A. Certified for 1 year B. Certified for 3 months C. Disqualified D. Certified for 6 months Answer : B. Certified for 3 months Rationale : Stage 2 hypertension (160–179/100–109 mmHg) allows a 3-month certification with treatment.
  6. A driver with a history of insulin-dependent diabetes must: A. Be disqualified permanently B. Obtain a diabetes exemption C. Be certified for 2 years

D. Provide a fasting glucose test Answer : B. Obtain a diabetes exemption Rationale : Insulin-dependent diabetes requires an FMCSA exemption for certification.

  1. A driver with sleep apnea using CPAP must provide: A. A sleep study B. Compliance data for 70% usage over 30 days C. A cardiologist evaluation D. A blood gas analysis Answer : B. Compliance data for 70% usage over 30 days Rationale : CPAP compliance is required for certification in sleep apnea cases.
  2. A driver with a history of depression on SSRIs can be certified if: A. They have no side effects B. They have been on medication for 1 month C. They have a psychiatrist’s approval D. They are medication-free Answer : A. They have no side effects Rationale : SSRIs are acceptable if the driver is stable with no impairing side effects.
  3. A driver with a history of a single unprovoked seizure must wait how long before certification? A. 1 year B. 2 years C. 5 years D. 10 years Answer : C. 5 years Rationale : A 5-year seizure-free period is required off anticonvulsants.
  4. Which condition is NOT disqualifying? A. Parkinson’s disease B. Controlled hypertension C. Uncontrolled seizures D. Schizophrenia Answer : B. Controlled hypertension Rationale : Controlled hypertension is manageable, unlike the other conditions.
  5. A driver with a history of pulmonary hypertension should be: A. Certified for 1 year B. Disqualified C. Certified for 6 months D. Referred for a stress test Answer : B. Disqualified Rationale : Pulmonary hypertension is a disqualifying condition due to cardiovascular risks.
  6. A driver with a BMI of 35 and suspected sleep apnea should be: A. Certified for 1 year B. Referred for a sleep study C. Disqualified permanently D. Certified for 3 months
  1. A driver with a history of a single provoked seizure must wait how long? A. 1 year B. 2 years C. 5 years D. 10 years Answer : A. 1 year Rationale : A 1-year seizure-free period is required for provoked seizures.
  2. A driver with a blood pressure of 140/90 mmHg should be: A. Certified for 1 year B. Certified for 3 months C. Disqualified D. Referred for treatment Answer : A. Certified for 1 year Rationale : Stage 1 hypertension (140–159/90–99 mmHg) allows a 1-year certification.
  3. A driver with a history of schizophrenia is: A. Certified for 1 year B. Disqualified C. Certified for 6 months D. Referred to a psychiatrist Answer : B. Disqualified Rationale : Schizophrenia is disqualifying due to potential for impaired judgment.
  4. A driver with a history of asthma is certified if: A. They have no symptoms B. They use an inhaler daily C. They have frequent exacerbations D. They require oral steroids Answer : A. They have no symptoms Rationale : Controlled asthma with no symptoms allows certification.
  5. A driver with a history of deep vein thrombosis (DVT) on anticoagulation can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Stable anticoagulation allows certification for up to 1 year.
  6. A driver with a history of bipolar disorder can be certified if: A. They are medication-free B. They are stable with no impairing symptoms C. They have frequent mood swings D. They are on lithium only Answer : B. They are stable with no impairing symptoms Rationale : Stability without impairing symptoms is required for certification.
  7. A driver with a history of a stroke 2 years ago with no residual deficits can be certified for: A. 3 months

B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Post-stroke drivers with no deficits can be certified for 1 year after a 1-year waiting period.

  1. A driver with a history of renal dialysis is: A. Certified for 1 year B. Disqualified C. Certified for 6 months D. Referred for evaluation Answer : B. Disqualified Rationale : Dialysis is a disqualifying condition due to health instability.
  2. A driver with a history of cataracts can be certified if: A. They meet vision standards B. They have surgery scheduled C. They wear sunglasses D. They have an exemption Answer : A. They meet vision standards Rationale : Vision standards must be met, regardless of cataracts.
  3. A driver with a history of a single unprovoked seizure on anticonvulsants is: A. Certified for 1 year B. Disqualified C. Certified for 6 months D. Referred to a neurologist Answer : B. Disqualified Rationale : Anticonvulsant use for seizures is disqualifying.
  4. A driver with a blood pressure of 180/110 mmHg should be: A. Certified for 3 months B. Disqualified until controlled C. Certified for 1 year D. Referred for a stress test Answer : B. Disqualified until controlled Rationale : Stage 3 hypertension (≥180/110 mmHg) is disqualifying until controlled.
  5. A driver with a history of a heart transplant can be certified after: A. 1 year B. 2 years C. 3 years D. Never Answer : A. 1 year Rationale : Certification is possible 1 year post-transplant with cardiologist clearance.
  6. A driver with a history of peripheral neuropathy should be: A. Certified for 1 year B. Evaluated for functional ability C. Disqualified permanently D. Certified for 6 months
  1. A driver with a history of a heart attack 1 year ago with normal stress test results can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Post-MI drivers with normal stress tests can be certified for 1 year.
  2. A driver with a history of a pacemaker implantation 4 months ago should be: A. Certified for 1 year B. Disqualified until 6 months C. Certified for 3 months D. Referred to a cardiologist Answer : A. Certified for 1 year Rationale : Certification is possible 3 months post-pacemaker if stable.
  3. A driver with a history of sleep apnea not using CPAP should be: A. Certified for 1 year B. Disqualified until treated C. Certified for 6 months D. Referred for a sleep study Answer : B. Disqualified until treated Rationale : Untreated sleep apnea is disqualifying due to fatigue risks.
  4. A driver with a history of atrial fibrillation on anticoagulation can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Stable atrial fibrillation with anticoagulation allows 1-year certification.
  5. A driver with a history of a single provoked seizure 6 months ago should be: A. Certified for 1 year B. Disqualified until 1 year C. Certified for 3 months D. Referred to a neurologist Answer : B. Disqualified until 1 year Rationale : A 1-year waiting period is required for provoked seizures.
  6. A driver with a history of chronic low back pain on non-opioid medication can be certified if: A. They have no pain B. They are functionally stable C. They use a back brace D. They have surgery scheduled Answer : B. They are functionally stable Rationale : Functional stability without impairing medication allows certification.
  7. A driver with a history of a stroke 6 months ago should be: A. Certified for 1 year

B. Disqualified until 1 year C. Certified for 3 months D. Referred to a neurologist Answer : B. Disqualified until 1 year Rationale : A 1-year waiting period is required post-stroke.

  1. A driver with a history of a DVT 3 months ago on stable anticoagulation can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Stable anticoagulation allows certification for up to 1 year.
  2. A driver with a history of major depression on tricyclic antidepressants can be certified if: A. They have no side effects B. They have been on medication for 1 month C. They have a psychiatrist’s approval D. They are medication-free Answer : A. They have no side effects Rationale : Stability without impairing side effects is required.
  3. A driver with a history of a CABG 2 years ago with normal stress test results can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Post-CABG drivers with normal stress tests can be certified for 1 year.
  4. A driver with a history of a seizure 7 years ago off anticonvulsants can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : A. 1 year Rationale : A 5-year seizure-free period off medication allows certification.

Driver Health Assessments and Interventions (50 Questions)

  1. A driver with a BMI of 40 should be evaluated for: A. Hypertension B. Sleep apnea C. Diabetes
  1. A driver with a history of alcohol abuse completed SAP evaluation. What is the next step? A. Certify for 1 year B. Disqualify permanently C. Certify based on SAP clearance D. Require a breathalyzer Answer : C. Certify based on SAP clearance Rationale : SAP clearance is required before certification.
  2. A driver with a history of a pacemaker implantation 1 month ago should be: A. Certified for 1 year B. Disqualified until 3 months C. Certified for 6 months D. Referred to a cardiologist Answer : B. Disqualified until 3 months Rationale : A 3-month waiting period is required post-pacemaker.
  3. A driver with a history of asthma with no recent exacerbations can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : B. 2 years Rationale : Controlled asthma allows a 2-year certification.
  4. A driver with a history of a DVT 1 year ago on stable anticoagulation can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Stable anticoagulation allows 1-year certification.
  5. A driver with a history of depression on SSRIs with no side effects can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : D. 2 years Rationale : Stable depression with no side effects allows a 2-year certification.
  6. A driver with a history of a single unprovoked seizure 6 years ago off anticonvulsants can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : A. 1 year Rationale : A 5-year seizure-free period off medication allows certification.
  1. A driver with a history of sleep apnea on CPAP with compliance data can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : CPAP compliance allows 1-year certification.
  2. A driver with a blood pressure of 150/95 mmHg should be: A. Certified for 1 year B. Certified for 3 months C. Disqualified D. Referred for treatment Answer : A. Certified for 1 year Rationale : Stage 1 hypertension allows a 1-year certification.
  3. A driver with a history of a heart transplant 2 years ago with cardiologist clearance can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Post-transplant drivers can be certified for 1 year with clearance.
  4. A driver with a history of a stroke 18 months ago with no deficits can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Post-stroke drivers can be certified for 1 year after a 1-year waiting period.
  5. A driver with a history of COPD on supplemental oxygen should be: A. Certified for 1 year B. Disqualified C. Certified for 6 months D. Referred for a pulmonary evaluation Answer : B. Disqualified Rationale : Supplemental oxygen use is disqualifying due to respiratory instability.
  6. A driver with a history of anxiety on non-sedating medication can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : B. 2 years Rationale : Stable anxiety with non-sedating medication allows a 2-year certification.

Answer : B. 2 years Rationale : Stable depression with non-sedating medication allows a 2-year certification.

  1. A driver with a history of a TIA 2 years ago with no deficits can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Post-TIA drivers can be certified for 1 year after a 1-year waiting period.
  2. A driver with a history of a pacemaker implantation 6 months ago can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : A. 1 year Rationale : Certification is possible 3 months post-pacemaker if stable.
  3. A driver with a history of asthma with occasional inhaler use can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : B. 2 years Rationale : Controlled asthma allows a 2-year certification.
  4. A driver with a history of a heart transplant 18 months ago with cardiologist clearance can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Post-transplant drivers can be certified for 1 year with clearance.
  5. A driver with a history of a seizure 10 years ago off anticonvulsants can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : A. 1 year Rationale : A 5-year seizure-free period off medication allows certification.
  6. A driver with a blood pressure of 145/92 mmHg should be: A. Certified for 1 year B. Certified for 3 months C. Disqualified

D. Referred for treatment Answer : A. Certified for 1 year Rationale : Stage 1 hypertension allows a 1-year certification.

  1. A driver with a history of COPD and PaO2 of 68 mm Hg can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : A. 1 year Rationale : PaO2 ≥65 mm Hg allows certification with monitoring.
  2. A driver with a history of a DVT 2 years ago on stable anticoagulation can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : Stable anticoagulation allows 1-year certification.
  3. A driver with a history of depression on SSRIs with no side effects can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : B. 2 years Rationale : Stable depression with non-sedating medication allows a 2-year certification.
  4. A driver with a history of a single unprovoked seizure 8 years ago off anticonvulsants can be certified for: A. 1 year B. 2 years C. 6 months D. Not certified Answer : A. 1 year Rationale : A 5-year seizure-free period off medication allows certification.
  5. A driver with a history of sleep apnea on CPAP with compliance data can be certified for: A. 3 months B. 6 months C. 1 year D. 2 years Answer : C. 1 year Rationale : CPAP compliance allows 1-year certification.
  6. A driver with a history of a heart attack 3 years ago with normal stress test results can be certified for: A. 3 months B. 6 months