DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023), Exams of Nursing

Download DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) and more Exams Nursing in PDF only on Docsity! DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) Fatigue is a major concern. What do current FMCSA regulations allow from drivers? - correct answers ✅60 hours on the road over a 7 day period, or 70 hours over 8 days (also 14 hours on the road at a stretch if given 8 hours off to rest between) driver presents with a heart attack 1 month previous. He is following up with his MD again in 1 week. He is unsure of his prescriptions but is asymptomatic. Should he be certified today? - correct answers ✅No. There is a minimum waiting period of 2 months and specific criteria that must be met thereafter before certification. Driver has been trying to stop smoking for 10 years without success. 1 month ago, she began taking Chantix. She reports no blackout, suicidal thoughts, or change in mood. The rest of the exam is normal. Can she be qualified? - correct answers ✅No. Chantix is diqualifying Which of the following diagnoses is NOT always disqualifying? (narcolepsy, type 1 diabetes, meniere's disease, current alcoholism, bipolar disorder) - correct answers ✅bipolar disorder DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) when asked about seizures, a driver reports several febrile seizures as a young child. Is this disqualifying? - correct answers ✅No. What does the acronym FMCSA stand for? - correct answers ✅Federal motor carrier safety administration What is NOT a mission of the FMCSA? -develop and enforce data-driven regulations that balance motor carrier (truck and bus companies) safety with industry efficiency -target educational messages to carriers, commercial drivers, and the public -partner with stakeholders including federal, state, and local enforcement agencies, the motor carrier industry, safety groups, and organized labor on efforts to reduce bus and truck-related crashes -oversee the prosecution of criminally negligent cases of motor carrier safety breaches - correct answers ✅oversee the prosecution of criminally negligent cases of motor carrier safety breaches who is NOT eligible to be a medical examiner? (APNs, DC, MD, PharmD, DO, PA, PT) - correct answers ✅pharmacists and PTs cannot be medical DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) -social sills to act kindly to interpersonal activities on the road - correct answers ✅social sills to act kindly to interpersonal activities on the road- mental and physical abilities are required (social skills are not unless their absence indicates mental illness) fatigue is a major concern. what do current FMCSA regulations allow from drivers? - correct answers ✅60 hours on the road over a 7 day period, or 70 hours over 8 days the motor carrier is required to make sure drivers meet certain requirements. EXCEPT which of the following, the driver must: -be at least 21 years old -speak and read English well enough to understand highway/traffic signals and converse -have a current medical examiner's certificate on file -provide their full medical examiner's report (long form) to the motor carrier -have provided the motor carrier with required background and violations information DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) -have successfully completed a driver's road test or equivalent - correct answers ✅provide their full medical examiner's report (long form) to the motor carrier what should be done if the driver presents for his/her exam without a government issued ID? - correct answers ✅reschedule the appointment and have them return with their ID (you are responsible to make sure (via government issued photo ID) that this is the real driver- not a stand in) for any affirmative response on the health history section, what are reasonable follow ups? -ask about history, diagnosis, treatment, and response to treatment -explore underlying cause, precipitating events, and other pertinent facts -obtain additional tests or consultations, as necessary, to adequately assess medical fitness -review and discuss driver response to treatment and medications currently or recently used -all of the above - correct answers ✅all of the above DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) in addition to asking the driver about any affirmatives in the health history section, which of the following should be asked about every time? -any past hospitalizations or surgeries -any recent changes in health status -any medical conditions or current complaints -incidents of disability/physical limitations -whether they smoke -all of the above - correct answers ✅all of the above the driver presents with a previous diagnosis of type 2 diabetes. it is controlled by metformin, but not insulin. what is the maximum time period he should be given for certification? - correct answers ✅1 year driver presents with a type 2 diabetes diagnosis. he has controlled it for 10 years with oral medication. he brings his most recent lab work from 2 months previous. A1c is at 7.3%. what is normal HbA1c? - correct answers ✅4 to 6.0% DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) appropriate for certification? - correct answers ✅disqualify. refer for treatment. re-check after 6 month wait a driver presents with a BP of 118/72. pulse is 66. he previously was on HTN medication, but stopped taking it 6 months ago. in the last year, he lost 55 pounds, stopped smoking, and began exercising regularly. can he be given a 2 year card? - correct answers ✅yes. he is stable and off his Rx. this is at the discretion of the medical examiner driver has no previous diagnosis of HTN. today his BP is 146/88. all else is clear. what certificate time should be given? - correct answers ✅1 year driver has been on HTN Rx for 3 years. he is inconsistent about taking his Rx. today BP is read at 146/96. what should be done? - correct answers ✅give 1 time certificate for 3 months. refer him back to his treating physician for immediate consultation on treatment options. discuss the consequences and council on diet, exercise, prognosis, etc. which of the following should be considered for a sleep study (but given a certificate of up to 2 months to get the study done)? DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) -driver admits loud snoring and score of 13 on ESS -BMI of 38 and neck circumference of 18 inches -BMI of 40 and new diagnosis of HTN -driver falls asleep during the exam -previous diagnosis and CPAP, but non-compliant -all of the above -A and C - correct answers ✅-driver admits loud snoring and score of 13 on ESS -BMI of 38 and neck circumference of 18 inches -BMI of 40 and new diagnosis of HTN D and E should be DISQUALIFIED and referred for evaluation. the others should be further evaluated driver has been blind in 1 eye since a childhood accident. he previously got his certificate from his family doctor and always was certified for 2 years. what is the proper time period for certification? - correct answers ✅monocular vision is disqualifying. driver may apply for an exemption (it is common that drivers have been improperly certified in the past) DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) driver presents with a heart attack 1 month previous. he is following up with his MD again in 1 week. he is unsure of his prescriptions, but is asymptomatic. should he be certified today? - correct answers ✅no. there is a minimum waiting period of 2 months and specific criteria that must be met thereafter before certification. driver had heart surgery 6 months ago. he reports recovering well and is asymptomatic. documentation from his MD shows he is indeed recovering well and tolerating his medication. surgery included installation of an implantable cardioverter defibrillator (ICD). can he be qualified today? - correct answers ✅no. an ICD is disqualifying driver claims to be on no illegal drugs, but he looks haggard and has fresh needle sticks on his forearm. can you order lab testing for drugs? - correct answers ✅yes. this is outside of standard DOT drug testing, but a non-DOT drug test can be ordered. refusal to test is a failure. driver hears a forced whisper at 8 feet out of his right ear with no aid. he is deaf in his left ear. is this adequate? - correct answers ✅yes. hearing out of one ear at >5 feet is adequate DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) a morbidly obese driver comes for a DOT physical. he weighs 385 pounds and stands 5'10" (70 inches) tall. his BMI is 55.2. what BMI is considered "overweight"? "obese"? - correct answers ✅25-29.9 is overweight. 30+ is obese a morbidly obese driver comes for a DOT physical. he weighs 385 pounds and stands 5'10" (70 inches) tall. his BMI is 55.2. what is the maximum allowable BMI to qualify? - correct answers ✅there is no standard BMI is a simple calculation for determining a person's thinness or thickness. it can be useful in discussing weight with patients. the DOT uses it as a screening tool for sleep apnea. in which case is the measurement most likely to be INaccurate. -driver is generally sedentary. BMI is 29 -driver is also a body-builder. BMI is 36 - correct answers ✅driver is also a body-builder. BMI is 36. (although BMI is written as a measurement to be clinically used in the FMCSA guidelines, but can be inaccurate- especially in athletes. it should not be the sole reason for a sleep study for OSA. driver has a long history of major depression. his only current Rx is Paxil, and he reports no side effects. 3 months ago, he attempted to commit suicide by DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) hanging, but was unsuccessful. physicially, all is within standards. can be be qualified? -no. paxil is disqualifying -not until consultation with his mental health professional. -yes. this is not disqualifying -yes. the waiting period following a suicide attempt is 2 months minimum -no. the waiting period following a suicide attempt is 1 year minimum - correct answers ✅-not until consultation with his mental health professional -no. the waiting period following a suicide attempt is 1 year minimum driver's exam is unremarkable except for a history of panic attacks. these are under control with Xanax, and she reports no side effects. what certification is appropriate? - correct answers ✅xanax is now considered a disqualifier by the FMCSA. do not certify what is NOT a standard part of the thoracic exam portion? (heart and lung auscultation, inspection for asymmetry and scars, breast exam, palpation of spine for tenderness) - correct answers ✅breast exam DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) a 70 year old with emphysema presents for his exam. he reports shortness of breath, but controls it with an oxygen tank. mild cyanosis is noted in his lips. SpO2 reads 85% while resting and using his oxygen therapy. given this, should the gentleman be qualified? -yes. this is not a concern to safely driving -no. the tank is an explosion risk and may malfunction while on the road -no. low oxygen levels will impair function in an emergency -it may be considered if he can pass a pulmonary function test (PFT), but likely not - correct answers ✅-no. the tank is an explosion risk and may malfunction while on the road -no. low oxygen levels will impair function in an emergency what is the minimum gross vehicle weight that will require a DOT medical exam for the driver? - correct answers ✅10,001 pounds drugs with no known medical use and a high potential for abuse fall into what category? - correct answers ✅schedule I what class of drugs is recommended to disqualify the driver due to increased risk of motor vehicle crash? - correct answers ✅benzodiazepines DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) -seizures disqualify for 5 years - correct answers ✅2 year certificate. no waiting period. -this seizure was not caused by a structural insult to the brain, but rather by a systemic illness. once the cause (in this case the illness) is past, the driver may be certified with no waiting period. epilepsy is a major concern due to risk of seizures or loss of consciousness. how many unprovoked seizures are required for a diagnosis of epilepsy? - correct answers ✅2 epilepsy is a major concern due to risk of seizures or loss of consciousness. once there is a diagnosis of epilepsy, how long must an individual be off antiseizure medication and seizure-free before they may potentially be qualified to drive a commercial vehicle again? - correct answers ✅10 years- with extensive documentation and consultation with treating doctor a 35 year old man was in an MVA 7 years ago with trauma to his brain. in the first week therafter, he had a single seizure. for 1 year, he took anticonvulsive medication. he has been off all prescriptions and seizure free for 6 years. can he be certified? - correct answers ✅yes. he has been seizure and Rx free for over 5 years. there was a seizure, but not epilepsy DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) after a diagnosis of meniere's disease, what is the recommendation for certification of a driver? - correct answers ✅meniere's disease is progressive and considered completely disabling. disqualify. which of these is intrastate (as opposed to interstate) commerce? -a landscaper drives his pickup and trailer for jobs with 5 counties in central MN. All his sod and supplies are bought locally -a UPS driver delivers packages from far and wide within a single city -a semi driver drives a long haul route from FL to TX -a commercial driver makes a run from New Orleans, LA to Monroe, LA, but passes through MS on the route - correct answers ✅a landscaper drives his pickup and trailer for jobs with 5 counties in central MN. All his sod and supplies are bought locally which of the following diagnoses is NOT always disqualifying? narcolepsy, type 1 diabetes, meniere's disease, current alcoholism, bipolar disorder - correct answers ✅bipolar disorder DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) proteinuria can be caused by any of the following except: kidney disease or damage, dehydration, fever, emotional stress, gastritis, diabetes mellitus, HTN - correct answers ✅gastritis in case of high proteinuria, what is a reasonable first step for follow-up? -second dipstick 1 week later. if still present, urine protein-to-creatinine ratio -second dipstick in 1 week. if still present, referral for further evaluation -kidney blood panel - correct answers ✅-second dipstick 1 week later. if still present, urine protein-to-creatinine ratio -second dipstick in 1 week. if still present, referral for further evaluation an obese driver's urinalysis shows 500 mg/dL of glucose. he claims he is not diabetic, but it is simply because of the 20 oz. bottle of pop he drank in the hour before the test. what should be done? - correct answers ✅order follow- up test: fasting blood glucose or A1c -kidneys will not secrete glucose into the urine if there is healthy blood-sugar control. alimentary glycosuria is possible, but should not cause glucose to appear in the urine unless >100 g of sugar is consumed at once, and even then it should not be this much. he is likely diabetic. given the serious nature of diabetes, follow up testing is necessary DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) if a driver has had a cortical stroke, what is the minimum waiting period before he/she may possibly be certified to drive? - correct answers ✅5 years- as potential for seizure is a concern diabetes mellitus is a major concern. which of the following is a long-term outcome of uncontrolled blood sugar? cardiovascular disease, retinopathy, neuropathy, alzheimer's disease, nephropathy, death, all of the above - correct answers ✅all of the above both schizoid and bipolar disorders can be disqualifying. which of the following conditions is NOT a major reason to disqualify? -substantially compromised judgment -swings in energy levels and mood -attention difficulties -suicidal behavior or ideation -personality disorder that is repeatedly manifested by overt inappropriate acts - correct answers ✅swings in energy levels and mood DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) what are the FMCSA guidelines for certification of a driver on Coumadin? - correct answers ✅use clinical judgment- not on the coumadin, but on the underlying disease if a driver is only taking OTC medications, what are the possible ramifications? - correct answers ✅OTC medications can affect the decision to certify, time limit, or disqualify as determined by the clinical judgment of the medical examiner insulin use is a major concern. which of these is NOT a possible outcome of a hypoglycemic reaction? seizure, loss of consciousness, shooting extremity pain, palpitations and tachycardia, period of impaired cognitive function that occurs without warning - correct answers ✅shooting extremity pain exercise tolerance tests (cardiac stress tests) are needed to assess the driver after a cardiovascular incident or to assess for cardiac abnormalities. if ordered this test, there are specific measures that need to be met/ordered. which of these is NOT one of them? -exercise to a workload capacity greater than 6 metabolic equivalents (METs) (through Bruce protocol stage II or equivalent) DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) -attain a heart rate greater than or equal to 85% of predicted maximum (unless on beta blockers) -have a rise in systolic blood pressure greater than or equal to 20 mmHg without angina -have no increase in diastolic pressure -have no significant ST segment depression - correct answers ✅have no increase in diastolic pressure which 2 of the following are not required for the urinalysis portion of the DOT medical exam? specific gravity, drug test, blood, glucose, ketones, protein - correct answers ✅drug test, ketones once registered with the NRCME as a CME how often will you have to report all performed exams? - correct answers ✅monthly if the urinalysis shows findings that are abnormal, but do not immediately threaten the driver or the public (such as slight proteinuria), which is the most reasonable course of action? - correct answers ✅encourage the driver DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) -give him a 1 month card, order lab work, and set up a return visit in 3 weeks - correct answers ✅all of the above -one of the most frustrating issues that medical examiners deal with is the lack of absolute rules in the advisory criteria. this is by design- to allow flexibility for the situation. in this case, any of these is a legitimate course of action within the regulations- as determined by the individual details of the situation and the clinical judgment of the medical examiner. I would consider C to be the least appropriate (give him a 1-year card as he is diabetic, but not yet on insulin) after you have registered with the NRCME, if you perform zero DOT medical exams in a month, do you have to still file a monthly report? - correct answers ✅yes what is the advised minimum waiting period following coronary artery bypass surgery? - correct answers ✅3 months severe traumatic brain injuries are disqualifying. how is a "severe TBI" defined? - correct answers ✅injury penetrates the dura and/or causes loss of consciousness >24 hours DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) benzodiazepines are a major concern. which of the following is NOT a benzodiazepine? xanax (alprazolam), valium (diazepam), ativan (lorazepam), diovan (valsartan) - correct answers ✅diovan (valsartan) in a shy-bladder situation where a driver is unable to provide a urine sample, which 2 courses of action are INappropriate? -allow the driver to return the next day to provide a sample -give the driver water and time to relax until he/she is ready -disqualify the driver -send the driver home with a collection cup and have him/her return with a sample - correct answers ✅-disqualify the driver -send the driver home with a collection cup and have him/her return with a sample a shy bladder is a relatively common occurrence. it is generally no reason for disqualification. drivers cannot bring in a sample DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) varicose veins have the potential for complications including chronic venous insufficiency, leg ulcerations, and recurrent deep vein thrombosis. what is the maximum certification period for a driver with varicose veins? - correct answers ✅2 years gross vehicle weight is one measure of whether a driver needs a DOT medical exam. another is the number of passengers the vehicle is DESIGNED to transport. what is the minimum number of passengers (including driver)? - correct answers ✅9 for compensation, 16 not for compensation a driver reports that he had arthroscopic surgery to repair a torn meniscus in his right knee 15 years previous. should this be recorded on the form? - correct answers ✅yes -all conditions and past surgeries should be noted- even if not a reason for denial a bipolar driver has been stable for 5 years without any manic or major depressive episodes. paperwork from his mental health provider confirms this. he is treated with lithium. what is the best certification period? - correct answers ✅1 year DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) a driver marks "yes" to the box chronic low back pain. which of these is the LEAST relevant question to ask? -how frequent and how intense is the pain? -is there radiating pain, numbness, or weakness into either leg? -does this affect your ability to drive, load, climb into the cab, or do other job functions? -would you be more comfortable in a smaller CMV or with less hours driving? -how has it been treated, and are you taking any pain medication? - correct answers ✅would you be more comfortable in a smaller CMV or with less hours driving? -the medical examiner's role does not include giving work restrictions. the certification is all or nothing the medical examination report (long form) asks about several specific conditions when evaluating extremities. which is NOT one of those? -perceptible limb -loss of or impairment of leg, foot, toe, arm, hand, or finger -normal range of motion DOT practice questions and Answers 100%Verified Correctly (Latest Update 2023) -atrophy -insufficient grasp and prehension in the upper limb to maintain steering wheel grip - correct answers ✅normal range of motion