NRCME Test Bank Questions1 with Verified Answers latest Update., Exams of Nursing

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Which of the following is a requirement for drivers with a diabetes exemption? A) Possess a rapidly absorbable form of glucose while driving B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving C) Plan to submit blood glucose monitoring logs every 6 months D) Maintain a Hemoglobin A1C value less than 7 Answer A. Drivers with diabetes should self-monitor blood glucose before driving and every 4 hours while driving. Blood glucose monitoring logs should be submitted annually. There is no specific requirement for HgA1C level. Drivers with insulin dependent diabetes:

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A) May be certified for a maximum of 6 months B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification C) Cannot be certified if they have a history of myocardial infarction D) May be eligible for a diabetes exemption Answer D) Drivers with insulin dependent diabetes cannot be certified but may be eligible for a diabetes exemption Which of the following is true? A) A driver with diabetes who uses insulin does not meet the minimum requirements of 49 CFR Part 391.

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C) One year D) Two years Answer C) Drivers with non-insulin dependent diabetes should be certified for a maximum of one year A diabetes exemption may be issued by: A) An endocrinologist B) The Medical Examiner C) The driver's personal physician D) The FMCSA Answer D) Only the FMCSA can grant exemptions

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A driver with diabetes mellliktus who uses insulin is determined to be otherwise medically qualified. The medical examiner must indicate that a diabetes exemption is required on the : A) Medical Examination Report status section and Medical Examiners Certificate B) Letter to the FMCSA C) Employer authorization form D) Endocrinology consultation form Answer A) Exemption requirements must be noted on the Medical Examination Report status section and the Medical Examiners Certificate If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate next step is:

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C) two, three D) two, five Answer B) A driver should not be certified if the driver has had one hypoglycemic reaction in the past year or two in the past five years. Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemic reaction? A) Seizure B) Dizziness C) Need of assistance from another person D) Period of impaired cognitive function that occurred without warning Answer B) FMCSA defines severe hypoglycemia as reactions

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that result in seizure, loss of consciousness, need of assistance from another person, and a period of impaired congitive function that occurred without warning Which diabetes mellitus risk poses the greatest threat to public safety A) Hyperglycemia B) Peripheral neuropathy C) Hypoglycemia D) Metabolic encephalopathy Answer C) Although hyperglycemia, peripheral neuropathy, and metabolic encephalopathy all pose significant risks for safe driving, hypoglycemia poses the greatest risk. The risk is particularly pronounced in drivers who use insulin. FMCSA defines a hypoglycemia episode as one that results in seizure, loss of

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Which of the following is true for diagnosis of a hernia? A) The driver should be referred to a surgeon to determine whether repair of a hernia is necessary B) The waiting period following hernia surgery is two weeks C) Inguinal hernias have been associated with an increased risk for CMV accidents D) The maximum certification interval for a driver with a hernia is two years Answer D) The medical examiner can use his/her judgment as to whether a driver should be referred to a surgeon or other specialist. There is no specified waiting period following hernia surgery - the driver should not be certified until the medical examiner determines that treatment is safe and effective, and that the condition is stable. No evidence has linked hernias of any type to increased CMV accident risk.

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Which of the following is true of nephropathy? A) Nephropathy is a disqualifying condition B) The maximum certification interval for nephropathy is two years C) A driver with 3+ proteinuria should not be certified D) A renal specialist should make the certification determination for a driver with nephropathy Answer B) Nephropathy is considered on a case-by-case basis. The medical examiner determines what evaluation or monitoring is necessary for a driver with 3+ proteinuria and may disqualify the driver. The certification is always made by the medical examiner and cannot be deferred to a specialist.

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C) Use clinical expertise to determine a certification decision and to determine if additional evaluation is required or recommended D) Obtain blood chemistries for renal function Answer C) The medical examiner must determine whether additional evaluation is needed and whether the certification decision should be postponed or limited A driver with a history of kidney disease with or without transplant: A) Is medically disqualified B) Must be assessed regarding the severity, stability, medications used, and medication side effects/adverse reactions C) Should not be assessed for functional ability to operate a CMV safely

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D) Should have the medical certificaton determination made by a renal specialist Answer B) ASsessment for kidney disease must be ade on a case-by-case basis. Dialysis of any kind is disqualifying. The medical examiner may choose to test the driver for functional ability to operate a CMV safely. The medical certification decision must be made by the medical examiner. Which of the following is not a disqualifying condition? A) Peritoneal dialysis B) Hemodialysis C) Hernia D) Peripheral neuropathy Answer Any type of dialysis is a disqualifying condition. Peripheral neuropathy is usually disqualifying. Although a

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Disqualifying conditions include: A) Chronic constipation B) Obesity C) Cystitis D) Dialysis Answer D) Dialysis of any type of disqualifying A driver who has Hepatitis C who is stable and whose condition does not represent a safety risk may be certified A) True B) False Answer A) Hepatitis C is not disqualifying

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A driver with a history of acute bleeding ulcer may be certified if: A) Pain has subsided B) Driver tolerates food without nausea and vomiting C) Bleeding has subsided D) The underlying cause has been identified and recurrence risk is low following treatment Answer D) Drivers with bleeding ulcers should not be certified until the underlying cause has been identified and the recurrence risk is low A driver with a successful kidney transplant can be certified A) True B) False Answer A) Kidney transplants are not disqualifying

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recommended rehabilitation prior to returning to driving. Marijuana is a Schedule I drug. Which of the following is a requirement for a driver with a history of alcoholism to be certified? A) No residual disqualifying physical impairment B) Successful treatment with naltrexone C) Currently in counseling and/or treatment D) No more than one current alcohol-related disorder Answer A) Treatment with naltrexone is not required for driver certification for a driver with a history of alcoholism. A driver with a history of alcoholism must have completed counseling and/or treatment and must not have a current alcohol-related disorder in order to be certified.

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Which of the following is a disqualifying condition? A) A past clinical diagnosis of alcoholism B) A breath alcohol result of 0.019% C) An alcohol-related stable physical condition, regardless of the time element D) Use of methadone Answer D) A current diagnosis of alcoholism is disqualifying. A breath alcohol result of 0.02% or higher renders the driver unqualified to drive. An alcohol-related unstable physical condition is disqualifying.