Ace the NRCME DOT Exam 2026 – Drive Your Success Forward!

The appropriate action for the medical examiner in this scenario is to certify the driver for one year after performing a new DOT examination. This decision is based on the fact that the driver initially presented with hypertension, as indicated by the blood pressure reading of 165/105 mm Hg. According to the Federal Motor Carrier Safety Administration (FMCSA) guidelines, drivers with a diagnosed hypertension should be monitored and reevaluated to assess their condition.

The follow-up blood pressure reading of 135/85 mm Hg indicates a significant improvement and suggests that the driver's hypertension is now under control. However, the medical examiner must ensure that the driver meets all other medical standards required for certification. By opting to perform a new DOT examination, the examiner can confirm that the driver's overall health has not changed and that they are fit to operate a commercial vehicle.

Certifying the driver for one year reflects the stability of the driver's condition while aligning with the requirements to re-evaluate individuals with a history of hypertension. This approach allows for ongoing monitoring of the driver's health while acknowledging their positive progress.