National Registry of Certified Medical Examiners (NRCME) DOT Practice Exam

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A driver with blood pressure at 180/102 mmHg should be classified as?

  1. Stage II hypertension; Certify: 3-month card

  2. Stage III hypertension; Certify: Disqualify

  3. Stage III HTN; Certify: 6-month card

  4. Stage II hypertension; Certify: 1 year

The correct answer is: Stage III hypertension; Certify: Disqualify

A driver with blood pressure readings of 180/102 mmHg falls into the classification of Stage III hypertension, which is characterized by severe hypertension. The guidelines provided by the National Registry of Certified Medical Examiners (NRCME) recommend that drivers with Stage III hypertension be disqualified from operating commercial motor vehicles. This decision is rooted in safety concerns, as uncontrolled high blood pressure can significantly increase the risk of cardiovascular events, which could pose a serious threat to not only the driver but also to other road users. Consequently, individuals diagnosed with Stage III hypertension, as reflected by consistently high blood pressure readings, are not eligible for a certification card that would allow them to operate a commercial vehicle. Instead, they must seek appropriate medical treatment and achieve better management of their blood pressure before they can be reconsidered for certification.

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