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

If a driver has a blood pressure of 168/112 mm Hg, what action should the examiner take?

1. Disqualify the driver

2. Certify for 6 months

3. Certify for 1 year

4. Certify for 2 years

The correct answer is: Disqualify the driver

When faced with a blood pressure reading of 168/112 mm Hg, the most appropriate action for the examiner is to disqualify the driver. This reading indicates that the driver falls into the category of Stage 2 hypertension, as defined by the American Heart Association. In this case, a blood pressure reading of 140/90 mm Hg or higher is considered hypertensive, and Stage 2 hypertension, which includes readings of 140/90 mm Hg or higher, signifies a greater risk for cardiovascular events. Because commercial drivers are required to meet specific medical standards to ensure road safety, the examiner must prioritize the health and safety of the driver as well as the public. Disqualifying the driver in this situation is essential as it prompts them to seek medical evaluation and management of their hypertension before they can be considered for recertification. This not only protects the individual driver but also helps prevent potential accidents due to health conditions that might impair their driving ability. Certifying the driver for any duration under these circumstances would pose a safety risk and does not align with the established guidelines for managing drivers with uncontrolled hypertension.