1
MRO Practice Exam| Complete Exam Questions and
CORRECT Answers| (2025 update) Assured success|
grade A+
2. Which of the following drug tests is not required for federal employees under
the federal Drug-Free Workplace Program?
A.Preplacement
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random - (ANSWER)D
SAMHSA's Drug Free Workplace Program specifies "Reasonable Suspicion" as one
of the types of drug testing. This is found on the federal Custody and Control
Form. The incorrect answer was unreasonable suspicion.
3. Which of the following is the "weakest link" in drug testing, i.e., generally
produces the most frequent errors?
A.Specimen collection
B.Laboratory testing
C.MRO review - (ANSWER)A
Among drug testing personnel, there are far more specimen collectors than
laboratory staff or MROs. Collectors receive the least amount of training, are paid
the lowest wages, and have the highest job turnover.
Quality reviews show that a substantially larger number of errors occur in
collection and properly completing the Custody and Control Form.
, 2
4. MROs must pass a nationally recognized certifying examination for which of the
following activities?
A.All MRO work
B.All federally regulated MRO work
C.All DHHS and DOT MRO work
D.All states with provisions allowing medical marijuana - (ANSWER)C
A. All MRO work - Incorrect: includes non-federally regulated drug testing, in
which only a handful of states require MRO certification
B. All federally-regulated MRO work - Incorrect: includes DOD, NRC and other
agencies, which do not require MRO certification
C. All DHHS and DOT MRO work - Correct Answer: Both SAMHSA and DOT clearly
specify this requirement for MROs.
D. All states with provisions allowing medical marijuana - Incorrect: state
Marijuana laws make no reference to MROs, and only allow medical authorization
or recommendation permitting marijuana use. Health care professions do not
"prescribe" marijuana.
5. Which of the following roles is primary for the MRO?
A.Lab checker
B.SAP advisor
C.Gatekeeper
D.Mediator
, 3
E.Substance Abuse Identifier - (ANSWER)c
Although each of these monikers identify occasional, peripheral roles of the MRO,
the DOT has clearly earmarked the role of the MRO as a gatekeeper.
6. After completing review of drug test results, interviewing the donor and
documenting findings, an MRO must do which of the following?
A.Confirm laboratory results
B.Reconfirm laboratory results
C.Verify drug test results
D.Report findings to laboratory and employer - (ANSWER)C
The determination of an MRO is called a "verification" decision. Laboratories
confirm lab results though performing a second test using a different analytical
method and performing internal quality control measures. A laboratory to which
a split specimen is send reconfirms or fails to reconfirm the original laboratory's
findings. MROs report findings to employers, but do not routinely report to
laboratories.
7. The MRO safety duties include all but which of the following activities?
A.Consider essential job functions
B.Review appropriateness of medications donor is taking
C.Verify prescriptions with PCP/pharmacy
D.Assess safety risks from medications - (ANSWER)B
A, C and D are all part of the considerations of an MRO in assessing workplace
safety. However, the DOT has made it explicitly clear that while an MRO may
express safety concerns to the donor and discuss them with prescribing health
, 4
care professional, the MRO is admonished NOT to determine whether the
medication was appropriately prescribed.
The one exception for federal employees is mentioned the SAMHSA MRO
Guidance Manual, which does allow MROs to "use reasonable medical judgement
to make the decision that the provided prescription was generated in response to
the donor's current medical condition
8. At what age does use of illicit drugs peak in the U.S.?
A.12-17
B.18-24
C.25-3
D.33-50
E.51 and older - (ANSWER)B
The National Survey on Drug Use and Health has consistently shown in all its
surveys from 2000-2018 that illicit drug use peaks at ages 18-24.
9. The greatest increase in U.S. drug overdose deaths is due to which of the
following categories of drugs?
A.Cocaine
B.Heroin
C.Methamphetamine
D.Natural and semi-synthetic opioids
E.Synthetic opioids other than methadone (e.g., fentanyl) - (ANSWER)E
MRO Practice Exam| Complete Exam Questions and
CORRECT Answers| (2025 update) Assured success|
grade A+
2. Which of the following drug tests is not required for federal employees under
the federal Drug-Free Workplace Program?
A.Preplacement
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random - (ANSWER)D
SAMHSA's Drug Free Workplace Program specifies "Reasonable Suspicion" as one
of the types of drug testing. This is found on the federal Custody and Control
Form. The incorrect answer was unreasonable suspicion.
3. Which of the following is the "weakest link" in drug testing, i.e., generally
produces the most frequent errors?
A.Specimen collection
B.Laboratory testing
C.MRO review - (ANSWER)A
Among drug testing personnel, there are far more specimen collectors than
laboratory staff or MROs. Collectors receive the least amount of training, are paid
the lowest wages, and have the highest job turnover.
Quality reviews show that a substantially larger number of errors occur in
collection and properly completing the Custody and Control Form.
, 2
4. MROs must pass a nationally recognized certifying examination for which of the
following activities?
A.All MRO work
B.All federally regulated MRO work
C.All DHHS and DOT MRO work
D.All states with provisions allowing medical marijuana - (ANSWER)C
A. All MRO work - Incorrect: includes non-federally regulated drug testing, in
which only a handful of states require MRO certification
B. All federally-regulated MRO work - Incorrect: includes DOD, NRC and other
agencies, which do not require MRO certification
C. All DHHS and DOT MRO work - Correct Answer: Both SAMHSA and DOT clearly
specify this requirement for MROs.
D. All states with provisions allowing medical marijuana - Incorrect: state
Marijuana laws make no reference to MROs, and only allow medical authorization
or recommendation permitting marijuana use. Health care professions do not
"prescribe" marijuana.
5. Which of the following roles is primary for the MRO?
A.Lab checker
B.SAP advisor
C.Gatekeeper
D.Mediator
, 3
E.Substance Abuse Identifier - (ANSWER)c
Although each of these monikers identify occasional, peripheral roles of the MRO,
the DOT has clearly earmarked the role of the MRO as a gatekeeper.
6. After completing review of drug test results, interviewing the donor and
documenting findings, an MRO must do which of the following?
A.Confirm laboratory results
B.Reconfirm laboratory results
C.Verify drug test results
D.Report findings to laboratory and employer - (ANSWER)C
The determination of an MRO is called a "verification" decision. Laboratories
confirm lab results though performing a second test using a different analytical
method and performing internal quality control measures. A laboratory to which
a split specimen is send reconfirms or fails to reconfirm the original laboratory's
findings. MROs report findings to employers, but do not routinely report to
laboratories.
7. The MRO safety duties include all but which of the following activities?
A.Consider essential job functions
B.Review appropriateness of medications donor is taking
C.Verify prescriptions with PCP/pharmacy
D.Assess safety risks from medications - (ANSWER)B
A, C and D are all part of the considerations of an MRO in assessing workplace
safety. However, the DOT has made it explicitly clear that while an MRO may
express safety concerns to the donor and discuss them with prescribing health
, 4
care professional, the MRO is admonished NOT to determine whether the
medication was appropriately prescribed.
The one exception for federal employees is mentioned the SAMHSA MRO
Guidance Manual, which does allow MROs to "use reasonable medical judgement
to make the decision that the provided prescription was generated in response to
the donor's current medical condition
8. At what age does use of illicit drugs peak in the U.S.?
A.12-17
B.18-24
C.25-3
D.33-50
E.51 and older - (ANSWER)B
The National Survey on Drug Use and Health has consistently shown in all its
surveys from 2000-2018 that illicit drug use peaks at ages 18-24.
9. The greatest increase in U.S. drug overdose deaths is due to which of the
following categories of drugs?
A.Cocaine
B.Heroin
C.Methamphetamine
D.Natural and semi-synthetic opioids
E.Synthetic opioids other than methadone (e.g., fentanyl) - (ANSWER)E
