4/20/26, 5:21 PM MRO Practice Questions and Answers (Verified Answers) Study Guide (latest version verified for accuracy) | 2025\2026 Latest!! Fla…
MRO Practice Questions and Answers (Verified
Answers) Study Guide (latest version verified for
accuracy) | 2025\2026 Latest!!
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Terms in this set (107)
2. Which of the following drug tests D
is not required for federal employees SAMHSA's Drug Free Workplace Program specifies
under the federal Drug-Free "Reasonable Suspicion" as one of the types of drug
Workplace Program? testing. This is found on the federal Custody and
Control Form. The incorrect answer was
A.Preplacement unreasonable suspicion.
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random
3. Which of the following is the A
"weakest link" in drug testing, i.e., Among drug testing personnel, there are far more
generally produces the most specimen collectors than laboratory staff or MROs.
frequent errors? Collectors receive the least amount of training, are
A.Specimen collection paid the lowest wages, and have the highest job
B.Laboratory testing turnover.
C.MRO review Quality reviews show that a substantially larger
number of errors occur in collection and properly
completing the Custody and Control Form.
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4. MROs must pass a nationally C
recognized certifying examination A. All MRO work - Incorrect: includes non-federally
for which of the following activities? regulated drug testing, in which only a handful of
A.All MRO work states require MRO certification
B.All federally regulated MRO work B. All federally-regulated MRO work - Incorrect:
C.All DHHS and DOT MRO work includes DOD, NRC and other agencies, which do
D.All states with provisions allowing not require MRO certification
medical marijuana 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 c
primary for the MRO? Although each of these monikers identify
occasional, peripheral roles of the MRO, the DOT
A.Lab checker has clearly earmarked the role of the MRO as a
B.SAP advisor gatekeeper.
C.Gatekeeper
D.Mediator
E.Substance Abuse Identifier
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6. After completing review of drug C
test results, interviewing the donor The determination of an MRO is called a
and documenting findings, an MRO "verification" decision. Laboratories confirm lab
must do which of the following? results though performing a second test using a
A.Confirm laboratory results different analytical method and performing internal
B.Reconfirm laboratory results quality control measures. A laboratory to which a
C.Verify drug test results split specimen is send reconfirms or fails to
D.Report findings to laboratory and reconfirm the original laboratory's findings. MROs
employer report findings to employers, but do not routinely
report to laboratories.
7. The MRO safety duties include all B
but which of the following activities? A, C and D are all part of the considerations of an
A.Consider essential job functions MRO in assessing workplace safety. However, the
B.Review appropriateness of DOT has made it explicitly clear that while an MRO
medications donor is taking may express safety concerns to the donor and
C.Verify prescriptions with discuss them with prescribing health care
PCP/pharmacy professional, the MRO is admonished NOT to
D.Assess safety risks from determine whether the medication was
medications 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 B
drugs peak in the U.S.? The National Survey on Drug Use and Health has
A.12-17 consistently shown in all its surveys from 2000-2018
B.18-24 that illicit drug use peaks at ages 18-24.
C.25-3
D.33-50
E.51 and older
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9. The greatest increase in U.S. drug E
overdose deaths is due to which of The Centers for Disease Control and Prevention
the following categories of drugs? (CDC) National Center for Health Statistics has
A.Cocaine tracked drug overdose deaths from 1999-2017.
B.Heroin Overdose deaths from many different drug classes
C.Methamphetamine have risen, including heroin, natural and
D.Natural and semi-synthetic opioids semisynthetic opioids, cocaine, and
E.Synthetic opioids other than methamphetamine. But none have risen so
methadone (e.g., fentanyl) dramatically as synthetic opioids other than
methadone
9a. What are the most frequent A. Drug dealers or other stranger - 6.5%
sources of pain relievers that are B. Prescriptions or stone from a health care
misused in the U.S.? provider - 37.6%
A.Drug dealers C. Given by, bought from or took from friend or
B.Health care providers relative - 51.3%
C.Friends or relatives
10. Which type of drug tests are non- D
DOT employers most likely to SAMHSA has tracked workplace drug testing and
require? confirmed over many years that the most frequent
A.Post-accident type of drug testing required by employers is pre-
B.Reasonable Suspicion employment/pre-placement. The least frequent is
C.Return to Duty random testing.
D.Pre-placement
E.Random
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MRO Practice Questions and Answers (Verified
Answers) Study Guide (latest version verified for
accuracy) | 2025\2026 Latest!!
Save Groups
Terms in this set (107)
2. Which of the following drug tests D
is not required for federal employees SAMHSA's Drug Free Workplace Program specifies
under the federal Drug-Free "Reasonable Suspicion" as one of the types of drug
Workplace Program? testing. This is found on the federal Custody and
Control Form. The incorrect answer was
A.Preplacement unreasonable suspicion.
B.Post-accident
C.Return to duty
D.Unreasonable suspicion
E.Random
3. Which of the following is the A
"weakest link" in drug testing, i.e., Among drug testing personnel, there are far more
generally produces the most specimen collectors than laboratory staff or MROs.
frequent errors? Collectors receive the least amount of training, are
A.Specimen collection paid the lowest wages, and have the highest job
B.Laboratory testing turnover.
C.MRO review Quality reviews show that a substantially larger
number of errors occur in collection and properly
completing the Custody and Control Form.
https://quizlet.com/1170222897/mro-practice-questions-and-answers-verified-answers-study-guide-latest-version-verified-for-accuracy-20252026-late… 1/65
,4/20/26, 5:21 PM MRO Practice Questions and Answers (Verified Answers) Study Guide (latest version verified for accuracy) | 2025\2026 Latest!! Fla…
4. MROs must pass a nationally C
recognized certifying examination A. All MRO work - Incorrect: includes non-federally
for which of the following activities? regulated drug testing, in which only a handful of
A.All MRO work states require MRO certification
B.All federally regulated MRO work B. All federally-regulated MRO work - Incorrect:
C.All DHHS and DOT MRO work includes DOD, NRC and other agencies, which do
D.All states with provisions allowing not require MRO certification
medical marijuana 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 c
primary for the MRO? Although each of these monikers identify
occasional, peripheral roles of the MRO, the DOT
A.Lab checker has clearly earmarked the role of the MRO as a
B.SAP advisor gatekeeper.
C.Gatekeeper
D.Mediator
E.Substance Abuse Identifier
https://quizlet.com/1170222897/mro-practice-questions-and-answers-verified-answers-study-guide-latest-version-verified-for-accuracy-20252026-late… 2/65
,4/20/26, 5:21 PM MRO Practice Questions and Answers (Verified Answers) Study Guide (latest version verified for accuracy) | 2025\2026 Latest!! Fla…
6. After completing review of drug C
test results, interviewing the donor The determination of an MRO is called a
and documenting findings, an MRO "verification" decision. Laboratories confirm lab
must do which of the following? results though performing a second test using a
A.Confirm laboratory results different analytical method and performing internal
B.Reconfirm laboratory results quality control measures. A laboratory to which a
C.Verify drug test results split specimen is send reconfirms or fails to
D.Report findings to laboratory and reconfirm the original laboratory's findings. MROs
employer report findings to employers, but do not routinely
report to laboratories.
7. The MRO safety duties include all B
but which of the following activities? A, C and D are all part of the considerations of an
A.Consider essential job functions MRO in assessing workplace safety. However, the
B.Review appropriateness of DOT has made it explicitly clear that while an MRO
medications donor is taking may express safety concerns to the donor and
C.Verify prescriptions with discuss them with prescribing health care
PCP/pharmacy professional, the MRO is admonished NOT to
D.Assess safety risks from determine whether the medication was
medications 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 B
drugs peak in the U.S.? The National Survey on Drug Use and Health has
A.12-17 consistently shown in all its surveys from 2000-2018
B.18-24 that illicit drug use peaks at ages 18-24.
C.25-3
D.33-50
E.51 and older
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, 4/20/26, 5:21 PM MRO Practice Questions and Answers (Verified Answers) Study Guide (latest version verified for accuracy) | 2025\2026 Latest!! Fla…
9. The greatest increase in U.S. drug E
overdose deaths is due to which of The Centers for Disease Control and Prevention
the following categories of drugs? (CDC) National Center for Health Statistics has
A.Cocaine tracked drug overdose deaths from 1999-2017.
B.Heroin Overdose deaths from many different drug classes
C.Methamphetamine have risen, including heroin, natural and
D.Natural and semi-synthetic opioids semisynthetic opioids, cocaine, and
E.Synthetic opioids other than methamphetamine. But none have risen so
methadone (e.g., fentanyl) dramatically as synthetic opioids other than
methadone
9a. What are the most frequent A. Drug dealers or other stranger - 6.5%
sources of pain relievers that are B. Prescriptions or stone from a health care
misused in the U.S.? provider - 37.6%
A.Drug dealers C. Given by, bought from or took from friend or
B.Health care providers relative - 51.3%
C.Friends or relatives
10. Which type of drug tests are non- D
DOT employers most likely to SAMHSA has tracked workplace drug testing and
require? confirmed over many years that the most frequent
A.Post-accident type of drug testing required by employers is pre-
B.Reasonable Suspicion employment/pre-placement. The least frequent is
C.Return to Duty random testing.
D.Pre-placement
E.Random
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