MRO Exam Practice Questions with 100% Verified
Answers | Newest Edition | Graded A+ | Guaranteed
Pass | 2026/2027 Update.
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.
5. 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 - ANSWERC
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.
6. 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 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
7. Which of the following roles is primary for the MRO?
A.Lab checker
B.SAP advisor
C.Gatekeeper
D.Mediator
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.
8. At what age does use of illicit drugs peak in the U.S.?
A.12-17
Answers | Newest Edition | Graded A+ | Guaranteed
Pass | 2026/2027 Update.
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.
5. 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 - ANSWERC
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.
6. 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 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
7. Which of the following roles is primary for the MRO?
A.Lab checker
B.SAP advisor
C.Gatekeeper
D.Mediator
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.
8. At what age does use of illicit drugs peak in the U.S.?
A.12-17
