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

Can a driver who appears haggard and has fresh needle marks on his arm be subjected to drug testing?

1. No, drug testing is beyond the scope of the DOT medical exam.

2. Only if the employer is contacted for a reasonable suspicion DOT drug test.

3. Yes, a non-DOT drug test can be ordered, and refusal is a failure.

4. Yes, a DOT drug test can be ordered immediately.

The correct answer is: Yes, a non-DOT drug test can be ordered, and refusal is a failure.

The most appropriate response to the situation of a driver appearing haggard with fresh needle marks on his arm is that a non-DOT drug test can be ordered, and refusal to take the test would be considered a failure. This option is correct because it acknowledges that although the driver may be a subject within the context of DOT regulations, the presence of physical indicators such as being haggard or having needle marks raises valid concerns about possible substance use that could affect their ability to operate a commercial vehicle safely. In this scenario, while the driver may not be directly subject to an immediate DOT drug test based solely on appearance, there is still a responsibility to ensure safety and compliance with regulations concerning drug and alcohol use. A non-DOT drug test provides an avenue for employers to address potential safety risks by assessing the driver's condition without being confined strictly to DOT regulations. Furthermore, if the driver refuses to undergo testing, this refusal constitutes a failure, which can have significant implications for their employment status and ability to drive. Understanding this context emphasizes the importance of safety and proactive measures in regulatory environments regarding the health and fitness of drivers.