NBCOT Exam questions with answers
OTR Study Guide Domain 1: Practice Test
An OTR who works in an elementary school is preparing to evaluate a student
in fifth grade who has a learning disability and ADHD. Which standardized
assessments would be MOST EFFECTIVE for the OTR to include as part of the
evaluation process? - ....🔰VERIFIED ANSWERS.... ✔✔Bruininks-Oseretsky
Test of Motor Proficiency (BOT) and Evaluation Tool of Children's
Handwriting (ETCH)
These assessment tools are used to measure skills and abilities that are
associated with school-related occupational performance.
A 2-year-old toddler, who has a developmental delay, recently learned to
release a 2-inch (5.08 cm) ball into a large toy box. What fine motor skill should
the OTR work on NEXT? - ....🔰VERIFIED ANSWERS.... ✔✔Complete a 3- to
4-piece puzzle.
In the development of play occupations, a child who is able to release an object
into a toy box would NEXT be expected to be able to put together a 3- to 4-piece
puzzle.
O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's Occupational therapy for
children and adolescents (8th ed., p. 118). St. Louis, MO: Elsevier.
,An OTR is evaluating an inpatient who recently had a severe TBI and is
emerging from coma. The patient is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale. Which is the FIRST cognitive
function the OTR should assess? - ....🔰VERIFIED ANSWERS.... ✔✔Level of
arousal
A component of the evaluation for a patient who is functioning at a Level III
(Localized response) on the Rancho Los Amigos scale is to screen the patient's
level of arousal and alertness.
Domain 1: Practice Test
An OTR is developing an intervention plan using a bottom-up approach for
clients who have hemiplegia and hemi-neglect secondary to having a CVA
more than one year ago. Which of the following intervention techniques has
evidence supporting its efficacy for reducing the effects of "learned non-use"
through cortical reorganization? - ....🔰VERIFIED ANSWERS....
✔✔Constraint-induced movement therapy (CIMT)
This is an evidence-based functional approach for promoting use of a
hemiparetic upper extremity.
OTR Study Guide Domain 1: Practice Test
For a typically developing child, which postural reflex becomes evident
between 6-9 months of age and continues throughout life? - ....🔰VERIFIED
ANSWERS.... ✔✔Forward protective extension
Forward protective extension is a postural reflex that typically becomes evident
between 6-9 months of age and continues throughout life.
,Which activity involves the use of a closed kinetic chain movement of the
upper extremity? - ....🔰VERIFIED ANSWERS.... ✔✔Pulling up on an
overhead trapeze during bed mobility
other examples: WRONG
Hand-to-mouth patterns used for self-feeding
Lifting a suitcase off the floor to carry by the handle
This closed kinetic chain movement includes the distal upper extremity being
stabilized and in constant contact with the trapeze.
OTR Study Guide Domain 1: Practice Test
An OTR is assessing the reflexes of a 4-month-old infant. The OTR places the
infant in a sitting position and encourages the infant to actively flex the neck
forward to look at an object held near the infant's chest. Which of the following
responses to this movement indicates the presence of the symmetrical tonic
neck reflex? - ....🔰VERIFIED ANSWERS.... ✔✔Flexion of the upper
extremities and extension of the lower extremities
This movement pattern indicates the presence of the symmetrical tonic neck
reflex (STNR).
OTR Study Guide Domain 1: Practice Test
Which option represents the MOST EFFECTIVE method to screen an 8-
month-old infant for neck-on-body automatic righting reaction? - ....🔰
VERIFIED ANSWERS.... ✔✔Place the child in a supine position and observe
, body movements while rotating the child's head to one side and then to the
other.
This method describes the stimulus, response and reaction associated with
testing for neck-on-body automatic righting reaction.
OTR Study Guide Domain 1: Practice Test
A 2-year-old child has developmental delay due to mild spastic cerebral palsy.
The child has mastered four-point positioning. Which movement component
should the OTR plan to facilitate NEXT? - ....🔰VERIFIED ANSWERS....
✔✔Rocking on hands and knees
In the developmental sequence of gross motor development and mobility
skills, a child who has mastered four-point positioning would be expected to
progress to rocking on hands and knees NEXT.
An OTR working in an inpatient mental health setting is using a cognitive
behavioral approach to select an intervention activity for a young adult
undergoing treatment for symptoms associated with body dysmorphic disorder.
The patient is employed in a successful career and enjoys outdoor activities
such as jogging and hiking, but has difficulty forming and maintaining
interpersonal relationships. One of the patient's goals is to improve self-image
and the ability to express feelings. Which activity would be MOST
BENEFICIAL to include as part of the intervention for supporting this goal
when using this approach? - ....🔰VERIFIED ANSWERS.... ✔✔Teaching the
patient to use a dysfunctional thought record for describing distressing
situations and emotional responses
OTR Study Guide Domain 1: Practice Test
An OTR who works in an elementary school is preparing to evaluate a student
in fifth grade who has a learning disability and ADHD. Which standardized
assessments would be MOST EFFECTIVE for the OTR to include as part of the
evaluation process? - ....🔰VERIFIED ANSWERS.... ✔✔Bruininks-Oseretsky
Test of Motor Proficiency (BOT) and Evaluation Tool of Children's
Handwriting (ETCH)
These assessment tools are used to measure skills and abilities that are
associated with school-related occupational performance.
A 2-year-old toddler, who has a developmental delay, recently learned to
release a 2-inch (5.08 cm) ball into a large toy box. What fine motor skill should
the OTR work on NEXT? - ....🔰VERIFIED ANSWERS.... ✔✔Complete a 3- to
4-piece puzzle.
In the development of play occupations, a child who is able to release an object
into a toy box would NEXT be expected to be able to put together a 3- to 4-piece
puzzle.
O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's Occupational therapy for
children and adolescents (8th ed., p. 118). St. Louis, MO: Elsevier.
,An OTR is evaluating an inpatient who recently had a severe TBI and is
emerging from coma. The patient is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale. Which is the FIRST cognitive
function the OTR should assess? - ....🔰VERIFIED ANSWERS.... ✔✔Level of
arousal
A component of the evaluation for a patient who is functioning at a Level III
(Localized response) on the Rancho Los Amigos scale is to screen the patient's
level of arousal and alertness.
Domain 1: Practice Test
An OTR is developing an intervention plan using a bottom-up approach for
clients who have hemiplegia and hemi-neglect secondary to having a CVA
more than one year ago. Which of the following intervention techniques has
evidence supporting its efficacy for reducing the effects of "learned non-use"
through cortical reorganization? - ....🔰VERIFIED ANSWERS....
✔✔Constraint-induced movement therapy (CIMT)
This is an evidence-based functional approach for promoting use of a
hemiparetic upper extremity.
OTR Study Guide Domain 1: Practice Test
For a typically developing child, which postural reflex becomes evident
between 6-9 months of age and continues throughout life? - ....🔰VERIFIED
ANSWERS.... ✔✔Forward protective extension
Forward protective extension is a postural reflex that typically becomes evident
between 6-9 months of age and continues throughout life.
,Which activity involves the use of a closed kinetic chain movement of the
upper extremity? - ....🔰VERIFIED ANSWERS.... ✔✔Pulling up on an
overhead trapeze during bed mobility
other examples: WRONG
Hand-to-mouth patterns used for self-feeding
Lifting a suitcase off the floor to carry by the handle
This closed kinetic chain movement includes the distal upper extremity being
stabilized and in constant contact with the trapeze.
OTR Study Guide Domain 1: Practice Test
An OTR is assessing the reflexes of a 4-month-old infant. The OTR places the
infant in a sitting position and encourages the infant to actively flex the neck
forward to look at an object held near the infant's chest. Which of the following
responses to this movement indicates the presence of the symmetrical tonic
neck reflex? - ....🔰VERIFIED ANSWERS.... ✔✔Flexion of the upper
extremities and extension of the lower extremities
This movement pattern indicates the presence of the symmetrical tonic neck
reflex (STNR).
OTR Study Guide Domain 1: Practice Test
Which option represents the MOST EFFECTIVE method to screen an 8-
month-old infant for neck-on-body automatic righting reaction? - ....🔰
VERIFIED ANSWERS.... ✔✔Place the child in a supine position and observe
, body movements while rotating the child's head to one side and then to the
other.
This method describes the stimulus, response and reaction associated with
testing for neck-on-body automatic righting reaction.
OTR Study Guide Domain 1: Practice Test
A 2-year-old child has developmental delay due to mild spastic cerebral palsy.
The child has mastered four-point positioning. Which movement component
should the OTR plan to facilitate NEXT? - ....🔰VERIFIED ANSWERS....
✔✔Rocking on hands and knees
In the developmental sequence of gross motor development and mobility
skills, a child who has mastered four-point positioning would be expected to
progress to rocking on hands and knees NEXT.
An OTR working in an inpatient mental health setting is using a cognitive
behavioral approach to select an intervention activity for a young adult
undergoing treatment for symptoms associated with body dysmorphic disorder.
The patient is employed in a successful career and enjoys outdoor activities
such as jogging and hiking, but has difficulty forming and maintaining
interpersonal relationships. One of the patient's goals is to improve self-image
and the ability to express feelings. Which activity would be MOST
BENEFICIAL to include as part of the intervention for supporting this goal
when using this approach? - ....🔰VERIFIED ANSWERS.... ✔✔Teaching the
patient to use a dysfunctional thought record for describing distressing
situations and emotional responses
