NBCOT Practice Exam 1 Questions With
100% Verified Answers Latest Update
2026 Graded A+
Children with tactile defensiveness are "bothered by tactile aspects of daily
living activities.... specific types of clothing.... specific textures materials".
The child may be bothered by certain textures or avoid wearing turtlenecks,
socks, or shoes. Conversely, some children may never take off their shoes
to avoid tactile stimulation. Play behavior (answer A), social skills (answer
C), and the choice of hobbies (answer D) could be affected secondarily, as
a result of intolerance to certain textures or human touch. Knowledge of the
child's dressing habits will give the OT key information at the start of the
evaluation process.
An OT is working with an individual with schizophrenia who is in the
process of preparing to move from a state hospital to a group home.
During a baking group, the client becomes agitated and leaves the
room when another client uses the electric hand mixer to mix the cake
batter, and again when two clients begin to argue loudly about which
type of icing to use. How would the OT BEST describe the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior,
characterized by a low threshold to stimuli perceived as noxious, followed
by an active response such as leaving the room. Individuals with sensory
avoiding behavior may "become distressed in situations in which they
cannot control the environment" and "do well in low stimulus situation or
settings that others find dull". An individual with low registration (answer A),
sensory seeking behavior (answer C), or a hearing impairment (answer D)
,would not have difficult with the auditory stimulation caused by the roar of
the mixer or loud voices.
During a self-care evaluation of an individual who recently sustained
a brain injury, the OT instructs the individual to comb his hair
immediately after he washes his face. The individual washes his face
quickly, but then the therapist must give him several reminders to
comb his hair. The OT is MOST likely to identify this as a deficit in
what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
A. Working memory
"Working memory is the temporary storage of information while one is
working with it or attending to it. It includes the ability to recall information
immediately after exposure. It allows one to focus conscious attention and
keeps track of information as one is performing an activity". This
individual's inability to comb is hair without reminders suggests a deficit in
working memory (answer A). Judgment (answer B), the ability to make
realistic and safe decisions based on available environmental information,
would not be needed for this task. Because the person performed the first
request, hearing (answer C) would seem to be intact. Abstraction (answer
D) is the ability to extrapolate information from an idea to generalize to
another situation and would not be needed to follow this direction.
A supermarket employee with obsessive-compulsive disorder takes
an hour to stock 24 soup cans on the shelf because once he has
placed the cans on the shelf, he removes them and starts over,
stating that "all labels were not lines up exactly in the same
direction." Which of the following methods would MOST effectively
evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the job
D. Task evaluation using a "clean" medium such as a puzzle
that is right
,A. On-site observation of performance skills
An OT has been working with an individual who is recovering from a
TBI. A standard pivot transfer has been successfully demonstrated in
the gym. The MOST appropriate way to assess generalization of this
new learning would be to have the patient perform which activity?
A. Identify potential hazards in the patient's bathrooms that could
make transfers unsafe
B. Select an appropriate tub bench and nonskid mat for the patient's
bathroom at home
C. Attempt a standard pivot transfer from wheelchair to bed in the
patient's hospital room
D. Attempt a sliding board transfer from wheelchair to tub
C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room
An OT is working with an individual with depression who is
cognitively intact but demonstrating difficulty carrying out self-care
and other ADL tasks. The OT, who has no advanced certifications,
would like to identify a standardized assessment to measure ADL
performance. Which is the MOST appropriate tool for this purpose?
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
C. Kohlman Evaluation of Living Skills
An OT is conducting a perceptual function screening with an
individual who has had a CVA. Which of the following informal
screening activities would the therapist ask the individual to perform
in order to identify the presence of agnosia?
A. Demonstrate common gestures such as waving
B. Name objects through touch only
C. Identify or demonstrate the use of common household objects
D. Read a paragraph and explain its meaning.
C. Identify or demonstrate the use of common household objects
An individual with an L4 spinal cord injury wishes to become
independent in driving an automobile. The MOST appropriate piece of
adaptive equipment for this individual is:
, A. A palmar cuff for the steering wheel
B. A spinner knob on the steering wheel
C. Pedal extensions for accelerating and braking
D. Hand controls for acceleration and braking
D. Hand controls for acceleration and braking
What is the MOST important aspect of administering and scoring a
standardized test?
A. Judgment to determine how best to administer the test
B. Previous experience as a way to gauge test results
C. Adherence to specific instructions for administration and scoring
D. Practice administering the test items
C. Adherence to specific instructions for administration and scoring
During an initial interview, parents describe their child as having
difficulty communicating and interacting with others. The OT
observes him repeatedly gazing upward and scanning the ceiling or
quickly patting his hip. The behaviors described are MOST likely to be
associated with what disorder?
A. Attention deficit-hyperacitivity
B. Childhood conduct
C. Obsessive-compulsive
D. Autism spectrum disorder
D. Autism spectrum disorder
A toddler with spina bifida has been referred for assessment. When
collecting the initial data during interview with the child's parent, what
should the OT focus on PRIMARILY?
A. A parent's concerns and goals for the child
B. Child's medical management
C. Equipment needs
D. Physical layout of the home
A. A parent's concerns and goals for the child
When evaluating an individual with coronary artery disease for
controllable risk factors, what is MOST important for the OT to include
as part of the assessment?
A. Determine the individual's age and gender
100% Verified Answers Latest Update
2026 Graded A+
Children with tactile defensiveness are "bothered by tactile aspects of daily
living activities.... specific types of clothing.... specific textures materials".
The child may be bothered by certain textures or avoid wearing turtlenecks,
socks, or shoes. Conversely, some children may never take off their shoes
to avoid tactile stimulation. Play behavior (answer A), social skills (answer
C), and the choice of hobbies (answer D) could be affected secondarily, as
a result of intolerance to certain textures or human touch. Knowledge of the
child's dressing habits will give the OT key information at the start of the
evaluation process.
An OT is working with an individual with schizophrenia who is in the
process of preparing to move from a state hospital to a group home.
During a baking group, the client becomes agitated and leaves the
room when another client uses the electric hand mixer to mix the cake
batter, and again when two clients begin to argue loudly about which
type of icing to use. How would the OT BEST describe the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior,
characterized by a low threshold to stimuli perceived as noxious, followed
by an active response such as leaving the room. Individuals with sensory
avoiding behavior may "become distressed in situations in which they
cannot control the environment" and "do well in low stimulus situation or
settings that others find dull". An individual with low registration (answer A),
sensory seeking behavior (answer C), or a hearing impairment (answer D)
,would not have difficult with the auditory stimulation caused by the roar of
the mixer or loud voices.
During a self-care evaluation of an individual who recently sustained
a brain injury, the OT instructs the individual to comb his hair
immediately after he washes his face. The individual washes his face
quickly, but then the therapist must give him several reminders to
comb his hair. The OT is MOST likely to identify this as a deficit in
what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
A. Working memory
"Working memory is the temporary storage of information while one is
working with it or attending to it. It includes the ability to recall information
immediately after exposure. It allows one to focus conscious attention and
keeps track of information as one is performing an activity". This
individual's inability to comb is hair without reminders suggests a deficit in
working memory (answer A). Judgment (answer B), the ability to make
realistic and safe decisions based on available environmental information,
would not be needed for this task. Because the person performed the first
request, hearing (answer C) would seem to be intact. Abstraction (answer
D) is the ability to extrapolate information from an idea to generalize to
another situation and would not be needed to follow this direction.
A supermarket employee with obsessive-compulsive disorder takes
an hour to stock 24 soup cans on the shelf because once he has
placed the cans on the shelf, he removes them and starts over,
stating that "all labels were not lines up exactly in the same
direction." Which of the following methods would MOST effectively
evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the job
D. Task evaluation using a "clean" medium such as a puzzle
that is right
,A. On-site observation of performance skills
An OT has been working with an individual who is recovering from a
TBI. A standard pivot transfer has been successfully demonstrated in
the gym. The MOST appropriate way to assess generalization of this
new learning would be to have the patient perform which activity?
A. Identify potential hazards in the patient's bathrooms that could
make transfers unsafe
B. Select an appropriate tub bench and nonskid mat for the patient's
bathroom at home
C. Attempt a standard pivot transfer from wheelchair to bed in the
patient's hospital room
D. Attempt a sliding board transfer from wheelchair to tub
C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room
An OT is working with an individual with depression who is
cognitively intact but demonstrating difficulty carrying out self-care
and other ADL tasks. The OT, who has no advanced certifications,
would like to identify a standardized assessment to measure ADL
performance. Which is the MOST appropriate tool for this purpose?
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
C. Kohlman Evaluation of Living Skills
An OT is conducting a perceptual function screening with an
individual who has had a CVA. Which of the following informal
screening activities would the therapist ask the individual to perform
in order to identify the presence of agnosia?
A. Demonstrate common gestures such as waving
B. Name objects through touch only
C. Identify or demonstrate the use of common household objects
D. Read a paragraph and explain its meaning.
C. Identify or demonstrate the use of common household objects
An individual with an L4 spinal cord injury wishes to become
independent in driving an automobile. The MOST appropriate piece of
adaptive equipment for this individual is:
, A. A palmar cuff for the steering wheel
B. A spinner knob on the steering wheel
C. Pedal extensions for accelerating and braking
D. Hand controls for acceleration and braking
D. Hand controls for acceleration and braking
What is the MOST important aspect of administering and scoring a
standardized test?
A. Judgment to determine how best to administer the test
B. Previous experience as a way to gauge test results
C. Adherence to specific instructions for administration and scoring
D. Practice administering the test items
C. Adherence to specific instructions for administration and scoring
During an initial interview, parents describe their child as having
difficulty communicating and interacting with others. The OT
observes him repeatedly gazing upward and scanning the ceiling or
quickly patting his hip. The behaviors described are MOST likely to be
associated with what disorder?
A. Attention deficit-hyperacitivity
B. Childhood conduct
C. Obsessive-compulsive
D. Autism spectrum disorder
D. Autism spectrum disorder
A toddler with spina bifida has been referred for assessment. When
collecting the initial data during interview with the child's parent, what
should the OT focus on PRIMARILY?
A. A parent's concerns and goals for the child
B. Child's medical management
C. Equipment needs
D. Physical layout of the home
A. A parent's concerns and goals for the child
When evaluating an individual with coronary artery disease for
controllable risk factors, what is MOST important for the OT to include
as part of the assessment?
A. Determine the individual's age and gender
