COTA Examination Review Guide || 100% Verified Answers.
Through the school-based evaluation process, the COTA may consider many possibilities for
intervention; however, the determination that occupational therapy will be included in the
student's IEP will MOST LIKELY be made at which point in the IEP process?
A. After the test data are reviewed and interpreted
B. During the interview with the classroom teacher
C. At the meeting once the test results are reviewed by team
D. After the goals and objectives are determined by the team correct answers D. After the goals
and objectives are determined by the team
After evaluation, a STG for an individual who had a THR was to dress with min assistance,
using AE and verbal cues to follow hip precautions. After 1 week of tx, the individual is able to
dress with SBA, using AE and verbal cues to follow hip precautions. What skills does this person
need to demonstrate before changing the goal?
A. Less time needed to perform dressing
B. Ability to consistently follow hip precautions
C. Ability to use AD appropriately correct answers B. Ability to consistently follow hip
precautions
Overall health and wellness in individuals with schizophrenia negatively impacts occupational
performance. Which of the following is MOST descriptive of the impact on health and wellness
on occupational performance?
A. Medication may result in side effects such as tardive dyskinesia and dystonia
B. Individuals do not respond to interventions focusing in lifestyle behaviors
C. Oral medicines can increase development of type II diabetes and weight gain correct answers
A. Medication may result in side effects such as tardive dyskinesia and dystonia
The COTA will be working with a client who sustained an explosive-related extremity injury.
Which of the following issues would the patient MOST likely present with after sustaining this
type of injury?
A. Tympanic membrane rupture, dizziness, and tinnitus
B. Amputations, fractures, crush injuries, and/or burns
C. Hypotension, renal contusion, and failure
D. Hemothorax, pneumothorax, and/or sepsis correct answers B. Amputations, fractures, crush
injuries, and/or burns
While evaluating an individual with arthritis, the COTA observes PIP joint hyperextension and
DIP joint flexion in the digits. How would the COTA MOST LIKELY document this deformity?
A. Boutonniere
B. Mallet finger
C. Congenital
D. Swan neck correct answers D. Swan neck
What is the NEXT step for a COTA team to follow after initial evaluation of a 1-year-old child
requiring early intervention services?
A. independently develop an IEP
B. collaboratively develop an IEP
, C. independently develop an IFSP
D. collaboratively develop an IFSP correct answers D. Collaboratively develop an IFSP
During an OT session, a COTA observes that an individual is able to place dentures in their
mouth, but has difficulty apply denture cream to the appropriate place on the dentures and
attempts to place the cap on the tube backward. What is MOST LIKELY responsible for this
observation?
A. Constructional apraxia
B. Ideomotor apraxia
C. Ideational apraxia
D. Developmental apraxia correct answers A. Constructional apraxia
When assessing for the presence of visual agnosia in a patient who had a CVA, what is the BEST
activity for the COTA to ask the patient to perform?
A. demonstrate common gestures such as waving
B. Name objects by only using the sense of touch
C. Identify the use of common household objects correct answers C. Identify the use of common
household objects
An OT/COTA team receives a referral for an infant in the NICU whose parents have a history of
drug use during pregnancy. What is the FIRST action the team should take?
A. Determine the parent's current drug use, medical status, & support systems
B. Recommend a social work referral and provide community program information
C. Modify the environment to minimize excessive sensory stimulation prior to assessing the baby
D. Assess the baby's behavior and use gentle handling to promote positive sensory experiences
correct answers C. Modify the environment to minimize excessive sensory stimulation prior to
assessing the baby
A person who had a stroke tries unsuccessfully to put on a shirt using a one-handed technique.
They state, "I can do it, I'm just not trying hard enough." What would the COTA MOST likely
recognize this response to be?
A. Denial
B. Depression
C. Shock
D. Regression correct answers A. Denial
An OT practictioner is assessing a client who has schizophrenia and appears to be experiencing
acute symptoms of the disease. Which of the following is considered to be an acute or positive
symptom of schizophrenia that the OT might document in the assessment? Choose all that apply
A. Incoherency
B. Delusions
C. Low energy
D. Anhedonia
E. Inattention
F. Echolalia correct answers A. incoherency
B. delusions
C. echolalia
Through the school-based evaluation process, the COTA may consider many possibilities for
intervention; however, the determination that occupational therapy will be included in the
student's IEP will MOST LIKELY be made at which point in the IEP process?
A. After the test data are reviewed and interpreted
B. During the interview with the classroom teacher
C. At the meeting once the test results are reviewed by team
D. After the goals and objectives are determined by the team correct answers D. After the goals
and objectives are determined by the team
After evaluation, a STG for an individual who had a THR was to dress with min assistance,
using AE and verbal cues to follow hip precautions. After 1 week of tx, the individual is able to
dress with SBA, using AE and verbal cues to follow hip precautions. What skills does this person
need to demonstrate before changing the goal?
A. Less time needed to perform dressing
B. Ability to consistently follow hip precautions
C. Ability to use AD appropriately correct answers B. Ability to consistently follow hip
precautions
Overall health and wellness in individuals with schizophrenia negatively impacts occupational
performance. Which of the following is MOST descriptive of the impact on health and wellness
on occupational performance?
A. Medication may result in side effects such as tardive dyskinesia and dystonia
B. Individuals do not respond to interventions focusing in lifestyle behaviors
C. Oral medicines can increase development of type II diabetes and weight gain correct answers
A. Medication may result in side effects such as tardive dyskinesia and dystonia
The COTA will be working with a client who sustained an explosive-related extremity injury.
Which of the following issues would the patient MOST likely present with after sustaining this
type of injury?
A. Tympanic membrane rupture, dizziness, and tinnitus
B. Amputations, fractures, crush injuries, and/or burns
C. Hypotension, renal contusion, and failure
D. Hemothorax, pneumothorax, and/or sepsis correct answers B. Amputations, fractures, crush
injuries, and/or burns
While evaluating an individual with arthritis, the COTA observes PIP joint hyperextension and
DIP joint flexion in the digits. How would the COTA MOST LIKELY document this deformity?
A. Boutonniere
B. Mallet finger
C. Congenital
D. Swan neck correct answers D. Swan neck
What is the NEXT step for a COTA team to follow after initial evaluation of a 1-year-old child
requiring early intervention services?
A. independently develop an IEP
B. collaboratively develop an IEP
, C. independently develop an IFSP
D. collaboratively develop an IFSP correct answers D. Collaboratively develop an IFSP
During an OT session, a COTA observes that an individual is able to place dentures in their
mouth, but has difficulty apply denture cream to the appropriate place on the dentures and
attempts to place the cap on the tube backward. What is MOST LIKELY responsible for this
observation?
A. Constructional apraxia
B. Ideomotor apraxia
C. Ideational apraxia
D. Developmental apraxia correct answers A. Constructional apraxia
When assessing for the presence of visual agnosia in a patient who had a CVA, what is the BEST
activity for the COTA to ask the patient to perform?
A. demonstrate common gestures such as waving
B. Name objects by only using the sense of touch
C. Identify the use of common household objects correct answers C. Identify the use of common
household objects
An OT/COTA team receives a referral for an infant in the NICU whose parents have a history of
drug use during pregnancy. What is the FIRST action the team should take?
A. Determine the parent's current drug use, medical status, & support systems
B. Recommend a social work referral and provide community program information
C. Modify the environment to minimize excessive sensory stimulation prior to assessing the baby
D. Assess the baby's behavior and use gentle handling to promote positive sensory experiences
correct answers C. Modify the environment to minimize excessive sensory stimulation prior to
assessing the baby
A person who had a stroke tries unsuccessfully to put on a shirt using a one-handed technique.
They state, "I can do it, I'm just not trying hard enough." What would the COTA MOST likely
recognize this response to be?
A. Denial
B. Depression
C. Shock
D. Regression correct answers A. Denial
An OT practictioner is assessing a client who has schizophrenia and appears to be experiencing
acute symptoms of the disease. Which of the following is considered to be an acute or positive
symptom of schizophrenia that the OT might document in the assessment? Choose all that apply
A. Incoherency
B. Delusions
C. Low energy
D. Anhedonia
E. Inattention
F. Echolalia correct answers A. incoherency
B. delusions
C. echolalia