NATIONAL OCCUPATIONAL THERAPY
CERTIFICATION EXAM NEWEST UPDATED REAL
2026 2027 EXAM WITH ACCURATE QUESTIONS AND
ANSWERS PLUS RATIONALES ALREADY RATED A+
UPDATED VERSION [BRAND NEW]
1. A client post–right CVA demonstrates left
neglect during grooming. What is the BEST
initial intervention?
A. Provide full assistance
B. Place items on the right side
C. Use visual scanning training
D. Restrict task demands
Correct Answer: C. Visual scanning training
increases awareness of the neglected side and
promotes independence.
,2. A child with sensory over-responsivity becomes
distressed during finger painting. What is MOST
appropriate?
A. Force participation
B. Provide deep pressure input first
C. Remove all sensory input
D. End session
Correct Answer: B. Deep pressure can modulate
sensory responses and improve tolerance to
tactile input.
3. A client with RA has ulnar drift. Which splint
is MOST appropriate?
A. Resting hand splint
B. Ulnar deviation splint
C. Dynamic extension splint
D. Thumb spica
Correct Answer: B. An ulnar deviation splint
helps correct and prevent worsening MCP
alignment.
, 4. What frame of reference emphasizes volition,
habituation, and performance capacity?
A. Biomechanical
B. MOHO
C. PEO
D. NDT
Correct Answer: B. The Model of Human
Occupation (MOHO) focuses on volition,
habituation, and performance capacity.
5. A client with C6 SCI can MOST likely:
A. Perform independent transfers
B. Feed independently with adaptive equipment
C. Ambulate without device
D. Perform fine motor tasks
Correct Answer: B. C6 allows wrist extension for
tenodesis grasp to support feeding with adaptive
devices.
CERTIFICATION EXAM NEWEST UPDATED REAL
2026 2027 EXAM WITH ACCURATE QUESTIONS AND
ANSWERS PLUS RATIONALES ALREADY RATED A+
UPDATED VERSION [BRAND NEW]
1. A client post–right CVA demonstrates left
neglect during grooming. What is the BEST
initial intervention?
A. Provide full assistance
B. Place items on the right side
C. Use visual scanning training
D. Restrict task demands
Correct Answer: C. Visual scanning training
increases awareness of the neglected side and
promotes independence.
,2. A child with sensory over-responsivity becomes
distressed during finger painting. What is MOST
appropriate?
A. Force participation
B. Provide deep pressure input first
C. Remove all sensory input
D. End session
Correct Answer: B. Deep pressure can modulate
sensory responses and improve tolerance to
tactile input.
3. A client with RA has ulnar drift. Which splint
is MOST appropriate?
A. Resting hand splint
B. Ulnar deviation splint
C. Dynamic extension splint
D. Thumb spica
Correct Answer: B. An ulnar deviation splint
helps correct and prevent worsening MCP
alignment.
, 4. What frame of reference emphasizes volition,
habituation, and performance capacity?
A. Biomechanical
B. MOHO
C. PEO
D. NDT
Correct Answer: B. The Model of Human
Occupation (MOHO) focuses on volition,
habituation, and performance capacity.
5. A client with C6 SCI can MOST likely:
A. Perform independent transfers
B. Feed independently with adaptive equipment
C. Ambulate without device
D. Perform fine motor tasks
Correct Answer: B. C6 allows wrist extension for
tenodesis grasp to support feeding with adaptive
devices.