COTA EXAM QUESTIONS FROM NBCOT 3RD EDITION 2026/2027 UPDATE WITH
ACCURATE SOLUTIONS
An OTA is asked to develop a discharge planning group for clients being discharged within
the next month from a long term facility for adults with serious and persistent metal illness.
Which action is best for the OTA to take initially?
A. Obtain prospective group members occupational profile and postd/c goals and options.
B. Identify community resources to develop a community reintegration program and
enhance post-d/c participation.
C. Develop a self medication management teaching module to increase post-d/c
medication compliance.
D. Complete an evidence based search to identity best practices in community based
mental health occupational therapy.
Correct Answer : A
Rationale is on page 429
An elementary school aged child holds a pencil with a tightly held static tripod grasp and
forms letters at an average rate of speed. The child demonstrates the ability to write all
class and homework assignments. Which approach is best for the OTA to recommend this
child use to improve grasp?
A. Perform all written work with a larger pencil and jumbo crayons on a horizontal surface.
B. Take a break every 15 mins while writing to open and close the hand several times.
,C. Practice moving coins from the fingertips to the palm and then from the palm to the
fingertips.
D. Write all written work on a vertical surface, such as an easel or classroom wall board.
Correct Answer: C
Rationale is on page 435
An OTA is working in an in patient rehabilitation facility for persons with SCI. A patient
sustained a C5 complete SCI following an automobile accident two weeks ago. The OTA is
working with the patient to attain the patient's goal to independently self feed. Which
pieces of adaptive equipment are best for the OTA to teach the patient to use during
intervention? Select the best three
A. A rocker knife
B. Dycem to place under plates
C. A plate guard or scoop dish
D. A sip and puff mobile arm support
E. A dorsal wrist splint with universal cuff
F. A drinking cup with a drinking spout
Correct Answers: B, C, E
Rationale is on page 477
, An adult who incurred a traumatic brain injury 3 months ago receives home care OT
services. During meal preparation tasks, the client ignores items on the left side of the
counter. Which is the best remediation approach for the OTA to use with this client to
enhance performance?
A. Place a brightly colored placemat on the left side of the counter
B. Encourage bilateral activities
C. Place all items on the right side of the counter
D. Practice scanning activities
Correct Answer: A
Rationale is on page 479
An OTA provides home based occupational therapy. services. An ambulatory older adult
with hemiparesis and presbycusis has recently moved in with an adult child. The child
requests information from the OTA to help maintain the parent's functional ability in the
home. Which should the OTA recommend?
A. Remove knobs from the stove when the parent is home alone
B. Speak directly, clearly, and slowly to the parent
C. Add bright color strips to the edge of each stair tread
ACCURATE SOLUTIONS
An OTA is asked to develop a discharge planning group for clients being discharged within
the next month from a long term facility for adults with serious and persistent metal illness.
Which action is best for the OTA to take initially?
A. Obtain prospective group members occupational profile and postd/c goals and options.
B. Identify community resources to develop a community reintegration program and
enhance post-d/c participation.
C. Develop a self medication management teaching module to increase post-d/c
medication compliance.
D. Complete an evidence based search to identity best practices in community based
mental health occupational therapy.
Correct Answer : A
Rationale is on page 429
An elementary school aged child holds a pencil with a tightly held static tripod grasp and
forms letters at an average rate of speed. The child demonstrates the ability to write all
class and homework assignments. Which approach is best for the OTA to recommend this
child use to improve grasp?
A. Perform all written work with a larger pencil and jumbo crayons on a horizontal surface.
B. Take a break every 15 mins while writing to open and close the hand several times.
,C. Practice moving coins from the fingertips to the palm and then from the palm to the
fingertips.
D. Write all written work on a vertical surface, such as an easel or classroom wall board.
Correct Answer: C
Rationale is on page 435
An OTA is working in an in patient rehabilitation facility for persons with SCI. A patient
sustained a C5 complete SCI following an automobile accident two weeks ago. The OTA is
working with the patient to attain the patient's goal to independently self feed. Which
pieces of adaptive equipment are best for the OTA to teach the patient to use during
intervention? Select the best three
A. A rocker knife
B. Dycem to place under plates
C. A plate guard or scoop dish
D. A sip and puff mobile arm support
E. A dorsal wrist splint with universal cuff
F. A drinking cup with a drinking spout
Correct Answers: B, C, E
Rationale is on page 477
, An adult who incurred a traumatic brain injury 3 months ago receives home care OT
services. During meal preparation tasks, the client ignores items on the left side of the
counter. Which is the best remediation approach for the OTA to use with this client to
enhance performance?
A. Place a brightly colored placemat on the left side of the counter
B. Encourage bilateral activities
C. Place all items on the right side of the counter
D. Practice scanning activities
Correct Answer: A
Rationale is on page 479
An OTA provides home based occupational therapy. services. An ambulatory older adult
with hemiparesis and presbycusis has recently moved in with an adult child. The child
requests information from the OTA to help maintain the parent's functional ability in the
home. Which should the OTA recommend?
A. Remove knobs from the stove when the parent is home alone
B. Speak directly, clearly, and slowly to the parent
C. Add bright color strips to the edge of each stair tread
