CLC CERTIFICATION PRACTICE EXAM 3
EXAMINATION STUDY GUIDE 2026 QUESTIONS
WITH ANSWERS
◉ A client has difficulty swallowing secondary to multiple sclerosis.
The OTR manually assists the client in performing a chin tuck prior
to the client swallowing a bite of food. What is the PRIMARY benefit
of facilitating this position?
To hasten overall oral-motor responses for chewing and forming a
bolus of food
To maximize tongue elevation when pushing the food bolus to the
back of the mouth
To prevent food and secretions from entering the larynx below the
level of the vocal cords. Answer: C- airway and vocal cords
◉ A person diagnosed with a mild neurocognitive disorder is
evaluated by an occupational therapist. The per-son demonstrates
diminished memory skills, and the therapist determines that the
individual is able to live at home with supportive structure. The
therapist collaborates with the person to identify activities to
include in a structured routine that enables their continued
occupational performance. Which activity is best for the
occupational therapist to recommend to this individual?
Answer Choices:
,A. Cooking dinner.
B. Doing laundry.
C. Walking with a neighbor.
D. Watching television". Answer: C! (I said B)
-walking with a neighbor is safe, allows for socialization/physical
activity. Doing laundry would require memory of steps.
◉ "An occupational therapist working in an acute care hospital
provides OT services in a patient's room. The patient has left
hemiplegia and is unable to recognize the faces of family members
when they enter the room to visit or the items the family members
bring for the patient. The family members become upset by this
behavior. Which deficit should the therapist explain to the family
members as the most likely reason for the patient's behavior?
Answer Choices:
A. Ideational apraxia.
B. Anosognosia.
C. Visual agnosia.
D. Asomatognosia". Answer: C! (I said B)
anosognosia is denial or lack of awareness for paralysis! I should
have gotten this right.
,◉ A restaurant employee incurred a fracture to the left humerus.
After cast removal, the patient received OT and now demonstrates
fair strength (3/5) of the left triceps and full range of motion (ROM)
of the left elbow. Which activity is most effective for the occupational
therapist to use during intervention to increase the elbow function
that is needed to perform work-related tasks?
Answer Choices:
A. Storing glasses on shelves at chest height.
B. Wiping off a table while standing.
C. Carrying a tray of dishes from the table to the sink.
D. Wiping off a counter at chest height". Answer: A (I said D)
wiping of a counter is a gravity assisted activity. He is at a 3/5, so he
has full ROM against gravity. You want one step up, which would be
storing glasses at chest height.
◉ "An individual is 5′11′′ and is of average weight for this height.
Following a recent traumatic brain injury (TBI), the person has
flaccid hemiparesis and demonstrates poor righting and equilibrium
responses in standing. Which wheelchair is best for the occupational
therapist to recommend for this client?
Answer Choices:
A. A power wheelchair.
B. A lightweight, standard size wheelchair.
C. A reclining, hemi-height wheelchair.
, D. A one-arm drive, standard size wheelchair.. Answer: B! (I said D)
One arm drive wheelchairs are hard to learn- which would be
difficult following a TBI.
Power wheelchairs are for significant deficits such as quadriplegia.
A hemi-height would be too short for a tall person.
The answer was B because lightweight would be easy to push and
would fit the person.
◉ "An occupational therapist who is a driver rehabilitation specialist
provides on-the-road evaluation for an individual recovering from a
right cerebrovascular accident (CVA). The individual is right
dominant and has regained sensorimotor functions in the affected
extremity. Which is most important for the therapist to assess
during the on-the-road evaluation?"
Answer Choices:
A. Tactical aspects of driving.
B. Operational aspects of driving.
C. Ergonomic aspects of driving.
D. Social aspects of driving.. Answer: A! I said B
Tactical aspects involve responding to changes in road
conditions/traffic and driving risks. It requires intact cognition
which may be impacted from a CVA!
EXAMINATION STUDY GUIDE 2026 QUESTIONS
WITH ANSWERS
◉ A client has difficulty swallowing secondary to multiple sclerosis.
The OTR manually assists the client in performing a chin tuck prior
to the client swallowing a bite of food. What is the PRIMARY benefit
of facilitating this position?
To hasten overall oral-motor responses for chewing and forming a
bolus of food
To maximize tongue elevation when pushing the food bolus to the
back of the mouth
To prevent food and secretions from entering the larynx below the
level of the vocal cords. Answer: C- airway and vocal cords
◉ A person diagnosed with a mild neurocognitive disorder is
evaluated by an occupational therapist. The per-son demonstrates
diminished memory skills, and the therapist determines that the
individual is able to live at home with supportive structure. The
therapist collaborates with the person to identify activities to
include in a structured routine that enables their continued
occupational performance. Which activity is best for the
occupational therapist to recommend to this individual?
Answer Choices:
,A. Cooking dinner.
B. Doing laundry.
C. Walking with a neighbor.
D. Watching television". Answer: C! (I said B)
-walking with a neighbor is safe, allows for socialization/physical
activity. Doing laundry would require memory of steps.
◉ "An occupational therapist working in an acute care hospital
provides OT services in a patient's room. The patient has left
hemiplegia and is unable to recognize the faces of family members
when they enter the room to visit or the items the family members
bring for the patient. The family members become upset by this
behavior. Which deficit should the therapist explain to the family
members as the most likely reason for the patient's behavior?
Answer Choices:
A. Ideational apraxia.
B. Anosognosia.
C. Visual agnosia.
D. Asomatognosia". Answer: C! (I said B)
anosognosia is denial or lack of awareness for paralysis! I should
have gotten this right.
,◉ A restaurant employee incurred a fracture to the left humerus.
After cast removal, the patient received OT and now demonstrates
fair strength (3/5) of the left triceps and full range of motion (ROM)
of the left elbow. Which activity is most effective for the occupational
therapist to use during intervention to increase the elbow function
that is needed to perform work-related tasks?
Answer Choices:
A. Storing glasses on shelves at chest height.
B. Wiping off a table while standing.
C. Carrying a tray of dishes from the table to the sink.
D. Wiping off a counter at chest height". Answer: A (I said D)
wiping of a counter is a gravity assisted activity. He is at a 3/5, so he
has full ROM against gravity. You want one step up, which would be
storing glasses at chest height.
◉ "An individual is 5′11′′ and is of average weight for this height.
Following a recent traumatic brain injury (TBI), the person has
flaccid hemiparesis and demonstrates poor righting and equilibrium
responses in standing. Which wheelchair is best for the occupational
therapist to recommend for this client?
Answer Choices:
A. A power wheelchair.
B. A lightweight, standard size wheelchair.
C. A reclining, hemi-height wheelchair.
, D. A one-arm drive, standard size wheelchair.. Answer: B! (I said D)
One arm drive wheelchairs are hard to learn- which would be
difficult following a TBI.
Power wheelchairs are for significant deficits such as quadriplegia.
A hemi-height would be too short for a tall person.
The answer was B because lightweight would be easy to push and
would fit the person.
◉ "An occupational therapist who is a driver rehabilitation specialist
provides on-the-road evaluation for an individual recovering from a
right cerebrovascular accident (CVA). The individual is right
dominant and has regained sensorimotor functions in the affected
extremity. Which is most important for the therapist to assess
during the on-the-road evaluation?"
Answer Choices:
A. Tactical aspects of driving.
B. Operational aspects of driving.
C. Ergonomic aspects of driving.
D. Social aspects of driving.. Answer: A! I said B
Tactical aspects involve responding to changes in road
conditions/traffic and driving risks. It requires intact cognition
which may be impacted from a CVA!
