PURPLE BOOK NBCOT PRACTICE TEST 2026
QUESTIONS WITH CORRECT SOLUTIONS
GRADED A+
◉ An individual cannot independently get from a supine position to
a sitting position to a sitting position. The person has good scapular,
shoulder, and elbow muscle strength. What is the MOST
APPROPRIATE recommendation for the OTR to make to improve bed
mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder. Answer: C. Rope ladder
Quiz #10
◉ An individual who had a CVA one year ago continues to
demonstrate unilateral neglect. The individual drives daily to
therapy despite several suggestions from the OTR to discontinue this
activity. The therapists has determined that the client is an unsafe
driver. What is the BEST approach for the OTR to take in this
situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
,C. Suggest that the individual attend a driver training program.
Answer: B. Report the information to the physician
Quiz #10
◉ A four-year-old preschooler is referred to OT. Upon evaluation, the
occupational therapists determines that the child demonstrates age-
appropriate cognitive and fine motor skills. What would the OTR
observe in the child to help make this determination?
A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction. Answer: A. Assemble a
four-piece puzzle of a human body
Quiz #10
◉ The OTR works on increasing extensor tone in an individual's
upper extremity. What is the MOST APPROPRIATE intervention
according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps. Answer: C. High
frequency vibration on the triceps
,Quiz #10
◉ A child with cerebral palsy tends to flex forward while riding
adapted tricycle, even though her lower extremities are correctly
positioned. Which of the following adaptations should the OTR
recommend to BEST enable the child to maintain an upright position
while riding?
A. Raising the seat height
B. Raising the handlebars
C. Lowering the seat height
D. Lowering the handlebars. Answer: B. Raising the handlebars
Quiz #10
◉ A therapist is utilizing proprioceptive neuromuscular facilitation
(PNF) to increase range of motion (ROM) in the upper extremity of
an individual recovering from a traumatic brain injury. Upon
performing a D1 pattern, the OTR feels a restriction during the ROM.
What is the MOST APPROPRIATE relaxation technique for the OTR
to use according to the PNF approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
, D. Rhythmic rotation. Answer: D. Rhythmic rotation
Quiz #10
◉ After a motor vehicle accident, a 23 year-old college student was
in a coma for 3 weeks. She regained consciousness and was severely
confused. She frequently became agitated for no apparent reason.
Her level of agitation has recently decreased but she is still
distractible. Currently, she remains forgetful and confused, repeating
the same questions throughout the day. Her family and friends visit
consistently and have asked the OTR for an activity recommendation
that they can do with the client during visiting hours. What is the
MOST APPROPRIATE activity for the OTR to recommend the visitors
complete with the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and
activities
C. Play a matching card game that includes pictures of her past
interests.. Answer: B. Review the client's memory picture book of
familiar people and activities
Quiz #10
◉ An individual with ALS swims three times a week to maximize
strength and endurance. Initially able to swim for only 10 minutes,
QUESTIONS WITH CORRECT SOLUTIONS
GRADED A+
◉ An individual cannot independently get from a supine position to
a sitting position to a sitting position. The person has good scapular,
shoulder, and elbow muscle strength. What is the MOST
APPROPRIATE recommendation for the OTR to make to improve bed
mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder. Answer: C. Rope ladder
Quiz #10
◉ An individual who had a CVA one year ago continues to
demonstrate unilateral neglect. The individual drives daily to
therapy despite several suggestions from the OTR to discontinue this
activity. The therapists has determined that the client is an unsafe
driver. What is the BEST approach for the OTR to take in this
situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
,C. Suggest that the individual attend a driver training program.
Answer: B. Report the information to the physician
Quiz #10
◉ A four-year-old preschooler is referred to OT. Upon evaluation, the
occupational therapists determines that the child demonstrates age-
appropriate cognitive and fine motor skills. What would the OTR
observe in the child to help make this determination?
A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction. Answer: A. Assemble a
four-piece puzzle of a human body
Quiz #10
◉ The OTR works on increasing extensor tone in an individual's
upper extremity. What is the MOST APPROPRIATE intervention
according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps. Answer: C. High
frequency vibration on the triceps
,Quiz #10
◉ A child with cerebral palsy tends to flex forward while riding
adapted tricycle, even though her lower extremities are correctly
positioned. Which of the following adaptations should the OTR
recommend to BEST enable the child to maintain an upright position
while riding?
A. Raising the seat height
B. Raising the handlebars
C. Lowering the seat height
D. Lowering the handlebars. Answer: B. Raising the handlebars
Quiz #10
◉ A therapist is utilizing proprioceptive neuromuscular facilitation
(PNF) to increase range of motion (ROM) in the upper extremity of
an individual recovering from a traumatic brain injury. Upon
performing a D1 pattern, the OTR feels a restriction during the ROM.
What is the MOST APPROPRIATE relaxation technique for the OTR
to use according to the PNF approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
, D. Rhythmic rotation. Answer: D. Rhythmic rotation
Quiz #10
◉ After a motor vehicle accident, a 23 year-old college student was
in a coma for 3 weeks. She regained consciousness and was severely
confused. She frequently became agitated for no apparent reason.
Her level of agitation has recently decreased but she is still
distractible. Currently, she remains forgetful and confused, repeating
the same questions throughout the day. Her family and friends visit
consistently and have asked the OTR for an activity recommendation
that they can do with the client during visiting hours. What is the
MOST APPROPRIATE activity for the OTR to recommend the visitors
complete with the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and
activities
C. Play a matching card game that includes pictures of her past
interests.. Answer: B. Review the client's memory picture book of
familiar people and activities
Quiz #10
◉ An individual with ALS swims three times a week to maximize
strength and endurance. Initially able to swim for only 10 minutes,
