NBCOT PRACTICE EXAM 1 QUESTIONS AND
ANSWERS 2026
Client is in the recovery phase of intervention after having had an acute onset of
Guillain Barre Syndrome one month ago. The OTR advises the client that using
assistive devices will improve independence, but the client refuses to use the
devices stating: "My wife is happy to help me whenever I need it." How should the
OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence
C. Use other techniques to maximize independence
Quiz #10
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
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
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
,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
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
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
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.
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, the individual is now able to
swim 20 minutes without becoming fatigued. What would be the NEXT step with
this individual?
A. Continue the program of swimming 20 minutes, three times a week
B. Decrease swimming frequency to two times a week
C. Increase swimming time to 25 minutes or to tolerance
C. Increase swimming time to 25 minutes or to tolerance
Quiz #10
An OTR is working with a group of 3-year-old children in a preschool setting. The
OTR has decided to initiate a group that facilitates symbolic play. Which of the
following would be the MOST APPROPRIATE activity to introduce first?
A. Scissors and cutting activities with construction paper
B. Make-believe group with stuffed animals and imaginary friends
C. Building towers with blocks that resemble pictures in books
B. Make-believe group with stuffed animals and imaginary friends
Quiz #10
An individual who recently had a stroke seems to have difficulty with selecting
utensils while he eats and the OTR would like to perform a screening for agnosia.
Which of the following screening techniques would be MOST APPROPRIATE for
this purpose?
A. Ask the person to demonstrate to you how they would use a knife and fork
B. Ask the person to pick out a spoon and fork from a drawer containing many
utensils
C. Ask the person to tell you the steps involved in using the utensils
D. Ask the person to identify several common objects by sight only
ANSWERS 2026
Client is in the recovery phase of intervention after having had an acute onset of
Guillain Barre Syndrome one month ago. The OTR advises the client that using
assistive devices will improve independence, but the client refuses to use the
devices stating: "My wife is happy to help me whenever I need it." How should the
OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence
C. Use other techniques to maximize independence
Quiz #10
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
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
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
,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
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
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
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.
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, the individual is now able to
swim 20 minutes without becoming fatigued. What would be the NEXT step with
this individual?
A. Continue the program of swimming 20 minutes, three times a week
B. Decrease swimming frequency to two times a week
C. Increase swimming time to 25 minutes or to tolerance
C. Increase swimming time to 25 minutes or to tolerance
Quiz #10
An OTR is working with a group of 3-year-old children in a preschool setting. The
OTR has decided to initiate a group that facilitates symbolic play. Which of the
following would be the MOST APPROPRIATE activity to introduce first?
A. Scissors and cutting activities with construction paper
B. Make-believe group with stuffed animals and imaginary friends
C. Building towers with blocks that resemble pictures in books
B. Make-believe group with stuffed animals and imaginary friends
Quiz #10
An individual who recently had a stroke seems to have difficulty with selecting
utensils while he eats and the OTR would like to perform a screening for agnosia.
Which of the following screening techniques would be MOST APPROPRIATE for
this purpose?
A. Ask the person to demonstrate to you how they would use a knife and fork
B. Ask the person to pick out a spoon and fork from a drawer containing many
utensils
C. Ask the person to tell you the steps involved in using the utensils
D. Ask the person to identify several common objects by sight only
