NBCOT Practice Exam 1 fully solved &
updated 2026-2027(latest version verified
for accuracy) (Questions + Answers)
Solved 100% Correct!!
An OT is preparing to evaluate a toddler who has upper
extremity orthopedic concerns. How will the OT MOST
likely obtain the majority of initial assessment data?
A. Measurement tools that assess visual-motor skills
B. Dynamometer and pinch meter readings.
C. Observation of child during activities in the child-care
center.
D. Functional independence measures.
,C. Observation of child during activities in the child-care
center.
Rationale: Through observation of the child during child-
care center activities, the OT can collect information
about the child's motor performance skills and
participation in activities that require upper
extremity/hand skill. Naturalistic observation is a method
of ecological assessment, which is "a primary mechanism
for obtaining data relevant to the child's performance
context..... Skilled observation of child performing a
functional task offers..... important information about the
child's performance". Answers A, B, ad D are all
appropriate choices after the child is old enough for these
assessments.
During an initial evaluation, the OT suspects that a child
has somatodyspraxia. In what area should the OT focus the
evaluation?
A. Ability to print or write.
B. Reading competency.
C. Math calculations.
D. New motor task planning.
,D. New motor task planning.
Rationale: "Somatodyspraxia is described as a deficit in
learning new motor skills, planning new motor actions,
and generalizing motor plans." Inability to print or write
(answer A) is termed "dysgraphia." The term "dyslexia"
(answer B) means dysfunction in reading. Inability to
perform mathematics (answer C) is known as
"dyscalculia"
An OT working in a long-term care facility needs to
evaluate the long-term memory of a resident. Which of the
following methods is BEST for evaluating memory or
personally experienced events (declarative memory)?
A. Show the person a series of objects and ask him to recall
the objects within 60 seconds.
B. Ask the individual how he spent New Year's/
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to
the next therapy session
B Ask the individual how he spent New Year's
Rationale: "Declarative memory is one aspect of long
term memory and includes conscious memory for events,
, knowledge or facts". It is commonly assessed through
verbal interviews and informal testing such as asking a
question about an individual's recall of personal events
(answer B). Working memory refers to "the temporary
storage of inforamtion while one is working with it or
attending to it" (answer A). "Prospective memory involves
the ability to remember intentions or activities that will
be required in the future" (answer D). Knowing the date,
place, and time is indicative of orientation (answer C).
A child avoids playground equipment that requires her feet
to be off the ground. What does this behavior MOST likely
indicate?
A. Difficulty modulating proprioception.
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficit.
C. Gravitational insecurity.
Rationale: Gravitational insecurity is described as "fear
response to movement". The child easily experiences a
fear of falling and prefers to keep her feet firmly on the
ground. Tactile defensiveness (answer A) is a term used to
describe discomfort with various textures and with
updated 2026-2027(latest version verified
for accuracy) (Questions + Answers)
Solved 100% Correct!!
An OT is preparing to evaluate a toddler who has upper
extremity orthopedic concerns. How will the OT MOST
likely obtain the majority of initial assessment data?
A. Measurement tools that assess visual-motor skills
B. Dynamometer and pinch meter readings.
C. Observation of child during activities in the child-care
center.
D. Functional independence measures.
,C. Observation of child during activities in the child-care
center.
Rationale: Through observation of the child during child-
care center activities, the OT can collect information
about the child's motor performance skills and
participation in activities that require upper
extremity/hand skill. Naturalistic observation is a method
of ecological assessment, which is "a primary mechanism
for obtaining data relevant to the child's performance
context..... Skilled observation of child performing a
functional task offers..... important information about the
child's performance". Answers A, B, ad D are all
appropriate choices after the child is old enough for these
assessments.
During an initial evaluation, the OT suspects that a child
has somatodyspraxia. In what area should the OT focus the
evaluation?
A. Ability to print or write.
B. Reading competency.
C. Math calculations.
D. New motor task planning.
,D. New motor task planning.
Rationale: "Somatodyspraxia is described as a deficit in
learning new motor skills, planning new motor actions,
and generalizing motor plans." Inability to print or write
(answer A) is termed "dysgraphia." The term "dyslexia"
(answer B) means dysfunction in reading. Inability to
perform mathematics (answer C) is known as
"dyscalculia"
An OT working in a long-term care facility needs to
evaluate the long-term memory of a resident. Which of the
following methods is BEST for evaluating memory or
personally experienced events (declarative memory)?
A. Show the person a series of objects and ask him to recall
the objects within 60 seconds.
B. Ask the individual how he spent New Year's/
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to
the next therapy session
B Ask the individual how he spent New Year's
Rationale: "Declarative memory is one aspect of long
term memory and includes conscious memory for events,
, knowledge or facts". It is commonly assessed through
verbal interviews and informal testing such as asking a
question about an individual's recall of personal events
(answer B). Working memory refers to "the temporary
storage of inforamtion while one is working with it or
attending to it" (answer A). "Prospective memory involves
the ability to remember intentions or activities that will
be required in the future" (answer D). Knowing the date,
place, and time is indicative of orientation (answer C).
A child avoids playground equipment that requires her feet
to be off the ground. What does this behavior MOST likely
indicate?
A. Difficulty modulating proprioception.
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficit.
C. Gravitational insecurity.
Rationale: Gravitational insecurity is described as "fear
response to movement". The child easily experiences a
fear of falling and prefers to keep her feet firmly on the
ground. Tactile defensiveness (answer A) is a term used to
describe discomfort with various textures and with
