NBCOT Practice Exam 1 Questions and
Verified Answers
Question 1
An adolescent with a history of shoplifting and gang violence has been hospitalized
with a diagnosis of conduct disorder. During a task group, what are the MOST
important performance skills for the OT to evaluate?
A. Perceptual-motor performance
B. Leisure and vocational interests
C. Attention span and social interaction skills
D. Interest in performing and ability to perform multiple roles
Correct Answer
C. Attention span and social interaction skills
Question 2
An OT has been hired by a community residence for women with mental health issues
as a consultant to address the problem of low motivation and low activity levels in the
areas of activities of daily living and instrumental activities of daily living and
instrumental activities of daily living. What approach is MOST appropriate?
A. provide occupational therapy treatment to increase occupational performance in
the areas identified
B. develop a plan with staff to change the social environment to one that will enhance
motivation and activity levels
C. design a range of living skills groups so that every resident will be included
D. help the residents to achieve personal goals, make decisions, or change behaviors
Correct Answer
B. develop a plan with staff to change the social environment to one that will
enhance motivation and activity levels
Page 1 of 55
,Question 3
A patient with poor visual acuity is about to be discharged after completing a
rehabilitation program following a total hip replacement. The MOST appropriate
environmental adaptation to ensure that the individual can go up and down stairs
safely is:
A. installing a stair glide
B. mounting handrails on both sides of the steps
C. marking the end of each step with high-contrast tape
D. instructing the patient to take only one step at a time when going up or down
Correct Answer
C. marking the end of each step with high-contrast tape
Question 4
The office doorway of an individual using a wheelchair has a clear opening of 28
inches. According to ADA guidelines, which of the following recommendations would
be the MOST appropriate to facilitate clear passage of the wheelchair through the
doorway?
A. The doorway width needs to be expanded to have a minimum clearance of 32
inches
B. The client needs to obtain a wheelchair narrower than 28 inches
C. The doorway width needs to be expanded to have a minimum clear opening of 45
inches
D. The doorway width is satisfactory and needs no modification
Correct Answer
A. The doorway width needs to be expanded to have a minimum clearance of 32
inches
Page 2 of 55
,Question 5
An OT is fabricating an orthotic for an individual who presents with a low ulnar nerve
injury lesion. The orthosis MOST appropriate for this individual is one that includes
which component?
A. prevents hyperextension of the PIP joints and allows PIP flexion
B. prevents hyperextension of the MCP joints and allows MCP flexion
C. allows hyperextension of the MCP joints and prevents MCP flexion
D. allows flexion and hyperextension of the MCP joints
Correct Answer
B. prevents hyperextension of the MCP joints and allows MCP flexion
Question 6
An individual who is considered modified independent for functional mobility
consistently leaves her cane in another room. When asked where the cane is, the
client replies, "Oh, that cane - it's just so ugly." Which of the following actions is
MOST appropriate to take?
A. Discuss issues related to self-concept with the individual
B. Evaluate the individual's short-term memory
C. Assess the individual's long-term memory
D. Devise strategies to address time management
Correct Answer
A. Discuss issues related to self-concept with the individual
Question 7
An OT is working with an individual with depression who is cognitively intact but
demonstrating difficulty carrying out self-care and other ADL tasks. The OT, who has
no advanced certifications, would like to identify a standardized assessment to
measure ADL performance. Which is the MOST appropriate tool for this purpose?
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
Correct Answer
C. Kohlman Evaluation of Living Skills
Page 3 of 55
, Question 8
The OT is treating a child an above-elbow amputation who is experiencing hyper-
sensitivity of the residual limb. The therapist would MOST likely perform which
intervention in the preprosthetic phase of treatment?
A. engage the child in play activities that strengthen bilateral upper extremities
B. include activities to increase the range of motion in the should on the affected side
C. encourage play activities that incorporate taping, application of textures, and
weight-bearing to the residual limb
D. practice dressing activities that include putting on and taking off the UE prosthesis
Correct Answer
C. encourage play activities that incorporate taping, application of textures, and
weight-bearing to the residual limb
Question 9
A child with autism spectrum disorder demonstrates inadequate playground skills.
She plays alone, generally repeating the same play each day. Which approach will the
OT MOST likely select to promote her skills?
A. OT joins group on playground, facilitating child's play and including other children
B. OT works with child on the playground when other students are not using the
playground
C. recommend the parent enroll the child in ballet lessons after school
D. ask the physical education teacher to include her in small groups during gross
motor activity
Correct Answer
A. OT joins group on playground, facilitating child's play and including other
children
Page 4 of 55
Verified Answers
Question 1
An adolescent with a history of shoplifting and gang violence has been hospitalized
with a diagnosis of conduct disorder. During a task group, what are the MOST
important performance skills for the OT to evaluate?
A. Perceptual-motor performance
B. Leisure and vocational interests
C. Attention span and social interaction skills
D. Interest in performing and ability to perform multiple roles
Correct Answer
C. Attention span and social interaction skills
Question 2
An OT has been hired by a community residence for women with mental health issues
as a consultant to address the problem of low motivation and low activity levels in the
areas of activities of daily living and instrumental activities of daily living and
instrumental activities of daily living. What approach is MOST appropriate?
A. provide occupational therapy treatment to increase occupational performance in
the areas identified
B. develop a plan with staff to change the social environment to one that will enhance
motivation and activity levels
C. design a range of living skills groups so that every resident will be included
D. help the residents to achieve personal goals, make decisions, or change behaviors
Correct Answer
B. develop a plan with staff to change the social environment to one that will
enhance motivation and activity levels
Page 1 of 55
,Question 3
A patient with poor visual acuity is about to be discharged after completing a
rehabilitation program following a total hip replacement. The MOST appropriate
environmental adaptation to ensure that the individual can go up and down stairs
safely is:
A. installing a stair glide
B. mounting handrails on both sides of the steps
C. marking the end of each step with high-contrast tape
D. instructing the patient to take only one step at a time when going up or down
Correct Answer
C. marking the end of each step with high-contrast tape
Question 4
The office doorway of an individual using a wheelchair has a clear opening of 28
inches. According to ADA guidelines, which of the following recommendations would
be the MOST appropriate to facilitate clear passage of the wheelchair through the
doorway?
A. The doorway width needs to be expanded to have a minimum clearance of 32
inches
B. The client needs to obtain a wheelchair narrower than 28 inches
C. The doorway width needs to be expanded to have a minimum clear opening of 45
inches
D. The doorway width is satisfactory and needs no modification
Correct Answer
A. The doorway width needs to be expanded to have a minimum clearance of 32
inches
Page 2 of 55
,Question 5
An OT is fabricating an orthotic for an individual who presents with a low ulnar nerve
injury lesion. The orthosis MOST appropriate for this individual is one that includes
which component?
A. prevents hyperextension of the PIP joints and allows PIP flexion
B. prevents hyperextension of the MCP joints and allows MCP flexion
C. allows hyperextension of the MCP joints and prevents MCP flexion
D. allows flexion and hyperextension of the MCP joints
Correct Answer
B. prevents hyperextension of the MCP joints and allows MCP flexion
Question 6
An individual who is considered modified independent for functional mobility
consistently leaves her cane in another room. When asked where the cane is, the
client replies, "Oh, that cane - it's just so ugly." Which of the following actions is
MOST appropriate to take?
A. Discuss issues related to self-concept with the individual
B. Evaluate the individual's short-term memory
C. Assess the individual's long-term memory
D. Devise strategies to address time management
Correct Answer
A. Discuss issues related to self-concept with the individual
Question 7
An OT is working with an individual with depression who is cognitively intact but
demonstrating difficulty carrying out self-care and other ADL tasks. The OT, who has
no advanced certifications, would like to identify a standardized assessment to
measure ADL performance. Which is the MOST appropriate tool for this purpose?
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
Correct Answer
C. Kohlman Evaluation of Living Skills
Page 3 of 55
, Question 8
The OT is treating a child an above-elbow amputation who is experiencing hyper-
sensitivity of the residual limb. The therapist would MOST likely perform which
intervention in the preprosthetic phase of treatment?
A. engage the child in play activities that strengthen bilateral upper extremities
B. include activities to increase the range of motion in the should on the affected side
C. encourage play activities that incorporate taping, application of textures, and
weight-bearing to the residual limb
D. practice dressing activities that include putting on and taking off the UE prosthesis
Correct Answer
C. encourage play activities that incorporate taping, application of textures, and
weight-bearing to the residual limb
Question 9
A child with autism spectrum disorder demonstrates inadequate playground skills.
She plays alone, generally repeating the same play each day. Which approach will the
OT MOST likely select to promote her skills?
A. OT joins group on playground, facilitating child's play and including other children
B. OT works with child on the playground when other students are not using the
playground
C. recommend the parent enroll the child in ballet lessons after school
D. ask the physical education teacher to include her in small groups during gross
motor activity
Correct Answer
A. OT joins group on playground, facilitating child's play and including other
children
Page 4 of 55
