OT Exam Practice Questions and Answers Updated 2026

OT Exam Practice
Questions and Answers
Updated 2026-2027
ABclientBwillBinitiateBdressingBatBtheBappropriateBtimeBofBtheBdayBbutBwillBnotBatten
dBtoBtheBday,Btemperature,BorBseason.BTheBclientBisBableBtoBdonBclothingBslowlyBbut
BhasBdifficultyBwithBfastenersBorBfailsBtoBseeBerrorsBinBtheBbackB(i.e.,BnotBtuckingBin
BtheBshirt).BAtBwhatBstageBofBtheBAllenBCognitiveBLevelBScreenBisBthisBclient?



A.B4.4

B.B4.0

C.B3.6

D.B3.2B-BAnswerBB.B

TheBquestionBdescribesBtypicalBdressingBbehaviorsBofBclientsBatBModeB4.0;BaBclientBw
ouldBattendBtoBvisibleBsensoryBcuesBandBignoreBwhatBisBnotBinBplainBsightB(e.g.,Bnot
BtuckingBinBtheBbackBofBtheBshirt).



ABpatientBinBtheBearlyBstagesBofBamyotrophicBlateralBsclerosisB(ALS)BpresentsBwithBw
eaknessBinBtheBthenarBeminence.BDuringBwhichBADLBtaskBwouldBtheBevaluatingBOTR®
BMOSTBLIKELYBobserveBtheBeffectBonBfunction?



A.BTransferringBfromBtheBbedBtoBtheBbedsideBcommode

B.BTakingBaBsipBfromBaBglassBofBwater

C.BReachingBoverheadBtoBdonBaBT-shirt

D.BSqueezingBtoothpasteBontoBaBtoothbrushB-BAnswerBD.

TypicalBearlyBsignsBofBALSBareBdistal,BwithBweaknessBofBtheBsmallBmusclesBofBtheBha
ndBbeingBtheBmostBtypicalBinitialBsymptom.BTheBmusclesBthatBmakeBupBtheBthenarBe
minenceBareBresponsibleBforBoppositionBofBtheBthumb.BSqueezingBtoothpasteBandBhol
dingBaBtoothbrushBrequireBgrasp-and-pinchBpatternsBthatBinvolveBthumbBopposition.

,TheBOTR®BisBworkingBonBaBtask-
orientedBgardeningBactivityBwithBaBsmallBgroupBofBadolescentsBinBanBinpatientBmenta
lBhealthBsetting.BOneBofBtheBparticipantsBbecomesBself-
absorbedBandBdistractibleBandBhasBburstsBofBenergyBthatBareBaffectingBtheBotherBme
mbersBofBtheBgroup.BWhatBisBtheBOTR®'sBMOSTBappropriateBresponse?



A.B"HowBareBweBdoingBwithBourBpotBtransfer?BWeBneedBtoBgetBthisBdoneBtoday."

B.B"CanBIBspeakBtoByouBprivatelyBaboutByourBbehaviorBduringBtheBgroupBwork?"

C.B"YouBseemBtoBbeBdistractingBtheBotherBmembersBofBtheBgroup."

D.B"PleaseBstopBwhateverBitBisByouBareBdoing."B-BAnswerBA.

WhenBaBclientBstartsBshowsBsymptomsBofBaBmanicBepisode,BparticularlyBemotionalBa
ndBcognitiveBsymptoms,BitBisBbestBtoBhelpBtheBclientBengageBinBgoal-directedBaction.



ABCOTA®BisBworkingBtowardBserviceBcompetencyBforBadaptiveBfeedingBequipmentBinst
ruction.BHowBwouldBtheBOTR®BBESTBestablishBserviceBcompetency?



A.BReviewBtheBCOTA'sBdocumentationBofBmultipleBpatientsBwhoseBfeedingBimpairment
sBwarrantedBadaptiveBequipment,BthenBdiscussBtheBoutcomesBwithBtheBCOTA.

B.BObserveBtheBCOTABeducateBclientsBonBhowBtoBuseBadaptiveBfeedingBequipmentBto
BensureBthatBtheBCOTABinstructsBclientsBinBtheBsameBmannerBasBwouldBtheBOTR.

C.BCompareBoutcomesBbyBratingBtheBsameBclient'sBperformanceBwithBtheBadaptiveBfe
edingBequipmentBatBtheBsameBlevelBofBindependence.

D.BCollectBinformationBfromBvariousBsources,BincludingBotherBtherapists,BtheBCOTA'sBd
ocumentation,BandBfeedbackBfromBclients,BtoBdetermineBcompetency.B-BAnswerBC.

ServiceBcompetencyBisBdefinedBasB"theBprocessBofBteaching,Btraining,BandBevaluatingB
inBwhichBtheBOTR®BdeterminesBthatBtheBCOTA®BperformsBtasksBinBtheBsameBwayBtha
tBtheBOTRBwouldBandBachievesBtheBsameBoutcomes"B(Youngstrom,B2009,Bp.B943).BIn
BthisBexample,BbothBtheBCOTABandBOTRBobserveBtheBsameBclientBperformingBaBtaskB
andBrateBthatBperformanceBinBaBsimilarBmanner.BComparingBoutcomesBhelpsBtoBensur
eBclientsBreceiveBcareBofBequalBquality.

,AnBOTR®BisBperformingBfamilyBtrainingBwithBaBclientBwithBStageBVIBamyotrophicBlater
alBsclerosisB(ALS)BwhoBisBpreparingBforBdischargeBhome.BWhichBpointsBareBMOSTBIM
PORTANTBforBtheBOTR®BtoBaddress?



A.BAdaptiveBequipmentBforBADLsBandBhowBtoBsetBupBtheBclientBwithBALSBtoBperform
BasBindependentlyBasBpossible

B.BEnergyBconservationBforBtheBclientBwithBALS,BasBwellBasBcaregiverBsupportBresourc
esBtoBpreventBburnout

C.BPositioningBtoBpreventBskinBbreakdown,BaBROMBhomeBprogram,BandBsafeBbedBmo
bilityBandBtransfers

D.BTherapeuticBexercisesBforBtheBclientBwithBALSBandBhowBcaregiversBcanBuseBproper
BbodyBmechanicsB-BAnswerBC.

ABclientBwithBend-
stageBALSBwouldBlikelyBbeBtotallyBdependentBforBallBADLBandBmobility,BthusBrequiring
BmajorBcaregiverBassistanceBforBbedBmobilityBandBtransfers.BAnBOTR®BinstructingBfami
lyBmembersBinBtheseBtechniquesBwouldBeducateBthemBonBbodyBmechanics.BPositionin
gBandBROMBatBthisBstageBareBimportantBtoBpreventBdiscomfort,Bcontractures,BandBski
nBbreakdown.



ABCOTA®BworkingBonBanBinpatientBrehabilitationBunitBhasBhadBtwoBpatientsBfallBinBth
eBpastBmonth.BTheBsupervisingBOTR®BhasBconcernsBaboutBtheBCOTA®'sBsafetyBawaren
essBduringBcertainBinterventions.BWhichBapproachBisBtheBBESTBforBtheBOTR®BtoBtakeB
toBaddressBtheseBconcerns?



A.BSpeakBwithBtheBrehabilitationBmanagerBaboutBpossibleBdisciplinaryBaction.

B.BReviewBtheBdocumentationBofBtheBtwoBpatientsBwhoBfellBandBdiscussBtheirBcasesB
thoroughlyBwithBtheBCOTA®BtoBdetermineBtheBcausesBofBtheBfalls.

C.BAskBtheBCOTA®BwhetherBmoreBthoroughBsupervisionBisBneededBandBthenBproceed
BtoBprovideBcloseBsupervision.

D.BCollaborateBwithBtheBCOTA®BtoBdetermineBpotentialBcausesBofBtheBfallsBandBprovi
deBdirectBsupervisionBwithBmoreBdeliberateBfeedback.B-BAnswerBD.

SupervisionBthatBisBmoreBfrequentBmayBbeBnecessaryBwhenBtheBOTR®,BCOTA®,BorBbo
thBdetermineBthatBadditionalBsupervisionBisBneededBtoBensureBsafeBandBeffectiveBdeli

, veryBofBoccupationalBtherapyBservices.BInBthisBcase,BsafetyBisBaBmajorBconcern,BandBt
hereforeBadditionalBsupervisionBmayBbeBnecessary.



AnBOTR®BevaluatesBaBclientBwhoBhasBjustBenteredBtheBplateauBphaseBofBGuillain-
BarréBsyndromeB(GBS).BWhenBassessingBADLs,BwhatBwouldBtheBOTRBmostBlikelyBexpe
ctBtoBsee?



A.BBowelBandBbladderBincontinence,BwhichBaffectsBskinBintegrityBandBtoiletingBroutine

B.BUnilateralBsensoryBimpairments,BwhichBaffectBfineBmotorBtasksBsuchBasBoralBcare

C.BEdemaBandBweaknessBinBtheBlowerBextremities,BwhichBmakesBbathingBandBdressin
gBdifficult

D.BShoulderBweakness,BwhichBresultsBinBdecreasedBindependenceBinBupper-
bodyBbathingBandBdressingB-BAnswerBC.

InBtheBplateauBphase,BsymptomsBareBatBtheirBmostBsevere:BEdemaBandBweaknessBar
eBcommonBsymptomsBwithBGBS.BBecauseBsymptomsBareBtypicallyBsymmetricalBandBas
cendBfromBdistalBtoBproximal,BbilateralBsymptomsBwouldBlikelyBaffectBlower-bodyBself-
care.



AnBOTR®BisBassessingBbedBmobilityBwithBaBclientBwithBGuillain-
BarréBsyndromeB(GBS)B2BweeksBintoBtheBplateauBphase.BTheBpatientBreportsBdizzines
sBonBperformingBsupineBtoBsitBatBtheBedgeBofBtheBbedBandBbeginsBtoBlieBbackBdow
n.BWhatBstepBisBMOSTBappropriateBforBtheBOTR®BtoBtake?



A.BEncourageBtheBpatientBtoBremainBuprightBandBallowBforBtheBdizzinessBtoBsubsideB
byBperformingBsimpleBROMBexercisesBtoBpromoteBcirculation.

B.BAssistBtheBpatientBbackBtoBbedBsafely,BlowerBtheBheadBofBtheBbed,BandBmonitorB
vitals,BcomparingBtheBcurrentBbloodBpressureBwithBtheBrestingBbloodBpressure.

C.BAssistBtheBpatientBbackBtoBbedBslowly,BelevateBtheBlowerBextremities,BandBimmedi
atelyBsearchBforBtheBnurseBtoBassessBtheBpatient.

D.BEducateBtheBpatientBonBtheBimportanceBofBsittingBuprightBandBoutBofBbedBtoBhel
pBregulateBtheBnervousBsystemBandBpreventBsecondaryBcomplications.B-BAnswerBB.

PeopleBwithBGBSBareBatBriskBforBautonomicBnervousBsystemBdysfunctionBsuchBasBpos
turalBhypotensionBorBexperiencingBaBsignificantBdropBinBsystolicBbloodBpressureBonBm