NBCOT · NATIONAL BOARD FOR CERTIFICATION IN
OCCUPATIONAL THERAPY
NBCOT Practice
PASS.
GUARANTEED
Exam 1
Practice Question
Bank
100 NCLEX-Style Practice Questions with Rationales
EXAM FOCUS:
Occupational Therapy Certification
— Practice Exam 1
P r e Edition
p a r e · 1P r·a cAugust
t i c e · 2026
Pass
Excellence in Occupational Therapy Education
NBCOT Practice Exam 1 Page 1
,NBCOT PRACTICE EXAM 1 TABLE OF CONTENTS
Table of Contents
1. Instructions for Use 3
2. Practice Questions (1-100) 3
NBCOT Practice Exam 1 Page 2
,NBCOT PRACTICE EXAM 1 INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains 100 questions covering NBCOT Practice Exam 1 content.
NBCOT Practice Exam 1 — Questions 1-100
1 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
Why C is correct: 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 primary
mechanism for obtaining data relevant to the child's performance context.
A — Visual-motor measurement tools are appropriate after the child is old enough for
formal assessment.
B — Dynamometer and pinch meter readings require cooperation and are not typically used
with toddlers.
D — Functional independence measures are more appropriate for older children or adults.
, 2 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
Why D is correct: Somatodyspraxia is described as a deficit in learning new motor skills,
planning new motor actions, and generalizing motor plans.
A — Inability to print or write is termed "dysgraphia."
B — Dysfunction in reading is termed "dyslexia."
C — Inability to perform mathematics is known as "dyscalculia."
3 An OT working in a long-term care facility needs to evaluate the long-term memory
of a resident. Which method is BEST for evaluating memory of 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
Why B is correct: Declarative memory includes conscious memory for events, knowledge,
or facts. It is commonly assessed through verbal interviews and informal testing such as
asking about recall of personal events.
A — This assesses working memory (temporary storage of information).
C — Knowing the date, place, and time is indicative of orientation.
D — This assesses prospective memory (remembering intentions for the future).
OCCUPATIONAL THERAPY
NBCOT Practice
PASS.
GUARANTEED
Exam 1
Practice Question
Bank
100 NCLEX-Style Practice Questions with Rationales
EXAM FOCUS:
Occupational Therapy Certification
— Practice Exam 1
P r e Edition
p a r e · 1P r·a cAugust
t i c e · 2026
Pass
Excellence in Occupational Therapy Education
NBCOT Practice Exam 1 Page 1
,NBCOT PRACTICE EXAM 1 TABLE OF CONTENTS
Table of Contents
1. Instructions for Use 3
2. Practice Questions (1-100) 3
NBCOT Practice Exam 1 Page 2
,NBCOT PRACTICE EXAM 1 INSTRUCTIONS & PRACTICE QUESTIONS
How to Use This Guide
Read each stem, choose your answer, then check the rationale directly below it. The correct
option is marked, and each wrong option is explained so you understand why it's wrong — not
just that it is. This guide contains 100 questions covering NBCOT Practice Exam 1 content.
NBCOT Practice Exam 1 — Questions 1-100
1 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
Why C is correct: 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 primary
mechanism for obtaining data relevant to the child's performance context.
A — Visual-motor measurement tools are appropriate after the child is old enough for
formal assessment.
B — Dynamometer and pinch meter readings require cooperation and are not typically used
with toddlers.
D — Functional independence measures are more appropriate for older children or adults.
, 2 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
Why D is correct: Somatodyspraxia is described as a deficit in learning new motor skills,
planning new motor actions, and generalizing motor plans.
A — Inability to print or write is termed "dysgraphia."
B — Dysfunction in reading is termed "dyslexia."
C — Inability to perform mathematics is known as "dyscalculia."
3 An OT working in a long-term care facility needs to evaluate the long-term memory
of a resident. Which method is BEST for evaluating memory of 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
Why B is correct: Declarative memory includes conscious memory for events, knowledge,
or facts. It is commonly assessed through verbal interviews and informal testing such as
asking about recall of personal events.
A — This assesses working memory (temporary storage of information).
C — Knowing the date, place, and time is indicative of orientation.
D — This assesses prospective memory (remembering intentions for the future).
