NBCOT Study Guide Questions with 100%
Verified Correct Answers
A client, who has low back pain, is participating in an outpatient program. One of the
intervention goals is for the client to learn proper body mechanics to use when picking
up objects off the floor. Which strategy should the COTA teach the client to support
progress toward this goal?
Place one foot forward to move into a lunge position.
Lean forward at the waist to reach toward the floor.
Bend at the knees to achieve a squatting position.
A client with diabetes mellitus has low vision that interferes with the client's ability to
read instructions on a prescription medication bottle. What would be the MOST
BENEFICIAL strategy to support the client's independence in reading these
instructions?
Large-print medication diary or notebook
Daily pill box with a built-in auditory alarm
Illuminated handheld magnification device
What type of activity would be MOST BENEFICIAL for an inpatient who recently had
a CVA with hemiplegia and has a significant gaze preference?
Position the television and meaningful objects in the client's unaffected field of view.
Have the client look at the affected side when applying lotion to the upper extremity.
Encourage the client to look in a mirror during grooming and hygiene activities.
Have the client look at the affected side when applying lotion to the upper extremity.
,An inpatient was admitted to the hospital 3 days ago secondary to Guillain-Barré
syndrome. The patient is dependent in ADL. What interventions would be MOST
BENEFICIAL for the patient during this phase of the disease process?
Progressive aerobic activities
Therapeutic strengthening exercises
Electronic aids to support ADL
Pain management strategies
Positioning methods
Weighted eating utensils
Which precaution should be taken during intervention sessions with an inpatient in an
acute care setting who has frequent seizures?
Plan sedentary activities at the bedside and have an additional staff member present.
Provide treatment in a dimly lit room and have the patient lie in a supine position.
Be prepared for protective action and ensure a chair is available for the patient to sit in.
A COTA is teaching a client, who has chronic bronchitis, a breathing technique to use
when experiencing shortness of breath during ADL. The COTA instructs the client to
count slowly during respiration and to exhale longer than inhale. Which breathing
technique do these instructions represent?
Pursed lip breathing
Relaxation breathing
Abdominal breathing
A COTA, who works in a home health setting, is working with a client who had open
heart surgery and a sternotomy 2 weeks ago. One of the goals for the client is to
,independently transfer from the toilet while following sternal precautions. Which
technique should the COTA to teach the client to support progress toward this goal?
Place feet shoulder width apart, reach for a sturdy object, and slowly pull the body into an
upright position.
Lean forward with shoulders over the knees, cross arms over the chest, and use leg strength to
stand.
Scoot to the edge of the toilet, place hands on the seat of the toilet, and push through the arms
to stand up.
What is the PRIMARY reason for encouraging an inpatient who recently had surgery
to use an incentive spirometer?
To prevent risk of deep vein thrombosis
To decrease intensity of pain
To maintain healthy lung function
A COTA working in a hospital setting wants to search current evidence about
intervention methods that can be incorporated into intervention sessions with patients.
Which search method would be MOST BENEFICIAL to use for this purpose?
Access information through an online social media platform.
Read single-subject case studies written by clinical experts.
Find studies based on systematic randomized control trials.
An OTR and a COTA are collaborating to evaluate a client who has diabetes mellitus,
congestive heart failure, and depression. A screening indicates that the client lives alone
and has limited health literacy skills. What information would be MOST BENEFICIAL
to contribute to the client's occupational profile?
, The client's perception of how well health information is processed and understood
The client's satisfaction with their health care providers and medical intervention plan
Availability of people in the client's social network who can provide assistance and support
A client, who has osteosarcoma, reports that fatigue and low activity tolerance interfere
with the ability to complete daily activities. One of the client's goals is to use energy
conservation strategies to improve endurance for ADL. What is the FIRST action the
COTA should take to support progress toward this goal?
Understand the client's readiness to learn.
Develop a written handout with illustrations.
Identify resources in the client's community.
A COTA and an OTR are collaborating on a quality improvement initiative. The goal of
the initiative is to review clinical documentation records to determine the presence of
specific criteria. What is the PRIMARY purpose for completing this type of quality
initiative?
To identify which staff members are out of compliance with the documentation policy
To determine if enhancements are needed for the clinical documentation system
To ensure financial reimbursement for rehabilitation services are received from third party
payers
Which government program is associated with health insurance for individuals based
on financial need?
Medicare Part D
Managed care
Medicaid
Verified Correct Answers
A client, who has low back pain, is participating in an outpatient program. One of the
intervention goals is for the client to learn proper body mechanics to use when picking
up objects off the floor. Which strategy should the COTA teach the client to support
progress toward this goal?
Place one foot forward to move into a lunge position.
Lean forward at the waist to reach toward the floor.
Bend at the knees to achieve a squatting position.
A client with diabetes mellitus has low vision that interferes with the client's ability to
read instructions on a prescription medication bottle. What would be the MOST
BENEFICIAL strategy to support the client's independence in reading these
instructions?
Large-print medication diary or notebook
Daily pill box with a built-in auditory alarm
Illuminated handheld magnification device
What type of activity would be MOST BENEFICIAL for an inpatient who recently had
a CVA with hemiplegia and has a significant gaze preference?
Position the television and meaningful objects in the client's unaffected field of view.
Have the client look at the affected side when applying lotion to the upper extremity.
Encourage the client to look in a mirror during grooming and hygiene activities.
Have the client look at the affected side when applying lotion to the upper extremity.
,An inpatient was admitted to the hospital 3 days ago secondary to Guillain-Barré
syndrome. The patient is dependent in ADL. What interventions would be MOST
BENEFICIAL for the patient during this phase of the disease process?
Progressive aerobic activities
Therapeutic strengthening exercises
Electronic aids to support ADL
Pain management strategies
Positioning methods
Weighted eating utensils
Which precaution should be taken during intervention sessions with an inpatient in an
acute care setting who has frequent seizures?
Plan sedentary activities at the bedside and have an additional staff member present.
Provide treatment in a dimly lit room and have the patient lie in a supine position.
Be prepared for protective action and ensure a chair is available for the patient to sit in.
A COTA is teaching a client, who has chronic bronchitis, a breathing technique to use
when experiencing shortness of breath during ADL. The COTA instructs the client to
count slowly during respiration and to exhale longer than inhale. Which breathing
technique do these instructions represent?
Pursed lip breathing
Relaxation breathing
Abdominal breathing
A COTA, who works in a home health setting, is working with a client who had open
heart surgery and a sternotomy 2 weeks ago. One of the goals for the client is to
,independently transfer from the toilet while following sternal precautions. Which
technique should the COTA to teach the client to support progress toward this goal?
Place feet shoulder width apart, reach for a sturdy object, and slowly pull the body into an
upright position.
Lean forward with shoulders over the knees, cross arms over the chest, and use leg strength to
stand.
Scoot to the edge of the toilet, place hands on the seat of the toilet, and push through the arms
to stand up.
What is the PRIMARY reason for encouraging an inpatient who recently had surgery
to use an incentive spirometer?
To prevent risk of deep vein thrombosis
To decrease intensity of pain
To maintain healthy lung function
A COTA working in a hospital setting wants to search current evidence about
intervention methods that can be incorporated into intervention sessions with patients.
Which search method would be MOST BENEFICIAL to use for this purpose?
Access information through an online social media platform.
Read single-subject case studies written by clinical experts.
Find studies based on systematic randomized control trials.
An OTR and a COTA are collaborating to evaluate a client who has diabetes mellitus,
congestive heart failure, and depression. A screening indicates that the client lives alone
and has limited health literacy skills. What information would be MOST BENEFICIAL
to contribute to the client's occupational profile?
, The client's perception of how well health information is processed and understood
The client's satisfaction with their health care providers and medical intervention plan
Availability of people in the client's social network who can provide assistance and support
A client, who has osteosarcoma, reports that fatigue and low activity tolerance interfere
with the ability to complete daily activities. One of the client's goals is to use energy
conservation strategies to improve endurance for ADL. What is the FIRST action the
COTA should take to support progress toward this goal?
Understand the client's readiness to learn.
Develop a written handout with illustrations.
Identify resources in the client's community.
A COTA and an OTR are collaborating on a quality improvement initiative. The goal of
the initiative is to review clinical documentation records to determine the presence of
specific criteria. What is the PRIMARY purpose for completing this type of quality
initiative?
To identify which staff members are out of compliance with the documentation policy
To determine if enhancements are needed for the clinical documentation system
To ensure financial reimbursement for rehabilitation services are received from third party
payers
Which government program is associated with health insurance for individuals based
on financial need?
Medicare Part D
Managed care
Medicaid
