NBCOT Practice Exam 1 Questions with 100%
Verified Correct Answers
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.
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.
"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
"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.
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
unexpected touch. Somatodyspraxia (answer B) has is "foundation in somatosensory (e.g.
primarily tactile but also proprioceptive) discrimination deficits, which interfere with the
development of body scheme and awareness". Bilateral integration and sequencing deficits
are related to "poor vestibular-propioceptive discrimination, which interferes with the ability
to coordinate, sequence, and execute motor actions quickly and efficiently".
When the OT suspects tactile defensiveness as a rationale for a child's challenges, in
what area of participation should the OT focus on FIRST?
A. Play behavior
B. Dressing habits
, C. Social skills
D. Leisure interests
B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of daily living activities....
specific types of clothing.... specific textures materials". The child may be bothered by
certain textures or avoid wearing turtlenecks, socks, or shoes. Conversely, some children may
never take off their shoes to avoid tactile stimulation. Play behavior (answer A), social skills
(answer C), and the choice of hobbies (answer D) could be affected secondarily, as a result of
intolerance to certain textures or human touch. Knowledge of the child's dressing habits will
give the OT key information at the start of the evaluation process.
An OT is working with an individual with schizophrenia who is in the process of
preparing to move from a state hospital to a group home. During a baking group, the
client becomes agitated and leaves the room when another client uses the electric hand
mixer to mix the cake batter, and again when two clients begin to argue loudly about
which type of icing to use. How would the OT BEST describe the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior, characterized by a low
Verified Correct Answers
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.
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.
"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
"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.
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
unexpected touch. Somatodyspraxia (answer B) has is "foundation in somatosensory (e.g.
primarily tactile but also proprioceptive) discrimination deficits, which interfere with the
development of body scheme and awareness". Bilateral integration and sequencing deficits
are related to "poor vestibular-propioceptive discrimination, which interferes with the ability
to coordinate, sequence, and execute motor actions quickly and efficiently".
When the OT suspects tactile defensiveness as a rationale for a child's challenges, in
what area of participation should the OT focus on FIRST?
A. Play behavior
B. Dressing habits
, C. Social skills
D. Leisure interests
B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of daily living activities....
specific types of clothing.... specific textures materials". The child may be bothered by
certain textures or avoid wearing turtlenecks, socks, or shoes. Conversely, some children may
never take off their shoes to avoid tactile stimulation. Play behavior (answer A), social skills
(answer C), and the choice of hobbies (answer D) could be affected secondarily, as a result of
intolerance to certain textures or human touch. Knowledge of the child's dressing habits will
give the OT key information at the start of the evaluation process.
An OT is working with an individual with schizophrenia who is in the process of
preparing to move from a state hospital to a group home. During a baking group, the
client becomes agitated and leaves the room when another client uses the electric hand
mixer to mix the cake batter, and again when two clients begin to argue loudly about
which type of icing to use. How would the OT BEST describe the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior, characterized by a low
