, NBCOT AND OTKE PRACTICE EXAM
-QUESTIONS WITH CORRECT ANSWERS
AND EXPLANATIONS
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply theoretical frameworks to complex clinical scenarios
2 Critically analyze assessment data to inform intervention planning
3 Integrate ethical, cultural, and contextual factors in professional reasoning
4 Demonstrate advanced knowledge of occupation-based practice across settings
5 NBCOT and OTKE Practice Exam
6 Questions with Correct Answers and Explanations
7 Foundations of Occupational Therapy (NBCOT/OTKE)
8 Applied Occupational Therapy (NBCOT/OTKE)
9 Advanced Occupational Therapy (NBCOT/OTKE)
10 Occupational Therapy (NBCOT/OTKE) Review
Page 1
,Q1 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
A client with a recent C7 spinal cord injury is being evaluated for a power
wheelchair. Which seating and mobility intervention BEST addresses the client's
functional mobility needs while minimizing the risk of pressure injuries?
A. A power wheelchair with tilt-in-space and pressure-relieving cushion CORRECT
B. A manual wheelchair with a standard sling seat and back
C. A power wheelchair with a custom-molded seat and no tilt
D. A manual wheelchair with a reclining back and elevating leg rests
RATIONALE: For a C7 SCI, the client lacks full trunk control and needs pressure relief;
tilt-in-space redistributes pressure without shear. A standard sling seat increases pressure risk.
Custom-molded seat without tilt limits pressure relief. Reclining back causes shear and doesn't
provide independent pressure relief.
Q2 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
An occupational therapist is using the Model of Human Occupation (MOHO) to
assess a client with depression. Which assessment tool is MOST aligned with
MOHO's focus on volition, habituation, and performance capacity?
A. Canadian Occupational Performance Measure (COPM)
B. Occupational Self-Assessment (OSA) CORRECT
C. Barthel Index
D. Functional Independence Measure (FIM)
RATIONALE: The OSA is specifically designed to assess MOHO constructs (volition, habituation,
performance). COPM focuses on self-perceived performance and satisfaction but not specifically
MOHO. Barthel and FIM measure functional performance only, not the underlying MOHO
components.
Page 2
, Q3 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
An occupational therapist is working with a client who has unilateral neglect
following a stroke. Which intervention uses a bottom-up approach to address this
deficit?
A. Visual scanning training using a computer program CORRECT
B. Environmental modifications to place items on the affected side
C. Constraint-induced movement therapy (CIMT)
D. Task-specific training in meal preparation with cues to attend to the left
RATIONALE: Visual scanning training directly targets the underlying impairment of neglect
(bottom-up). Environmental modifications and task-specific training are top-down approaches
that compensate. CIMT addresses motor impairment, not neglect.
Q4 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
A school-based OT is evaluating a child with handwriting difficulties. Which
assessment provides the MOST comprehensive analysis of the underlying
sensorimotor components of handwriting?
A. Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) CORRECT
B. Minnesota Handwriting Assessment
C. Test of Handwriting Skills-Revised (THS-R)
D. Evaluation Tool of Children's Handwriting (ETCH)
RATIONALE: The Beery VMI assesses visual-motor integration, a core sensorimotor component
of handwriting. Other assessments focus on legibility and handwriting performance, not the
underlying components.
Page 3
-QUESTIONS WITH CORRECT ANSWERS
AND EXPLANATIONS
150 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply theoretical frameworks to complex clinical scenarios
2 Critically analyze assessment data to inform intervention planning
3 Integrate ethical, cultural, and contextual factors in professional reasoning
4 Demonstrate advanced knowledge of occupation-based practice across settings
5 NBCOT and OTKE Practice Exam
6 Questions with Correct Answers and Explanations
7 Foundations of Occupational Therapy (NBCOT/OTKE)
8 Applied Occupational Therapy (NBCOT/OTKE)
9 Advanced Occupational Therapy (NBCOT/OTKE)
10 Occupational Therapy (NBCOT/OTKE) Review
Page 1
,Q1 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
A client with a recent C7 spinal cord injury is being evaluated for a power
wheelchair. Which seating and mobility intervention BEST addresses the client's
functional mobility needs while minimizing the risk of pressure injuries?
A. A power wheelchair with tilt-in-space and pressure-relieving cushion CORRECT
B. A manual wheelchair with a standard sling seat and back
C. A power wheelchair with a custom-molded seat and no tilt
D. A manual wheelchair with a reclining back and elevating leg rests
RATIONALE: For a C7 SCI, the client lacks full trunk control and needs pressure relief;
tilt-in-space redistributes pressure without shear. A standard sling seat increases pressure risk.
Custom-molded seat without tilt limits pressure relief. Reclining back causes shear and doesn't
provide independent pressure relief.
Q2 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
An occupational therapist is using the Model of Human Occupation (MOHO) to
assess a client with depression. Which assessment tool is MOST aligned with
MOHO's focus on volition, habituation, and performance capacity?
A. Canadian Occupational Performance Measure (COPM)
B. Occupational Self-Assessment (OSA) CORRECT
C. Barthel Index
D. Functional Independence Measure (FIM)
RATIONALE: The OSA is specifically designed to assess MOHO constructs (volition, habituation,
performance). COPM focuses on self-perceived performance and satisfaction but not specifically
MOHO. Barthel and FIM measure functional performance only, not the underlying MOHO
components.
Page 2
, Q3 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
An occupational therapist is working with a client who has unilateral neglect
following a stroke. Which intervention uses a bottom-up approach to address this
deficit?
A. Visual scanning training using a computer program CORRECT
B. Environmental modifications to place items on the affected side
C. Constraint-induced movement therapy (CIMT)
D. Task-specific training in meal preparation with cues to attend to the left
RATIONALE: Visual scanning training directly targets the underlying impairment of neglect
(bottom-up). Environmental modifications and task-specific training are top-down approaches
that compensate. CIMT addresses motor impairment, not neglect.
Q4 APPLY THEORETICAL FRAMEWORKS TO COMPLEX CLINICAL SCENARIOS
A school-based OT is evaluating a child with handwriting difficulties. Which
assessment provides the MOST comprehensive analysis of the underlying
sensorimotor components of handwriting?
A. Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) CORRECT
B. Minnesota Handwriting Assessment
C. Test of Handwriting Skills-Revised (THS-R)
D. Evaluation Tool of Children's Handwriting (ETCH)
RATIONALE: The Beery VMI assesses visual-motor integration, a core sensorimotor component
of handwriting. Other assessments focus on legibility and handwriting performance, not the
underlying components.
Page 3
