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NBCOT OCCUPATIONAL THERAPY
CERTIFICATION EXAM PRACTICE EXAM –
40 QUESTIONS WITH VERIFIED ANSWERS
& COMPLETE RATIONALES
## SECTION 1: EVALUATION & ASSESSMENT
**1. Which of the following best defines the occupational profile
according to the OTPF-4?**
A. A summary of the client's medical history and diagnoses
B. A summary of the client's occupational history, patterns of
daily living, interests, values, and needs
C. A standardized assessment of body function impairments
D. A list of the client's baseline scores on functional
assessments
**Correct answer:** A summary of the client's occupational
history, patterns of daily living, interests, values, and needs
**Rationale:** The occupational profile provides the foundation
for client-centered, occupation-based practice by summarizing
the client's occupational history, patterns, interests, values, and
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needs. Identifying impairments occurs during analysis of
occupational performance, not during the occupational profile .
---
**2. An occupational therapist evaluates a 7-year-old child
referred for difficulties with handwriting and fine motor tasks.
The teacher reports fidgeting, difficulty sitting still during desk
work, and frequent bumping into peers. Which standardized
assessment is MOST appropriate to evaluate sensory
processing patterns?**
A. Bruininks-Oseretsky Test of Motor Proficiency, Second
Edition (BOT-2)
B. Sensory Profile 2 (SP-2)
C. Peabody Developmental Motor Scales, Second Edition
(PDMS-2)
D. School Function Assessment (SFA)
**Correct answer:** Sensory Profile 2 (SP-2)
**Rationale:** The Sensory Profile 2 is a caregiver
questionnaire designed to assess sensory processing patterns
including sensory seeking, avoiding, sensitivity, and low
registration. The described behaviors suggest possible sensory
processing differences. BOT-2 assesses motor proficiency,
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PDMS-2 evaluates motor development, and SFA measures
school participation .
---
**3. An OT is performing a home safety evaluation for an 82-
year-old client with a history of two falls in the past 6 months.
The client reports feeling unsteady when getting out of the
bathtub. Which assessment provides the MOST
comprehensive evaluation of functional balance?**
A. Functional Independence Measure (FIM)
B. Berg Balance Scale (BBS)
C. Timed Up and Go (TUG)
D. Five Times Sit-to-Stand Test (FTSST)
**Correct answer:** Berg Balance Scale (BBS)
**Rationale:** The Berg Balance Scale is a 14-item
performance-based measure assessing both static and
dynamic balance, including reaching, turning, and single-leg
stance. The TUG assesses mobility but is less comprehensive.
The FIM measures functional independence, and FTSST
evaluates sit-to-stand ability only .
---
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**4. Which of the following is an example of a norm-referenced
evaluation?**
A. Functional Independence Measure (FIM)
B. Peabody Developmental Motor Scales, Second Edition
(PDMS-2)
C. Caregiver Report
D. Clinical Observation
**Correct answer:** Peabody Developmental Motor Scales,
Second Edition (PDMS-2)
**Rationale:** The PDMS-2 is a norm-referenced assessment
that compares a child's performance to a standardized sample
of same-age peers. The FIM is criterion-referenced. Caregiver
reports and observations are non-standardized assessment
methods .
---
**5. An OT is conducting a cognitive assessment of a 75-year-
old client following a mild traumatic brain injury. The therapist
wants to assess multiple cognitive domains including attention,
memory, executive function, and visuospatial ability. Which
standardized cognitive screening tool is MOST appropriate?**
NBCOT OCCUPATIONAL THERAPY
CERTIFICATION EXAM PRACTICE EXAM –
40 QUESTIONS WITH VERIFIED ANSWERS
& COMPLETE RATIONALES
## SECTION 1: EVALUATION & ASSESSMENT
**1. Which of the following best defines the occupational profile
according to the OTPF-4?**
A. A summary of the client's medical history and diagnoses
B. A summary of the client's occupational history, patterns of
daily living, interests, values, and needs
C. A standardized assessment of body function impairments
D. A list of the client's baseline scores on functional
assessments
**Correct answer:** A summary of the client's occupational
history, patterns of daily living, interests, values, and needs
**Rationale:** The occupational profile provides the foundation
for client-centered, occupation-based practice by summarizing
the client's occupational history, patterns, interests, values, and
,2 | Page
needs. Identifying impairments occurs during analysis of
occupational performance, not during the occupational profile .
---
**2. An occupational therapist evaluates a 7-year-old child
referred for difficulties with handwriting and fine motor tasks.
The teacher reports fidgeting, difficulty sitting still during desk
work, and frequent bumping into peers. Which standardized
assessment is MOST appropriate to evaluate sensory
processing patterns?**
A. Bruininks-Oseretsky Test of Motor Proficiency, Second
Edition (BOT-2)
B. Sensory Profile 2 (SP-2)
C. Peabody Developmental Motor Scales, Second Edition
(PDMS-2)
D. School Function Assessment (SFA)
**Correct answer:** Sensory Profile 2 (SP-2)
**Rationale:** The Sensory Profile 2 is a caregiver
questionnaire designed to assess sensory processing patterns
including sensory seeking, avoiding, sensitivity, and low
registration. The described behaviors suggest possible sensory
processing differences. BOT-2 assesses motor proficiency,
,3 | Page
PDMS-2 evaluates motor development, and SFA measures
school participation .
---
**3. An OT is performing a home safety evaluation for an 82-
year-old client with a history of two falls in the past 6 months.
The client reports feeling unsteady when getting out of the
bathtub. Which assessment provides the MOST
comprehensive evaluation of functional balance?**
A. Functional Independence Measure (FIM)
B. Berg Balance Scale (BBS)
C. Timed Up and Go (TUG)
D. Five Times Sit-to-Stand Test (FTSST)
**Correct answer:** Berg Balance Scale (BBS)
**Rationale:** The Berg Balance Scale is a 14-item
performance-based measure assessing both static and
dynamic balance, including reaching, turning, and single-leg
stance. The TUG assesses mobility but is less comprehensive.
The FIM measures functional independence, and FTSST
evaluates sit-to-stand ability only .
---
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**4. Which of the following is an example of a norm-referenced
evaluation?**
A. Functional Independence Measure (FIM)
B. Peabody Developmental Motor Scales, Second Edition
(PDMS-2)
C. Caregiver Report
D. Clinical Observation
**Correct answer:** Peabody Developmental Motor Scales,
Second Edition (PDMS-2)
**Rationale:** The PDMS-2 is a norm-referenced assessment
that compares a child's performance to a standardized sample
of same-age peers. The FIM is criterion-referenced. Caregiver
reports and observations are non-standardized assessment
methods .
---
**5. An OT is conducting a cognitive assessment of a 75-year-
old client following a mild traumatic brain injury. The therapist
wants to assess multiple cognitive domains including attention,
memory, executive function, and visuospatial ability. Which
standardized cognitive screening tool is MOST appropriate?**
