NBCOT Exam Practice Questions AND ANSWERS ALL CORRECT
A client in the mid-stage of Alzheimer's disease lives at home with a spouse as the primary
caregiver. The spouse wants the client to remain at home as long as possible; despite a
progressive decline in the client's cognition. What strategy should be included in the
recommendations for supporting the client's aging-in-place?
A. Establish a routine schedule of familiar daily activities to encourage engagement.
B. Have the client use a variety of assistive devices to minimize task demands.
C. Plan most activities for the morning to avoid the effects of sundowning. Correct Answer:
Establish a routine schedule of familiar daily activities to encourage engagement.
During which home maintenance tasks would symptoms related to constructional apraxia be
MOST EVIDENT?
A. Washing the interior sides of single pane windows
B. Using a roller brush to paint an interior wall of the home
C. Vacuuming floors in the main living area of the home
D. Following written instructions for installing curtain rods Correct Answer: Following written
instructions for installing curtain rods
COTA:
What clinical symptom is typically present in the affected hand of a client who has severe carpal
tunnel syndrome?
A. Positive Tinel's sign at the wrist
B. Decreased light touch of all digits
C. Numbness of the small finger
D. Atrophy of the extrinsic muscles Correct Answer: Positive Tinel's sign at the wrist
OTR:
What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a
right CVA several days ago?
A. To detect silent aspiration and identify foods that are safe for the patient to eat
B. To identify causes for aspiration and the need for referral to speech therapy
C. To observe the patient's oral motor control and determine a need for further evaluation
D. To determine the patient's tolerance to various food textures prior to requesting a modified
diet Correct Answer: To observe the patient's oral motor control and determine a need for
further evaluation
OTR:
An OTR is facilitating a group for clients diagnosed with a polysubstance use disorder. During
the first group session, the OTR describes how trigger events and irrational thinking can lead to
substance misuse. Which theoretical model does this approach exemplify?
A. Cognitive-behavioral
B. Psychodynamic
C. Human Occupation Correct Answer: Cognitive-behavioral
, COTA:
A COTA witnesses an OT aide using a goniometer to measure a patient's upper extremity ROM.
What action should the COTA take in response to this observation?
A. Determine if the aide has established service competency for this task.
B. Show the aide how to use the instrument according to facility policies.
C. Ask the aide to stop the activity and discuss the situation with the supervisor. Correct Answer:
Ask the aide to stop the activity and discuss the situation with the supervisor.
A client sustained a non-displaced distal radius fracture 8 weeks ago. The OTR receives a
consult from the client's physician to initiate ultrasound and therapeutic exercise. The state
regulatory board allows occupational therapists to use physical agent modalities (PAM),
however, the OTR assigned to the client has not had PAM training. How should the OTR
respond to this referral?
A. Follow the protocol for ultrasound as outlined in the instruction manual.
B. Refer the client to an occupational therapist who is experienced in ultrasound.
C. Apply moist heat to the affected hand and wrist instead of ultrasound. Correct Answer: Refer
the client
OTR:
An adolescent-age student has athetoid cerebral palsy and has been participating in school-based
OT since pre-school. After transitioning to the sixth grade in a new school, the teachers report
the student is not using assistive devices, is sullen, and does not interact with peers. What
INITIAL action should the OTR take in response to the teachers' reports about this student?
A. Revise the IEP goals to focus on student preferences.
B. Establish new goals to work toward self-sufficiency.
C. Develop a transition plan for promoting autonomy.
D. Complete an evaluation using a top-down approach. Correct Answer: Complete an evaluation
using a top-down approach.
COTA:
A COTA is working with a student in the third grade who has a sensory processing deficit.
Intervention activities include providing sensory-based movement activities to facilitate an
appropriate level of arousal. Which responses are common indicators that the activity is
beginning to exceed the student's sensory threshold?
Select the 3 BEST choices.
A. Uncontrollable jerky motions of the extremities during parachute games
B. Facial paleness while spinning in a net suspension swing
C. Fidgeting in a desk chair when participating in a board game
D. Irregular involuntary movement of both eyes while on a tilt and spin board
E. Holding on tightly when being gently pushed on a platform swing
F. Body language consistent with lethargy during a gross motor game Correct Answer: B, C, &
E:
A client in the mid-stage of Alzheimer's disease lives at home with a spouse as the primary
caregiver. The spouse wants the client to remain at home as long as possible; despite a
progressive decline in the client's cognition. What strategy should be included in the
recommendations for supporting the client's aging-in-place?
A. Establish a routine schedule of familiar daily activities to encourage engagement.
B. Have the client use a variety of assistive devices to minimize task demands.
C. Plan most activities for the morning to avoid the effects of sundowning. Correct Answer:
Establish a routine schedule of familiar daily activities to encourage engagement.
During which home maintenance tasks would symptoms related to constructional apraxia be
MOST EVIDENT?
A. Washing the interior sides of single pane windows
B. Using a roller brush to paint an interior wall of the home
C. Vacuuming floors in the main living area of the home
D. Following written instructions for installing curtain rods Correct Answer: Following written
instructions for installing curtain rods
COTA:
What clinical symptom is typically present in the affected hand of a client who has severe carpal
tunnel syndrome?
A. Positive Tinel's sign at the wrist
B. Decreased light touch of all digits
C. Numbness of the small finger
D. Atrophy of the extrinsic muscles Correct Answer: Positive Tinel's sign at the wrist
OTR:
What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a
right CVA several days ago?
A. To detect silent aspiration and identify foods that are safe for the patient to eat
B. To identify causes for aspiration and the need for referral to speech therapy
C. To observe the patient's oral motor control and determine a need for further evaluation
D. To determine the patient's tolerance to various food textures prior to requesting a modified
diet Correct Answer: To observe the patient's oral motor control and determine a need for
further evaluation
OTR:
An OTR is facilitating a group for clients diagnosed with a polysubstance use disorder. During
the first group session, the OTR describes how trigger events and irrational thinking can lead to
substance misuse. Which theoretical model does this approach exemplify?
A. Cognitive-behavioral
B. Psychodynamic
C. Human Occupation Correct Answer: Cognitive-behavioral
, COTA:
A COTA witnesses an OT aide using a goniometer to measure a patient's upper extremity ROM.
What action should the COTA take in response to this observation?
A. Determine if the aide has established service competency for this task.
B. Show the aide how to use the instrument according to facility policies.
C. Ask the aide to stop the activity and discuss the situation with the supervisor. Correct Answer:
Ask the aide to stop the activity and discuss the situation with the supervisor.
A client sustained a non-displaced distal radius fracture 8 weeks ago. The OTR receives a
consult from the client's physician to initiate ultrasound and therapeutic exercise. The state
regulatory board allows occupational therapists to use physical agent modalities (PAM),
however, the OTR assigned to the client has not had PAM training. How should the OTR
respond to this referral?
A. Follow the protocol for ultrasound as outlined in the instruction manual.
B. Refer the client to an occupational therapist who is experienced in ultrasound.
C. Apply moist heat to the affected hand and wrist instead of ultrasound. Correct Answer: Refer
the client
OTR:
An adolescent-age student has athetoid cerebral palsy and has been participating in school-based
OT since pre-school. After transitioning to the sixth grade in a new school, the teachers report
the student is not using assistive devices, is sullen, and does not interact with peers. What
INITIAL action should the OTR take in response to the teachers' reports about this student?
A. Revise the IEP goals to focus on student preferences.
B. Establish new goals to work toward self-sufficiency.
C. Develop a transition plan for promoting autonomy.
D. Complete an evaluation using a top-down approach. Correct Answer: Complete an evaluation
using a top-down approach.
COTA:
A COTA is working with a student in the third grade who has a sensory processing deficit.
Intervention activities include providing sensory-based movement activities to facilitate an
appropriate level of arousal. Which responses are common indicators that the activity is
beginning to exceed the student's sensory threshold?
Select the 3 BEST choices.
A. Uncontrollable jerky motions of the extremities during parachute games
B. Facial paleness while spinning in a net suspension swing
C. Fidgeting in a desk chair when participating in a board game
D. Irregular involuntary movement of both eyes while on a tilt and spin board
E. Holding on tightly when being gently pushed on a platform swing
F. Body language consistent with lethargy during a gross motor game Correct Answer: B, C, &
E:
