NBCOT and OTKE Practice Questions and answer 100% correct 2023
An OT is conducting an evaluation on a client post-CVA. The client present with contralateral hemiplegia, grasp reflex, incontinence, confusion, and apathy. What is the involved artery and the site of the infarct? Select one:
a. Posterior cerebral artery (PCA)
b. Middle cerebral artery (MCA)
c. Internal carotid artery (ICA)
d. Anterior cerebral artery (ACA) - correct answer d. Anterior cerebral artery (ACA)
A child has recently begun to build with blocks both horizontally and vertically but cannot yet build a tower of nine cubes, what age is this child? Select one:
a. 24-30 months b. 6-9 months
c. 21-24 months
d. 12-15 months - correct answer a. 24-30 months
An OT working in a school setting is observing a new client in the classroom. The OT notices that the child is reluctant to fully participate in the school environment. In order to assess functional performance to promote increased participation in the school environment, which assessment should the OT use?
Select one:
a. School Function Assessment
b. Participation Scale
c. Test of Playfulness Revised Version 3.5
d. Coping Inventory - correct answer a. School Function Assessment Correct
The OT is observing a typical 3-year-old child playing house with her doll. The child is using a teapot filled with cotton balls that symbolizes the "tea" she is serving. She uses a variety of words that she did not use before, as well as phrases. While there are other children in the clinic, the child is not playing with them. What stage of play is the child experiencing?
Select one:
a. Creative Play
b. Exploratory Play
c. Games
d. Symbolic Play - correct answer d. Symbolic Play An OT is evaluating a 10-month-old child who was referred to OT for developmental delays. The infant exhibits extension of the extremities on the face side and flexion of extremities on the skull side. Which reflex is not integrated and will likely affect the child's ability to creep and crawl?
Select one:
a. ATNR
b. STNR
c. TLR
d. BOB - correct answer a. ATNR
An OT begins seeing a 2-year-old client for feeding. Upon initial observation, the OT notices that the client pockets a large amount of food in his mouth. The client's parents report that he typically holds food in his mouth for hours at a time and refuses to swallow in between bites. What is the most appropriate intervention strategy to apply during treatment sessions?
Select one:
a. Prevent tongue retraction to avoid choking
b. Refer the parents for a VFSS
c. Facilitate swallow by placement and slight downward pressure of the spoon on the middle aspect of the tongue
d. Facilitate chewing by placement of long, crunchy-textured food on lateral molars - correct answer c. Facilitate swallow by placement and slight downward pressure of the spoon on the middle aspect of the tongue
An OT is treating an 86-year-old male who has difficulty visually scanning objects outside of his central vision. After providing a visual screen, the OT notices that the client has tunnel vision and has difficulty seeing objects in the outer borders of his visual
field in both eyes. This leads the OT to believe that the client has loss of peripheral vision. What is the most likely cause of this vision loss?
Select one:
a. Macular degeneration
b. Glaucoma
c. Cataracts
d. Diabetic retinopathy - correct answer b. Glaucoma
An OT is working with an 88-year-old female client who was admitted to a SNF s/p R THA. During the evaluation, you ask the client what her goals are for therapy and she replies with: "I want to get stronger so I can go back home and be able to take care of myself." Which of the following statements is TRUE that the OT should keep in mind when designing her client-centered goals and exercise program?
Select one: a. The exercise program should consist of strength training at 70-80% of the client's one-rep max in order to see improved strength with predictable results.
b. The exercise program should focus more on cardio rather than strength training
c. Elders ages 80 and above should not participate in any kind of strength training because they are frail and it is unsafe for their health.
d. Improvements in strength does not correlate with improving ability to complete functional tasks. - correct answer a. The exercise program should consist of strength training at 70-80% of the client's one-rep max in order to see improved strength with predictable results.
A 75-year-old male client is complaining of ringing in both of his ears during treatment and cannot comprehend the OT's directions when engaging in therapy. Which type of hearing loss is the client exhibiting?
Select one:
a. Tinnitus
b. Conductive
c. Presbycusis
d. Sensorineural - correct answer c. Presbycusis
An OT who is working in a pediatric clinic is completing an evaluation on a new 5-year-
old client. The OT needs an assessment that will detect the client's functional deficits, determine developmental level and assess capabilities. Which overall development assessment is most appropriate for the OT to use? Select one:
a. Hayley Scales of Infant Development (BSID-III)
b. Pediatric Evaluation of Disabilities Inventory (PEDI) c. Miller Assessment for Preschoolers (MAP)
d. Denver Developmental Screening Test II - correct answer b. Pediatric Evaluation of
Disabilities Inventory (PEDI)
An OT receives a home health referral for a 78-year-old male client with general weakness. During the evaluation, the OT notices that the client is dehydrated, malnourished, has poor personal hygiene, and is living in unsafe conditions. The OT suspects that this is a case of elderly abuse. Given these signs and symptoms, what form of elderly abuse is suspected?
Select one:
a. Physical abuse
b. Sexual abuse
c. Psychological abuse
d. Neglect - correct answer d. Neglect
An occupational therapist is working with a client who had a LE amputation. Which of the following treatment is NOT considered an appropriate treatment? Select one:
a. Transfer training using standing pivot
b. Desensitization
c. Wrapping the residual limb to decrease swelling
d. Strengthening exercises on the residual limb - correct answer d. Strengthening exercises on the residual limb
An OT is evaluating a client who is complaining of severe pain, edema and temperature changes in their L UE after a fall. Upon evaluating the clients' arm, you also notice discoloration and tropic changes. What UE injury do you suspect the client to have? Select one:
a. Complex Regional Pain Syndrome (CRPS) b. Carpal Tunnel Syndrome (CTS)
c. Skier's Thumb
d. Dupurytren's Disease - correct answer a. Complex Regional Pain Syndrome (CRPS)
An occupational therapist is seeing a new patient for evaluation. Upon reviewing medical records, the OT reads that the patient fell in her home and now has a Smith's fracture. What should the OT expect to see?
Select one:
a. Fracture of the distal radius with volar displacement b. Fracture of the distal ulna
c. Fracture of the distal radius with dorsal displacement
d. Fracture of the 5th metacarpal - correct answer a. Fracture of the distal radius with volar displacement
An OT is working with a client with complex regional pain syndrome. Which of the following is NOT an OT intervention for complex regional pain syndrome?
Select one:
a. ADL to encourage pain-free activities
b. Joint mobilization c. AROM to involved joints
d. Splinting to prevent contractures and enable ability to engage in occupation-based activities - correct answer b. Joint mobilization
A 45-year-old client sustained burns to the front of her left arm, posterior trunk, front of her left leg, and back of her left leg. Using the Rule of Nines, calculate the total body surface area percentage that is burned.
Select one:
a. 66%
An OT is conducting an evaluation on a client post-CVA. The client present with contralateral hemiplegia, grasp reflex, incontinence, confusion, and apathy. What is the involved artery and the site of the infarct? Select one:
a. Posterior cerebral artery (PCA)
b. Middle cerebral artery (MCA)
c. Internal carotid artery (ICA)
d. Anterior cerebral artery (ACA) - correct answer d. Anterior cerebral artery (ACA)
A child has recently begun to build with blocks both horizontally and vertically but cannot yet build a tower of nine cubes, what age is this child? Select one:
a. 24-30 months b. 6-9 months
c. 21-24 months
d. 12-15 months - correct answer a. 24-30 months
An OT working in a school setting is observing a new client in the classroom. The OT notices that the child is reluctant to fully participate in the school environment. In order to assess functional performance to promote increased participation in the school environment, which assessment should the OT use?
Select one:
a. School Function Assessment
b. Participation Scale
c. Test of Playfulness Revised Version 3.5
d. Coping Inventory - correct answer a. School Function Assessment Correct
The OT is observing a typical 3-year-old child playing house with her doll. The child is using a teapot filled with cotton balls that symbolizes the "tea" she is serving. She uses a variety of words that she did not use before, as well as phrases. While there are other children in the clinic, the child is not playing with them. What stage of play is the child experiencing?
Select one:
a. Creative Play
b. Exploratory Play
c. Games
d. Symbolic Play - correct answer d. Symbolic Play An OT is evaluating a 10-month-old child who was referred to OT for developmental delays. The infant exhibits extension of the extremities on the face side and flexion of extremities on the skull side. Which reflex is not integrated and will likely affect the child's ability to creep and crawl?
Select one:
a. ATNR
b. STNR
c. TLR
d. BOB - correct answer a. ATNR
An OT begins seeing a 2-year-old client for feeding. Upon initial observation, the OT notices that the client pockets a large amount of food in his mouth. The client's parents report that he typically holds food in his mouth for hours at a time and refuses to swallow in between bites. What is the most appropriate intervention strategy to apply during treatment sessions?
Select one:
a. Prevent tongue retraction to avoid choking
b. Refer the parents for a VFSS
c. Facilitate swallow by placement and slight downward pressure of the spoon on the middle aspect of the tongue
d. Facilitate chewing by placement of long, crunchy-textured food on lateral molars - correct answer c. Facilitate swallow by placement and slight downward pressure of the spoon on the middle aspect of the tongue
An OT is treating an 86-year-old male who has difficulty visually scanning objects outside of his central vision. After providing a visual screen, the OT notices that the client has tunnel vision and has difficulty seeing objects in the outer borders of his visual
field in both eyes. This leads the OT to believe that the client has loss of peripheral vision. What is the most likely cause of this vision loss?
Select one:
a. Macular degeneration
b. Glaucoma
c. Cataracts
d. Diabetic retinopathy - correct answer b. Glaucoma
An OT is working with an 88-year-old female client who was admitted to a SNF s/p R THA. During the evaluation, you ask the client what her goals are for therapy and she replies with: "I want to get stronger so I can go back home and be able to take care of myself." Which of the following statements is TRUE that the OT should keep in mind when designing her client-centered goals and exercise program?
Select one: a. The exercise program should consist of strength training at 70-80% of the client's one-rep max in order to see improved strength with predictable results.
b. The exercise program should focus more on cardio rather than strength training
c. Elders ages 80 and above should not participate in any kind of strength training because they are frail and it is unsafe for their health.
d. Improvements in strength does not correlate with improving ability to complete functional tasks. - correct answer a. The exercise program should consist of strength training at 70-80% of the client's one-rep max in order to see improved strength with predictable results.
A 75-year-old male client is complaining of ringing in both of his ears during treatment and cannot comprehend the OT's directions when engaging in therapy. Which type of hearing loss is the client exhibiting?
Select one:
a. Tinnitus
b. Conductive
c. Presbycusis
d. Sensorineural - correct answer c. Presbycusis
An OT who is working in a pediatric clinic is completing an evaluation on a new 5-year-
old client. The OT needs an assessment that will detect the client's functional deficits, determine developmental level and assess capabilities. Which overall development assessment is most appropriate for the OT to use? Select one:
a. Hayley Scales of Infant Development (BSID-III)
b. Pediatric Evaluation of Disabilities Inventory (PEDI) c. Miller Assessment for Preschoolers (MAP)
d. Denver Developmental Screening Test II - correct answer b. Pediatric Evaluation of
Disabilities Inventory (PEDI)
An OT receives a home health referral for a 78-year-old male client with general weakness. During the evaluation, the OT notices that the client is dehydrated, malnourished, has poor personal hygiene, and is living in unsafe conditions. The OT suspects that this is a case of elderly abuse. Given these signs and symptoms, what form of elderly abuse is suspected?
Select one:
a. Physical abuse
b. Sexual abuse
c. Psychological abuse
d. Neglect - correct answer d. Neglect
An occupational therapist is working with a client who had a LE amputation. Which of the following treatment is NOT considered an appropriate treatment? Select one:
a. Transfer training using standing pivot
b. Desensitization
c. Wrapping the residual limb to decrease swelling
d. Strengthening exercises on the residual limb - correct answer d. Strengthening exercises on the residual limb
An OT is evaluating a client who is complaining of severe pain, edema and temperature changes in their L UE after a fall. Upon evaluating the clients' arm, you also notice discoloration and tropic changes. What UE injury do you suspect the client to have? Select one:
a. Complex Regional Pain Syndrome (CRPS) b. Carpal Tunnel Syndrome (CTS)
c. Skier's Thumb
d. Dupurytren's Disease - correct answer a. Complex Regional Pain Syndrome (CRPS)
An occupational therapist is seeing a new patient for evaluation. Upon reviewing medical records, the OT reads that the patient fell in her home and now has a Smith's fracture. What should the OT expect to see?
Select one:
a. Fracture of the distal radius with volar displacement b. Fracture of the distal ulna
c. Fracture of the distal radius with dorsal displacement
d. Fracture of the 5th metacarpal - correct answer a. Fracture of the distal radius with volar displacement
An OT is working with a client with complex regional pain syndrome. Which of the following is NOT an OT intervention for complex regional pain syndrome?
Select one:
a. ADL to encourage pain-free activities
b. Joint mobilization c. AROM to involved joints
d. Splinting to prevent contractures and enable ability to engage in occupation-based activities - correct answer b. Joint mobilization
A 45-year-old client sustained burns to the front of her left arm, posterior trunk, front of her left leg, and back of her left leg. Using the Rule of Nines, calculate the total body surface area percentage that is burned.
Select one:
a. 66%
