Purple Book NBCOT Prep
- ✅✅-
A 1 y/o boy with delayed motor development recently mastered
independent sitting. what is the next significant motor performance his
family should expect to see him development?
a. creeping
b. rolling from back to stomach
✅✅
c. cruising
d. moving from supine to sitting - -a. creeping
creeping typically emerges after 7 months. Most 10-12 month old infants
crawl rapidly across the room. B is typically accomplished by 6 months.
C occurs just before the child walks.
a 10 y/o with a diagnosis of athetoid CP would like to be able to dress
herself independently. Which clothing features could the OT recommend
that would be most useful in facilitating self-dressing?
a. mini T shirts made of elasticized fabric
b. dresses with side zippers and zipper pulls
✅✅
c. oversized t-shirts and elastic top pants
d. front opening shirts with snaps or buttons - -c. oversized t-shirts
with elastic top pants
for a child who experiences difficulty with coordination, loose clothing is
preferred to tight fitting garments. Elastic waist bands are more
functional than zippers or buttons.
A 13 y/o boy with paraplegia wants to take a bath without assistance
from his mother. What would the OT most likely recommend to increase
independence with bathing?
a. a transfer bench with a handheld shower
b. a hydraulic lift with a sling seat
✅✅
c. an inflatable tub and bath mitt
d. a wheeled shower chair - -a. transfer bench with a handheld
shower
,a child with paraplegia would most likely be able to transfer himself onto
the bench and a handheld shower would allow him to wash without
having to adjust the faucet head. B would be indicated for an individual
who is obese or has limited function of UEs and LEs. D would be for
washing in a shower, not a tub.
a 15 month old child is demoing motor performance similar to that of an
8 month old child. In which activities would the OT most likely engage
the child to elicit developing protective reactions?
a. play while prone on a mat, with child reaching to grab toys suspended
forward and out to childs sides
b. play while floor sitting with toys placed on the floor in front of child, or
suspended for childs reach to front
c. play while floor sitting with toys placed on the floor to childs sides, or
suspended for childs reach out to the sides
✅✅
d. play while in supported quadruped position, with child reaching for
toys placed on floor more than arms reach from childs body - -c.
play floor sitting with toys placed on the floor in front of the child, or
suspended for childs reach to front
Protective extension is an automatic response in which the childs arms
extend and to support him or her to prevent falling. Forward protective
extension develops by 8 months in typical children and begins
progressing to side protective extension. Answer A is incorrect as a child
with this level of skill has already surpassed that level.
A 16 y/o boy who had a TBI 5 years ago is ready to begin shaving, but
has difficulty as a result of limited ROM in his shoulders and elbows.
Which is the BEST adaptation for him to use?
a. electric razor attached to a universal cuff
b. safety razor with built up handle
✅✅
c. safety razor with extended handle
d. safety razor with attached universal cuff - -c. safety razor with
extended handle
This allows the individual to overcome limited shoulder and elbow ROM.
Answers C and D would benefit an individual who is unable to grasp a
,razor, but would not enable to individual to reach his face to have.
Answer B would benefit an individual with limited finger flexion or
strength.
a 17 y/o individual who wears a a hip brace is measured for a
wheelchair. What are the correct seat dimensions for the OT to
recommend?
a. 2 inches wider than the widest point across the childs hips with the
brace on
b. 2 inches wider than the widest point across the childs hips
c. 2 inches more than the distance from the back of the bent knee to the
buttocks
✅✅
d. the same as the distance from the back of the bent knee to the
buttocks - -a. 2 inches wider than the widest point across the childs
hips with the brace on
This allows the child to easily get in and out of the chiar while wearing
the brace while preventing pressure on the sides. B would not allow
enough space when the child is wearing the brace. C and D are incorrect
altogether.
a 2nd grade student with MD operates a manual wheelchair, but his
mobility is slow because of muscle weakness. When should the OT
consider a power wheelchair?
a. in junior high school when child switches classrooms several times a
day
b. when the childs speed over long distances becomes less than that of
a walking person
✅✅
c. after the home can be made accessible
d. after it becomes impossible to propel a manual wheelchair - -b.
when the childs speed over long distances becomes less than that of a
walking person
Because the child will be experiencing progressive muscle weakness,
EC is of primary importance. A and C address valid environmental
considerations to be made after determining the general need for a
powered wheelchair. Waiting until it is too late would be difficult.
, a 3 y/o demos the ability to use the toilet independently except for wiping
and readjusting clothing afterward. This behavior indicates that the child
is performing at which level?
a. significantly below age level
b. slightly below age level
✅✅
c. at age level
d. above age level - -c. at age level
At 3 years, a child is expected to know when he or she has to use the
toilet and be able to get on and off the toilet. Complete independence is
usually achieved by 4 or 5 years. By the age of 2 years, most children
have daytime control with occasional accidents.
a 3-year-old child with down syndrome is dependent in all areas of
dressing. when using a developmental approach with this child, which
skill should be first addressed?
a. pulling shoes off feet
b. putting on a t-shirt
✅✅
c. removing sweatpants
d. putting on a hat - -a. pulling shoes off feet
children first learn to remove garments. C is still a skill that follows
removing shoes and socks.
a 3rd graders readiness for direct OT as a related service has been
determined on the basis of:
a. whether OT services support participation in the education program
b. the degree of functional skills possessed by the child
✅✅
c. the level of independence in ADLs
d. the degree of accessibility of the learning environment - -a.
whether OT services support participation in the education program
related services are defined as services needed to help the students
benefit from their education program. answers B and C are addressed in
school programs only when they impact the students participation and
ability to benefit from their education program. D is an important
- ✅✅-
A 1 y/o boy with delayed motor development recently mastered
independent sitting. what is the next significant motor performance his
family should expect to see him development?
a. creeping
b. rolling from back to stomach
✅✅
c. cruising
d. moving from supine to sitting - -a. creeping
creeping typically emerges after 7 months. Most 10-12 month old infants
crawl rapidly across the room. B is typically accomplished by 6 months.
C occurs just before the child walks.
a 10 y/o with a diagnosis of athetoid CP would like to be able to dress
herself independently. Which clothing features could the OT recommend
that would be most useful in facilitating self-dressing?
a. mini T shirts made of elasticized fabric
b. dresses with side zippers and zipper pulls
✅✅
c. oversized t-shirts and elastic top pants
d. front opening shirts with snaps or buttons - -c. oversized t-shirts
with elastic top pants
for a child who experiences difficulty with coordination, loose clothing is
preferred to tight fitting garments. Elastic waist bands are more
functional than zippers or buttons.
A 13 y/o boy with paraplegia wants to take a bath without assistance
from his mother. What would the OT most likely recommend to increase
independence with bathing?
a. a transfer bench with a handheld shower
b. a hydraulic lift with a sling seat
✅✅
c. an inflatable tub and bath mitt
d. a wheeled shower chair - -a. transfer bench with a handheld
shower
,a child with paraplegia would most likely be able to transfer himself onto
the bench and a handheld shower would allow him to wash without
having to adjust the faucet head. B would be indicated for an individual
who is obese or has limited function of UEs and LEs. D would be for
washing in a shower, not a tub.
a 15 month old child is demoing motor performance similar to that of an
8 month old child. In which activities would the OT most likely engage
the child to elicit developing protective reactions?
a. play while prone on a mat, with child reaching to grab toys suspended
forward and out to childs sides
b. play while floor sitting with toys placed on the floor in front of child, or
suspended for childs reach to front
c. play while floor sitting with toys placed on the floor to childs sides, or
suspended for childs reach out to the sides
✅✅
d. play while in supported quadruped position, with child reaching for
toys placed on floor more than arms reach from childs body - -c.
play floor sitting with toys placed on the floor in front of the child, or
suspended for childs reach to front
Protective extension is an automatic response in which the childs arms
extend and to support him or her to prevent falling. Forward protective
extension develops by 8 months in typical children and begins
progressing to side protective extension. Answer A is incorrect as a child
with this level of skill has already surpassed that level.
A 16 y/o boy who had a TBI 5 years ago is ready to begin shaving, but
has difficulty as a result of limited ROM in his shoulders and elbows.
Which is the BEST adaptation for him to use?
a. electric razor attached to a universal cuff
b. safety razor with built up handle
✅✅
c. safety razor with extended handle
d. safety razor with attached universal cuff - -c. safety razor with
extended handle
This allows the individual to overcome limited shoulder and elbow ROM.
Answers C and D would benefit an individual who is unable to grasp a
,razor, but would not enable to individual to reach his face to have.
Answer B would benefit an individual with limited finger flexion or
strength.
a 17 y/o individual who wears a a hip brace is measured for a
wheelchair. What are the correct seat dimensions for the OT to
recommend?
a. 2 inches wider than the widest point across the childs hips with the
brace on
b. 2 inches wider than the widest point across the childs hips
c. 2 inches more than the distance from the back of the bent knee to the
buttocks
✅✅
d. the same as the distance from the back of the bent knee to the
buttocks - -a. 2 inches wider than the widest point across the childs
hips with the brace on
This allows the child to easily get in and out of the chiar while wearing
the brace while preventing pressure on the sides. B would not allow
enough space when the child is wearing the brace. C and D are incorrect
altogether.
a 2nd grade student with MD operates a manual wheelchair, but his
mobility is slow because of muscle weakness. When should the OT
consider a power wheelchair?
a. in junior high school when child switches classrooms several times a
day
b. when the childs speed over long distances becomes less than that of
a walking person
✅✅
c. after the home can be made accessible
d. after it becomes impossible to propel a manual wheelchair - -b.
when the childs speed over long distances becomes less than that of a
walking person
Because the child will be experiencing progressive muscle weakness,
EC is of primary importance. A and C address valid environmental
considerations to be made after determining the general need for a
powered wheelchair. Waiting until it is too late would be difficult.
, a 3 y/o demos the ability to use the toilet independently except for wiping
and readjusting clothing afterward. This behavior indicates that the child
is performing at which level?
a. significantly below age level
b. slightly below age level
✅✅
c. at age level
d. above age level - -c. at age level
At 3 years, a child is expected to know when he or she has to use the
toilet and be able to get on and off the toilet. Complete independence is
usually achieved by 4 or 5 years. By the age of 2 years, most children
have daytime control with occasional accidents.
a 3-year-old child with down syndrome is dependent in all areas of
dressing. when using a developmental approach with this child, which
skill should be first addressed?
a. pulling shoes off feet
b. putting on a t-shirt
✅✅
c. removing sweatpants
d. putting on a hat - -a. pulling shoes off feet
children first learn to remove garments. C is still a skill that follows
removing shoes and socks.
a 3rd graders readiness for direct OT as a related service has been
determined on the basis of:
a. whether OT services support participation in the education program
b. the degree of functional skills possessed by the child
✅✅
c. the level of independence in ADLs
d. the degree of accessibility of the learning environment - -a.
whether OT services support participation in the education program
related services are defined as services needed to help the students
benefit from their education program. answers B and C are addressed in
school programs only when they impact the students participation and
ability to benefit from their education program. D is an important
