COTA EXAM #4 Part 1 100% SOLVED
A child is lacing a series of geometric beads from a stimulus card and is unable to
identify a moon-shaped bead when it is turned sideways on the table. This
MOST likely indicates difficulty with: Correct Answer-Form constancy
perception
An individual with underreactive sensory processing has been referred to OT.
Based on a sensory integration frame of reference, activities for this individual
should have which of the following facilitory characteristics? Correct Answer-
Arhythmic and unexpected
The COTA is working with the parents of a 4-year old boy who demonstrates
strong tonic bite reflex when eating. What type of utensils will the COTA MOST
likely recommend to the child's parents? Correct Answer-Rubber-coated
spoons
A child with poor sitting balance is unable to put on and remove LE clothing.
Which of the following approaches would the COTA recommend to BEST address
this functional issue? Correct Answer-Teach the child to dress in sidelying
position
Setting up an obstacle course that provides several options for allowing a child
to choose the direction he will take (unstructured) would be MOST appropriate
if the COTA wished to encourage: Correct Answer-Exploratory play
A COTA and an OTR are working on discharge plans for a child with paraplegic
spina bifida who has just started using a powered w/c. The community resource
that would be recommended as MOST critical for this child is: Correct
Answer-A local w/c equipment vendor
, COTA EXAM #4 Part 1 100% SOLVED
A COTA is demonstrating bathing techniques for a child with hypertonic muscle
tone. Which of the following suggestions would be MOST appropriate for the
COTA to recommend to the child's parents? Correct Answer-Handle the child
slowly and gently
During the evaluation of a 6-month old baby the COTA gently pulls the infant
from a supine position into a sitting position by the hands. The child
demonstrates the ability to hold her up and trunk in alignment against gravity.
This observable movement can MOST accurately be described by the COTA as
a(n): Correct Answer-Flexion righting reaction
A child with athetoid CP demonstrates a jaw and tongue thrust when a fod filled
spoon is placed in his mouth. To decrease this problem, the COTA is MOST likely
to recommend a positioning strategy that includes increased: Correct
Answer-Neck flexion
A COTA observes a 5-year old child with down syndrome who has low muscle
tone sitting on the floor exclusively using a "W" sitting position. This observation
MOST likely indicates that the child is: Correct Answer-Demonstrating typical
development for a child with Down syndrome
A child is on a pureed diet because of an inability to chew food. The most
effective method for the COTA to facilitate the child's ability to chew would be
to: Correct Answer-Increase the management of texture by slowing
increasing texture of food with a baby food grinder
An OT is administering a standardized test to a young client who suddenly
becomes uncooperative and complains that the test is "too hard." The MOST
appropriate response would be to: Correct Answer-Follow administration
instructions and note changes in behavior
, COTA EXAM #4 Part 1 100% SOLVED
A child with poor anticipatory postural control demonstrates inadequate
playground skills, losing her balance when trying to anticipate movement.
Which of the following activities will BEST promote the development of these
skills? Correct Answer-Ballet
A 3-year old child with a diagnosis of mental retardation is dependent in all
areas of dressing. If the COTA uses a developmental approach with this child,
which skill should FIRST be addressed? Correct Answer-Removing pants
The COTA has fitted a 6-year old child for an adapted seat for use in the home
for mealtime and other tabletop activities. Which of the following instructions is
MOST appropriate to convey to the parents? Correct Answer-Bring the seat
in for reevaluation within 6 months
The BEST activity to encourage the bilateral use of a child's hands is: Correct
Answer-Playing clapping games
A COTA is working with a child who has mild spastic cerebral palsy. The
evaluation has shown that the child has poor in-hand manipulation skills.
Practicing what type of activity would be BEST to improve this inability?
Correct Answer-Removing a nut from a bolt
A preschooler is having difficulty performing tasks requiring eye-hand
coordination as a result of poor visual tracking skills. The FIRST activity the COTA
uses to promote visual tracking skill is: Correct Answer-catching and bursting
soap bubbles
A child is lacing a series of geometric beads from a stimulus card and is unable to
identify a moon-shaped bead when it is turned sideways on the table. This
MOST likely indicates difficulty with: Correct Answer-Form constancy
perception
An individual with underreactive sensory processing has been referred to OT.
Based on a sensory integration frame of reference, activities for this individual
should have which of the following facilitory characteristics? Correct Answer-
Arhythmic and unexpected
The COTA is working with the parents of a 4-year old boy who demonstrates
strong tonic bite reflex when eating. What type of utensils will the COTA MOST
likely recommend to the child's parents? Correct Answer-Rubber-coated
spoons
A child with poor sitting balance is unable to put on and remove LE clothing.
Which of the following approaches would the COTA recommend to BEST address
this functional issue? Correct Answer-Teach the child to dress in sidelying
position
Setting up an obstacle course that provides several options for allowing a child
to choose the direction he will take (unstructured) would be MOST appropriate
if the COTA wished to encourage: Correct Answer-Exploratory play
A COTA and an OTR are working on discharge plans for a child with paraplegic
spina bifida who has just started using a powered w/c. The community resource
that would be recommended as MOST critical for this child is: Correct
Answer-A local w/c equipment vendor
, COTA EXAM #4 Part 1 100% SOLVED
A COTA is demonstrating bathing techniques for a child with hypertonic muscle
tone. Which of the following suggestions would be MOST appropriate for the
COTA to recommend to the child's parents? Correct Answer-Handle the child
slowly and gently
During the evaluation of a 6-month old baby the COTA gently pulls the infant
from a supine position into a sitting position by the hands. The child
demonstrates the ability to hold her up and trunk in alignment against gravity.
This observable movement can MOST accurately be described by the COTA as
a(n): Correct Answer-Flexion righting reaction
A child with athetoid CP demonstrates a jaw and tongue thrust when a fod filled
spoon is placed in his mouth. To decrease this problem, the COTA is MOST likely
to recommend a positioning strategy that includes increased: Correct
Answer-Neck flexion
A COTA observes a 5-year old child with down syndrome who has low muscle
tone sitting on the floor exclusively using a "W" sitting position. This observation
MOST likely indicates that the child is: Correct Answer-Demonstrating typical
development for a child with Down syndrome
A child is on a pureed diet because of an inability to chew food. The most
effective method for the COTA to facilitate the child's ability to chew would be
to: Correct Answer-Increase the management of texture by slowing
increasing texture of food with a baby food grinder
An OT is administering a standardized test to a young client who suddenly
becomes uncooperative and complains that the test is "too hard." The MOST
appropriate response would be to: Correct Answer-Follow administration
instructions and note changes in behavior
, COTA EXAM #4 Part 1 100% SOLVED
A child with poor anticipatory postural control demonstrates inadequate
playground skills, losing her balance when trying to anticipate movement.
Which of the following activities will BEST promote the development of these
skills? Correct Answer-Ballet
A 3-year old child with a diagnosis of mental retardation is dependent in all
areas of dressing. If the COTA uses a developmental approach with this child,
which skill should FIRST be addressed? Correct Answer-Removing pants
The COTA has fitted a 6-year old child for an adapted seat for use in the home
for mealtime and other tabletop activities. Which of the following instructions is
MOST appropriate to convey to the parents? Correct Answer-Bring the seat
in for reevaluation within 6 months
The BEST activity to encourage the bilateral use of a child's hands is: Correct
Answer-Playing clapping games
A COTA is working with a child who has mild spastic cerebral palsy. The
evaluation has shown that the child has poor in-hand manipulation skills.
Practicing what type of activity would be BEST to improve this inability?
Correct Answer-Removing a nut from a bolt
A preschooler is having difficulty performing tasks requiring eye-hand
coordination as a result of poor visual tracking skills. The FIRST activity the COTA
uses to promote visual tracking skill is: Correct Answer-catching and bursting
soap bubbles
