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COTA EXam Prep: purple book
Questions and Correct Answers
(100% Pass)
In assessing the dressing skills of a 5 y/o child, the COTA observes that the
child is able to put on a jacket, zip the zipper, and tie a knot in the draw
string, but needs verbal cueing to tie the bow. The COTA would MOST likely
determine that the child's dressing skills are:
a. Age appropriate
b. Delayed
c. Advanced
d. Limited
✓ a. Age appropriate
✓ The child being observed is preforming dressing activity which is age
appropriate for a 5 y/o child. A typical child at this age can dress
unsupervised and is able to tie and untie knots, but generally does not
know how to tie a bow independently.
In administering an assessment of finger-tip pinch strength, the OT practitioner
would instruct the individual being tested to place his or her fingers in which
position?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
a. Thumb against the tip of the index finger
b. Thumb against the side of the index finger
c. Thumb against the tips of the index and middle fingers
d. Thumb against the tips of all the fingers at once
✓ a. Thumb against the tip of the index finger
✓ The correct position for tip pinch is the thumb against the tip of the
index finger. The thumb against the side of the index finger describes
the position for lateral inch. The thumb against the tip of the index and
middle fingers describes the test position for three jaw chuck, or palmar
pinch. The thumb against the tips of all the fingers is not a standard test
position.
The OT treatment approach that will MOST likely meet the overall needs
experienced by individuals with substance abuse problems is to:
a. Assist with skill development in the areas of leisure, self-expression and
ADLs
b. Educate the family members about making safety modifications to the
kitchen area
c. Encourage AA involvement, address personal appearance, and issues of
loss
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
d. Make aftercare arrangements for vocational counseling and AA; provide
time management education for self-care activities
✓ a. . Assist with skill development in the areas of leisure, self-expression
and ADLs
✓ In general, the areas of focus with OT intervention for individuals
identified with substance abuse problems are alternative leisure time
use, improved expression of feeling, and the acquiring of social and
occupational roles. The approach described in answer B addresses the
cognitive disability frame of reference approach, Answers C and D my
address specific needs of the patient, but the overall needs of this
population.
A COTA observes that a 10-month old child is able to sit alone by propping
himself forward on his arms, but consistently loses his balance when reaching
for a toy. His behavior most likely indicates:
a. a developmental delay.
b. unintegrated primitive reflexes.
c. normal development.
d. advanced development.
Master01 | October, 2024/2025 | Latest update
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✓ a. a developmental delay.
✓ Typically developing children (answer c) should be able to sit
unsupported for several minutes by the age of 8 to 9 months; therefore,
this child demonstrates delayed development (answer A) The ability to
sit while propped forward on his arms indicates primitive reflexes have
been integrated (answer b). Sitting unsupported earlier than 8 months
could indicated advanced development (answer D).
An individual demonstrates the ability to pick up a penny from a flat surface.
this represents which of the following prehension patterns?
a. lateral
b. palmar
c. tip
d. three-jaw chuck
Master01 | October, 2024/2025 | Latest update
COTA EXam Prep: purple book
Questions and Correct Answers
(100% Pass)
In assessing the dressing skills of a 5 y/o child, the COTA observes that the
child is able to put on a jacket, zip the zipper, and tie a knot in the draw
string, but needs verbal cueing to tie the bow. The COTA would MOST likely
determine that the child's dressing skills are:
a. Age appropriate
b. Delayed
c. Advanced
d. Limited
✓ a. Age appropriate
✓ The child being observed is preforming dressing activity which is age
appropriate for a 5 y/o child. A typical child at this age can dress
unsupervised and is able to tie and untie knots, but generally does not
know how to tie a bow independently.
In administering an assessment of finger-tip pinch strength, the OT practitioner
would instruct the individual being tested to place his or her fingers in which
position?
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
a. Thumb against the tip of the index finger
b. Thumb against the side of the index finger
c. Thumb against the tips of the index and middle fingers
d. Thumb against the tips of all the fingers at once
✓ a. Thumb against the tip of the index finger
✓ The correct position for tip pinch is the thumb against the tip of the
index finger. The thumb against the side of the index finger describes
the position for lateral inch. The thumb against the tip of the index and
middle fingers describes the test position for three jaw chuck, or palmar
pinch. The thumb against the tips of all the fingers is not a standard test
position.
The OT treatment approach that will MOST likely meet the overall needs
experienced by individuals with substance abuse problems is to:
a. Assist with skill development in the areas of leisure, self-expression and
ADLs
b. Educate the family members about making safety modifications to the
kitchen area
c. Encourage AA involvement, address personal appearance, and issues of
loss
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
d. Make aftercare arrangements for vocational counseling and AA; provide
time management education for self-care activities
✓ a. . Assist with skill development in the areas of leisure, self-expression
and ADLs
✓ In general, the areas of focus with OT intervention for individuals
identified with substance abuse problems are alternative leisure time
use, improved expression of feeling, and the acquiring of social and
occupational roles. The approach described in answer B addresses the
cognitive disability frame of reference approach, Answers C and D my
address specific needs of the patient, but the overall needs of this
population.
A COTA observes that a 10-month old child is able to sit alone by propping
himself forward on his arms, but consistently loses his balance when reaching
for a toy. His behavior most likely indicates:
a. a developmental delay.
b. unintegrated primitive reflexes.
c. normal development.
d. advanced development.
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ a. a developmental delay.
✓ Typically developing children (answer c) should be able to sit
unsupported for several minutes by the age of 8 to 9 months; therefore,
this child demonstrates delayed development (answer A) The ability to
sit while propped forward on his arms indicates primitive reflexes have
been integrated (answer b). Sitting unsupported earlier than 8 months
could indicated advanced development (answer D).
An individual demonstrates the ability to pick up a penny from a flat surface.
this represents which of the following prehension patterns?
a. lateral
b. palmar
c. tip
d. three-jaw chuck
Master01 | October, 2024/2025 | Latest update
