1|Page | © copyright 2024/2025 | Grade A+
COTA Purple Book Simulation Exam
1: 1-50 Questions and Correct
Answers (100% Pass)
A)age appropriate.
✓ 1. In assessing the dressing skills of a 5-year-old 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 a bow. The
COTA would MOST likely determine that the child's dressing skills are:
A)age appropriate. B)delayed. C)advanced. D)limited.
A)Thumb against the tip of the index finger
✓ 2. In administering an assessment of fingertip pinch strength, the OT
practitioner would instruct the individual being tested to place their
fingers in which position? 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)assist with skill development in the areas of leisure, self-expression, and
ADLs.
Master01 | October, 2024/2025 | Latest update
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✓ 3. 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 Alcoholics Anonymous
(AA) involvement, address personal appearance, and issues of loss.
D)make aftercare arrangements for vocational counseling and AA;
provide time management education for self-care activities.
A)a developmental delay
✓ 4. 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. This behavior MOST likely indicates: A)a
developmental delay. B)unintegrated primitive reflexes. C)normal
development. D)advanced development.
C)Tip
✓ 5.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
C) ask the questions as they are stated on the interview sheet.
Master01 | October, 2024/2025 | Latest update
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✓ 6.When conducting a structured interview, it is MOST important for the
OT practitioner to: A)rephrase the interview questions in his or her own
words. B)ask questions that he or she thinks are pertinent to this patient.
C)ask the questions as they are stated on the interview sheet. D)ask
additional questions (other than those listed) to gain further insight into
the patient.
C)At age level
✓ 7. A 3-year-old child demonstrates the ability to use the toilet
independently except for wiping and readjusting clothing afterward.
This behavior indicates the child is performing at which of the following
levels? A)Significantly below age level B)Slightly below age level C)At
age level D)Above age level
D)endurance.
✓ 8.The COTA is observing dressing skills in an individual with COPD. While
putting on his shirt, the individual becomes short of breath and stops to
rest before finishing with the shirt and going on to his trousers. This
behavior MOST likely indicates a deficit in: A)postural control. B)muscle
tone. C)strength. D)endurance.
D)distractibility.
Master01 | October, 2024/2025 | Latest update
COTA Purple Book Simulation Exam
1: 1-50 Questions and Correct
Answers (100% Pass)
A)age appropriate.
✓ 1. In assessing the dressing skills of a 5-year-old 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 a bow. The
COTA would MOST likely determine that the child's dressing skills are:
A)age appropriate. B)delayed. C)advanced. D)limited.
A)Thumb against the tip of the index finger
✓ 2. In administering an assessment of fingertip pinch strength, the OT
practitioner would instruct the individual being tested to place their
fingers in which position? 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)assist with skill development in the areas of leisure, self-expression, and
ADLs.
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ 3. 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 Alcoholics Anonymous
(AA) involvement, address personal appearance, and issues of loss.
D)make aftercare arrangements for vocational counseling and AA;
provide time management education for self-care activities.
A)a developmental delay
✓ 4. 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. This behavior MOST likely indicates: A)a
developmental delay. B)unintegrated primitive reflexes. C)normal
development. D)advanced development.
C)Tip
✓ 5.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
C) ask the questions as they are stated on the interview sheet.
Master01 | October, 2024/2025 | Latest update
, 1|Page | © copyright 2024/2025 | Grade A+
✓ 6.When conducting a structured interview, it is MOST important for the
OT practitioner to: A)rephrase the interview questions in his or her own
words. B)ask questions that he or she thinks are pertinent to this patient.
C)ask the questions as they are stated on the interview sheet. D)ask
additional questions (other than those listed) to gain further insight into
the patient.
C)At age level
✓ 7. A 3-year-old child demonstrates the ability to use the toilet
independently except for wiping and readjusting clothing afterward.
This behavior indicates the child is performing at which of the following
levels? A)Significantly below age level B)Slightly below age level C)At
age level D)Above age level
D)endurance.
✓ 8.The COTA is observing dressing skills in an individual with COPD. While
putting on his shirt, the individual becomes short of breath and stops to
rest before finishing with the shirt and going on to his trousers. This
behavior MOST likely indicates a deficit in: A)postural control. B)muscle
tone. C)strength. D)endurance.
D)distractibility.
Master01 | October, 2024/2025 | Latest update
