AOTA NBCOT EXAM PREP 2 QUESTIONS WITH
ANSWERS.
Level 1 of autism spectrum disorder without intellectual impairment (Asperger syndrome)
- Correct Answer Autism spectrum disorder is characterized primarily by social interaction
problems and habitual behaviors.
Most people who fall on the upper end of the autism spectrum (formerly known as
Asperger syndrome) have typical or average-range memory, speech, and intellect.
Which example is the BEST application of the Cognitive Orientation to daily Occupational
Performance (CO-OP) during the goal-setting phase of the first group activity? - Correct
Answer The OTR allows the group to set its own goals and facilitates ways to redirect the
goals as needed.
A 9-year-old client with juvenile rheumatoid arthritis has a goal to decrease stiffness and
promote joint alignment. What orthosis would be MOST appropriate to help this client? -
Correct Answer A resting pan splint promotes joint alignment and reduces stiffness.
A neoprene thumb loop split - Correct Answer helps reduce spasticity and enable an
optimal position to pick up and hold toys.
wrist cock-up splint - Correct Answer Promotes wrist extension
ulnar deviation splint - Correct Answer prevents drift of the metacarpophalangeal joints
toward the small finger.
A client with multiple sclerosis (MS) states that fatigue is negatively affecting work
performance. What is the BEST action for the COTA® to take next? - Correct Answer
Further evaluation is needed to determine appropriate interventions; this approach goes
beyond typical energy conservation education and involves the COTA® and OTR®
working with the client to identify the specific work tasks that cause fatigue.Work tasks
must be identified before determining work demands.
Developmental coordination disorder - Correct Answer Children with DCD have difficulty
with fine and gross motor skills and often require accommodations and modification for
written language.
,An OTR® and COTA® are measuring a client for a new wheelchair. The client's hip width
is 18 inches. The client does not use any lateral trunk supports but lives in a cold climate
and frequently wears bulky clothing. What seat width should the OTR®-COTA® team
recommend? - Correct Answer 20 inches
22 in. is too wide
Which of the following components would be included in a transitional work program? -
Correct Answer Transitional programs include monitoring the client's progress and
reassessing performance to determine when job tasks can be upgraded to full time or full
duty.
Client's performance of work conditioning activities in the clinic followed by performance
of worksite light-duty tasks.
Believing that treatment was not medically necessary, a third-party payer has denied
payment for occupational therapy services. What step should the COTA; take to appeal
the denial of payment? - Correct Answer None; appealing payment decisions is outside
the scope of practice for COTAs.
Although a COTA may assist with documentation, appeals for payment of services must
be written by an OTR®; or a representative of the treatment facility.
Which symptom of autism spectrum disorder (ASD) may have an impact on the use of
public transportation? - Correct Answer Impaired executive functioning may result in a
person with ASD misjudging when to get on or off a bus.
Executive function deficits are a common symptom of ASD and may result in impaired
judgment.
A student in preschool has hypotonia with poor trunk control and good head control. The
student wants to join peers when sitting on the floor during story time. Which position is
BEST for supporting the student when participating in this classroom activity? - Correct
Answer Corner chairs position the child in an upright seated position by providing trunk
support, and the seated position facilitates placement of the upper extremities in a
position for function.
An OTR®-COTA® team is establishing reasonable accommodations for a client
diagnosed with osteoarthritis in the left shoulder. The client is employed as a plumber.
, Essential job functions include reaching, bending, crawling, lifting, pushing and pulling,
using tools, and lifting materials weighing 25-50 lb. Which accommodation is MOST
appropriate for the OTR®-COTA® team to recommend? - Correct Answer Essential job
functions are job duties fundamental to the position the individual holds or desires to hold.
Reasonable accommodations may include altered work schedule and duties, facility
modifications, purchase of adaptive equipment or assistive technology, or modifying or
designing a new product. Allowing the client a flexible work schedule and use of leave
time is the most appropriate choice. Flexibility will provide the client with the opportunity to
vary the work schedule on the basis of symptoms.
A COTA® is writing a professional development plan. The COTA has identified
personal needs for growth after completing a self-assessment. What step should the
COTA take NEXT in developing the professional development plan? - Correct Answer
The steps in developing a professional development plan are to (1) reflect on current
performance to date and determine learning needs on the basis of the self-assessment
results; (2) review progress toward previous professional development goals; (3)
ascertain what resources exist to meet identified professional development goals; (4)
modify previous professional development goals and set new ones; (5) take action to
meet professional development goals; and (6) document completed professional
development activities. Thus, after identifying personal needs for growth by means of a
self-assessment, the next step a COTA would take would be to determine what learning
needs to occur.
A client who has had a stroke demonstrates disorganized, random scanning patterns
when completing cancellation tasks. Which factor BEST explains the client's
performance? - Correct Answer Disorganized, random scanning patterns are
characteristic of unilateral neglect.
Tropia, or strabismus - Correct Answer is a misalignment of the eyes and does not affect
scanning patterns.
visual field deficit - Correct Answer demonstrate an abbreviated and organized scanning
pattern.
A COTA® is working with a client who has sustained a low ulnar nerve injury to the hand.
The client has been instructed in visual protection of the hand. Over the weekend, the
client experiences burns to the injured hand. What area of the hand would have been
burned? - Correct Answer Sensory distribution of the low ulnar nerve involves the
hypothenar eminence and the ulnar side of the hand, primarily the ulnar side of the fourth
and fifth fingers.
ANSWERS.
Level 1 of autism spectrum disorder without intellectual impairment (Asperger syndrome)
- Correct Answer Autism spectrum disorder is characterized primarily by social interaction
problems and habitual behaviors.
Most people who fall on the upper end of the autism spectrum (formerly known as
Asperger syndrome) have typical or average-range memory, speech, and intellect.
Which example is the BEST application of the Cognitive Orientation to daily Occupational
Performance (CO-OP) during the goal-setting phase of the first group activity? - Correct
Answer The OTR allows the group to set its own goals and facilitates ways to redirect the
goals as needed.
A 9-year-old client with juvenile rheumatoid arthritis has a goal to decrease stiffness and
promote joint alignment. What orthosis would be MOST appropriate to help this client? -
Correct Answer A resting pan splint promotes joint alignment and reduces stiffness.
A neoprene thumb loop split - Correct Answer helps reduce spasticity and enable an
optimal position to pick up and hold toys.
wrist cock-up splint - Correct Answer Promotes wrist extension
ulnar deviation splint - Correct Answer prevents drift of the metacarpophalangeal joints
toward the small finger.
A client with multiple sclerosis (MS) states that fatigue is negatively affecting work
performance. What is the BEST action for the COTA® to take next? - Correct Answer
Further evaluation is needed to determine appropriate interventions; this approach goes
beyond typical energy conservation education and involves the COTA® and OTR®
working with the client to identify the specific work tasks that cause fatigue.Work tasks
must be identified before determining work demands.
Developmental coordination disorder - Correct Answer Children with DCD have difficulty
with fine and gross motor skills and often require accommodations and modification for
written language.
,An OTR® and COTA® are measuring a client for a new wheelchair. The client's hip width
is 18 inches. The client does not use any lateral trunk supports but lives in a cold climate
and frequently wears bulky clothing. What seat width should the OTR®-COTA® team
recommend? - Correct Answer 20 inches
22 in. is too wide
Which of the following components would be included in a transitional work program? -
Correct Answer Transitional programs include monitoring the client's progress and
reassessing performance to determine when job tasks can be upgraded to full time or full
duty.
Client's performance of work conditioning activities in the clinic followed by performance
of worksite light-duty tasks.
Believing that treatment was not medically necessary, a third-party payer has denied
payment for occupational therapy services. What step should the COTA; take to appeal
the denial of payment? - Correct Answer None; appealing payment decisions is outside
the scope of practice for COTAs.
Although a COTA may assist with documentation, appeals for payment of services must
be written by an OTR®; or a representative of the treatment facility.
Which symptom of autism spectrum disorder (ASD) may have an impact on the use of
public transportation? - Correct Answer Impaired executive functioning may result in a
person with ASD misjudging when to get on or off a bus.
Executive function deficits are a common symptom of ASD and may result in impaired
judgment.
A student in preschool has hypotonia with poor trunk control and good head control. The
student wants to join peers when sitting on the floor during story time. Which position is
BEST for supporting the student when participating in this classroom activity? - Correct
Answer Corner chairs position the child in an upright seated position by providing trunk
support, and the seated position facilitates placement of the upper extremities in a
position for function.
An OTR®-COTA® team is establishing reasonable accommodations for a client
diagnosed with osteoarthritis in the left shoulder. The client is employed as a plumber.
, Essential job functions include reaching, bending, crawling, lifting, pushing and pulling,
using tools, and lifting materials weighing 25-50 lb. Which accommodation is MOST
appropriate for the OTR®-COTA® team to recommend? - Correct Answer Essential job
functions are job duties fundamental to the position the individual holds or desires to hold.
Reasonable accommodations may include altered work schedule and duties, facility
modifications, purchase of adaptive equipment or assistive technology, or modifying or
designing a new product. Allowing the client a flexible work schedule and use of leave
time is the most appropriate choice. Flexibility will provide the client with the opportunity to
vary the work schedule on the basis of symptoms.
A COTA® is writing a professional development plan. The COTA has identified
personal needs for growth after completing a self-assessment. What step should the
COTA take NEXT in developing the professional development plan? - Correct Answer
The steps in developing a professional development plan are to (1) reflect on current
performance to date and determine learning needs on the basis of the self-assessment
results; (2) review progress toward previous professional development goals; (3)
ascertain what resources exist to meet identified professional development goals; (4)
modify previous professional development goals and set new ones; (5) take action to
meet professional development goals; and (6) document completed professional
development activities. Thus, after identifying personal needs for growth by means of a
self-assessment, the next step a COTA would take would be to determine what learning
needs to occur.
A client who has had a stroke demonstrates disorganized, random scanning patterns
when completing cancellation tasks. Which factor BEST explains the client's
performance? - Correct Answer Disorganized, random scanning patterns are
characteristic of unilateral neglect.
Tropia, or strabismus - Correct Answer is a misalignment of the eyes and does not affect
scanning patterns.
visual field deficit - Correct Answer demonstrate an abbreviated and organized scanning
pattern.
A COTA® is working with a client who has sustained a low ulnar nerve injury to the hand.
The client has been instructed in visual protection of the hand. Over the weekend, the
client experiences burns to the injured hand. What area of the hand would have been
burned? - Correct Answer Sensory distribution of the low ulnar nerve involves the
hypothenar eminence and the ulnar side of the hand, primarily the ulnar side of the fourth
and fifth fingers.
