NBCOT - Practice Exams Questions and
Answers A+ Guide
An OTR® is writing treatment goals for a client receiving
occupational therapy services in a work conditioning program
after a right shoulder sprain. The client is employed as a surgical
technician in an outpatient surgery center. Which option is the
BEST example of a long-term goal?
A. Client will return to full duty as a surgical technician in a full-
time capacity within 4 weeks.
B. Client's employer will implement reasonable accommodations
to promote the client's ability to complete full-time physical
demands as a surgical technician within 4 weeks.
C. Client will return to full duty as a surgical technician with the
ability to carry over proper body mechanics to reduce risk for
reinjury.
D. Client will use proper body mechanics 100% of the time while
completing the job of a surgical technician within 4 weeks. -
correct answers✅✅Client will return to full duty as a surgical
technician in a full-time capacity within 4 weeks. The goal is client
centered, objectively focused on the goal of full-duty and full-time
employment in the role of surgical technician within a specified
timeline.
What is an effective strategy to facilitate maximal independence
in self-feeding with a client who has middle- to late-stage
dementia?
A. Change the client's diet to foods that are palatable and easy to
chew.
B. Change the consistency of foods to allow for easier chewing
and swallowing.
,NBCOT - Practice Exams Questions and
Answers A+ Guide
C. Provide hand-over-hand guidance for food retrieval and utensil-
to-mouth motions.
D. Provide constant verbal cues throughout feeding to improve
attention to the self-feeding task. - correct answers✅✅Provide
hand-over-hand guidance for food retrieval and utensil-to-mouth
motions. Hand-over-hand guidance is an effective strategy to
encourage maximal independence through participation in daily
living tasks, including self-feeding.
During the initial evaluation for a client with Parkinson's disease,
the OTR® asks the client to "pretend you are brushing your
teeth," that is, show the movement of brushing teeth without
using the supplies needed for brushing teeth. The client is unable
to initiate movement of the dominant arm toward the mouth to
demonstrate oral hygiene. Which step should the OTR take NEXT
in the evaluation of this client?
A. Try a wrist weight to stabilize the arm during teeth brushing
B. Ask whether the caregiver can provide arm support to bring the
hand to the mouth
C. Observe as the client brushes teeth with toothbrush and
toothpaste at the bathroom sink
D. Provide a mobile arm support to compensate for arm
movement when brushing teeth - correct answers✅✅Observe
as the client brushes teeth with toothbrush and toothpaste at the
bathroom sink. The client may not have understood the verbal
instructions, and performing the task in the actual context may
allow for more accurate demonstration of the client's abilities.
,NBCOT - Practice Exams Questions and
Answers A+ Guide
An OTR® is adapting the environment to reduce the incidence of
repetitive strain injuries among office workers. To maximize the
effectiveness of the ergonomic program, what would the OTR® be
MOST likely to include?
A. Visual reinforcement with signs posted around the office and
workstations
B. Empowerment of the workers and creation of a positive group-
safety culture
C. A series of lectures and videos showing bad versus good
workstation ergonomics
D. Education of supervisors in how to identify noncompliant
workers - correct answers✅✅Empowerment of the workers
and creation of a positive group-safety culture. Motivation is a big
factor for change to occur. Creating a sense of teamwork allows
for mutual support to accomplish goals together.
An extremely agitated patient is admitted to an inpatient
psychiatric hospital late on a Friday afternoon. Because nursing is
short staffed, the nurse on the unit requests that the patient
attend an occupational therapy group being led by a COTA® that
evening. The COTA® calls the OTR®, who is working at a location
far from the unit, for guidance. The OTR® is unable to return to
the unit in time to evaluate the client before the session. What is
the BEST course of action the OTR® should direct the COTA® to
take?
A. Allow the patient to attend the group
B. Do not allow the patient to attend the group
C. Cancel the group and evaluate the client
, NBCOT - Practice Exams Questions and
Answers A+ Guide
D. Allow the patient to attend the group with the understanding
that the OTR® will complete the evaluation on returning to the
unit - correct answers✅✅Do not allow the patient to attend
the group. The COTA® is not permitted to initiate treatment of a
client; the OTR® must do the initial assessment of the client.
Allowing the patient to attend a group session would be an ethics
violation and liability risk.
A client with a unilateral transradial amputation is undergoing
pre-positioning training for a myoelectric arm. Which of the
following is the MOST appropriate goal?
A. Within three sessions, the client will independently don the
prosthesis and obtain good electrical contacts with the electrode
sites 100% of the time.
B. Within three sessions, the client will be able to open and close
the myoelectric terminal device 100% of the time.
C. Within 1 week, the client will be able to accurately identify how
to arrange the wrist of the myoelectric terminal device to be able
to optimally grasp different objects.
D. Within 1 month, the client will be able to use the myoelectric
terminal device as a functional assist and stabilizer in 100% of
daily activities. - correct answers✅✅Within 1 week, the client
will be able to accurately identify how to arrange the wrist of the
myoelectric terminal device to be able to optimally grasp different
objects. The pre-positioning phase focuses on teaching the client
with an amputation to position the terminal device for optimal
grasp.
Answers A+ Guide
An OTR® is writing treatment goals for a client receiving
occupational therapy services in a work conditioning program
after a right shoulder sprain. The client is employed as a surgical
technician in an outpatient surgery center. Which option is the
BEST example of a long-term goal?
A. Client will return to full duty as a surgical technician in a full-
time capacity within 4 weeks.
B. Client's employer will implement reasonable accommodations
to promote the client's ability to complete full-time physical
demands as a surgical technician within 4 weeks.
C. Client will return to full duty as a surgical technician with the
ability to carry over proper body mechanics to reduce risk for
reinjury.
D. Client will use proper body mechanics 100% of the time while
completing the job of a surgical technician within 4 weeks. -
correct answers✅✅Client will return to full duty as a surgical
technician in a full-time capacity within 4 weeks. The goal is client
centered, objectively focused on the goal of full-duty and full-time
employment in the role of surgical technician within a specified
timeline.
What is an effective strategy to facilitate maximal independence
in self-feeding with a client who has middle- to late-stage
dementia?
A. Change the client's diet to foods that are palatable and easy to
chew.
B. Change the consistency of foods to allow for easier chewing
and swallowing.
,NBCOT - Practice Exams Questions and
Answers A+ Guide
C. Provide hand-over-hand guidance for food retrieval and utensil-
to-mouth motions.
D. Provide constant verbal cues throughout feeding to improve
attention to the self-feeding task. - correct answers✅✅Provide
hand-over-hand guidance for food retrieval and utensil-to-mouth
motions. Hand-over-hand guidance is an effective strategy to
encourage maximal independence through participation in daily
living tasks, including self-feeding.
During the initial evaluation for a client with Parkinson's disease,
the OTR® asks the client to "pretend you are brushing your
teeth," that is, show the movement of brushing teeth without
using the supplies needed for brushing teeth. The client is unable
to initiate movement of the dominant arm toward the mouth to
demonstrate oral hygiene. Which step should the OTR take NEXT
in the evaluation of this client?
A. Try a wrist weight to stabilize the arm during teeth brushing
B. Ask whether the caregiver can provide arm support to bring the
hand to the mouth
C. Observe as the client brushes teeth with toothbrush and
toothpaste at the bathroom sink
D. Provide a mobile arm support to compensate for arm
movement when brushing teeth - correct answers✅✅Observe
as the client brushes teeth with toothbrush and toothpaste at the
bathroom sink. The client may not have understood the verbal
instructions, and performing the task in the actual context may
allow for more accurate demonstration of the client's abilities.
,NBCOT - Practice Exams Questions and
Answers A+ Guide
An OTR® is adapting the environment to reduce the incidence of
repetitive strain injuries among office workers. To maximize the
effectiveness of the ergonomic program, what would the OTR® be
MOST likely to include?
A. Visual reinforcement with signs posted around the office and
workstations
B. Empowerment of the workers and creation of a positive group-
safety culture
C. A series of lectures and videos showing bad versus good
workstation ergonomics
D. Education of supervisors in how to identify noncompliant
workers - correct answers✅✅Empowerment of the workers
and creation of a positive group-safety culture. Motivation is a big
factor for change to occur. Creating a sense of teamwork allows
for mutual support to accomplish goals together.
An extremely agitated patient is admitted to an inpatient
psychiatric hospital late on a Friday afternoon. Because nursing is
short staffed, the nurse on the unit requests that the patient
attend an occupational therapy group being led by a COTA® that
evening. The COTA® calls the OTR®, who is working at a location
far from the unit, for guidance. The OTR® is unable to return to
the unit in time to evaluate the client before the session. What is
the BEST course of action the OTR® should direct the COTA® to
take?
A. Allow the patient to attend the group
B. Do not allow the patient to attend the group
C. Cancel the group and evaluate the client
, NBCOT - Practice Exams Questions and
Answers A+ Guide
D. Allow the patient to attend the group with the understanding
that the OTR® will complete the evaluation on returning to the
unit - correct answers✅✅Do not allow the patient to attend
the group. The COTA® is not permitted to initiate treatment of a
client; the OTR® must do the initial assessment of the client.
Allowing the patient to attend a group session would be an ethics
violation and liability risk.
A client with a unilateral transradial amputation is undergoing
pre-positioning training for a myoelectric arm. Which of the
following is the MOST appropriate goal?
A. Within three sessions, the client will independently don the
prosthesis and obtain good electrical contacts with the electrode
sites 100% of the time.
B. Within three sessions, the client will be able to open and close
the myoelectric terminal device 100% of the time.
C. Within 1 week, the client will be able to accurately identify how
to arrange the wrist of the myoelectric terminal device to be able
to optimally grasp different objects.
D. Within 1 month, the client will be able to use the myoelectric
terminal device as a functional assist and stabilizer in 100% of
daily activities. - correct answers✅✅Within 1 week, the client
will be able to accurately identify how to arrange the wrist of the
myoelectric terminal device to be able to optimally grasp different
objects. The pre-positioning phase focuses on teaching the client
with an amputation to position the terminal device for optimal
grasp.
