NBCOT PRACTICE QUESTIONS; FINAL
STUDY GUIDE REVIEW GRADED A+,
SCORE SOLUTION; NEWLY UPDATED
2025
A client is in the recovery phase of intervention after having had an acute onset of Guillain Barre
Syndrome one month ago. The OTR advises the client that using assistive devices will improve
independence, but the client refuses to use the devices stating: "My wife is happy to help me whenever
I need it." How should the OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence - ANS-C. Use other techniques to maximize
independence
Quiz #10
An individual cannot independently get from a supine position to a sitting position to a sitting position.
The person has good scapular, shoulder, and elbow muscle strength. What is the MOST APPROPRIATE
recommendation for the OTR to make to improve bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder - ANS-C. Rope ladder
Quiz #10
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The individual
drives daily to therapy despite several suggestions from the OTR to discontinue this activity. The
therapists has determined that the client is an unsafe driver. What is the BEST approach for the OTR to
take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
C. Suggest that the individual attend a driver training program - ANS-B. Report the information to the
physician
Quiz #10
A four-year-old preschooler is referred to OT. Upon evaluation, the occupational therapists determines
that the child demonstrates age-appropriate cognitive and fine motor skills. What would the OTR
observe in the child to help make this determination?
, A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction - ANS-A. Assemble a four-piece puzzle of a human body
Quiz #10
The OTR works on increasing extensor tone in an individual's upper extremity. What is the MOST
APPROPRIATE intervention according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps - ANS-C. High frequency vibration on the triceps
Quiz #10
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even though her lower
extremities are correctly positioned. Which of the following adaptations should the OTR recommend to
BEST enable the child to maintain an upright position while riding?
A. Raising the seat height
B. Raising the handlebars
C. Lowering the seat height
D. Lowering the handlebars - ANS-B. Raising the handlebars
Quiz #10
A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range of motion
(ROM) in the upper extremity of an individual recovering from a traumatic brain injury. Upon performing
a D1 pattern, the OTR feels a restriction during the ROM. What is the MOST APPROPRIATE relaxation
technique for the OTR to use according to the PNF approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
D. Rhythmic rotation - ANS-D. Rhythmic rotation
Quiz #10
After a motor vehicle accident, a 23 year-old college student was in a coma for 3 weeks. She regained
consciousness and was severely confused. She frequently became agitated for no apparent reason. Her
level of agitation has recently decreased but she is still distractible. Currently, she remains forgetful and
confused, repeating the same questions throughout the day. Her family and friends visit consistently
and have asked the OTR for an activity recommendation that they can do with the client during visiting
hours. What is the MOST APPROPRIATE activity for the OTR to recommend the visitors complete with
the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and activities
C. Play a matching card game that includes pictures of her past interests. - ANS-B. Review the client's
memory picture book of familiar people and activities
STUDY GUIDE REVIEW GRADED A+,
SCORE SOLUTION; NEWLY UPDATED
2025
A client is in the recovery phase of intervention after having had an acute onset of Guillain Barre
Syndrome one month ago. The OTR advises the client that using assistive devices will improve
independence, but the client refuses to use the devices stating: "My wife is happy to help me whenever
I need it." How should the OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence - ANS-C. Use other techniques to maximize
independence
Quiz #10
An individual cannot independently get from a supine position to a sitting position to a sitting position.
The person has good scapular, shoulder, and elbow muscle strength. What is the MOST APPROPRIATE
recommendation for the OTR to make to improve bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder - ANS-C. Rope ladder
Quiz #10
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The individual
drives daily to therapy despite several suggestions from the OTR to discontinue this activity. The
therapists has determined that the client is an unsafe driver. What is the BEST approach for the OTR to
take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
C. Suggest that the individual attend a driver training program - ANS-B. Report the information to the
physician
Quiz #10
A four-year-old preschooler is referred to OT. Upon evaluation, the occupational therapists determines
that the child demonstrates age-appropriate cognitive and fine motor skills. What would the OTR
observe in the child to help make this determination?
, A. Assemble a four-piece puzzle of a human body
B. Build a tower of nine cubes
C. Copy a five-cube gate block construction - ANS-A. Assemble a four-piece puzzle of a human body
Quiz #10
The OTR works on increasing extensor tone in an individual's upper extremity. What is the MOST
APPROPRIATE intervention according to the Rood approach?
A. Tendinous pressure over the insertion of the triceps
B. Maintained stretch to the triceps
C. High frequency vibration on the triceps
D. Low frequency vibration on the triceps - ANS-C. High frequency vibration on the triceps
Quiz #10
A child with cerebral palsy tends to flex forward while riding adapted tricycle, even though her lower
extremities are correctly positioned. Which of the following adaptations should the OTR recommend to
BEST enable the child to maintain an upright position while riding?
A. Raising the seat height
B. Raising the handlebars
C. Lowering the seat height
D. Lowering the handlebars - ANS-B. Raising the handlebars
Quiz #10
A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range of motion
(ROM) in the upper extremity of an individual recovering from a traumatic brain injury. Upon performing
a D1 pattern, the OTR feels a restriction during the ROM. What is the MOST APPROPRIATE relaxation
technique for the OTR to use according to the PNF approach?
A. Rhythmic initiation
B. Quick stretching
C. Slow stroking
D. Rhythmic rotation - ANS-D. Rhythmic rotation
Quiz #10
After a motor vehicle accident, a 23 year-old college student was in a coma for 3 weeks. She regained
consciousness and was severely confused. She frequently became agitated for no apparent reason. Her
level of agitation has recently decreased but she is still distractible. Currently, she remains forgetful and
confused, repeating the same questions throughout the day. Her family and friends visit consistently
and have asked the OTR for an activity recommendation that they can do with the client during visiting
hours. What is the MOST APPROPRIATE activity for the OTR to recommend the visitors complete with
the individual?
A. Play a simple board game that is familiar from her childhood
B. Review the client's memory picture book of familiar people and activities
C. Play a matching card game that includes pictures of her past interests. - ANS-B. Review the client's
memory picture book of familiar people and activities
