AOTA Exam Practice Questions with
verified solutions
The Children's Health Insurance Program provides coverage for which group of
people? - correct answer ✔✔Children whose parents are disabled and are unable
to work and therefore afford health insurance
An OTR® is working with a client who works on an assembly line. The client
presents with symptoms of cubital tunnel syndrome. In educating the client, what
position does the OTR® advise the client to avoid? - correct answer ✔✔Sustained
elbow flexion
Which intervention strategy would be MOST appropriate for a child with thoracic
kyphosis? - correct answer ✔✔Teaching a child how to perform toilet hygiene
while wearing a Milwaukee brace
A client fractured their distal radius 6 weeks ago, at what point can you begin
AROM assuming the fracture is healing secondarily? - correct answer ✔✔3-6
weeks
Over whom does the AOTA Ethics Commission have jurisdiction? - correct answer
✔✔OTAs and OTs with AOTA membership at the time of an alleged incident
An OTR® is working with a client who has difficulties with visual skills as a result of
damage to the central nervous system (CNS). Which visual skill is related to CNS
damage? - correct answer ✔✔Stereopsis
,A client with spinal cord injury has been on bedrest for several days. The OTR®; is
preparing to begin mobility activities with the client. Which device is BEST to use
for mobilizing the client? - correct answer ✔✔Tilt-in-space wheelchair
An OTR® is working with a client presenting with a claw hand deformity who has
both decreased grip and lateral pinch strength. Before reading the medical notes,
what type of injury would the OTR® suspect? - correct answer ✔✔Ulnar nerve
injury
An OTR®; is worried that occupational therapy services will not be approved by a
third-party payer for a particular client. Given previous experiences with the third-
party payer and knowledge of what services the payer typically allows, the OTR
omits some information from the documentation so that the client's services
appear more reimburseable. What ethical principle has the OTR violated by
adjusting the documentation in this way? - correct answer ✔✔Veracity
What is the MOST effective method that an OTR® can use to prevent osteoporosis
in community-dwelling adults? - correct answer ✔✔Work with community leaders
to develop a walking program for women older than age 50 that incorporates
education on osteoporosis.
A client with a diagnosis of dementia has memory loss. The OTR® observes that
the client has visual hallucinations. In addition, the client has decreased
spontaneous motor movements and rigidity. What type of dementia does this
client MOST LIKELY have? - correct answer ✔✔Dementia with Lewy bodies
A young adult patient who has a C5-C6 spinal cord injury is preparing for discharge
from the inpatient rehabilitation facility. The patient plans to live at home and
receive assistance from the spouse and hired caregivers. Which referral should be
,initiated prior to discharge from the facility? - correct answer ✔✔Outpatient
rehabilitation
An inpatient with a C7-C8 spinal cord injury suddenly complains of having a
pounding headache, and the OTR® notices the patient is perspiring and appears
flushed. Which life-threatening condition is the patient likely experiencing? -
correct answer ✔✔Autonomic dysreflexia
An OTR® is consulting with the physical education teacher regarding a child with
asthma. Which statement BEST explains how the OTR® can support the child in
maximizing participation in physical education? - correct answer ✔✔Educate the
child on breathing exercises, stretching, and controlled breathing.
A client with multiple sclerosis (MS) states that fatigue is negatively affecting work
performance. What is the BEST action for the OTR® to take next? - correct answer
✔✔Instruct the client to fill out a diary card that identifies common work tasks,
rate each task for how much energy it requires, and then determine appropriate
interventions.
A client can actively flex the left shoulder to only 75° antigravity but can achieve
180° degrees in a gravity-eliminated plane. On the basis of this information, what
would the OTR® consider doing NEXT? - correct answer ✔✔The OTR should assign
a muscle grade for shoulder flexion on the basis of this information and move on
to test other joints.
An OTR® in home health care is seeing a client who has Stage III Alzheimer's
disease. The client lives with an adult daughter and likes to wander around the
house and has fallen twice in the middle of the night. The house is a single-level
home with both front and back entrances. It has five steps at the back door
leading to the garage, with railings on both sides, and has no step at the front
, entrance. The client's daughter is determined to have the client remain at home
with her as long as possible. To prevent the client from getting out of bed
unnoticed at night, what would the OTR® MOST likely recommend? - correct
answer ✔✔A bed alarm system
An OTR® is working with a client with hemiplegia on laundry tasks. Folding the
laundry proves too difficult because of the weaker extremity, and the client
becomes increasingly frustrated. How should the OTR® BEST modify the activity? -
correct answer ✔✔Instruct the client to sort the laundry by darks, colors, and
whites using both hands.
What MUST be addressed as part of the intervention plan for children who meet
eligibility for services under the mandates of the Individualized Family Service Plan
(IFSP) component of the Individuals With Disabilities Education Act (IDEA, Part C)?
- correct answer ✔✔Needs of both the child and the family
An entry-level OTR® working in an outpatient rehabilitation clinic is evaluating a
client who was recently hospitalized for dehydration and subsequently diagnosed
with mild cognitive impairment. The client lives alone in an independent living
facility. Before admission, the client was independent in ADLs and light
homemaking and active in community and social activities, including driving
independently. The client reports no crash record and no violations or citations
but avoids night driving, highway driving, and driving in rush-hour traffic or heavy
rain. During the multidisciplinary team meeting, the referring physician asks the
OTR® to justify why OTR®s are suited to assess this client's fitness to drive. How
would the OTR® BEST respond? - correct answer ✔✔OTR®s need to extrapolate
beyond the walls of the clinic to consider how clients will function in the
community; making such an extrapolation, assessing driving fitness is no different
from considering whether a client is fit to live alone.
verified solutions
The Children's Health Insurance Program provides coverage for which group of
people? - correct answer ✔✔Children whose parents are disabled and are unable
to work and therefore afford health insurance
An OTR® is working with a client who works on an assembly line. The client
presents with symptoms of cubital tunnel syndrome. In educating the client, what
position does the OTR® advise the client to avoid? - correct answer ✔✔Sustained
elbow flexion
Which intervention strategy would be MOST appropriate for a child with thoracic
kyphosis? - correct answer ✔✔Teaching a child how to perform toilet hygiene
while wearing a Milwaukee brace
A client fractured their distal radius 6 weeks ago, at what point can you begin
AROM assuming the fracture is healing secondarily? - correct answer ✔✔3-6
weeks
Over whom does the AOTA Ethics Commission have jurisdiction? - correct answer
✔✔OTAs and OTs with AOTA membership at the time of an alleged incident
An OTR® is working with a client who has difficulties with visual skills as a result of
damage to the central nervous system (CNS). Which visual skill is related to CNS
damage? - correct answer ✔✔Stereopsis
,A client with spinal cord injury has been on bedrest for several days. The OTR®; is
preparing to begin mobility activities with the client. Which device is BEST to use
for mobilizing the client? - correct answer ✔✔Tilt-in-space wheelchair
An OTR® is working with a client presenting with a claw hand deformity who has
both decreased grip and lateral pinch strength. Before reading the medical notes,
what type of injury would the OTR® suspect? - correct answer ✔✔Ulnar nerve
injury
An OTR®; is worried that occupational therapy services will not be approved by a
third-party payer for a particular client. Given previous experiences with the third-
party payer and knowledge of what services the payer typically allows, the OTR
omits some information from the documentation so that the client's services
appear more reimburseable. What ethical principle has the OTR violated by
adjusting the documentation in this way? - correct answer ✔✔Veracity
What is the MOST effective method that an OTR® can use to prevent osteoporosis
in community-dwelling adults? - correct answer ✔✔Work with community leaders
to develop a walking program for women older than age 50 that incorporates
education on osteoporosis.
A client with a diagnosis of dementia has memory loss. The OTR® observes that
the client has visual hallucinations. In addition, the client has decreased
spontaneous motor movements and rigidity. What type of dementia does this
client MOST LIKELY have? - correct answer ✔✔Dementia with Lewy bodies
A young adult patient who has a C5-C6 spinal cord injury is preparing for discharge
from the inpatient rehabilitation facility. The patient plans to live at home and
receive assistance from the spouse and hired caregivers. Which referral should be
,initiated prior to discharge from the facility? - correct answer ✔✔Outpatient
rehabilitation
An inpatient with a C7-C8 spinal cord injury suddenly complains of having a
pounding headache, and the OTR® notices the patient is perspiring and appears
flushed. Which life-threatening condition is the patient likely experiencing? -
correct answer ✔✔Autonomic dysreflexia
An OTR® is consulting with the physical education teacher regarding a child with
asthma. Which statement BEST explains how the OTR® can support the child in
maximizing participation in physical education? - correct answer ✔✔Educate the
child on breathing exercises, stretching, and controlled breathing.
A client with multiple sclerosis (MS) states that fatigue is negatively affecting work
performance. What is the BEST action for the OTR® to take next? - correct answer
✔✔Instruct the client to fill out a diary card that identifies common work tasks,
rate each task for how much energy it requires, and then determine appropriate
interventions.
A client can actively flex the left shoulder to only 75° antigravity but can achieve
180° degrees in a gravity-eliminated plane. On the basis of this information, what
would the OTR® consider doing NEXT? - correct answer ✔✔The OTR should assign
a muscle grade for shoulder flexion on the basis of this information and move on
to test other joints.
An OTR® in home health care is seeing a client who has Stage III Alzheimer's
disease. The client lives with an adult daughter and likes to wander around the
house and has fallen twice in the middle of the night. The house is a single-level
home with both front and back entrances. It has five steps at the back door
leading to the garage, with railings on both sides, and has no step at the front
, entrance. The client's daughter is determined to have the client remain at home
with her as long as possible. To prevent the client from getting out of bed
unnoticed at night, what would the OTR® MOST likely recommend? - correct
answer ✔✔A bed alarm system
An OTR® is working with a client with hemiplegia on laundry tasks. Folding the
laundry proves too difficult because of the weaker extremity, and the client
becomes increasingly frustrated. How should the OTR® BEST modify the activity? -
correct answer ✔✔Instruct the client to sort the laundry by darks, colors, and
whites using both hands.
What MUST be addressed as part of the intervention plan for children who meet
eligibility for services under the mandates of the Individualized Family Service Plan
(IFSP) component of the Individuals With Disabilities Education Act (IDEA, Part C)?
- correct answer ✔✔Needs of both the child and the family
An entry-level OTR® working in an outpatient rehabilitation clinic is evaluating a
client who was recently hospitalized for dehydration and subsequently diagnosed
with mild cognitive impairment. The client lives alone in an independent living
facility. Before admission, the client was independent in ADLs and light
homemaking and active in community and social activities, including driving
independently. The client reports no crash record and no violations or citations
but avoids night driving, highway driving, and driving in rush-hour traffic or heavy
rain. During the multidisciplinary team meeting, the referring physician asks the
OTR® to justify why OTR®s are suited to assess this client's fitness to drive. How
would the OTR® BEST respond? - correct answer ✔✔OTR®s need to extrapolate
beyond the walls of the clinic to consider how clients will function in the
community; making such an extrapolation, assessing driving fitness is no different
from considering whether a client is fit to live alone.
