NBCOT PROCTORED EXAM WITH 200+ QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE 2025/2026 GRADED A+
OTR Study Guide Domain 1: Practice Test
An OTR who works in an elementary school is preparing to evaluate a
student in fifth grade who has a learning disability and ADHD. Which
standardized assessments would be MOST EFFECTIVE for the OTR to
include as part of the evaluation process? CORRECT
ANSWERBruininks-Oseretsky Test of Motor Proficiency (BOT) and
Evaluation Tool of Children's Handwriting (ETCH)
These assessment tools are used to measure skills and abilities that are
associated with school-related occupational performance.
A 2-year-old toddler, who has a developmental delay, recently learned to
release a 2-inch (5.08 cm) ball into a large toy box. What fine motor skill
should the OTR work on NEXT? CORRECT ANSWERComplete a 3-
to 4-piece puzzle.
In the development of play occupations, a child who is able to release an
object into a toy box would NEXT be expected to be able to put together
a 3- to 4-piece puzzle.
O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's Occupational
therapy for children and adolescents (8th ed., p. 118). St. Louis, MO:
Elsevier.
,An OTR is evaluating an inpatient who recently had a severe TBI and is
emerging from coma. The patient is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale. Which is the FIRST
cognitive function the OTR should assess? CORRECT ANSWERLevel
of arousal
A component of the evaluation for a patient who is functioning at a
Level III (Localized response) on the Rancho Los Amigos scale is to
screen the patient's level of arousal and alertness.
Domain 1: Practice Test
An OTR is developing an intervention plan using a bottom-up approach
for clients who have hemiplegia and hemi-neglect secondary to having a
CVA more than one year ago. Which of the following intervention
techniques has evidence supporting its efficacy for reducing the effects
of "learned non-use" through cortical reorganization? CORRECT
ANSWERConstraint-induced movement therapy (CIMT)
This is an evidence-based functional approach for promoting use of a
hemiparetic upper extremity.
OTR Study Guide Domain 1: Practice Test
For a typically developing child, which postural reflex becomes evident
between 6-9 months of age and continues throughout life? CORRECT
ANSWERForward protective extension
,Forward protective extension is a postural reflex that typically becomes
evident between 6-9 months of age and continues throughout life.
Which activity involves the use of a closed kinetic chain movement of
the upper extremity? CORRECT ANSWERPulling up on an overhead
trapeze during bed mobility
other examples: WRONG
Hand-to-mouth patterns used for self-feeding
Lifting a suitcase off the floor to carry by the handle
This closed kinetic chain movement includes the distal upper extremity
being stabilized and in constant contact with the trapeze.
OTR Study Guide Domain 1: Practice Test
An OTR is assessing the reflexes of a 4-month-old infant. The OTR
places the infant in a sitting position and encourages the infant to
actively flex the neck forward to look at an object held near the infant's
chest. Which of the following responses to this movement indicates the
presence of the symmetrical tonic neck reflex? CORRECT
ANSWERFlexion of the upper extremities and extension of the lower
extremities
This movement pattern indicates the presence of the symmetrical tonic
neck reflex (STNR).
, OTR Study Guide Domain 1: Practice Test
Which option represents the MOST EFFECTIVE method to screen an 8-
month-old infant for neck-on-body automatic righting reaction?
CORRECT ANSWERPlace the child in a supine position and observe
body movements while rotating the child's head to one side and then to
the other.
This method describes the stimulus, response and reaction associated
with testing for neck-on-body automatic righting reaction.
OTR Study Guide Domain 1: Practice Test
A 2-year-old child has developmental delay due to mild spastic cerebral
palsy. The child has mastered four-point positioning. Which movement
component should the OTR plan to facilitate NEXT? CORRECT
ANSWERRocking on hands and knees
In the developmental sequence of gross motor development and mobility
skills, a child who has mastered four-point positioning would be
expected to progress to rocking on hands and knees NEXT.
An OTR working in an inpatient mental health setting is using a
cognitive behavioral approach to select an intervention activity for a
young adult undergoing treatment for symptoms associated with body
dysmorphic disorder. The patient is employed in a successful career and
enjoys outdoor activities such as jogging and hiking, but has difficulty
forming and maintaining interpersonal relationships. One of the patient's
goals is to improve self-image and the ability to express feelings. Which
activity would be MOST BENEFICIAL to include as part of the
CORRECT ANSWERS LATEST UPDATE 2025/2026 GRADED A+
OTR Study Guide Domain 1: Practice Test
An OTR who works in an elementary school is preparing to evaluate a
student in fifth grade who has a learning disability and ADHD. Which
standardized assessments would be MOST EFFECTIVE for the OTR to
include as part of the evaluation process? CORRECT
ANSWERBruininks-Oseretsky Test of Motor Proficiency (BOT) and
Evaluation Tool of Children's Handwriting (ETCH)
These assessment tools are used to measure skills and abilities that are
associated with school-related occupational performance.
A 2-year-old toddler, who has a developmental delay, recently learned to
release a 2-inch (5.08 cm) ball into a large toy box. What fine motor skill
should the OTR work on NEXT? CORRECT ANSWERComplete a 3-
to 4-piece puzzle.
In the development of play occupations, a child who is able to release an
object into a toy box would NEXT be expected to be able to put together
a 3- to 4-piece puzzle.
O'Brien, J. C., & Kuhaneck, H. (2020). Case-Smith's Occupational
therapy for children and adolescents (8th ed., p. 118). St. Louis, MO:
Elsevier.
,An OTR is evaluating an inpatient who recently had a severe TBI and is
emerging from coma. The patient is functioning at a Level III (Localized
response) on the Rancho Los Amigos scale. Which is the FIRST
cognitive function the OTR should assess? CORRECT ANSWERLevel
of arousal
A component of the evaluation for a patient who is functioning at a
Level III (Localized response) on the Rancho Los Amigos scale is to
screen the patient's level of arousal and alertness.
Domain 1: Practice Test
An OTR is developing an intervention plan using a bottom-up approach
for clients who have hemiplegia and hemi-neglect secondary to having a
CVA more than one year ago. Which of the following intervention
techniques has evidence supporting its efficacy for reducing the effects
of "learned non-use" through cortical reorganization? CORRECT
ANSWERConstraint-induced movement therapy (CIMT)
This is an evidence-based functional approach for promoting use of a
hemiparetic upper extremity.
OTR Study Guide Domain 1: Practice Test
For a typically developing child, which postural reflex becomes evident
between 6-9 months of age and continues throughout life? CORRECT
ANSWERForward protective extension
,Forward protective extension is a postural reflex that typically becomes
evident between 6-9 months of age and continues throughout life.
Which activity involves the use of a closed kinetic chain movement of
the upper extremity? CORRECT ANSWERPulling up on an overhead
trapeze during bed mobility
other examples: WRONG
Hand-to-mouth patterns used for self-feeding
Lifting a suitcase off the floor to carry by the handle
This closed kinetic chain movement includes the distal upper extremity
being stabilized and in constant contact with the trapeze.
OTR Study Guide Domain 1: Practice Test
An OTR is assessing the reflexes of a 4-month-old infant. The OTR
places the infant in a sitting position and encourages the infant to
actively flex the neck forward to look at an object held near the infant's
chest. Which of the following responses to this movement indicates the
presence of the symmetrical tonic neck reflex? CORRECT
ANSWERFlexion of the upper extremities and extension of the lower
extremities
This movement pattern indicates the presence of the symmetrical tonic
neck reflex (STNR).
, OTR Study Guide Domain 1: Practice Test
Which option represents the MOST EFFECTIVE method to screen an 8-
month-old infant for neck-on-body automatic righting reaction?
CORRECT ANSWERPlace the child in a supine position and observe
body movements while rotating the child's head to one side and then to
the other.
This method describes the stimulus, response and reaction associated
with testing for neck-on-body automatic righting reaction.
OTR Study Guide Domain 1: Practice Test
A 2-year-old child has developmental delay due to mild spastic cerebral
palsy. The child has mastered four-point positioning. Which movement
component should the OTR plan to facilitate NEXT? CORRECT
ANSWERRocking on hands and knees
In the developmental sequence of gross motor development and mobility
skills, a child who has mastered four-point positioning would be
expected to progress to rocking on hands and knees NEXT.
An OTR working in an inpatient mental health setting is using a
cognitive behavioral approach to select an intervention activity for a
young adult undergoing treatment for symptoms associated with body
dysmorphic disorder. The patient is employed in a successful career and
enjoys outdoor activities such as jogging and hiking, but has difficulty
forming and maintaining interpersonal relationships. One of the patient's
goals is to improve self-image and the ability to express feelings. Which
activity would be MOST BENEFICIAL to include as part of the
