NBCOT Occupational Therapy Certification Review Exam
Questions with 100% satisfaction guarantee Answers
2024/2025
Arom exercises are most appropriate to include in the intervention plan for a child with
jra. Splinting, monitoring joint function, preventing deformation, teaching energy
conservation techniques, and instruction in the use of adaptive equipment may also be
components of the intervention.
A: a resistive exercise program is contraindicated because it would compromise the
involved joints.
C: a taping program would not be recommended unless the child with jra had a
comorbid condition.
D: a pacing program would not be recommended unless the child with jra had a
comorbid condition
An otr® receives evaluation orders for a client who has recently experienced a traumatic
brain injury. The client is swearing and anxiously looking for something. What rancho
los amigos level best corresponds with the client's behavior?
A. Vi
B. Iv
C. V
D. Ii - correct answer solution: the correct answer is b.
Because the client is confused and agitated, the behavior most closely resembles level
iv: confused/agitated.
A: at level vi, the client would, although confused, generally not be agitated.
C: although confusion and memory issues are profound at level v, the client would
generally not be behaving erratically.
D: level ii implies low levels of activity and limited responses.
,An otr® is reading a previous initial evaluation report for a child with autism that
concluded, on the basis of a sensory processing assessment, that the child shows signs
of low registration of sensory information. Which of the child's behavior observed by the
otr® is consistent with low sensory registration?
A. Easily gets dizzy with linear swinging
B. Shows increased hyperactivity and movement
C. Dislikes being touched and hugged
D. Shows guarded and cautious movement - correct answer solution: the correct
answer is b.
According to dunn's model, low registration of stimuli is demonstrated by sensory
seeking.
A, c, d: these behaviors indicate sensory avoiding or sensitivity, signs of high
registration of stimuli.
A client with developmental coordination disorder is referred for evaluation by the
transition services team at a high school. Which assessment is the most appropriate for
the otr® to complete first with the client?
A. Self-directed search
B. Cognitive status examination
C. Box and block test
D. Functional capacity evaluation - correct answer solution: the correct answer is a.
The self-directed search measures a client's vocational interests.
B: the cognitive status exam measures neurological behaviors (e.g., attention, speech,
memory for work activity), which should be assessed after determining the client's
vocational interests.
,C: the box and block test addresses performance skills, which should be assessed after
determining the client's vocational interests.
D: a functional capacity evaluation is used to determine a client's physical capacity to
perform the essential functions of a specific job.
An otr® receives evaluation orders for a client who has recently experienced traumatic
brain injury. The client displays severe memory impairment and can only respond to
simple commands without being distracted. What rancho los amigos level best
corresponds with the client's behavior?
A. Vii
B. Iii
C. V
D. Ii - correct answer solution: the correct answer is c.
Because the client is highly distractible and displays severe memory impairment but can
respond to simple commands, the client most closely resembles level v.
A: a level vii client has limited distractibility and is capable of carrying out a intelligible
conversation despite minimal confusion.
B: a level iii client inconsistently responds to stimuli and would not be capable of
intelligibly responding to simple commands.
D: a level ii client responds to stimuli only through physiological changes, gross body
movement, or vocalization.
Which tool should the otr® use to assess peripheral visual fields?
A. Interview
B. Amsler grid
C. Snellen chart
D. Confrontation testing - correct answer solution: the correct answer is d.
, Confrontation testing provides a gross assessment of how much peripheral vision the
client has.
A: although interview might be helpful in identifying the client's problems, it is not
adequate to assess peripheral visual fields.
B: the amsler grid is used to assess central visual fields.
C: the snellen chart is used to assess visual acuity.
An otr® receives evaluation orders for a client who has recently experienced traumatic
brain injury. The client's chart lists a glasgow coma scale (gcs) score of 7. What does
this score imply?
A. The client has experienced a severe head injury and will provide minimal feedback.
B. The client has experienced a moderate head injury and may not be able to provide
discernible feedback.
C. The client has experienced a mild head injury and may be confused but able to follow
simple commands.
D. The client has experienced an extreme head injury and will provide minimal
feedback. - correct answer solution: the correct answer is a.
Severe head injuries include gcs scores of 8 or less.
B: moderate head injuries include gcs scores of 9-12.
C: mild head injuries include gcs scores of 13-15.
D: the gcs does not classify an "extreme" head injury.
An otr® is facilitating an activity for a group that includes an adolescent with major
depression. Partway into the session, the adolescent complains of an inability to
concentrate on the activity because the bright lights in the room have caused sore eyes.
How should the otr® respond?
Questions with 100% satisfaction guarantee Answers
2024/2025
Arom exercises are most appropriate to include in the intervention plan for a child with
jra. Splinting, monitoring joint function, preventing deformation, teaching energy
conservation techniques, and instruction in the use of adaptive equipment may also be
components of the intervention.
A: a resistive exercise program is contraindicated because it would compromise the
involved joints.
C: a taping program would not be recommended unless the child with jra had a
comorbid condition.
D: a pacing program would not be recommended unless the child with jra had a
comorbid condition
An otr® receives evaluation orders for a client who has recently experienced a traumatic
brain injury. The client is swearing and anxiously looking for something. What rancho
los amigos level best corresponds with the client's behavior?
A. Vi
B. Iv
C. V
D. Ii - correct answer solution: the correct answer is b.
Because the client is confused and agitated, the behavior most closely resembles level
iv: confused/agitated.
A: at level vi, the client would, although confused, generally not be agitated.
C: although confusion and memory issues are profound at level v, the client would
generally not be behaving erratically.
D: level ii implies low levels of activity and limited responses.
,An otr® is reading a previous initial evaluation report for a child with autism that
concluded, on the basis of a sensory processing assessment, that the child shows signs
of low registration of sensory information. Which of the child's behavior observed by the
otr® is consistent with low sensory registration?
A. Easily gets dizzy with linear swinging
B. Shows increased hyperactivity and movement
C. Dislikes being touched and hugged
D. Shows guarded and cautious movement - correct answer solution: the correct
answer is b.
According to dunn's model, low registration of stimuli is demonstrated by sensory
seeking.
A, c, d: these behaviors indicate sensory avoiding or sensitivity, signs of high
registration of stimuli.
A client with developmental coordination disorder is referred for evaluation by the
transition services team at a high school. Which assessment is the most appropriate for
the otr® to complete first with the client?
A. Self-directed search
B. Cognitive status examination
C. Box and block test
D. Functional capacity evaluation - correct answer solution: the correct answer is a.
The self-directed search measures a client's vocational interests.
B: the cognitive status exam measures neurological behaviors (e.g., attention, speech,
memory for work activity), which should be assessed after determining the client's
vocational interests.
,C: the box and block test addresses performance skills, which should be assessed after
determining the client's vocational interests.
D: a functional capacity evaluation is used to determine a client's physical capacity to
perform the essential functions of a specific job.
An otr® receives evaluation orders for a client who has recently experienced traumatic
brain injury. The client displays severe memory impairment and can only respond to
simple commands without being distracted. What rancho los amigos level best
corresponds with the client's behavior?
A. Vii
B. Iii
C. V
D. Ii - correct answer solution: the correct answer is c.
Because the client is highly distractible and displays severe memory impairment but can
respond to simple commands, the client most closely resembles level v.
A: a level vii client has limited distractibility and is capable of carrying out a intelligible
conversation despite minimal confusion.
B: a level iii client inconsistently responds to stimuli and would not be capable of
intelligibly responding to simple commands.
D: a level ii client responds to stimuli only through physiological changes, gross body
movement, or vocalization.
Which tool should the otr® use to assess peripheral visual fields?
A. Interview
B. Amsler grid
C. Snellen chart
D. Confrontation testing - correct answer solution: the correct answer is d.
, Confrontation testing provides a gross assessment of how much peripheral vision the
client has.
A: although interview might be helpful in identifying the client's problems, it is not
adequate to assess peripheral visual fields.
B: the amsler grid is used to assess central visual fields.
C: the snellen chart is used to assess visual acuity.
An otr® receives evaluation orders for a client who has recently experienced traumatic
brain injury. The client's chart lists a glasgow coma scale (gcs) score of 7. What does
this score imply?
A. The client has experienced a severe head injury and will provide minimal feedback.
B. The client has experienced a moderate head injury and may not be able to provide
discernible feedback.
C. The client has experienced a mild head injury and may be confused but able to follow
simple commands.
D. The client has experienced an extreme head injury and will provide minimal
feedback. - correct answer solution: the correct answer is a.
Severe head injuries include gcs scores of 8 or less.
B: moderate head injuries include gcs scores of 9-12.
C: mild head injuries include gcs scores of 13-15.
D: the gcs does not classify an "extreme" head injury.
An otr® is facilitating an activity for a group that includes an adolescent with major
depression. Partway into the session, the adolescent complains of an inability to
concentrate on the activity because the bright lights in the room have caused sore eyes.
How should the otr® respond?
