NBCOT Occupational Therapy Certification Test Exam
Review Questions with all Answers verified for accuracy
Updated 2024/2025
An otr working in an acute rehabilitation center is asked to plan follow-up home-based
services for a young adult with a complete lesion of the spinal cord at the c6 level in the
transition plan, what ability is the most important for the otr to recommend developing?
A. Type independently after attendant set-up
B. Groom with minimal assistance
C. Dress lower extremities - correct answer c. Dress lower extremities
An otr uses a motor learning intervention approach to develop prehension patterns with
a 10-year-old recovering from a brain tumor. The otr places small toys on a table and
asks the child to pick up the toys and put them into a storage box that is also on the
table. The otr uses random practice during this activity. What are the most appropriate
types and arrangement of toys for the otr to provide according to the motor learning
approach?
A. Toys of different shapes, sizes, and weights in a mixed arrangement on the table
B. Toys that are exactly the same shape, size, and weight in a mixed arrangement of
the table
C. Toys that are exactly the same shape, size, and weight placed in a straight line on
the table - correct answer a. Toys of different shapes, sizes, and weights in a mixed
arrangement on the table
A 7-year-old with moderate cerebral palsy, athetoid type, receives ot to improve
functional upper extremity use. The child sits on a bench and works on grasp and
release with the left hand on the table at waist height. The child stabilizes the right arm
with interval rotation, elbow locked in extension, upward rotation of the scapula, and
hyperextension of the mps. What should the therapists provide the child to facilitate
effective grasp and release?
A. Resistive exercises for the right shoulder strengthening
B. Joint movements of the right arm in total flexion or total extension
C. Bilateral weighted cuffs - correct answer c. Bilateral weighted cuffs
A client who has a lesion of the cerebellum is participating in ot to increase
independence with self-feeding. Which assists devices should the client use to promote
progress toward this goal?
A. Side-cutting fork and rocker knife
, B. Plastic cup and lightweight utensils
C. Universal cuff with mobile arm support
D. Suction plate and cup holder - correct answer d. Suction place and cup holder
An individual with chronic undifferentiated schizophrenia is referred to a day hospital.
The referring psychiatrist notes the the individual's positive symptoms have responded
well to a new medication, but negative symptoms remain. What would the ot most likely
observe during the evaluation based on this record?
A. Limited engagement in tasks
B. Inappropriate verbalizations due to delusions
C. Immobility due to akathisia - correct answer a. Limited engagement in tasks
A 15-year-ol with a complete myelomenigocele at the t9 level is diagnosed with
diabetes. What is the most likely home exercise program the otr will focus on?
A. Consumer-initiated pressure relief
B. Regular skin inspection performed by parent
C. Upper extremity strengthening
D. Bowl and bladder care - correct answer c. Upper extremity strengthening
An inpatient that has had a tbi is functioning at level v (confused-inappropriate) on the
rancho los amigos scale. Which of the following approaches would an otr use to
facilitate the patient's success during a grooming task?
A. Provide repeated verbal instructions until the patient completes the task
B. Use forward chaining techniques if the patient is distracted from the task
C. Demonstrate a portion of the activity then ask the patient to return the demonstration
D. Give one-step instructions and hand-over-hand cueing throughout the task - correct
answer d. Give one-step instructions and hand-over-hand cueing throughout the task
A person is diagnosed with copd. The otr instructs the individual on breathing exercises
to use to control his respiration rate during activities. The otr instructs the individual to
inhale as if smelling roses. What is the best example the otr should give when
instructing the individual on how to exhale?
A. As if flickering a lit candle
B. As if blowing out 20 lit candles on a birthday cake
C. As if blowing forcibly to relight a dying campfire
D. In quick short, multiple breaths - correct answer a. As if flickering a lit candle
Review Questions with all Answers verified for accuracy
Updated 2024/2025
An otr working in an acute rehabilitation center is asked to plan follow-up home-based
services for a young adult with a complete lesion of the spinal cord at the c6 level in the
transition plan, what ability is the most important for the otr to recommend developing?
A. Type independently after attendant set-up
B. Groom with minimal assistance
C. Dress lower extremities - correct answer c. Dress lower extremities
An otr uses a motor learning intervention approach to develop prehension patterns with
a 10-year-old recovering from a brain tumor. The otr places small toys on a table and
asks the child to pick up the toys and put them into a storage box that is also on the
table. The otr uses random practice during this activity. What are the most appropriate
types and arrangement of toys for the otr to provide according to the motor learning
approach?
A. Toys of different shapes, sizes, and weights in a mixed arrangement on the table
B. Toys that are exactly the same shape, size, and weight in a mixed arrangement of
the table
C. Toys that are exactly the same shape, size, and weight placed in a straight line on
the table - correct answer a. Toys of different shapes, sizes, and weights in a mixed
arrangement on the table
A 7-year-old with moderate cerebral palsy, athetoid type, receives ot to improve
functional upper extremity use. The child sits on a bench and works on grasp and
release with the left hand on the table at waist height. The child stabilizes the right arm
with interval rotation, elbow locked in extension, upward rotation of the scapula, and
hyperextension of the mps. What should the therapists provide the child to facilitate
effective grasp and release?
A. Resistive exercises for the right shoulder strengthening
B. Joint movements of the right arm in total flexion or total extension
C. Bilateral weighted cuffs - correct answer c. Bilateral weighted cuffs
A client who has a lesion of the cerebellum is participating in ot to increase
independence with self-feeding. Which assists devices should the client use to promote
progress toward this goal?
A. Side-cutting fork and rocker knife
, B. Plastic cup and lightweight utensils
C. Universal cuff with mobile arm support
D. Suction plate and cup holder - correct answer d. Suction place and cup holder
An individual with chronic undifferentiated schizophrenia is referred to a day hospital.
The referring psychiatrist notes the the individual's positive symptoms have responded
well to a new medication, but negative symptoms remain. What would the ot most likely
observe during the evaluation based on this record?
A. Limited engagement in tasks
B. Inappropriate verbalizations due to delusions
C. Immobility due to akathisia - correct answer a. Limited engagement in tasks
A 15-year-ol with a complete myelomenigocele at the t9 level is diagnosed with
diabetes. What is the most likely home exercise program the otr will focus on?
A. Consumer-initiated pressure relief
B. Regular skin inspection performed by parent
C. Upper extremity strengthening
D. Bowl and bladder care - correct answer c. Upper extremity strengthening
An inpatient that has had a tbi is functioning at level v (confused-inappropriate) on the
rancho los amigos scale. Which of the following approaches would an otr use to
facilitate the patient's success during a grooming task?
A. Provide repeated verbal instructions until the patient completes the task
B. Use forward chaining techniques if the patient is distracted from the task
C. Demonstrate a portion of the activity then ask the patient to return the demonstration
D. Give one-step instructions and hand-over-hand cueing throughout the task - correct
answer d. Give one-step instructions and hand-over-hand cueing throughout the task
A person is diagnosed with copd. The otr instructs the individual on breathing exercises
to use to control his respiration rate during activities. The otr instructs the individual to
inhale as if smelling roses. What is the best example the otr should give when
instructing the individual on how to exhale?
A. As if flickering a lit candle
B. As if blowing out 20 lit candles on a birthday cake
C. As if blowing forcibly to relight a dying campfire
D. In quick short, multiple breaths - correct answer a. As if flickering a lit candle
