NBCOT Occupational Therapy Certification Study test in
depth Examination and 100% correctly verified Solutions
Latest version 2024/2025
A homemaker with weak grip strength wishes to prepare a muffin mix but cannot open
the bag. Which of the following would the ot most likely recommend?
A. A hand powered mixer
B. Loop handle scissors
C. An electric knife
D. Prepare slice cookies instead of muffins - correct answer c. Loop handled scissors
This device would be much safer than an electric knife. Answer a does not address how
the patient will open the bag, and answer d is not coincide with the client's desire to
make muffins.
An individual's family wants to build a ramp to the primary entrance of the home. What
is the maximum slope that the ot should recommend to the family?
A. 1 inch of ramp for every foot of rise in height
B. 1 foot of ramp for every inch of rise in height
C. 10 inches of ramp for every 2 inches in height
D. 1 foot of ramp for every foot of rise in height - correct answer b. 1 foot of ramp for
every inch of rise in height
According to ada the maximum slope should be 1:12.
In establishing long-term goals for an individual with a complete t4 paraplegia in a rehab
setting, the ot would most likely predict that the patient will attain what level of
independence in bathing, dressing, and transfers?
A. Complete independence with self-care and modified independence with transfers.
B. Independence with self-care and moderate assistance with transfers.
C. Minimal assistance with self-care and moderate assistance with transfers.
,D. Dependence with both self-care and transfers - correct answer a. Complete
independence with self-care and modified independence with transfers
An individual at this level will have sufficient trunk balance, ue strength, and
coordination. Individuals with high cervical injuries are likely to be dependent in all
aspects. Individuals with low cervical and high thoracic injuries require assistance with
transfers and some self-care tasks.
When planning acute treatment for a patient who has recently experienced a traumatic
amputation of the rue at the below-elbow level, which of the following areas of patient
education would the ot address first?
A. Teaching to put on/take off a prosthesis.
B. Training in residual limb wrapping
C. Practicing grasp and prehension functions.
D. Simulation to resume vocational activities - correct answer b. Training in residual
limb wrapping
Shrinking and shaping the limb are necessary to allow the patient to tolerate a snug
fitting socket. Activities a and c are premature at this time and will be performed after
the prosthesis has been selected, prescribed, and fitted. Training to resume vocational
activities would normally occur later, once the individual has mastered the basics of
prosthetic use.
An ot is working with an individual who is experiencing a manic episode and is highly
excitable. Given that this individual has expressed interest in all kinds of craft activities,
which type of craft activity would the ot be most likely to select to provide external
structure for the client?
A. Doing a detailed needlepoint project requiring fine stitches
B. Using clay to shape an object of one's choice
C. Doing a watercolor paint by number project
D. Finishing a prefabricated wood birdhouse from a kit. - correct answer d. Finishing
a prefabricated wood birdhouse from a kit
An individual who is manic rarely completes projects because attention is fragmented.
Interventions should be short, simple, and success enhancing. A person experiencing a
manic episode is likely to exhibit high energy levels, short attention span, poor
,frustration tolerance, difficulty delaying gratification, and difficulty with decision making.
A would require too much attention. C is an unfocused activity involving creativity and
skill performance that could lead to frustration. And b uses unpredictable materials and
requires creative decisions.
An ot in the hospital outpatient department meets with the parents of a 7 y/o boy with
developmental coordination disorder (dcd). The ot believes his performance challenges
his participation in school and brings this up. What is the most appropriate way for the ot
to address the parents?
A. Request permission to send progress report to the school district.
B. Ask parent for permission to call the school district's ot to learn about the iep referral
process.
C. Suggest that the school district pay for the child's outpatient therapy, as it likely
relates to the child's school performance.
D. Ask whether the school district has addressed his coordination difficulties and if not,
discuss further whether the parent wishes to raise this issue with the child's teacher. -
correct answer d. Ask whether the school district has addressed his coordination
difficulties and if not, discuss further whether the parent wishes to raise this issue with
the child's teacher.
This answer allows the opportunity for the parent to learn about the ot's concerns and
make decisions about the next steps. The other answers do not respect the
collaborative team process embraced by ot.
An individual with complete c4 tetraplegia is able to independently use a mouth stick to
strike keys on a computer keyboard for 3 minutes. To upgrade this activity, the ot
practitioner should
A. Provide a heavier mouth stick
B. Have the individual work at the keyboard for 5 minutes
C. Progress the individual to a typing device that inserts into a wrist support
D. Teach the individual how to correctly instruct a caregiver in use of the keyboard -
correct answer b. Have the individual work at the keyboard for 5 minutes.
Increasing duration of tolerance is the most appropriate way to progress the client. A
heavier mouth stick would make the task more difficult and yield no benefit. An
individual with a c4 tetraplegia would not have the potential to use a typing device that
inserts into a wrist support. D would be downgrading the activity.
, An individual who is considered modified independent for functional mobility consistently
leaves her cane in another room. When asked where the cane is, the client replies, "oh,
that cane-it's just so ugly". Which of the following actions is most important to take?
A. Discuss issues related to self-concept with the individual
B. Eval the individual's short term memory
C. Assess the individual's long-term memory
D. Devise strategies to address time management - correct answer a. Discuss issues
related to self-concept with the individual
This individual has demod competence in using the cane but does not desire to use it.
Her response most likely indicates her discomfort with the cane related to looks.
What is a primary goal for providing a hand orthosis to a child with active juvenile ra?
A. Inhibit hypertonus
B. Increase rom
C. Prevent deformity
D. Correct deformity - correct answer c. Prevent deformity
A is not a characteristic of this condition. The correction of deformity and increasing rom
may be contraindicated due to the disease.
Which of the following actions should the ot practitioner instruct a patient to perform first
when initiating a safe wheelchair transfer?
A. Have the patient scoot forward to the front of the seat
B. Position foot plates in the up position
C. Swing away the leg rests
D. Lock the breaks - correct answer d. Lock the brakes
Breaks should be locked first. The other answers involve movements that could cause
loss of balance or wheelchair movement unless the brakes are locked.
depth Examination and 100% correctly verified Solutions
Latest version 2024/2025
A homemaker with weak grip strength wishes to prepare a muffin mix but cannot open
the bag. Which of the following would the ot most likely recommend?
A. A hand powered mixer
B. Loop handle scissors
C. An electric knife
D. Prepare slice cookies instead of muffins - correct answer c. Loop handled scissors
This device would be much safer than an electric knife. Answer a does not address how
the patient will open the bag, and answer d is not coincide with the client's desire to
make muffins.
An individual's family wants to build a ramp to the primary entrance of the home. What
is the maximum slope that the ot should recommend to the family?
A. 1 inch of ramp for every foot of rise in height
B. 1 foot of ramp for every inch of rise in height
C. 10 inches of ramp for every 2 inches in height
D. 1 foot of ramp for every foot of rise in height - correct answer b. 1 foot of ramp for
every inch of rise in height
According to ada the maximum slope should be 1:12.
In establishing long-term goals for an individual with a complete t4 paraplegia in a rehab
setting, the ot would most likely predict that the patient will attain what level of
independence in bathing, dressing, and transfers?
A. Complete independence with self-care and modified independence with transfers.
B. Independence with self-care and moderate assistance with transfers.
C. Minimal assistance with self-care and moderate assistance with transfers.
,D. Dependence with both self-care and transfers - correct answer a. Complete
independence with self-care and modified independence with transfers
An individual at this level will have sufficient trunk balance, ue strength, and
coordination. Individuals with high cervical injuries are likely to be dependent in all
aspects. Individuals with low cervical and high thoracic injuries require assistance with
transfers and some self-care tasks.
When planning acute treatment for a patient who has recently experienced a traumatic
amputation of the rue at the below-elbow level, which of the following areas of patient
education would the ot address first?
A. Teaching to put on/take off a prosthesis.
B. Training in residual limb wrapping
C. Practicing grasp and prehension functions.
D. Simulation to resume vocational activities - correct answer b. Training in residual
limb wrapping
Shrinking and shaping the limb are necessary to allow the patient to tolerate a snug
fitting socket. Activities a and c are premature at this time and will be performed after
the prosthesis has been selected, prescribed, and fitted. Training to resume vocational
activities would normally occur later, once the individual has mastered the basics of
prosthetic use.
An ot is working with an individual who is experiencing a manic episode and is highly
excitable. Given that this individual has expressed interest in all kinds of craft activities,
which type of craft activity would the ot be most likely to select to provide external
structure for the client?
A. Doing a detailed needlepoint project requiring fine stitches
B. Using clay to shape an object of one's choice
C. Doing a watercolor paint by number project
D. Finishing a prefabricated wood birdhouse from a kit. - correct answer d. Finishing
a prefabricated wood birdhouse from a kit
An individual who is manic rarely completes projects because attention is fragmented.
Interventions should be short, simple, and success enhancing. A person experiencing a
manic episode is likely to exhibit high energy levels, short attention span, poor
,frustration tolerance, difficulty delaying gratification, and difficulty with decision making.
A would require too much attention. C is an unfocused activity involving creativity and
skill performance that could lead to frustration. And b uses unpredictable materials and
requires creative decisions.
An ot in the hospital outpatient department meets with the parents of a 7 y/o boy with
developmental coordination disorder (dcd). The ot believes his performance challenges
his participation in school and brings this up. What is the most appropriate way for the ot
to address the parents?
A. Request permission to send progress report to the school district.
B. Ask parent for permission to call the school district's ot to learn about the iep referral
process.
C. Suggest that the school district pay for the child's outpatient therapy, as it likely
relates to the child's school performance.
D. Ask whether the school district has addressed his coordination difficulties and if not,
discuss further whether the parent wishes to raise this issue with the child's teacher. -
correct answer d. Ask whether the school district has addressed his coordination
difficulties and if not, discuss further whether the parent wishes to raise this issue with
the child's teacher.
This answer allows the opportunity for the parent to learn about the ot's concerns and
make decisions about the next steps. The other answers do not respect the
collaborative team process embraced by ot.
An individual with complete c4 tetraplegia is able to independently use a mouth stick to
strike keys on a computer keyboard for 3 minutes. To upgrade this activity, the ot
practitioner should
A. Provide a heavier mouth stick
B. Have the individual work at the keyboard for 5 minutes
C. Progress the individual to a typing device that inserts into a wrist support
D. Teach the individual how to correctly instruct a caregiver in use of the keyboard -
correct answer b. Have the individual work at the keyboard for 5 minutes.
Increasing duration of tolerance is the most appropriate way to progress the client. A
heavier mouth stick would make the task more difficult and yield no benefit. An
individual with a c4 tetraplegia would not have the potential to use a typing device that
inserts into a wrist support. D would be downgrading the activity.
, An individual who is considered modified independent for functional mobility consistently
leaves her cane in another room. When asked where the cane is, the client replies, "oh,
that cane-it's just so ugly". Which of the following actions is most important to take?
A. Discuss issues related to self-concept with the individual
B. Eval the individual's short term memory
C. Assess the individual's long-term memory
D. Devise strategies to address time management - correct answer a. Discuss issues
related to self-concept with the individual
This individual has demod competence in using the cane but does not desire to use it.
Her response most likely indicates her discomfort with the cane related to looks.
What is a primary goal for providing a hand orthosis to a child with active juvenile ra?
A. Inhibit hypertonus
B. Increase rom
C. Prevent deformity
D. Correct deformity - correct answer c. Prevent deformity
A is not a characteristic of this condition. The correction of deformity and increasing rom
may be contraindicated due to the disease.
Which of the following actions should the ot practitioner instruct a patient to perform first
when initiating a safe wheelchair transfer?
A. Have the patient scoot forward to the front of the seat
B. Position foot plates in the up position
C. Swing away the leg rests
D. Lock the breaks - correct answer d. Lock the brakes
Breaks should be locked first. The other answers involve movements that could cause
loss of balance or wheelchair movement unless the brakes are locked.
