COTA Exam Prep: purple book
Questions and Answers 100% Pass
In assessing the dressing skills of a 5 y/o child, the COTA observes that the child is
able to put on a jacket, zip the zipper, and tie a knot in the draw string, but needs verbal
cueing to tie the bow. The COTA would MOST likely determine that the child's
dressing skills are:
a. Age appropriate
b. Delayed
c. Advanced
d. Limited - ✔✔a. Age appropriate
The child being observed is preforming dressing activity which is age appropriate for a
5 y/o child. A typical child at this age can dress unsupervised and is able to tie and
untie knots, but generally does not know how to tie a bow independently.
In administering an assessment of finger-tip pinch strength, the OT practitioner would
instruct the individual being tested to place his or her fingers in which position?
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,a. Thumb against the tip of the index finger
b. Thumb against the side of the index finger
c. Thumb against the tips of the index and middle fingers
d. Thumb against the tips of all the fingers at once - ✔✔a. Thumb against the tip of the
index finger
The correct position for tip pinch is the thumb against the tip of the index finger. The
thumb against the side of the index finger describes the position for lateral inch. The
thumb against the tip of the index and middle fingers describes the test position for
three jaw chuck, or palmar pinch. The thumb against the tips of all the fingers is not a
standard test position.
The OT treatment approach that will MOST likely meet the overall needs experienced
by individuals with substance abuse problems is to:
a. Assist with skill development in the areas of leisure, self-expression and ADLs
b. Educate the family members about making safety modifications to the kitchen area
c. Encourage AA involvement, address personal appearance, and issues of loss
d. Make aftercare arrangements for vocational counseling and AA; provide time
management education for self-care activities - ✔✔a. . Assist with skill development in
the areas of leisure, self-expression and ADLs
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,In general, the areas of focus with OT intervention for individuals identified with
substance abuse problems are alternative leisure time use, improved expression of
feeling, and the acquiring of social and occupational roles. The approach described in
answer B addresses the cognitive disability frame of reference approach, Answers C
and D my address specific needs of the patient, but the overall needs of this population.
A COTA observes that a 10-month old child is able to sit alone by propping himself
forward on his arms, but consistently loses his balance when reaching for a toy. His
behavior most likely indicates:
a. a developmental delay.
b. unintegrated primitive reflexes.
c. normal development.
d. advanced development. - ✔✔a. a developmental delay.
Typically developing children (answer c) should be able to sit unsupported for several
minutes by the age of 8 to 9 months; therefore, this child demonstrates delayed
development (answer A) The ability to sit while propped forward on his arms indicates
primitive reflexes have been integrated (answer b). Sitting unsupported earlier than 8
months could indicated advanced development (answer D).
An individual demonstrates the ability to pick up a penny from a flat surface. this
represents which of the following prehension patterns?
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, a. lateral
b. palmar
c. tip
d. three-jaw chuck - ✔✔c. Tip
Tip prehension is accomplished by flexing the IP joint of the thumb, and the PIP and
DIP joints of the finger, and bringing the tips of the thumb and finger together. This
type of prehension is used to pick up objects such as a pin, nail, or coin. Lateral
prehension (answer A) is formed by positioning the pad of the thumb against the radial
side of the finger. This prehension pattern is used for holding a pen, utensil or key.
Palmar prehension (answer b), also known as three-jaw chuck (answer d), is formed by
positioning the thumb in opposition to the tips of the index and middle fingers, forming
a pad-to-pad opposition. This form of prehension is commonly used to lift objects from
a flat surface and to tie a shoelace.
When conducting a structured interview, it is MOST important for the OT practitioner
to:
a. rephrase the interview questions in his or her own words.
b. ask questions that he or she thinks are pertinent to this patient.
c. ask the question as they are stated on the interview sheet.
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Questions and Answers 100% Pass
In assessing the dressing skills of a 5 y/o child, the COTA observes that the child is
able to put on a jacket, zip the zipper, and tie a knot in the draw string, but needs verbal
cueing to tie the bow. The COTA would MOST likely determine that the child's
dressing skills are:
a. Age appropriate
b. Delayed
c. Advanced
d. Limited - ✔✔a. Age appropriate
The child being observed is preforming dressing activity which is age appropriate for a
5 y/o child. A typical child at this age can dress unsupervised and is able to tie and
untie knots, but generally does not know how to tie a bow independently.
In administering an assessment of finger-tip pinch strength, the OT practitioner would
instruct the individual being tested to place his or her fingers in which position?
100% Pass Guarantee Katelyn Whitman All Rights Reserved © 2025 1
,a. Thumb against the tip of the index finger
b. Thumb against the side of the index finger
c. Thumb against the tips of the index and middle fingers
d. Thumb against the tips of all the fingers at once - ✔✔a. Thumb against the tip of the
index finger
The correct position for tip pinch is the thumb against the tip of the index finger. The
thumb against the side of the index finger describes the position for lateral inch. The
thumb against the tip of the index and middle fingers describes the test position for
three jaw chuck, or palmar pinch. The thumb against the tips of all the fingers is not a
standard test position.
The OT treatment approach that will MOST likely meet the overall needs experienced
by individuals with substance abuse problems is to:
a. Assist with skill development in the areas of leisure, self-expression and ADLs
b. Educate the family members about making safety modifications to the kitchen area
c. Encourage AA involvement, address personal appearance, and issues of loss
d. Make aftercare arrangements for vocational counseling and AA; provide time
management education for self-care activities - ✔✔a. . Assist with skill development in
the areas of leisure, self-expression and ADLs
100% Pass Guarantee Katelyn Whitman All Rights Reserved © 2025 2
,In general, the areas of focus with OT intervention for individuals identified with
substance abuse problems are alternative leisure time use, improved expression of
feeling, and the acquiring of social and occupational roles. The approach described in
answer B addresses the cognitive disability frame of reference approach, Answers C
and D my address specific needs of the patient, but the overall needs of this population.
A COTA observes that a 10-month old child is able to sit alone by propping himself
forward on his arms, but consistently loses his balance when reaching for a toy. His
behavior most likely indicates:
a. a developmental delay.
b. unintegrated primitive reflexes.
c. normal development.
d. advanced development. - ✔✔a. a developmental delay.
Typically developing children (answer c) should be able to sit unsupported for several
minutes by the age of 8 to 9 months; therefore, this child demonstrates delayed
development (answer A) The ability to sit while propped forward on his arms indicates
primitive reflexes have been integrated (answer b). Sitting unsupported earlier than 8
months could indicated advanced development (answer D).
An individual demonstrates the ability to pick up a penny from a flat surface. this
represents which of the following prehension patterns?
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, a. lateral
b. palmar
c. tip
d. three-jaw chuck - ✔✔c. Tip
Tip prehension is accomplished by flexing the IP joint of the thumb, and the PIP and
DIP joints of the finger, and bringing the tips of the thumb and finger together. This
type of prehension is used to pick up objects such as a pin, nail, or coin. Lateral
prehension (answer A) is formed by positioning the pad of the thumb against the radial
side of the finger. This prehension pattern is used for holding a pen, utensil or key.
Palmar prehension (answer b), also known as three-jaw chuck (answer d), is formed by
positioning the thumb in opposition to the tips of the index and middle fingers, forming
a pad-to-pad opposition. This form of prehension is commonly used to lift objects from
a flat surface and to tie a shoelace.
When conducting a structured interview, it is MOST important for the OT practitioner
to:
a. rephrase the interview questions in his or her own words.
b. ask questions that he or she thinks are pertinent to this patient.
c. ask the question as they are stated on the interview sheet.
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