Nbcot exam | complete questions with 100% rated correct answers | graded
a+| 2025/2026 latest update
- ans
-monoplegia
-hemiplegia
-paraplegia
-quadriplegia
-diplegia - ans-monoplegia: one extremity
-hemiplegia: upper & lower extremity on same side
-paraplegia: lower extremities
-quadriplegia: all extremities
-diplegia: less UE involvement, greater LE involvement
-spoon use in children, what age?
-straw use - ans-12-18 months
-18 months
-Standard narrow wheelchair measurements
-Regular w/c measurements
-Slim adult standard chair
-Junior standard chair - ans-16" wide x 16" deep x 20" high
-18" wide x 16" deep x 20" high
-14" wide x 16" deep x 20" high
-16" wide x 16" deep x 18.5" high
1. A school district's supervising OTR receives a phone call from an irate parent of a
middle school student whose individualized education plan (IEP) includes OT twice a
week. The student did not receive OT for 3 weeks because one of the district's OTR
was out with work-related injury. What is the OTR best option?
a. Ensure that OT services are provided to this child, because it is included in the child's
IEP
b. Put the child on a waiting list while the therapist is out
c. Reduce the frequency of OT visits to once a week while the therapist is out
d. Discharge the child from OT because the parent is difficult to deal with - ansa. Ensure
that OT services are provided to this child, because it is included in the child's IEP
1. An OTR in a home health setting is working with a client in the kitchen and hears a
heated argument between the client's spouse and one of the client's children in the next
room. The client begins to cry, indicating that the arguing is causing stress.
a. Confront the people in the next room
b. Call the medical social worker and report the incident
c. Drive the client to a shelter
d. Try to resolve the conflict - ansb. Call the medical social worker and report the
incident
,Nbcot exam | complete questions with 100% rated correct answers | graded
a+| 2025/2026 latest update
1. An OTR is working to establish a therapeutic relationship with a client in a skilled
nursing facility. Which consideration is the MOST important in establishing an effective
relationship?
a. The OTR has the power to determine the goals
b. The client is an informed equal in the relationship
c. The OTR is solely responsible for any positive outcomes
d. The client is expected to follow the OTR advice - ansb. The client is an informed
equal in the relationship
1. The director of OT services for a large metropolitan home health agency is
conducting a supervisory visit and notices the OTR is writing progress notes on a
persona electronic tablet. OT is excited about using tablet and shares with the director
that it saves a great deal of time. Most appropriate response from director?
a. Applaud the OT for using technology efficiently
b. Develop a policy prohibiting the use of personal electronic tablets for note writing
c. Ask the OT to describe the use of electronic recording to the other OT at the agency
d. Ask home health clients for their opinions regarding electronic record keeping - ansb.
Develop a policy prohibiting the use of personal electronic tablets for note writing
1. When an OTR or COTA completes documentation, which of the following actions is
MOST in compliance with HIPAA regulations for maintaining patient privacy and
confidentiality?
a. Positioning computer screens and patient charts out of others' view
b. Collaborating with other therapist in the OTR discipline
c. Maintaining electronic client documents
d. Keeping hard-copy record in a central area - ansa. Positioning computer screens and
patient charts out of others' view
1. Which of the following statements about OT FW is accurate?
a. a health care professional other than an OTR can supervise OT students on Level I
FW
b. payers are not able to regulate the supervision of OT students
c. initial suggested supervision for level II OT student is indirect
d. An OT or COTA can supervise a level II OT FW student - ansa. a health care
professional other than an OTR can supervise OT students on Level I FW
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
ansLocating pictures of specific objects in a hidden pictures coloring book or Playing
computer based games that require scanning objects at various speeds
,Nbcot exam | complete questions with 100% rated correct answers | graded
a+| 2025/2026 latest update
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
ansLocating pictures of specific objects in a hidden pictures coloring book or Playing
computer based games that require scanning objects at various speeds
10. A generalist OTR is working with a teenage with developmental disabilityies who
hopes to acquire a driver's license. Which intervention MOST appropriately addresses
this clients' community mobility needs?
a. Training to improve the client's comprehension of travel rules tested in the licensing
process
b. Practice in driving skills in the OTR's vehicle in the school parking lot
c. Practice in handwriting skills to improve the client's communication about driving skills
d. Use of cognitive-behavioral therapy to address the client's beliefs about the ability to
drive - ansa. Training to improve the client's comprehension of travel rules tested in the
licensing process
10. An OTR works with elderly clients with low vision. A client with macular
degeneration is referred after substantial symptom progression and loss of vision. The
client's spouse states that for the past 3 months, the client has uncharacteristically
refused to participate in social activities, is frequently irritable and uncommunicative,
and is unwilling to perform personal care or routine risks.
a. Consider exporing assisted living alternatives
b. Insist that the client resume accompanying the spouse to bridge club and prepare a
snack to share with the club
c. Encourage the client to consult a mental health provider
d. Advise the client and spouse to seek professional counseling to adjust to the
inevitable changes in the marriage - ansc. Encourage the client to consult a mental
health provider
10. Which recommendation should an OTR make to the caregiver of a client with
dementia, who is suffering from caregiver stress?
a. Recommend that the caregiver inquire about medication to reduce the caregiver's
stress
b. Recommend that the caregiver inquire about additional sleep medication for the client
c. Recommend that the caregiver contact a local adult day care to inquire about its
services
d. Recommend that the caregiver find a teenager in the neighborhood who can watch
the client - ansc. Recommend that the caregiver contact a local adult day care to inquire
about its services
, Nbcot exam | complete questions with 100% rated correct answers | graded
a+| 2025/2026 latest update
11. A client with secondary progressive multiple sclerosis (MS) is recovering from a
recent relapse and seeks OT to manage anxiety associated with the disease and its
effect on occupational performance.
a. Participation in a cognitive retraining group
b. Implementation of a home exercise plan that incorporates deep breaking
c. Relaxation, such as taking a hot bath or yoga
d. Using coping strategies for self-identified difficult tasks or situations - ansd. Using
coping strategies for self-identified difficult tasks or situations
11. According to the Standards of Practice for OT, which best describes the role of the
COTA in client outcomes?
a. Develops a transition plan
b. Contributes to discontinuation plan - however unable to Ind. Discontinue a client from
OT.
c. Reduces the intensity of services
d. Interprets achieved outcomes - ansb. Contributes to discontinuation plan - however
unable to Ind. Discontinue a client from OT.
11. An adolescent hospitalized for suicidal ideation and depression is meeting with an
OTR for discharge planning. What aspect of the discharge plan is MOST urgent?
a. Provide client education on the effects of prescription medication
b. Review the contract for safety procedures the client will follow when thoughts of
suicide commence
c. Contact the client's school system to see if a suicide prevention program is in place
d. Reinforce the need for follow-up OT treatments to monitory progress - ansb. Review
the contract for safety procedures the client will follow when thoughts of suicide
commence
11. Which characteristic of a general education classroom would promote access to the
general education curriculum of a student diagnosed with level 1 autism spectrum
disorder without intellectual impairment (Asperger syndrome)?
a. Large classroom size
b. Predictable transitions
c. Teacher's gender
d. Low level of structure - ansb. Predictable transitions
12. An OTR is assessing a client with bulimia. The client has become preoccupied with
hiding purging behaviors from friends and family. While developing an occupational
profile with the client, the OTR notices that the client's bulimia has evolved, and that the
client has replaced all other activities with the bulimia.
a. Teach the client relaxation strategies to provide relief from the stress caused by the
bulimia
b. Recommend social activities to encourage the client to interact with friends and family
in a more positive way
a+| 2025/2026 latest update
- ans
-monoplegia
-hemiplegia
-paraplegia
-quadriplegia
-diplegia - ans-monoplegia: one extremity
-hemiplegia: upper & lower extremity on same side
-paraplegia: lower extremities
-quadriplegia: all extremities
-diplegia: less UE involvement, greater LE involvement
-spoon use in children, what age?
-straw use - ans-12-18 months
-18 months
-Standard narrow wheelchair measurements
-Regular w/c measurements
-Slim adult standard chair
-Junior standard chair - ans-16" wide x 16" deep x 20" high
-18" wide x 16" deep x 20" high
-14" wide x 16" deep x 20" high
-16" wide x 16" deep x 18.5" high
1. A school district's supervising OTR receives a phone call from an irate parent of a
middle school student whose individualized education plan (IEP) includes OT twice a
week. The student did not receive OT for 3 weeks because one of the district's OTR
was out with work-related injury. What is the OTR best option?
a. Ensure that OT services are provided to this child, because it is included in the child's
IEP
b. Put the child on a waiting list while the therapist is out
c. Reduce the frequency of OT visits to once a week while the therapist is out
d. Discharge the child from OT because the parent is difficult to deal with - ansa. Ensure
that OT services are provided to this child, because it is included in the child's IEP
1. An OTR in a home health setting is working with a client in the kitchen and hears a
heated argument between the client's spouse and one of the client's children in the next
room. The client begins to cry, indicating that the arguing is causing stress.
a. Confront the people in the next room
b. Call the medical social worker and report the incident
c. Drive the client to a shelter
d. Try to resolve the conflict - ansb. Call the medical social worker and report the
incident
,Nbcot exam | complete questions with 100% rated correct answers | graded
a+| 2025/2026 latest update
1. An OTR is working to establish a therapeutic relationship with a client in a skilled
nursing facility. Which consideration is the MOST important in establishing an effective
relationship?
a. The OTR has the power to determine the goals
b. The client is an informed equal in the relationship
c. The OTR is solely responsible for any positive outcomes
d. The client is expected to follow the OTR advice - ansb. The client is an informed
equal in the relationship
1. The director of OT services for a large metropolitan home health agency is
conducting a supervisory visit and notices the OTR is writing progress notes on a
persona electronic tablet. OT is excited about using tablet and shares with the director
that it saves a great deal of time. Most appropriate response from director?
a. Applaud the OT for using technology efficiently
b. Develop a policy prohibiting the use of personal electronic tablets for note writing
c. Ask the OT to describe the use of electronic recording to the other OT at the agency
d. Ask home health clients for their opinions regarding electronic record keeping - ansb.
Develop a policy prohibiting the use of personal electronic tablets for note writing
1. When an OTR or COTA completes documentation, which of the following actions is
MOST in compliance with HIPAA regulations for maintaining patient privacy and
confidentiality?
a. Positioning computer screens and patient charts out of others' view
b. Collaborating with other therapist in the OTR discipline
c. Maintaining electronic client documents
d. Keeping hard-copy record in a central area - ansa. Positioning computer screens and
patient charts out of others' view
1. Which of the following statements about OT FW is accurate?
a. a health care professional other than an OTR can supervise OT students on Level I
FW
b. payers are not able to regulate the supervision of OT students
c. initial suggested supervision for level II OT student is indirect
d. An OT or COTA can supervise a level II OT FW student - ansa. a health care
professional other than an OTR can supervise OT students on Level I FW
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
ansLocating pictures of specific objects in a hidden pictures coloring book or Playing
computer based games that require scanning objects at various speeds
,Nbcot exam | complete questions with 100% rated correct answers | graded
a+| 2025/2026 latest update
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
ansLocating pictures of specific objects in a hidden pictures coloring book or Playing
computer based games that require scanning objects at various speeds
10. A generalist OTR is working with a teenage with developmental disabilityies who
hopes to acquire a driver's license. Which intervention MOST appropriately addresses
this clients' community mobility needs?
a. Training to improve the client's comprehension of travel rules tested in the licensing
process
b. Practice in driving skills in the OTR's vehicle in the school parking lot
c. Practice in handwriting skills to improve the client's communication about driving skills
d. Use of cognitive-behavioral therapy to address the client's beliefs about the ability to
drive - ansa. Training to improve the client's comprehension of travel rules tested in the
licensing process
10. An OTR works with elderly clients with low vision. A client with macular
degeneration is referred after substantial symptom progression and loss of vision. The
client's spouse states that for the past 3 months, the client has uncharacteristically
refused to participate in social activities, is frequently irritable and uncommunicative,
and is unwilling to perform personal care or routine risks.
a. Consider exporing assisted living alternatives
b. Insist that the client resume accompanying the spouse to bridge club and prepare a
snack to share with the club
c. Encourage the client to consult a mental health provider
d. Advise the client and spouse to seek professional counseling to adjust to the
inevitable changes in the marriage - ansc. Encourage the client to consult a mental
health provider
10. Which recommendation should an OTR make to the caregiver of a client with
dementia, who is suffering from caregiver stress?
a. Recommend that the caregiver inquire about medication to reduce the caregiver's
stress
b. Recommend that the caregiver inquire about additional sleep medication for the client
c. Recommend that the caregiver contact a local adult day care to inquire about its
services
d. Recommend that the caregiver find a teenager in the neighborhood who can watch
the client - ansc. Recommend that the caregiver contact a local adult day care to inquire
about its services
, Nbcot exam | complete questions with 100% rated correct answers | graded
a+| 2025/2026 latest update
11. A client with secondary progressive multiple sclerosis (MS) is recovering from a
recent relapse and seeks OT to manage anxiety associated with the disease and its
effect on occupational performance.
a. Participation in a cognitive retraining group
b. Implementation of a home exercise plan that incorporates deep breaking
c. Relaxation, such as taking a hot bath or yoga
d. Using coping strategies for self-identified difficult tasks or situations - ansd. Using
coping strategies for self-identified difficult tasks or situations
11. According to the Standards of Practice for OT, which best describes the role of the
COTA in client outcomes?
a. Develops a transition plan
b. Contributes to discontinuation plan - however unable to Ind. Discontinue a client from
OT.
c. Reduces the intensity of services
d. Interprets achieved outcomes - ansb. Contributes to discontinuation plan - however
unable to Ind. Discontinue a client from OT.
11. An adolescent hospitalized for suicidal ideation and depression is meeting with an
OTR for discharge planning. What aspect of the discharge plan is MOST urgent?
a. Provide client education on the effects of prescription medication
b. Review the contract for safety procedures the client will follow when thoughts of
suicide commence
c. Contact the client's school system to see if a suicide prevention program is in place
d. Reinforce the need for follow-up OT treatments to monitory progress - ansb. Review
the contract for safety procedures the client will follow when thoughts of suicide
commence
11. Which characteristic of a general education classroom would promote access to the
general education curriculum of a student diagnosed with level 1 autism spectrum
disorder without intellectual impairment (Asperger syndrome)?
a. Large classroom size
b. Predictable transitions
c. Teacher's gender
d. Low level of structure - ansb. Predictable transitions
12. An OTR is assessing a client with bulimia. The client has become preoccupied with
hiding purging behaviors from friends and family. While developing an occupational
profile with the client, the OTR notices that the client's bulimia has evolved, and that the
client has replaced all other activities with the bulimia.
a. Teach the client relaxation strategies to provide relief from the stress caused by the
bulimia
b. Recommend social activities to encourage the client to interact with friends and family
in a more positive way
