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NBCOT COTA EXAM COMPLETE 650
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: A client who has multiple sclerosis works as an administrative assistant in a large
corporation. Fatigue and weakness interfere with the client's ability to complete job tasks. The
corporate physician is requesting a job site analysis for this client. What is the PRIMARY
purpose of this type of analysis?
A.To identify the management's willingness to provide special accommodations
B.To assess the client's vocational interests in relation to work assignments
C.To determine the critical work demands in relation to the client needs
D.To observe the client interacting with co-workers within the office environment - ANSWER-
Correct Answer: C
Rationale:
The PRIMARY purpose of this type of analysis is to observe the client performing job tasks in a
natural environment. This will provide objective information for determining the impact of the
disease in relation to the critical demands of the job.
QUESTION: An inpatient who has congestive heart failure has had a recent decline in function
and now requires a wheelchair for mobility. A COTA is completing a home visit in preparation
for the patient's discharge to live with family. The family lives in an apartment on the second
level of a multi-level apartment building. During the home visit, the COTA identifies several
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areas in the apartment that are not accessible by a wheelchair. What is the NEXT action the
COTA should take based on this information?
A.Have family members notify the apartment manager of needed changes.
B.Suggest ways the furniture should be arranged for wheelchair access.
C.Collaborate with the patient and family to discuss the patient's needs. - ANSWER-Correct
Answer: C
Rationale:
Prior to providing recommendations, the COTA should first discuss options with the client and
the family to establish client-centered priorities.
QUESTION: A COTA is teaching a client, who has rheumatoid arthritis, techniques for modifying
activities that typically apply lateral pinch forces against the thumb and fingers. What is the
purpose of providing this type of instruction?
A.Reduce the risk of developing MCP joint ulnar drift.
B.Minimize boutonnière posturing of the thumb and index finger.
C.Promote dexterity and strength for fine motor control.
D.Prevent factors that cause swan-neck deformity. - ANSWER-Correct Answer: A
Rationale:
Rheumatoid arthritis is an autoimmune condition that may result in ulnar deviation deformities.
Modifying activities that typically apply lateral pinch forces against the thumb and fingers
reduces the risk of developing MCP joint ulnar drift.
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QUESTION: A client has sensory-perceptual deficits secondary to a mild CVA. Motor skills
remain intact. Which task would be BEST to ask the patient to complete when screening for
tactile agnosia?
A.Turning a water faucet on and off
B.Picking up objects from a tabletop
C.Distinguishing a key from a coin in a pocket
D.Holding an eating utensil in the dominant hand - ANSWER-Correct Answer: C
Rationale:
Tactile gnosis is the ability to recognize familiar objects by touch with vision occluded. A client
with tactile agnosia would not be able to find a key in a pocket since the client would not be
able to distinguish the object's characteristics without the aid of visual cues.
QUESTION: An inpatient has neurobehavioral deficits secondary to a CVA one month ago. At
the time of the initial evaluation, the patient required moderate verbal cues to complete oral
hygiene and grooming. Currently, the patient is able to complete these tasks independently
during self-care sessions. This occurs one week earlier than the timeframe listed in the
intervention plan for achieving this goal. What action should the COTA take prior to the NEXT
scheduled BADL session with this patient?
A.Revise the intervention plan with new short term goals.
B.Collaborate with the OTR to review the intervention goals.
C.Administer a standardized functional assessment. - ANSWER-Correct Answer: B
Rationale:
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It is the responsibility of the COTA to collaborate with the OTR when there is a change in the
patient's status and to discuss options for modifying the intervention plan.
QUESTION: Which symptoms associated with a diagnosis of schizophrenia would typically have
the MOST influence on a client's functional performance?
A.Fluctuating mood ranging from elation to depression
B.Free floating anxiety and onset of sudden acute fear
C.Disorganized speech and loose association of ideas - ANSWER-Correct Answer: C
Rationale:
Symptoms of schizophrenia that impact functional performance include disorganized speech
and loose association of ideas.
A client with bilateral elbow contractures has 45° active extension and 90° active flexion of both
elbows and 5° supination/pronation. Upper extremity muscle strength is Normal (5/5). Which
activity would be MOST DIFFICULT for the client to perform without using compensatory
movements?
A.Putting a belt through pant belt loops
B.Tying shoelaces
C.Using a spoon to eat soup - ANSWER-C
The results of a task analysis of each of these activities indicate that using a spoon to eat soup
requires supination and would be MOST DIFFICULT for the client to perform without using
compensatory movements.
NBCOT COTA EXAM COMPLETE 650
QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
QUESTION: A client who has multiple sclerosis works as an administrative assistant in a large
corporation. Fatigue and weakness interfere with the client's ability to complete job tasks. The
corporate physician is requesting a job site analysis for this client. What is the PRIMARY
purpose of this type of analysis?
A.To identify the management's willingness to provide special accommodations
B.To assess the client's vocational interests in relation to work assignments
C.To determine the critical work demands in relation to the client needs
D.To observe the client interacting with co-workers within the office environment - ANSWER-
Correct Answer: C
Rationale:
The PRIMARY purpose of this type of analysis is to observe the client performing job tasks in a
natural environment. This will provide objective information for determining the impact of the
disease in relation to the critical demands of the job.
QUESTION: An inpatient who has congestive heart failure has had a recent decline in function
and now requires a wheelchair for mobility. A COTA is completing a home visit in preparation
for the patient's discharge to live with family. The family lives in an apartment on the second
level of a multi-level apartment building. During the home visit, the COTA identifies several
, Page 2 of 258
areas in the apartment that are not accessible by a wheelchair. What is the NEXT action the
COTA should take based on this information?
A.Have family members notify the apartment manager of needed changes.
B.Suggest ways the furniture should be arranged for wheelchair access.
C.Collaborate with the patient and family to discuss the patient's needs. - ANSWER-Correct
Answer: C
Rationale:
Prior to providing recommendations, the COTA should first discuss options with the client and
the family to establish client-centered priorities.
QUESTION: A COTA is teaching a client, who has rheumatoid arthritis, techniques for modifying
activities that typically apply lateral pinch forces against the thumb and fingers. What is the
purpose of providing this type of instruction?
A.Reduce the risk of developing MCP joint ulnar drift.
B.Minimize boutonnière posturing of the thumb and index finger.
C.Promote dexterity and strength for fine motor control.
D.Prevent factors that cause swan-neck deformity. - ANSWER-Correct Answer: A
Rationale:
Rheumatoid arthritis is an autoimmune condition that may result in ulnar deviation deformities.
Modifying activities that typically apply lateral pinch forces against the thumb and fingers
reduces the risk of developing MCP joint ulnar drift.
, Page 3 of 258
QUESTION: A client has sensory-perceptual deficits secondary to a mild CVA. Motor skills
remain intact. Which task would be BEST to ask the patient to complete when screening for
tactile agnosia?
A.Turning a water faucet on and off
B.Picking up objects from a tabletop
C.Distinguishing a key from a coin in a pocket
D.Holding an eating utensil in the dominant hand - ANSWER-Correct Answer: C
Rationale:
Tactile gnosis is the ability to recognize familiar objects by touch with vision occluded. A client
with tactile agnosia would not be able to find a key in a pocket since the client would not be
able to distinguish the object's characteristics without the aid of visual cues.
QUESTION: An inpatient has neurobehavioral deficits secondary to a CVA one month ago. At
the time of the initial evaluation, the patient required moderate verbal cues to complete oral
hygiene and grooming. Currently, the patient is able to complete these tasks independently
during self-care sessions. This occurs one week earlier than the timeframe listed in the
intervention plan for achieving this goal. What action should the COTA take prior to the NEXT
scheduled BADL session with this patient?
A.Revise the intervention plan with new short term goals.
B.Collaborate with the OTR to review the intervention goals.
C.Administer a standardized functional assessment. - ANSWER-Correct Answer: B
Rationale:
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It is the responsibility of the COTA to collaborate with the OTR when there is a change in the
patient's status and to discuss options for modifying the intervention plan.
QUESTION: Which symptoms associated with a diagnosis of schizophrenia would typically have
the MOST influence on a client's functional performance?
A.Fluctuating mood ranging from elation to depression
B.Free floating anxiety and onset of sudden acute fear
C.Disorganized speech and loose association of ideas - ANSWER-Correct Answer: C
Rationale:
Symptoms of schizophrenia that impact functional performance include disorganized speech
and loose association of ideas.
A client with bilateral elbow contractures has 45° active extension and 90° active flexion of both
elbows and 5° supination/pronation. Upper extremity muscle strength is Normal (5/5). Which
activity would be MOST DIFFICULT for the client to perform without using compensatory
movements?
A.Putting a belt through pant belt loops
B.Tying shoelaces
C.Using a spoon to eat soup - ANSWER-C
The results of a task analysis of each of these activities indicate that using a spoon to eat soup
requires supination and would be MOST DIFFICULT for the client to perform without using
compensatory movements.
