Page 1 of 333
NBCOT PRACTICE EXAM STUDY GUIDE COMPLETE 800
QUESTIONS AND WELL ELABORATED ANSWERS JUST
RELEASED
QUESTION 1: An OTR is supervising an OT student for Level II FW. The OTR notices that the
student did not gather complete info. Regarding a client's Occ. History. Which comment best
represents effective feedback?
a. "you missed some info when you were recording the client's occ. History
b. "in the future, you need to ask better questions about the client's occ. History
c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are
comprehensive.
d. you should practice doing occ. History interviews - ANSWER✔✔c. "in the future, you may
want to use a checklist to ensure that your occ. History interviews are comprehensive.
QUESTION 2: An adolescent referred for OT has oppositional defiant disorder. During the initial
interview, the parent reports that the youth never listens to requests, become angry several
times a day, blames mistakes on an older sibling. Which area is most related?
a. ADLs
b. Rest and Sleep
c. Leisure
d. Social participation - ANSWER✔✔d. Social participation
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QUESTION 3: An OTR is working in a school with high incidence of violence in the district with
increasing numbers of students diagnosed with ODD. The superintendent announces the
formation of a task force to study the problem. Which response to the announcement would be
best?
a. document the progress of the OTR has made with students with ODD to justify continuing
work with these students
b. increase the frequency of visits to the students on the OTR caseload with his diagnosis
because the task force will scrutinize intervention with these students.
c. research intervention strategies to make sure that the intervention the OTR has been
providing to these students is considered
d. contact the superintendent and request to be appointed to a seat on the task force to study
violence and incidence of ODD. - ANSWER✔✔d. contact the superintendent and request to be
appointed to a seat on the task force to study violence and incidence of ODD.
QUESTION 4: When working with a client with chorninc pain, the OTR needs to set a tone that
will facilitate a therapeutic relationship with the client. Which statement sets an open and
appropriate tone when working with a client who has chronic pain?
a. your pain is all in your head. All you have to do is ignore it
b. I have pain when I wake up in the morning. I have arthritis. It usually takes a while before it
gets any better. Maybe you should try to exercise in the morning to get things moving like I do
c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop,
let me know, but I would like to see you push yourself.
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d. I think we should slowly increase the time you are spending at work-related tasks -
ANSWER✔✔c. I realize that you are in pain. Lets try this activitiy and see what happens. If you
need to stop, let me know, but I would like to see you push yourself.
QUESTION 5: An OTR is working with an adult client with sensory processing difficulties who
finds it uncomfortable to commute to a job via train because of the noise of the train and of
other passengers talking. Which environmental modification would be appropriate?
a. encourage the client to obtain a driver's license and avoid train
b. petition the train to set off a section of silence
c. recommend the use of noise-cancelling headphones with a device that plays music or books
the client enjoys
d. get a closer job - ANSWER✔✔c. recommend the use of noise-cancelling headphones with a
device that plays music or books the client enjoys
QUESTION: 6. 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 - ANSWER✔✔b. The client is an informed
equal in the relationship
, Page 4 of 333
QUESTION: 7. A client with a herniated lumbar disk was referred to OT. The OTR completes an
initial eval. And develops an intervention plan. Which task can the OTR assign to the COTA?
a. Write up the initial eval.
b. Alter the initial plan to address pain
c. Do a complete reeval. Of strength
d. Educate the client in proper body mechanics - ANSWER✔✔d. Educate the client in proper
body mechanics
QUESTION: 8. According to the Standards of Practice for OT, what is the role of the COTA in the
screening process
a. Completing the screening process
b. Initialing the screening process
c. Analyzing and interpreting screening results
d. Providing observations to the OTR - ANSWER✔✔d. Providing observations to the OTR
QUESTION: 9. A COTA who spend 2 years working on the ortho. Unit of an acute care hospital is
now working on the neuro. Floor. How is appropriate supervision best described?
a. The OTR and COTA decide to set up supervisory visits on an as-needed basis
b. The COTA requires minimal supervision owing to his or her 2 years of experience
NBCOT PRACTICE EXAM STUDY GUIDE COMPLETE 800
QUESTIONS AND WELL ELABORATED ANSWERS JUST
RELEASED
QUESTION 1: An OTR is supervising an OT student for Level II FW. The OTR notices that the
student did not gather complete info. Regarding a client's Occ. History. Which comment best
represents effective feedback?
a. "you missed some info when you were recording the client's occ. History
b. "in the future, you need to ask better questions about the client's occ. History
c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are
comprehensive.
d. you should practice doing occ. History interviews - ANSWER✔✔c. "in the future, you may
want to use a checklist to ensure that your occ. History interviews are comprehensive.
QUESTION 2: An adolescent referred for OT has oppositional defiant disorder. During the initial
interview, the parent reports that the youth never listens to requests, become angry several
times a day, blames mistakes on an older sibling. Which area is most related?
a. ADLs
b. Rest and Sleep
c. Leisure
d. Social participation - ANSWER✔✔d. Social participation
, Page 2 of 333
QUESTION 3: An OTR is working in a school with high incidence of violence in the district with
increasing numbers of students diagnosed with ODD. The superintendent announces the
formation of a task force to study the problem. Which response to the announcement would be
best?
a. document the progress of the OTR has made with students with ODD to justify continuing
work with these students
b. increase the frequency of visits to the students on the OTR caseload with his diagnosis
because the task force will scrutinize intervention with these students.
c. research intervention strategies to make sure that the intervention the OTR has been
providing to these students is considered
d. contact the superintendent and request to be appointed to a seat on the task force to study
violence and incidence of ODD. - ANSWER✔✔d. contact the superintendent and request to be
appointed to a seat on the task force to study violence and incidence of ODD.
QUESTION 4: When working with a client with chorninc pain, the OTR needs to set a tone that
will facilitate a therapeutic relationship with the client. Which statement sets an open and
appropriate tone when working with a client who has chronic pain?
a. your pain is all in your head. All you have to do is ignore it
b. I have pain when I wake up in the morning. I have arthritis. It usually takes a while before it
gets any better. Maybe you should try to exercise in the morning to get things moving like I do
c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop,
let me know, but I would like to see you push yourself.
, Page 3 of 333
d. I think we should slowly increase the time you are spending at work-related tasks -
ANSWER✔✔c. I realize that you are in pain. Lets try this activitiy and see what happens. If you
need to stop, let me know, but I would like to see you push yourself.
QUESTION 5: An OTR is working with an adult client with sensory processing difficulties who
finds it uncomfortable to commute to a job via train because of the noise of the train and of
other passengers talking. Which environmental modification would be appropriate?
a. encourage the client to obtain a driver's license and avoid train
b. petition the train to set off a section of silence
c. recommend the use of noise-cancelling headphones with a device that plays music or books
the client enjoys
d. get a closer job - ANSWER✔✔c. recommend the use of noise-cancelling headphones with a
device that plays music or books the client enjoys
QUESTION: 6. 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 - ANSWER✔✔b. The client is an informed
equal in the relationship
, Page 4 of 333
QUESTION: 7. A client with a herniated lumbar disk was referred to OT. The OTR completes an
initial eval. And develops an intervention plan. Which task can the OTR assign to the COTA?
a. Write up the initial eval.
b. Alter the initial plan to address pain
c. Do a complete reeval. Of strength
d. Educate the client in proper body mechanics - ANSWER✔✔d. Educate the client in proper
body mechanics
QUESTION: 8. According to the Standards of Practice for OT, what is the role of the COTA in the
screening process
a. Completing the screening process
b. Initialing the screening process
c. Analyzing and interpreting screening results
d. Providing observations to the OTR - ANSWER✔✔d. Providing observations to the OTR
QUESTION: 9. A COTA who spend 2 years working on the ortho. Unit of an acute care hospital is
now working on the neuro. Floor. How is appropriate supervision best described?
a. The OTR and COTA decide to set up supervisory visits on an as-needed basis
b. The COTA requires minimal supervision owing to his or her 2 years of experience
