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COTA BOARD EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+| COTA
BOARD ACTUAL EXAM|| NEW!!
A 7-year-old child presents with amelia. The OTR® recommends the use
of a myoelectric hand. What type of terminal device would be
appropriate?
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis - The right answer is A
A myoelectric hand is paired with an externally powered prosthesis,
which involves the placement of an electrode to pick up
electromyographic signals to move the electric hand.
A COTA® is treating a client with a proximal interphalangeal (PIP)
flexion contracture secondary to a sports injury. To improve extension of
the PIP for functional use of the hand, what is the BEST use of limited
therapy time?
A. Apply paraffin followed by joint mobilization techniques
B. Fit the client with a prefabricated dynamic PIP extension assist splint
C. Instruct the client in flexion blocking exercises
D. Fabricate a customized dynamic PIP extension assist splint - The
right answer is B
pg. 1
,2|Page
A prefabricated dynamic PIP extension assist splint will improve PIP
extension and takes less therapy time to fit than to custom make this
splint.
A COTA® is observing an inpatient complete morning self-care tasks at
bedside. The patient had a myocardial infarction 2 days ago and has a
resting heart rate of 75 bpm (beats per minute). After 2 minutes of face
washing, the patient's heart rate rises to 85 bpm. What action should the
COTA® take based on this finding?
A. Continue the session and monitor the heart rate in one minute
B. Stop the activity and alert the charge nurse of the patient's status
C. Allow the patient to rest until the heart rate lowers to 75 bpm
D. End the session and reschedule the activity for later in the day - The
right answer is A
The patient's heart rate continues to be in a normal range. It should be
monitored throughout the rest of the session to make sure the rate does
not increase further.
Which intervention strategy would be appropriate when teaching a
compensatory approach for the production of written language to a child
who has a diagnosis of developmental coordination disorder?
A. Provide the child with a pencil grip.
B. Encourage the teacher to provide a copy of his or her notes.
C. Instruct the child in keyboarding.
D. Allow the child to use print instead of cursive writing. - The right
answer is C
pg. 2
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Instructing the child in keyboarding would provide the child with a
compensatory way to produce written language instead of handwriting.
A client with amyotrophic lateral sclerosis reports functional limitations
when completing his daily routine. The OTR® has completed ADL and
IADL assessments as part of the evaluation. The OTR® asks the
COTA® to administer an assessment of the client's upper-extremity
motor control. Which assessment would be MOST effective for
assessing this client's upper-extremity ability, and appropriate for the
client to perform after?
A. Modified Ashworth Scale
B. Trigger point evaluation
C. FIM™
D. Purdue Pegboard test - The right answer is D
The Purdue Pegboard test is a timed test of upper-extremity function and
is useful in determining a client's functional limitations.
A client with early-stage Alzheimer's disease has increased difficulty
with spatial orientation. Which occupational performance area does this
difficulty most likely affect?
A. Community mobility
B. Grocery shopping
C. Meal preparation
D. Caring for pets - The right answer is A
People with early-stage dementia have difficulty with IADLs because of
memory loss and other cognitive impairments. Difficulty with spatial
orientation has an impact on their community mobility.
pg. 3
COTA BOARD EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) GRADED A+| COTA
BOARD ACTUAL EXAM|| NEW!!
A 7-year-old child presents with amelia. The OTR® recommends the use
of a myoelectric hand. What type of terminal device would be
appropriate?
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis - The right answer is A
A myoelectric hand is paired with an externally powered prosthesis,
which involves the placement of an electrode to pick up
electromyographic signals to move the electric hand.
A COTA® is treating a client with a proximal interphalangeal (PIP)
flexion contracture secondary to a sports injury. To improve extension of
the PIP for functional use of the hand, what is the BEST use of limited
therapy time?
A. Apply paraffin followed by joint mobilization techniques
B. Fit the client with a prefabricated dynamic PIP extension assist splint
C. Instruct the client in flexion blocking exercises
D. Fabricate a customized dynamic PIP extension assist splint - The
right answer is B
pg. 1
,2|Page
A prefabricated dynamic PIP extension assist splint will improve PIP
extension and takes less therapy time to fit than to custom make this
splint.
A COTA® is observing an inpatient complete morning self-care tasks at
bedside. The patient had a myocardial infarction 2 days ago and has a
resting heart rate of 75 bpm (beats per minute). After 2 minutes of face
washing, the patient's heart rate rises to 85 bpm. What action should the
COTA® take based on this finding?
A. Continue the session and monitor the heart rate in one minute
B. Stop the activity and alert the charge nurse of the patient's status
C. Allow the patient to rest until the heart rate lowers to 75 bpm
D. End the session and reschedule the activity for later in the day - The
right answer is A
The patient's heart rate continues to be in a normal range. It should be
monitored throughout the rest of the session to make sure the rate does
not increase further.
Which intervention strategy would be appropriate when teaching a
compensatory approach for the production of written language to a child
who has a diagnosis of developmental coordination disorder?
A. Provide the child with a pencil grip.
B. Encourage the teacher to provide a copy of his or her notes.
C. Instruct the child in keyboarding.
D. Allow the child to use print instead of cursive writing. - The right
answer is C
pg. 2
, 3|Page
Instructing the child in keyboarding would provide the child with a
compensatory way to produce written language instead of handwriting.
A client with amyotrophic lateral sclerosis reports functional limitations
when completing his daily routine. The OTR® has completed ADL and
IADL assessments as part of the evaluation. The OTR® asks the
COTA® to administer an assessment of the client's upper-extremity
motor control. Which assessment would be MOST effective for
assessing this client's upper-extremity ability, and appropriate for the
client to perform after?
A. Modified Ashworth Scale
B. Trigger point evaluation
C. FIM™
D. Purdue Pegboard test - The right answer is D
The Purdue Pegboard test is a timed test of upper-extremity function and
is useful in determining a client's functional limitations.
A client with early-stage Alzheimer's disease has increased difficulty
with spatial orientation. Which occupational performance area does this
difficulty most likely affect?
A. Community mobility
B. Grocery shopping
C. Meal preparation
D. Caring for pets - The right answer is A
People with early-stage dementia have difficulty with IADLs because of
memory loss and other cognitive impairments. Difficulty with spatial
orientation has an impact on their community mobility.
pg. 3
