1|Page
COTA EXAM LATEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| COTA EXAM PREP|| NEW!!
A COTA is developing a measurement plan to track changes in social
participation of several students with autism spectrum disorder. Which is
the MOST likely measurement strategy the COTA selects?
A. Standardized assessment
B. Documentation of change in narrative progress notes
C. Photographs taken over a 2-month period during recess
D. Goal Attainment Scaling – Correct Answer - D. Goal Attainment
Scaling
An individual with a C6 spinal cord injury is unable to button their shirt.
The COTA would be MOST likely to select which type of adaptive
equipment to assist the individual with buttoning?
A. A long, flexible handle
B. A large knob handle
C. A 0.5-inch diameter, long wooden handle
D. Standard handle attached to a universal cuff – Correct Answer - D.
Standard handle attached to a universal cuff
pg. 1
,2|Page
An occupational therapy practitioner working with individuals with
substance use disorder wants to use an approach in which they identify
the clients’ distorted beliefs and challenge them by providing
contradictory evidence. Which approach does this BEST represent?
A. Cognitive behavioral therapy
B. A brief screening intervention
C. Mindfulness meditation
D. Motivational interviewing – Correct Answer - A. Cognitive
behavioral therapy
While providing brain injury education to the family of a patient, a
family member states that they do not understand why their loved one
cannot remember how to dress themselves but can talk about a birthday
party when they were younger. In explaining about the different types of
memory, which type is MOST affected in this patient?
A. Working
B. Procedural
C. Prospective
D. Episodic – Correct Answer - B. Procedural
The COTA is working with a client who takes cardiac medications
because of abnormal cardiac rhythms and chest pain. Which of the
following medications is TYPICALLY utilized to treat these symptoms?
A. Statins
B. Aspirin
C. Beta blockers
pg. 2
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D. Anticoagulants – Correct Answer - C. Beta blockers
In order for an intellectual disability to be diagnosed, an individual
MUST have an onset of the condition during the developmental period
and have deficits in which areas?
A. Academic and adaptive functioning
B. Communication and cognition
C. Intellectual and adaptive functioning
D. Self-care and communication – Correct Answer - C. Intellectual and
adaptive functioning
A COTA is working with a client with a chronic pain from arthritis.
Using the Model of Human Occupation, what intervention would BEST
apply the principles of that model?
A. Biofeedback conditioning
B. Cognitive restructuring
C. Environmental adaptations
D. Reactivation of interests – Correct Answer - D. Reactivation of
interests
A toddler diagnosed with developmental delays does not finger feed and
turns away when presented with food in the clinic. What is the BEST
next step for the COTA to take?
A. Conclude fine motor delays are impacting performance
B. Observe mealtime in the home setting
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, 4|Page
C. Review the chart for food allergies
D. Repeat the activity in a distraction-free environment – Correct
Answer - B. Observe mealtime in the home setting
The COTA is working with a client who has a history of myocardial
infarctions and takes cardiac medications because of unstable angina.
Which of the following medications is TYPICALLY utilized to treat this
symptom?
A. Statins
B. Aspirin
C. Beta-blockers
D. Anticoagulants – Correct Answer - B. Aspirin
The goal of an arts and crafts group for chronically mentally ill
individuals is to improve their decision-making abilities. What would be
the MOST appropriate approach when initiating a mosaic tile activity
with this group?
A. Provide each patient with a project and have them choose a color for
the project
B. Let the patients choose from a variety of projects of different sizes
and shapes
C. Have the members decide as a group on the design, size and shape of
the project
D. Have each patient decide on a design pattern and two colors for the
project – Correct Answer - A. Provide each patient with a project and
have them choose a color for the project
pg. 4
COTA EXAM LATEST 2025 ACTUAL EXAM TEST
BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| COTA EXAM PREP|| NEW!!
A COTA is developing a measurement plan to track changes in social
participation of several students with autism spectrum disorder. Which is
the MOST likely measurement strategy the COTA selects?
A. Standardized assessment
B. Documentation of change in narrative progress notes
C. Photographs taken over a 2-month period during recess
D. Goal Attainment Scaling – Correct Answer - D. Goal Attainment
Scaling
An individual with a C6 spinal cord injury is unable to button their shirt.
The COTA would be MOST likely to select which type of adaptive
equipment to assist the individual with buttoning?
A. A long, flexible handle
B. A large knob handle
C. A 0.5-inch diameter, long wooden handle
D. Standard handle attached to a universal cuff – Correct Answer - D.
Standard handle attached to a universal cuff
pg. 1
,2|Page
An occupational therapy practitioner working with individuals with
substance use disorder wants to use an approach in which they identify
the clients’ distorted beliefs and challenge them by providing
contradictory evidence. Which approach does this BEST represent?
A. Cognitive behavioral therapy
B. A brief screening intervention
C. Mindfulness meditation
D. Motivational interviewing – Correct Answer - A. Cognitive
behavioral therapy
While providing brain injury education to the family of a patient, a
family member states that they do not understand why their loved one
cannot remember how to dress themselves but can talk about a birthday
party when they were younger. In explaining about the different types of
memory, which type is MOST affected in this patient?
A. Working
B. Procedural
C. Prospective
D. Episodic – Correct Answer - B. Procedural
The COTA is working with a client who takes cardiac medications
because of abnormal cardiac rhythms and chest pain. Which of the
following medications is TYPICALLY utilized to treat these symptoms?
A. Statins
B. Aspirin
C. Beta blockers
pg. 2
,3|Page
D. Anticoagulants – Correct Answer - C. Beta blockers
In order for an intellectual disability to be diagnosed, an individual
MUST have an onset of the condition during the developmental period
and have deficits in which areas?
A. Academic and adaptive functioning
B. Communication and cognition
C. Intellectual and adaptive functioning
D. Self-care and communication – Correct Answer - C. Intellectual and
adaptive functioning
A COTA is working with a client with a chronic pain from arthritis.
Using the Model of Human Occupation, what intervention would BEST
apply the principles of that model?
A. Biofeedback conditioning
B. Cognitive restructuring
C. Environmental adaptations
D. Reactivation of interests – Correct Answer - D. Reactivation of
interests
A toddler diagnosed with developmental delays does not finger feed and
turns away when presented with food in the clinic. What is the BEST
next step for the COTA to take?
A. Conclude fine motor delays are impacting performance
B. Observe mealtime in the home setting
pg. 3
, 4|Page
C. Review the chart for food allergies
D. Repeat the activity in a distraction-free environment – Correct
Answer - B. Observe mealtime in the home setting
The COTA is working with a client who has a history of myocardial
infarctions and takes cardiac medications because of unstable angina.
Which of the following medications is TYPICALLY utilized to treat this
symptom?
A. Statins
B. Aspirin
C. Beta-blockers
D. Anticoagulants – Correct Answer - B. Aspirin
The goal of an arts and crafts group for chronically mentally ill
individuals is to improve their decision-making abilities. What would be
the MOST appropriate approach when initiating a mosaic tile activity
with this group?
A. Provide each patient with a project and have them choose a color for
the project
B. Let the patients choose from a variety of projects of different sizes
and shapes
C. Have the members decide as a group on the design, size and shape of
the project
D. Have each patient decide on a design pattern and two colors for the
project – Correct Answer - A. Provide each patient with a project and
have them choose a color for the project
pg. 4
