COTA Examination Prep Questions
From Purple Book Question and
answers correctly solved 2025
What should the OT practitioner do FIRST to obtain accurate information
about a patient's family situation and about their occupational, cultural, and
educational backgrounds? - correct answer Read the social worker's report.
The treatment goal that BEST addresses the psychosocial skill of self-
expression is: - correct answer the client will use facial expressions and
gestures that are consistent with stated emotions during assertive, passive,
and aggressive role-play situations.
In establishing long-term goals for an individual with T4 paraplegia in a
rehabilitation setting, the COTA would MOST likely predict that the patient will
attain what level of independence with bathing, dressing, and transfers? -
correct answer Complete independence with self-care and transfers
An OT practitioner is leading a grooming group for female clients in a
psychosocial treatment setting. Which of the following options BEST complies
with universal precautions? - correct answer Use disposable cotton swabs
and have clients bring their own cosmetics.
A COTA is leading a discussion with a group of individuals who are diagnosed
with major depression. The MOST helpful approach for the COTA to take is
to: - correct answer offer even-tempered acceptance, relfecting back what is
heard without agreeing that the situation is hopeless.
A young adult who sustained a severe TBI has begun participating in a
community re-entry program. The OTR will evaluate self-care skills, and the
COTA will evaluate the individual's ability to perform work and productive
, activities. Which of the following are MOST appropriate for the COTA to
address? - correct answer Clothing care, cleaning, and volunteering
A COTA enters the room of a patient who recently had a RCVA with flaccidity
to the left upper extremity. The COTA begins to perform upper extremity
passive range of motion to the left arm when marked pitting edema of the left
hand is noted. Which of the following should the COTA do FIRST? - correct
answer Continue to perform PROM and then position and elevate the affected
extremity.
A sixth grader with a diagnosis of athetoid cerebral palsy needs an adapted
computer for communication. Her upper extremity control is poor because of
fluctuating muscle tone. The COTA suggests that the BEST way for her to
operate her computer is to use a: - correct answer single pressure switch,
firmly mounted within easy reach.
The COTA is treating a client for epicondylitis. Which of the following adjunct
activities should the COTA use to treat the ACUTE symptoms of tennis
elbow? - correct answer Ice application, immobilization, and splinting
Which of the following is MOST important to include in the initial intervention
for an individual with complete paralysis as a result of Guillain-Barre
syndrome? - correct answer Passive ROM, positioning, and splinting
An OT practitioner is developing transition activities for a group of 16-year-old
students diagnosed as trainable mentally retarded. Which of the following
activities would be BEST for addressing goals related to transition? - correct
answer Go out for lunch at a fast-food restaurant.
An elderly man was admitted to the hospital after a car accident. He sustained
a right pelvic fracture and verbalizes extreme pain with ambulation. The
orthopedic doctor has recommended that the patient perform "toe touch only"
weight bearing on his right foot for 6 to 8 weeks. The COTA should instruct
From Purple Book Question and
answers correctly solved 2025
What should the OT practitioner do FIRST to obtain accurate information
about a patient's family situation and about their occupational, cultural, and
educational backgrounds? - correct answer Read the social worker's report.
The treatment goal that BEST addresses the psychosocial skill of self-
expression is: - correct answer the client will use facial expressions and
gestures that are consistent with stated emotions during assertive, passive,
and aggressive role-play situations.
In establishing long-term goals for an individual with T4 paraplegia in a
rehabilitation setting, the COTA would MOST likely predict that the patient will
attain what level of independence with bathing, dressing, and transfers? -
correct answer Complete independence with self-care and transfers
An OT practitioner is leading a grooming group for female clients in a
psychosocial treatment setting. Which of the following options BEST complies
with universal precautions? - correct answer Use disposable cotton swabs
and have clients bring their own cosmetics.
A COTA is leading a discussion with a group of individuals who are diagnosed
with major depression. The MOST helpful approach for the COTA to take is
to: - correct answer offer even-tempered acceptance, relfecting back what is
heard without agreeing that the situation is hopeless.
A young adult who sustained a severe TBI has begun participating in a
community re-entry program. The OTR will evaluate self-care skills, and the
COTA will evaluate the individual's ability to perform work and productive
, activities. Which of the following are MOST appropriate for the COTA to
address? - correct answer Clothing care, cleaning, and volunteering
A COTA enters the room of a patient who recently had a RCVA with flaccidity
to the left upper extremity. The COTA begins to perform upper extremity
passive range of motion to the left arm when marked pitting edema of the left
hand is noted. Which of the following should the COTA do FIRST? - correct
answer Continue to perform PROM and then position and elevate the affected
extremity.
A sixth grader with a diagnosis of athetoid cerebral palsy needs an adapted
computer for communication. Her upper extremity control is poor because of
fluctuating muscle tone. The COTA suggests that the BEST way for her to
operate her computer is to use a: - correct answer single pressure switch,
firmly mounted within easy reach.
The COTA is treating a client for epicondylitis. Which of the following adjunct
activities should the COTA use to treat the ACUTE symptoms of tennis
elbow? - correct answer Ice application, immobilization, and splinting
Which of the following is MOST important to include in the initial intervention
for an individual with complete paralysis as a result of Guillain-Barre
syndrome? - correct answer Passive ROM, positioning, and splinting
An OT practitioner is developing transition activities for a group of 16-year-old
students diagnosed as trainable mentally retarded. Which of the following
activities would be BEST for addressing goals related to transition? - correct
answer Go out for lunch at a fast-food restaurant.
An elderly man was admitted to the hospital after a car accident. He sustained
a right pelvic fracture and verbalizes extreme pain with ambulation. The
orthopedic doctor has recommended that the patient perform "toe touch only"
weight bearing on his right foot for 6 to 8 weeks. The COTA should instruct
