NBCOT Practice Exam Question and
answers verified to pass 2025
Which statement BEST describes how a COTA® assists with performing an
occupational therapy evaluation? - correct answer The COTA® may perform
delegated assessments and provide reports of a client's capabilities to the
OTR®.
A COTA® is working toward service competency for adaptive feeding
equipment instruction. How would an OTR® BEST establish service
competency for the COTA? - correct answer Compare outcomes by rating the
same client's performance with the adaptive feeding equipment
A COTA® working on an inpatient rehabilitation unit has had two patients fall
during intervention sessions in the past month. The supervising OTR® has
concerns about the COTA®'s safety awareness during certain interventions.
Which approach can the COTA® expect the OTR® to take to help the COTA®
BEST address these concerns? - correct answer The OTR® will collaborate
with the COTA® to determine potential causes of the falls and provide direct
supervision with more deliberate feedback.
A COTA® has been working on the cardiology unit of an acute care hospital
for 5 years. An OTR® has just begun working on the cardiology unit and will
be responsible for supervising the COTA®. What is the BEST type of
supervision for this COTA®? - correct answer Minimal
A COTA® has established service competency for administration and scoring
of the Mini-Mental State Examination. Which supervision is the MOST
APPROPRIATE for the OTR® to provide? - correct answer Minimal
supervision to periodically recheck that service competency is maintained
,A COTA® has been assigned to treat a new patient. The OTR® has evaluated
this patient but has not yet written the necessary documentation for the
COTA® to review. How should the COTA® proceed? - correct answer
Discuss with the OTR® reason for admission, precautions, and goals, and
proceed, documenting the supervisory visit
A COTA® is working with a client who punched a wall after an argument. The
client presents with inflammation and pain in the right fourth and fifth
metacarpals. What type of fracture does this client most likely have? - correct
answer Boxer's fracture
A COTA® decides that a client has returned to the previous level of function
and continued occupational therapy services are no longer needed. Which is
the BEST way to discharge this client? - correct answer The COTA® alerts
the OTR®, and the OTR® reviews the documentation, discusses the client's
progress and responses to intervention, and collaborates on a last treatment
day.
A COTA® who spent 2 years working on the orthopedics unit of an acute care
hospital is now working on the neurological floor. How is appropriate
supervision BEST described? - correct answer The OTR® and COTA® agree
that close supervision is best at this time.
A COTA® is shifting roles within a skilled nursing facility to become the
manager of the therapeutic recreation department. In which way does
supervision from the OTR® change? - correct answer Supervision is no longer
needed.
A COTA® is treating an adolescent client with major depression for the first
time since the OTR® completed the initial evaluation. The client has been
withdrawn and has stayed in bed except for meals. The COTA® is selecting
an activity to use in the first treatment session with this client. What is the
MOST important consideration in choosing an activity for the first individual
,treatment session with this client? - correct answer The activity should be
completed easily.
A supervising OTR® hires two newly graduated COTA®s who have different
learning styles. One prefers visual learning, and the other prefers a more
hands-on approach. Which approach is the BEST way for the OTR to
supervise both COTAs? - correct answer Have one COTA perform new tasks
while the other observes.
A physician has referred a client to an outpatient setting for an occupational
therapy evaluation and intervention. The client has late effects from a stroke
that occurred approximately 10 years ago. The OTR® is performing a
screening before initiating the evaluation. Which is the MOST likely reason for
completing the screening? - correct answer To identify whether the client may
benefit from occupational therapy services
A physician has referred a client to an outpatient setting for an occupational
therapy evaluation and intervention. The client has late effects from a stroke
that occurred approximately 10 years ago. The OTR® conducts the evaluation
and begins to formulate the client's goals in conjunction with the client and the
COTA®. Which short-term objective would be MOST appropriate for
improving independence in homemaking? - correct answer By 2 weeks, client
will be independent in cutting vegetables using adaptive equipment.
When a COTA® completes documentation, which of the following actions is
MOST in compliance with HIPAA regulations for maintaining client privacy and
confidentiality? - correct answer Positioning computer screens and client
charts out of others' view
A client has severe intention tremors secondary to multiple sclerosis. Which
adaptive strategy would be MOST BENEFICIAL for this client to use when
eating? - correct answer Stabilizing both arms on a counter or table top
, Which strategy is MOST appropriate strategy for resolving conflicts in the
workplace? - correct answer Listening effectively when others are speaking
A frail older adult client who uses an ultra lightweight manual wheelchair with
a foam cushion comes to the clinic is complaining of low back pain. The
client's caregiver indicates that the skin on the client's coccyx is very pink, and
there is concern about skin breakdown. The OTR®-COTA® team observes
that the client's seated position is stable without supports, the client's upper
extremities rest on the armrests without the shoulders hiking, the feet rest on
the foot plates bilaterally, and the hips are at a 45° angle, which keeps the
knees higher than waist level. The client indicates that this sitting posture is
usual and is maintained most of the day. What intervention would the OTR®-
COTA® team try INITIALLY to relieve the client's pain and protect the skin? -
correct answer Lower the footrests so that the thighs are level with the seat of
the chair and the feet rest flat on the footrests
A COTA® is working with a client experiencing a cumulative trauma disorder
of the right upper extremity. To document client improvement as a result of
therapy, which occupation-based statement would the COTA® be MOST
likely to write? - correct answer Client can brush teeth using the involved
upper extremity without pain.
A COTA® is establishing reasonable accommodations for a client with a
history of attention deficit disorder who is employed as a receptionist for a
lawn care company. The client exhibits decreased attention span,
concentration, and periodic physical restlessness. The essential job functions
include answering phone calls, taking messages, sending out statements for
services rendered, and setting up appointments. Which accommodation is
MOST appropriate for the COTA® to recommend? - correct answer A
redesign of the work space to minimize distractions
A COTA® is working with a client who fractured the distal radius of one arm 6
weeks ago. Within what time frame is controlled AROM typically initiated if the
fracture is healing secondarily? - correct answer 3-6 weeks postinjury
answers verified to pass 2025
Which statement BEST describes how a COTA® assists with performing an
occupational therapy evaluation? - correct answer The COTA® may perform
delegated assessments and provide reports of a client's capabilities to the
OTR®.
A COTA® is working toward service competency for adaptive feeding
equipment instruction. How would an OTR® BEST establish service
competency for the COTA? - correct answer Compare outcomes by rating the
same client's performance with the adaptive feeding equipment
A COTA® working on an inpatient rehabilitation unit has had two patients fall
during intervention sessions in the past month. The supervising OTR® has
concerns about the COTA®'s safety awareness during certain interventions.
Which approach can the COTA® expect the OTR® to take to help the COTA®
BEST address these concerns? - correct answer The OTR® will collaborate
with the COTA® to determine potential causes of the falls and provide direct
supervision with more deliberate feedback.
A COTA® has been working on the cardiology unit of an acute care hospital
for 5 years. An OTR® has just begun working on the cardiology unit and will
be responsible for supervising the COTA®. What is the BEST type of
supervision for this COTA®? - correct answer Minimal
A COTA® has established service competency for administration and scoring
of the Mini-Mental State Examination. Which supervision is the MOST
APPROPRIATE for the OTR® to provide? - correct answer Minimal
supervision to periodically recheck that service competency is maintained
,A COTA® has been assigned to treat a new patient. The OTR® has evaluated
this patient but has not yet written the necessary documentation for the
COTA® to review. How should the COTA® proceed? - correct answer
Discuss with the OTR® reason for admission, precautions, and goals, and
proceed, documenting the supervisory visit
A COTA® is working with a client who punched a wall after an argument. The
client presents with inflammation and pain in the right fourth and fifth
metacarpals. What type of fracture does this client most likely have? - correct
answer Boxer's fracture
A COTA® decides that a client has returned to the previous level of function
and continued occupational therapy services are no longer needed. Which is
the BEST way to discharge this client? - correct answer The COTA® alerts
the OTR®, and the OTR® reviews the documentation, discusses the client's
progress and responses to intervention, and collaborates on a last treatment
day.
A COTA® who spent 2 years working on the orthopedics unit of an acute care
hospital is now working on the neurological floor. How is appropriate
supervision BEST described? - correct answer The OTR® and COTA® agree
that close supervision is best at this time.
A COTA® is shifting roles within a skilled nursing facility to become the
manager of the therapeutic recreation department. In which way does
supervision from the OTR® change? - correct answer Supervision is no longer
needed.
A COTA® is treating an adolescent client with major depression for the first
time since the OTR® completed the initial evaluation. The client has been
withdrawn and has stayed in bed except for meals. The COTA® is selecting
an activity to use in the first treatment session with this client. What is the
MOST important consideration in choosing an activity for the first individual
,treatment session with this client? - correct answer The activity should be
completed easily.
A supervising OTR® hires two newly graduated COTA®s who have different
learning styles. One prefers visual learning, and the other prefers a more
hands-on approach. Which approach is the BEST way for the OTR to
supervise both COTAs? - correct answer Have one COTA perform new tasks
while the other observes.
A physician has referred a client to an outpatient setting for an occupational
therapy evaluation and intervention. The client has late effects from a stroke
that occurred approximately 10 years ago. The OTR® is performing a
screening before initiating the evaluation. Which is the MOST likely reason for
completing the screening? - correct answer To identify whether the client may
benefit from occupational therapy services
A physician has referred a client to an outpatient setting for an occupational
therapy evaluation and intervention. The client has late effects from a stroke
that occurred approximately 10 years ago. The OTR® conducts the evaluation
and begins to formulate the client's goals in conjunction with the client and the
COTA®. Which short-term objective would be MOST appropriate for
improving independence in homemaking? - correct answer By 2 weeks, client
will be independent in cutting vegetables using adaptive equipment.
When a COTA® completes documentation, which of the following actions is
MOST in compliance with HIPAA regulations for maintaining client privacy and
confidentiality? - correct answer Positioning computer screens and client
charts out of others' view
A client has severe intention tremors secondary to multiple sclerosis. Which
adaptive strategy would be MOST BENEFICIAL for this client to use when
eating? - correct answer Stabilizing both arms on a counter or table top
, Which strategy is MOST appropriate strategy for resolving conflicts in the
workplace? - correct answer Listening effectively when others are speaking
A frail older adult client who uses an ultra lightweight manual wheelchair with
a foam cushion comes to the clinic is complaining of low back pain. The
client's caregiver indicates that the skin on the client's coccyx is very pink, and
there is concern about skin breakdown. The OTR®-COTA® team observes
that the client's seated position is stable without supports, the client's upper
extremities rest on the armrests without the shoulders hiking, the feet rest on
the foot plates bilaterally, and the hips are at a 45° angle, which keeps the
knees higher than waist level. The client indicates that this sitting posture is
usual and is maintained most of the day. What intervention would the OTR®-
COTA® team try INITIALLY to relieve the client's pain and protect the skin? -
correct answer Lower the footrests so that the thighs are level with the seat of
the chair and the feet rest flat on the footrests
A COTA® is working with a client experiencing a cumulative trauma disorder
of the right upper extremity. To document client improvement as a result of
therapy, which occupation-based statement would the COTA® be MOST
likely to write? - correct answer Client can brush teeth using the involved
upper extremity without pain.
A COTA® is establishing reasonable accommodations for a client with a
history of attention deficit disorder who is employed as a receptionist for a
lawn care company. The client exhibits decreased attention span,
concentration, and periodic physical restlessness. The essential job functions
include answering phone calls, taking messages, sending out statements for
services rendered, and setting up appointments. Which accommodation is
MOST appropriate for the COTA® to recommend? - correct answer A
redesign of the work space to minimize distractions
A COTA® is working with a client who fractured the distal radius of one arm 6
weeks ago. Within what time frame is controlled AROM typically initiated if the
fracture is healing secondarily? - correct answer 3-6 weeks postinjury
