NBCOT PRACTICE EXAM 1 2025-2026 TEST
QUESTIONS AND CORRECT DETAILED ANSWERS
VERIFIED BY EXPERTS ALREADY GRADED A+
An OT is preparing to evaluate a toddler who has upper
extremity orthopedic concerns. How will the OT MOST likely
obtain the majority of initial assessment data?
A. Measurement tools that assess visual-motor skills
B. Dynamometer and pinch meter readings.
C. Observation of child during activities in the child-care center.
D. Functional independence measures.
ANSWER; C. Observation of child during activities in the child-
care center.
Through observation of the child during child-care center
activities, the OT can collect information about the child's
motor performance skills and participation in activities that
require upper extremity/hand skill. Naturalistic observation is a
method of ecological assessment, which is "a primary
mechanism for obtaining data relevant to the child's
performance context..... Skilled observation of child performing
,a functional task offers..... important information about the
child's performance". Answers A, B, ad D are all appropriate
choices after the child is old enough for these assessments.
During an initial evaluation, the OT suspects that a child has
somatodyspraxia. In what area should the OT focus the
evaluation?
A. Ability to print or write.
B. Reading competency.
C. Math calculations.
D. New motor task planning.
ANSWER; D. New motor task planning.
"Somatodyspraxia is described as a deficit in learning new
motor skills, planning new motor actions, and generalizing
motor plans." Inability to print or write (answer A) is termed
"dysgraphia." The term "dyslexia" (answer B) means
dysfunction in reading. Inability to perform mathematics
(answer C) is known as "dyscalculia"
,An OT working in a long-term care facility needs to evaluate the
long-term memory of a resident. Which of the following
methods is BEST for evaluating memory or personally
experienced events (declarative memory)?
A. Show the person a series of objects and ask him to recall the
objects within 60 seconds.
B. Ask the individual how he spent New Year's/
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to the
next therapy session
ANSWER; B Ask the individual how he spent New Year's
"Declarative memory is one aspect of long term memory and
includes conscious memory for events, knowledge or facts". It
is commonly assessed through verbal interviews and informal
testing such as asking a question about an individual's recall of
personal events (answer B). Working memory refers to "the
temporary storage of inforamtion while one is working with it
or attending to it" (answer A). "Prospective memory involves
the ability to remember intentions or activities that will be
required in the future" (answer D). Knowing the date, place,
and time is indicative of orientation (answer C).
, A child avoids playground equipment that requires her feet to
be off the ground. What does this behavior MOST likely
indicate?
A. Difficulty modulating proprioception.
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficit.
ANSWER; C. Gravitational insecurity.
Gravitational insecurity is described as "fear response to
movement". The child easily experiences a fear of falling and
prefers to keep her feet firmly on the ground. Tactile
defensiveness (answer A) is a term used to describe discomfort
with various textures and with unexpected touch.
Somatodyspraxia (answer B) has is "foundation in
somatosensory (e.g. primarily tactile but also proprioceptive)
discrimination deficits, which interfere with the development of
body scheme and awareness". Bilateral integration and
sequencing deficits are related to "poor vestibular-
propioceptive discrimination, which interferes with the ability
to coordinate, sequence, and execute motor actions quickly
and efficiently".
QUESTIONS AND CORRECT DETAILED ANSWERS
VERIFIED BY EXPERTS ALREADY GRADED A+
An OT is preparing to evaluate a toddler who has upper
extremity orthopedic concerns. How will the OT MOST likely
obtain the majority of initial assessment data?
A. Measurement tools that assess visual-motor skills
B. Dynamometer and pinch meter readings.
C. Observation of child during activities in the child-care center.
D. Functional independence measures.
ANSWER; C. Observation of child during activities in the child-
care center.
Through observation of the child during child-care center
activities, the OT can collect information about the child's
motor performance skills and participation in activities that
require upper extremity/hand skill. Naturalistic observation is a
method of ecological assessment, which is "a primary
mechanism for obtaining data relevant to the child's
performance context..... Skilled observation of child performing
,a functional task offers..... important information about the
child's performance". Answers A, B, ad D are all appropriate
choices after the child is old enough for these assessments.
During an initial evaluation, the OT suspects that a child has
somatodyspraxia. In what area should the OT focus the
evaluation?
A. Ability to print or write.
B. Reading competency.
C. Math calculations.
D. New motor task planning.
ANSWER; D. New motor task planning.
"Somatodyspraxia is described as a deficit in learning new
motor skills, planning new motor actions, and generalizing
motor plans." Inability to print or write (answer A) is termed
"dysgraphia." The term "dyslexia" (answer B) means
dysfunction in reading. Inability to perform mathematics
(answer C) is known as "dyscalculia"
,An OT working in a long-term care facility needs to evaluate the
long-term memory of a resident. Which of the following
methods is BEST for evaluating memory or personally
experienced events (declarative memory)?
A. Show the person a series of objects and ask him to recall the
objects within 60 seconds.
B. Ask the individual how he spent New Year's/
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to the
next therapy session
ANSWER; B Ask the individual how he spent New Year's
"Declarative memory is one aspect of long term memory and
includes conscious memory for events, knowledge or facts". It
is commonly assessed through verbal interviews and informal
testing such as asking a question about an individual's recall of
personal events (answer B). Working memory refers to "the
temporary storage of inforamtion while one is working with it
or attending to it" (answer A). "Prospective memory involves
the ability to remember intentions or activities that will be
required in the future" (answer D). Knowing the date, place,
and time is indicative of orientation (answer C).
, A child avoids playground equipment that requires her feet to
be off the ground. What does this behavior MOST likely
indicate?
A. Difficulty modulating proprioception.
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficit.
ANSWER; C. Gravitational insecurity.
Gravitational insecurity is described as "fear response to
movement". The child easily experiences a fear of falling and
prefers to keep her feet firmly on the ground. Tactile
defensiveness (answer A) is a term used to describe discomfort
with various textures and with unexpected touch.
Somatodyspraxia (answer B) has is "foundation in
somatosensory (e.g. primarily tactile but also proprioceptive)
discrimination deficits, which interfere with the development of
body scheme and awareness". Bilateral integration and
sequencing deficits are related to "poor vestibular-
propioceptive discrimination, which interferes with the ability
to coordinate, sequence, and execute motor actions quickly
and efficiently".
