NBCOT Practice Exam 1 fully solved &
updated 2025-2026 latest version
verified for accuracy Questions +
Answers Solved 100% Correct
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.
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.
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
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.
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".
When the OT suspects tactile defensiveness as a rationale for a
child's challenges, in what area of participation should the OT focus
on FIRST?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests
B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of daily
living activities.... specific types of clothing.... specific textures materials".
The child may be bothered by certain textures or avoid wearing turtlenecks,
socks, or shoes. Conversely, some children may never take off their shoes
to avoid tactile stimulation. Play behavior (answer A), social skills (answer
C), and the choice of hobbies (answer D) could be affected secondarily, as
a result of intolerance to certain textures or human touch. Knowledge of the
child's dressing habits will give the OT key information at the start of the
evaluation process.
An OT is working with an individual with schizophrenia who is in the
process of preparing to move from a state hospital to a group home.
During a baking group, the client becomes agitated and leaves the
room when another client uses the electric hand mixer to mix the cake
batter, and again when two clients begin to argue loudly about which
type of icing to use. How would the OT BEST describe the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior,
characterized by a low threshold to stimuli perceived as noxious, followed
by an active response such as leaving the room. Individuals with sensory
, avoiding behavior may "become distressed in situations in which they
cannot control the environment" and "do well in low stimulus situation or
settings that others find dull". An individual with low registration (answer A),
sensory seeking behavior (answer C), or a hearing impairment (answer D)
would not have difficult with the auditory stimulation caused by the roar of
the mixer or loud voices.
During a self-care evaluation of an individual who recently sustained
a brain injury, the OT instructs the individual to comb his hair
immediately after he washes his face. The individual washes his face
quickly, but then the therapist must give him several reminders to
comb his hair. The OT is MOST likely to identify this as a deficit in
what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
A. Working memory
"Working memory is the temporary storage of information while one is
working with it or attending to it. It includes the ability to recall information
immediately after exposure. It allows one to focus conscious attention and
keeps track of information as one is performing an activity". This
individual's inability to comb is hair without reminders suggests a deficit in
working memory (answer A). Judgment (answer B), the ability to make
realistic and safe decisions based on available environmental information,
would not be needed for this task. Because the person performed the first
request, hearing (answer C) would seem to be intact. Abstraction (answer
D) is the ability to extrapolate information from an idea to generalize to
another situation and would not be needed to follow this direction.
A supermarket employee with obsessive-compulsive disorder takes
an hour to stock 24 soup cans on the shelf because once he has
placed the cans on the shelf, he removes them and starts over,
stating that "all labels were not lines up exactly in the same
direction." Which of the following methods would MOST effectively
evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
updated 2025-2026 latest version
verified for accuracy Questions +
Answers Solved 100% Correct
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.
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.
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
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.
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".
When the OT suspects tactile defensiveness as a rationale for a
child's challenges, in what area of participation should the OT focus
on FIRST?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests
B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of daily
living activities.... specific types of clothing.... specific textures materials".
The child may be bothered by certain textures or avoid wearing turtlenecks,
socks, or shoes. Conversely, some children may never take off their shoes
to avoid tactile stimulation. Play behavior (answer A), social skills (answer
C), and the choice of hobbies (answer D) could be affected secondarily, as
a result of intolerance to certain textures or human touch. Knowledge of the
child's dressing habits will give the OT key information at the start of the
evaluation process.
An OT is working with an individual with schizophrenia who is in the
process of preparing to move from a state hospital to a group home.
During a baking group, the client becomes agitated and leaves the
room when another client uses the electric hand mixer to mix the cake
batter, and again when two clients begin to argue loudly about which
type of icing to use. How would the OT BEST describe the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior,
characterized by a low threshold to stimuli perceived as noxious, followed
by an active response such as leaving the room. Individuals with sensory
, avoiding behavior may "become distressed in situations in which they
cannot control the environment" and "do well in low stimulus situation or
settings that others find dull". An individual with low registration (answer A),
sensory seeking behavior (answer C), or a hearing impairment (answer D)
would not have difficult with the auditory stimulation caused by the roar of
the mixer or loud voices.
During a self-care evaluation of an individual who recently sustained
a brain injury, the OT instructs the individual to comb his hair
immediately after he washes his face. The individual washes his face
quickly, but then the therapist must give him several reminders to
comb his hair. The OT is MOST likely to identify this as a deficit in
what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
A. Working memory
"Working memory is the temporary storage of information while one is
working with it or attending to it. It includes the ability to recall information
immediately after exposure. It allows one to focus conscious attention and
keeps track of information as one is performing an activity". This
individual's inability to comb is hair without reminders suggests a deficit in
working memory (answer A). Judgment (answer B), the ability to make
realistic and safe decisions based on available environmental information,
would not be needed for this task. Because the person performed the first
request, hearing (answer C) would seem to be intact. Abstraction (answer
D) is the ability to extrapolate information from an idea to generalize to
another situation and would not be needed to follow this direction.
A supermarket employee with obsessive-compulsive disorder takes
an hour to stock 24 soup cans on the shelf because once he has
placed the cans on the shelf, he removes them and starts over,
stating that "all labels were not lines up exactly in the same
direction." Which of the following methods would MOST effectively
evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
