Aota Practice Exam Questions With Complete Solutions
A 12-year-old client with cerebral palsy and spastic quadriplegia
wants to access the Internet and e-mail on the computer. The
client has poor head control and is using a headband to maintain
the head in midline. The client is able to turn the head to the
right to operate the suction machine using head control input.
The client's left upper extremity has no active movement, and
the left elbow has 90° flexion contracture. The client is able to
flex the right shoulder to 60° against gravity, and the right elbow
has trace active movement. The client has no active wrist or
finger movement except minimal right thumb adduction. What
is the BEST input control for this client?
A. Eye-tracking input
B. Mouth stick control
C. Head pointer
D. Switch-encoding input Correct Answers a
A 7-year-old child presents with amelia and uses a myoelectric
hand. Which terminal device is the client MOST likely to wear?
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis Correct Answers a (A myoelectric hand is
paired with an externally powered prosthesis, which involves the
placement of an electrode to pick up electromyographic signals
to move the electric hand.)
A client arrives at the occupational therapy clinic 10 minutes
late for a session crying uncontrollably. When the COTA®
,attempts to engage the client in conversation, the client
responds, "I don't want to talk about it. Is that so bad?" Which
response would be MOST effective?
A. "Let's have our session later, after you've stopped crying."
B. "You are upset. How can I help you?"
C. "Come on, now; that's enough of that."
D. "It must be very difficult." Correct Answers d
A client did not attend the occupational therapy session because
of an illness. According to the Guidelines for Documentation of
Occupational Therapy, what is the BEST type of documentation
to note nonattendance in a timely manner?
A. Reassessment report
B. Service contact
C. Plan of care
D. Monthly progress report Correct Answers b
A client has 20/200 visual acuity in the better seeing eye. How is
this client's vision BEST described?
A. Near blindness (20/150 - 20/2500)
B. Severe low vision (20/200 - 20/400)
C. Normal vision (20/12 - 20/25)
D. Profound low vision (20/500 - 20/1000) Correct Answers b
A client has fair (3/5) muscle strength of the shoulder flexors
and is participating in a strengthening program. Which position
and movement pattern would be MOST EFFECTIVE for
initially increasing strength of the client's shoulder flexors?
,A. Seated, moving the arm in a sagittal plane
B. Seated, moving the arm on a skateboard
C. Side lying, moving the arm in a horizontal plane
D. Supine, moving the arm in a non-resisted plane Correct
Answers a (Moving the arm in the sagittal plane will allow
active movement against gravity, which in turn will facilitate the
client's current strength with full active motion against gravity.)
A client who suffered a stroke would like to return to work as a
computer specialist. The OTR® asks the COTA® to explain
vocational evaluation to the client. What explanation should the
COTA® provide to the client?
A. Vocational evaluation determines the essential functions of a
job area to conduct work tolerance screenings.
B. Vocational evaluation identifies safety risks that may impede
a worker's ability to complete job tasks.
C. Vocational evaluation assesses a client's readiness, skills and
ability to engage in a particular occupation.
D. Vocational evaluation establishes the organization's
compliance with the Americans With Disabilities Act. Correct
Answers c
A client who uses an ultra lightweight wheelchair asks whether
the chair can accommodate a wraparound lapboard. The
COTA® is not familiar with this type of lapboard. Who on the
rehabilitation team would be the BEST person for the COTA®
to consult to obtain this information?
, A. An OTR®
B. A physical therapist
IncorrectC. A rehabilitation engineer
D. A medical equipment supplier Correct Answers d
A client with a unilateral transradial amputation is undergoing
pre-positioning training for a myoelectric arm. Which of the
following is the MOST appropriate goal?
A. Within three sessions, the client will independently don the
prosthesis and obtain good electrical contacts with the electrode
sites 100% of the time.
B. Within three sessions, the client will be able to open and
close the myoelectric terminal device 100% of the time.
C. Within 1 week, the client will be able to accurately identify
how to arrange the wrist of the myoelectric terminal device to be
able to optimally grasp different objects.
D. Within 1 month, the client will be able to use the myoelectric
terminal device as a functional assist and stabilizer in 100% of
daily activities. Correct Answers c (The pre-positioning phase
focuses on teaching the client with an amputation to position the
terminal device for optimal grasp.)
A client with Alzheimer's disease (AD) reports getting lost when
going to a daughter's apartment. The client's daughter has been
living in the same apartment building for more than 10 years,
but she lives 3 hours away from the client. In what stage of
dementia is this client?
A. End
B. Early
A 12-year-old client with cerebral palsy and spastic quadriplegia
wants to access the Internet and e-mail on the computer. The
client has poor head control and is using a headband to maintain
the head in midline. The client is able to turn the head to the
right to operate the suction machine using head control input.
The client's left upper extremity has no active movement, and
the left elbow has 90° flexion contracture. The client is able to
flex the right shoulder to 60° against gravity, and the right elbow
has trace active movement. The client has no active wrist or
finger movement except minimal right thumb adduction. What
is the BEST input control for this client?
A. Eye-tracking input
B. Mouth stick control
C. Head pointer
D. Switch-encoding input Correct Answers a
A 7-year-old child presents with amelia and uses a myoelectric
hand. Which terminal device is the client MOST likely to wear?
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis Correct Answers a (A myoelectric hand is
paired with an externally powered prosthesis, which involves the
placement of an electrode to pick up electromyographic signals
to move the electric hand.)
A client arrives at the occupational therapy clinic 10 minutes
late for a session crying uncontrollably. When the COTA®
,attempts to engage the client in conversation, the client
responds, "I don't want to talk about it. Is that so bad?" Which
response would be MOST effective?
A. "Let's have our session later, after you've stopped crying."
B. "You are upset. How can I help you?"
C. "Come on, now; that's enough of that."
D. "It must be very difficult." Correct Answers d
A client did not attend the occupational therapy session because
of an illness. According to the Guidelines for Documentation of
Occupational Therapy, what is the BEST type of documentation
to note nonattendance in a timely manner?
A. Reassessment report
B. Service contact
C. Plan of care
D. Monthly progress report Correct Answers b
A client has 20/200 visual acuity in the better seeing eye. How is
this client's vision BEST described?
A. Near blindness (20/150 - 20/2500)
B. Severe low vision (20/200 - 20/400)
C. Normal vision (20/12 - 20/25)
D. Profound low vision (20/500 - 20/1000) Correct Answers b
A client has fair (3/5) muscle strength of the shoulder flexors
and is participating in a strengthening program. Which position
and movement pattern would be MOST EFFECTIVE for
initially increasing strength of the client's shoulder flexors?
,A. Seated, moving the arm in a sagittal plane
B. Seated, moving the arm on a skateboard
C. Side lying, moving the arm in a horizontal plane
D. Supine, moving the arm in a non-resisted plane Correct
Answers a (Moving the arm in the sagittal plane will allow
active movement against gravity, which in turn will facilitate the
client's current strength with full active motion against gravity.)
A client who suffered a stroke would like to return to work as a
computer specialist. The OTR® asks the COTA® to explain
vocational evaluation to the client. What explanation should the
COTA® provide to the client?
A. Vocational evaluation determines the essential functions of a
job area to conduct work tolerance screenings.
B. Vocational evaluation identifies safety risks that may impede
a worker's ability to complete job tasks.
C. Vocational evaluation assesses a client's readiness, skills and
ability to engage in a particular occupation.
D. Vocational evaluation establishes the organization's
compliance with the Americans With Disabilities Act. Correct
Answers c
A client who uses an ultra lightweight wheelchair asks whether
the chair can accommodate a wraparound lapboard. The
COTA® is not familiar with this type of lapboard. Who on the
rehabilitation team would be the BEST person for the COTA®
to consult to obtain this information?
, A. An OTR®
B. A physical therapist
IncorrectC. A rehabilitation engineer
D. A medical equipment supplier Correct Answers d
A client with a unilateral transradial amputation is undergoing
pre-positioning training for a myoelectric arm. Which of the
following is the MOST appropriate goal?
A. Within three sessions, the client will independently don the
prosthesis and obtain good electrical contacts with the electrode
sites 100% of the time.
B. Within three sessions, the client will be able to open and
close the myoelectric terminal device 100% of the time.
C. Within 1 week, the client will be able to accurately identify
how to arrange the wrist of the myoelectric terminal device to be
able to optimally grasp different objects.
D. Within 1 month, the client will be able to use the myoelectric
terminal device as a functional assist and stabilizer in 100% of
daily activities. Correct Answers c (The pre-positioning phase
focuses on teaching the client with an amputation to position the
terminal device for optimal grasp.)
A client with Alzheimer's disease (AD) reports getting lost when
going to a daughter's apartment. The client's daughter has been
living in the same apartment building for more than 10 years,
but she lives 3 hours away from the client. In what stage of
dementia is this client?
A. End
B. Early
