NBCOT Practice Questions And Full
Set Correct Answers| 2026 Update
Joe, a former navy pilot, is a 72-year-old senior who recently had a CVA. As
he is building a model airplane, he puts the wheels in the cockpit instead of
on the wheel mounts. What should the OT document in her notes, in terms
of what Joe demonstrated during the session? - Ans--Constructional
apraxia
This reflex is present in utero and typically integrates by 6-7 months of age.
It is an important reflex that needs to be integrated for separating head and
arm movements. If a child has not integrated this reflex, they will typically
rest their head on their non-dominant hand and simultaneously straighten
the leg on their dominant side when writing. Their head also tends to lean to
one side when they are writing. Which reflex is being described? - Ans--
ATNR
Asking a patient with a suspected peripheral neuropathy to make an "O.K."
sign is used as a quick screening to assess which nerve? - Ans--Median
Nerve
The Centers for Medicare and Medicaid Services (CMS) introduced a
standardized patient assessment tool to track how patients progress in
relation to the services they receive which directly influences
reimbursement. Which statements apply to this tool which is referred to as
Section GG? Select the 3 best answers. - Ans--Interdisciplinary team
members contribute to the scoring of Section GG
Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT
Act) mandated that standardized patient assessment data is collected
across post-acute care settings,
When scoring items, activities may be completed with or without assistive
devices
,What is the next developmental step for a 14-month-old toddler who has just
mastered scooping food and bringing it to his mouth? - Ans--The next
developmental step would be to drink using a straw
According to the National Institute for Occupational Safety & Health
(NIOSH) guidelines, what is the maximum weight an OT practitioner should
handle before using a lift to assist with patient handling becomes
necessary? - Ans--35lbs
An OTR® is preparing to deliver a presentation to the special education
teaching staff of the local school district. The OTR® decides to use
examples of quantitative research to support the use of weighted vests for
children who have been diagnosed with ADHD. Which information should
the OTR® include in their presentation? - Ans--A randomized controlled
trial studying the use of weighted vests by children with ADHD in a large
metropolitan school district
A patient who presents with cognitive dysfunction is able to perform the
whipstitch 3x, when the ACLS is being administered. At what ACL level is
this patient functioning? - Ans--Level 4
At which Rancho level would you place a recent TBI patient who blinks at
light, turns towards sound, responds to family members, and whose eyes
follow an object? - Ans--Rancho level 3
What are the 3 main purposes of using the Dynamic Lowenstein
Occupational Therapy Cognitive Assessment (DLOTCA)? - Ans--Identifies
cognitive abilities and limitations of people with neurological disabilities,
identifies learning potential and provides a starting point from which to
begin intervention appropriate to the specific patient being tested
An OTR® is working with a patient who recently sustained a high-level SCI
at C3. The OTR® has recommended a power wheelchair with a "sip n puff"
control. How can a patient with this level of injury manage to control the "sip
n puff" if they are dependent on a mechanical ventilator to breathe? - Ans--A
patient can create enough force to activate the sip n puff system by only
using their facial muscles
,When working with a patient who has been diagnosed with complex
regional pain syndrome, what aspect of OT intervention should the
therapist focus on initially? - Ans--Pain
A patient was recently admitted to acute care after acquiring a full-thickness
burn to both upper extremities. How long after having a skin graft, can this
patient's AROM be assessed? - Ans--5-10 days post-op
In the middle of your craft activity, a patient starts experiencing delusions
and believes that someone is plotting against them or members of their
family. What is the best action the OT should take? - Ans--Redirect thoughts
to reality-based thinking and actions
An OT is educating a patient who had a hip replacement one week ago, on
how to transfer in and out of a shower safely. What adaptation to the shower
will provide the BEST stability for the patient? - Ans--Grab bars or safety
rails
In a cooperative group, what type of leadership style does the therapist
adopt? - Ans--Advisory
What should the focus of preoperative OT intervention be for a patient who
is scheduled to have a total hip replacement using the posterior surgical
approach? - Ans--The use of equipment and modified techniques to
perform transfers and BADLs
What is the name of the group in which the emphasis is on providing social
opportunities for sharing life stories and feelings, expressing pride in past
life experiences, and gaining support for past life difficulties, which
enhances self-esteem and helps residents achieve acceptance of past and
present life? - Ans--Reminiscence group
A fish supply company is remodeling their store and are consulting with an
OT practitioner to find out what the maximum height their serving counters
can be so that they can accommodate people in wheelchairs. What is the
maximum height for a counter top according to ADA Guidelines? - Ans--36"
, A patient has recently been admitted to acute care for second and third-
degree burns on the dorsal surface of his forearm and hand. Which splint
would be appropriate for this patient? - Ans--Intrinsic plus splint
An OT is working with a patient in the in-patient rehab department. The
patient recently sustained a TBI during a MVA and has become very
agitated. When the OT presents the patient with a simple grooming activity
of brushing his teeth, he does not follow the OT's instructions and instead
throws the toothbrush on the floor. He then states that he wants to be left
alone. How should the OT best document the session in the "A" part of the
SOAP note? - Ans--Patient became agitated and continues to demonstrate
difficulty following instructions
A 3-year-old boy is beginning school-based occupational therapy after
transferring out of the local birth-to-three program. He has a diagnosis of
Trisomy 21. What medical complications is this child likely to present with,
based on his diagnoses? - Ans--Heart defect and atlantoaxial instability
An OT is giving a presentation on Medicare reimbursement guidelines for
durable medical equipment (DME). From the list of examples below, in
which scenario would reimbursement by Medicare be approved? - Ans--A
walker for a person who cannot ambulate in the home without one
From the list of FORs listed below, which FOR is the MOST appropriate to
use when working with a patient who is recovering from a traumatic brain
injury? - Ans--Neurodevelopmental Treatment (NDT)
An OT is conducting research on a patient who sustained a spinal cord
injury in a motorcycle accident. What type of research methodology is she
using in this scenario? - Ans--Case study
A patient who suffered a recent CVA presents with motor, perceptual and
cognitive difficulties. The patient demonstrates a poor awareness of her
physical and cognitive abilities, often overestimating her abilities, and her
attention span is erratic. The focus of OT intervention is currently on
presenting the patient with many structured opportunities to practice basic
self-care tasks with the aim of there being a transfer of learning. On which
Set Correct Answers| 2026 Update
Joe, a former navy pilot, is a 72-year-old senior who recently had a CVA. As
he is building a model airplane, he puts the wheels in the cockpit instead of
on the wheel mounts. What should the OT document in her notes, in terms
of what Joe demonstrated during the session? - Ans--Constructional
apraxia
This reflex is present in utero and typically integrates by 6-7 months of age.
It is an important reflex that needs to be integrated for separating head and
arm movements. If a child has not integrated this reflex, they will typically
rest their head on their non-dominant hand and simultaneously straighten
the leg on their dominant side when writing. Their head also tends to lean to
one side when they are writing. Which reflex is being described? - Ans--
ATNR
Asking a patient with a suspected peripheral neuropathy to make an "O.K."
sign is used as a quick screening to assess which nerve? - Ans--Median
Nerve
The Centers for Medicare and Medicaid Services (CMS) introduced a
standardized patient assessment tool to track how patients progress in
relation to the services they receive which directly influences
reimbursement. Which statements apply to this tool which is referred to as
Section GG? Select the 3 best answers. - Ans--Interdisciplinary team
members contribute to the scoring of Section GG
Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT
Act) mandated that standardized patient assessment data is collected
across post-acute care settings,
When scoring items, activities may be completed with or without assistive
devices
,What is the next developmental step for a 14-month-old toddler who has just
mastered scooping food and bringing it to his mouth? - Ans--The next
developmental step would be to drink using a straw
According to the National Institute for Occupational Safety & Health
(NIOSH) guidelines, what is the maximum weight an OT practitioner should
handle before using a lift to assist with patient handling becomes
necessary? - Ans--35lbs
An OTR® is preparing to deliver a presentation to the special education
teaching staff of the local school district. The OTR® decides to use
examples of quantitative research to support the use of weighted vests for
children who have been diagnosed with ADHD. Which information should
the OTR® include in their presentation? - Ans--A randomized controlled
trial studying the use of weighted vests by children with ADHD in a large
metropolitan school district
A patient who presents with cognitive dysfunction is able to perform the
whipstitch 3x, when the ACLS is being administered. At what ACL level is
this patient functioning? - Ans--Level 4
At which Rancho level would you place a recent TBI patient who blinks at
light, turns towards sound, responds to family members, and whose eyes
follow an object? - Ans--Rancho level 3
What are the 3 main purposes of using the Dynamic Lowenstein
Occupational Therapy Cognitive Assessment (DLOTCA)? - Ans--Identifies
cognitive abilities and limitations of people with neurological disabilities,
identifies learning potential and provides a starting point from which to
begin intervention appropriate to the specific patient being tested
An OTR® is working with a patient who recently sustained a high-level SCI
at C3. The OTR® has recommended a power wheelchair with a "sip n puff"
control. How can a patient with this level of injury manage to control the "sip
n puff" if they are dependent on a mechanical ventilator to breathe? - Ans--A
patient can create enough force to activate the sip n puff system by only
using their facial muscles
,When working with a patient who has been diagnosed with complex
regional pain syndrome, what aspect of OT intervention should the
therapist focus on initially? - Ans--Pain
A patient was recently admitted to acute care after acquiring a full-thickness
burn to both upper extremities. How long after having a skin graft, can this
patient's AROM be assessed? - Ans--5-10 days post-op
In the middle of your craft activity, a patient starts experiencing delusions
and believes that someone is plotting against them or members of their
family. What is the best action the OT should take? - Ans--Redirect thoughts
to reality-based thinking and actions
An OT is educating a patient who had a hip replacement one week ago, on
how to transfer in and out of a shower safely. What adaptation to the shower
will provide the BEST stability for the patient? - Ans--Grab bars or safety
rails
In a cooperative group, what type of leadership style does the therapist
adopt? - Ans--Advisory
What should the focus of preoperative OT intervention be for a patient who
is scheduled to have a total hip replacement using the posterior surgical
approach? - Ans--The use of equipment and modified techniques to
perform transfers and BADLs
What is the name of the group in which the emphasis is on providing social
opportunities for sharing life stories and feelings, expressing pride in past
life experiences, and gaining support for past life difficulties, which
enhances self-esteem and helps residents achieve acceptance of past and
present life? - Ans--Reminiscence group
A fish supply company is remodeling their store and are consulting with an
OT practitioner to find out what the maximum height their serving counters
can be so that they can accommodate people in wheelchairs. What is the
maximum height for a counter top according to ADA Guidelines? - Ans--36"
, A patient has recently been admitted to acute care for second and third-
degree burns on the dorsal surface of his forearm and hand. Which splint
would be appropriate for this patient? - Ans--Intrinsic plus splint
An OT is working with a patient in the in-patient rehab department. The
patient recently sustained a TBI during a MVA and has become very
agitated. When the OT presents the patient with a simple grooming activity
of brushing his teeth, he does not follow the OT's instructions and instead
throws the toothbrush on the floor. He then states that he wants to be left
alone. How should the OT best document the session in the "A" part of the
SOAP note? - Ans--Patient became agitated and continues to demonstrate
difficulty following instructions
A 3-year-old boy is beginning school-based occupational therapy after
transferring out of the local birth-to-three program. He has a diagnosis of
Trisomy 21. What medical complications is this child likely to present with,
based on his diagnoses? - Ans--Heart defect and atlantoaxial instability
An OT is giving a presentation on Medicare reimbursement guidelines for
durable medical equipment (DME). From the list of examples below, in
which scenario would reimbursement by Medicare be approved? - Ans--A
walker for a person who cannot ambulate in the home without one
From the list of FORs listed below, which FOR is the MOST appropriate to
use when working with a patient who is recovering from a traumatic brain
injury? - Ans--Neurodevelopmental Treatment (NDT)
An OT is conducting research on a patient who sustained a spinal cord
injury in a motorcycle accident. What type of research methodology is she
using in this scenario? - Ans--Case study
A patient who suffered a recent CVA presents with motor, perceptual and
cognitive difficulties. The patient demonstrates a poor awareness of her
physical and cognitive abilities, often overestimating her abilities, and her
attention span is erratic. The focus of OT intervention is currently on
presenting the patient with many structured opportunities to practice basic
self-care tasks with the aim of there being a transfer of learning. On which
