NBCOT Occupational
Rehabilitation/Return To Work Exam|
Full Set Correct Answers| 2026
Update| Verified| Pass
A client with a learning disability is interested in exploring work opportunities
after high school graduation. The client has difficulty sequencing more than
three-step directions and lacks attention to detail. Which option would be
considered a component of the student's transitional program plan?
A. Completion of a transition-related evaluation by a vocational
rehabilitation counselor to identify the student's strengths, weaknesses,
and interests
B. Completion of a job site analysis with physical demands to determine the
feasibility of the client's performing specific tasks
C. Provision of written directions to complete a three-step task and use of
samples to promote problem solving
D. Situational observation, interview, and activity analysis to determine a
match between the client's abilities and expected performance - Ans--D.
Situational observation, interview, and activity analysis to determine a
match between the client's abilities and expected performance
While reviewing work hardening program documentation, a COTA®
realizes there is no entry in the client's medical record of a meeting
conducted with the insurance case manager, client, and client's employer
regarding light-duty options. According to best practice guidelines, how
should the COTA®amend the client's medical record to include a summary
of the meeting?
A. Back-date the entry to correspond to the actual date of the meeting, and
insert a summary of the meeting into the client's medical record.
B. Insert a summary of the meeting into the margins of the client's medical
record.
C. Use correction tape or fluid to correct the client's medical record and
insert details of the meeting in the proper sequence.
,D. Enter the information as a late entry into the client's medical record. -
Ans--D. Enter the information as a late entry into the client's medical record.
An OTR® is evaluating a construction worker who recently experienced
radial wrist pain in the right dominant hand. The worker has been unable to
perform the duties of the job and is working light duty. The COTA® is
collaborating with the OTR® for writing goals for the worker. Which short-
term goal would be BEST, using the RUMBA tool for goal writing?
A. Client will improve work tolerance use of right hand and wrist to lift 5 lb.
bucket within 2 weeks.
B. Client will receive ultrasound twice daily to radial wrist area for 2 weeks to
reduce pain.
C. Client will demonstrate improved functional score on the Jebsen-Taylor
Hand Function Test within 2 weeks.
D. Client will be able to type 2 minutes using right wrist cockup splint within 2
weeks. - Ans--A. Client will improve work tolerance use of right hand and
wrist to lift 5 lb. bucket within 2 weeks.
Which setting is MOST effective for job coaching with an adult client with
mental illness?
A. Sheltered workshop
B. Community-based services
C. Work readiness program
D. Workplace environment - Ans--D. Workplace environment
Which SOAP-format statement would be appropriate and objective in
documenting a client's return-to-work modified duty program?
A. The client stated, "My grip strength is not the same as it was before, but
my work gets done."
B. The client has decreased grip strength in the right hand of 15 lb with a
standard dynamometer measure.
C. The client's medical history includes a recent work injury resulting in a
distal radius fracture and high blood pressure.
D. The client has decreased grip strength in the left hand, limiting the client's
ability to operate the machine handle. - Ans--B. The client has decreased
grip strength in the right hand of 15 lb with a standard dynamometer
measure.
, 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. - Ans--C. Vocational evaluation assesses
a client's readiness, skills and ability to engage in a particular occupation.
A dental hygienist is referred to occupational therapy for establishment of a
work conditioning program after carpal tunnel release 1 month ago. The
client is anxious to return to work but fearful of reinjury. Which intervention is
MOST appropriate to include in the client's work conditioning program?
A. Instructing the client in median nerve gliding exercises
B. Instructing the client in ulnar nerve gliding exercises
C. Guiding the client in progressive resistive exercises using therapy putty
D. Writing simulated client progress notes - Ans--A. Instructing the client in
median nerve gliding exercises
An OTR® has written treatment goals for a client receiving occupational
therapy services in a work conditioning program after a right shoulder
sprain. The client is employed as a surgical technician in an outpatient
surgery center. Which option is the BEST example of a long-term goal?
A. Client will return to full duty as a surgical technician in a full-time capacity
within 4 weeks.
B. Client's employer will implement reasonable accommodations to
promote the client's ability to complete full-time physical demands as a
surgical technician within 4 weeks.
C. Client will return to full duty as a surgical technician with the ability to carry
over proper body mechanics to reduce risk for reinjury.
D. Client will use proper body mechanics 100% of the time while completing
the job of a surgical technician within 4 weeks. - Ans--A. Client will return to
full duty as a surgical technician in a full-time capacity within 4 weeks.
Rehabilitation/Return To Work Exam|
Full Set Correct Answers| 2026
Update| Verified| Pass
A client with a learning disability is interested in exploring work opportunities
after high school graduation. The client has difficulty sequencing more than
three-step directions and lacks attention to detail. Which option would be
considered a component of the student's transitional program plan?
A. Completion of a transition-related evaluation by a vocational
rehabilitation counselor to identify the student's strengths, weaknesses,
and interests
B. Completion of a job site analysis with physical demands to determine the
feasibility of the client's performing specific tasks
C. Provision of written directions to complete a three-step task and use of
samples to promote problem solving
D. Situational observation, interview, and activity analysis to determine a
match between the client's abilities and expected performance - Ans--D.
Situational observation, interview, and activity analysis to determine a
match between the client's abilities and expected performance
While reviewing work hardening program documentation, a COTA®
realizes there is no entry in the client's medical record of a meeting
conducted with the insurance case manager, client, and client's employer
regarding light-duty options. According to best practice guidelines, how
should the COTA®amend the client's medical record to include a summary
of the meeting?
A. Back-date the entry to correspond to the actual date of the meeting, and
insert a summary of the meeting into the client's medical record.
B. Insert a summary of the meeting into the margins of the client's medical
record.
C. Use correction tape or fluid to correct the client's medical record and
insert details of the meeting in the proper sequence.
,D. Enter the information as a late entry into the client's medical record. -
Ans--D. Enter the information as a late entry into the client's medical record.
An OTR® is evaluating a construction worker who recently experienced
radial wrist pain in the right dominant hand. The worker has been unable to
perform the duties of the job and is working light duty. The COTA® is
collaborating with the OTR® for writing goals for the worker. Which short-
term goal would be BEST, using the RUMBA tool for goal writing?
A. Client will improve work tolerance use of right hand and wrist to lift 5 lb.
bucket within 2 weeks.
B. Client will receive ultrasound twice daily to radial wrist area for 2 weeks to
reduce pain.
C. Client will demonstrate improved functional score on the Jebsen-Taylor
Hand Function Test within 2 weeks.
D. Client will be able to type 2 minutes using right wrist cockup splint within 2
weeks. - Ans--A. Client will improve work tolerance use of right hand and
wrist to lift 5 lb. bucket within 2 weeks.
Which setting is MOST effective for job coaching with an adult client with
mental illness?
A. Sheltered workshop
B. Community-based services
C. Work readiness program
D. Workplace environment - Ans--D. Workplace environment
Which SOAP-format statement would be appropriate and objective in
documenting a client's return-to-work modified duty program?
A. The client stated, "My grip strength is not the same as it was before, but
my work gets done."
B. The client has decreased grip strength in the right hand of 15 lb with a
standard dynamometer measure.
C. The client's medical history includes a recent work injury resulting in a
distal radius fracture and high blood pressure.
D. The client has decreased grip strength in the left hand, limiting the client's
ability to operate the machine handle. - Ans--B. The client has decreased
grip strength in the right hand of 15 lb with a standard dynamometer
measure.
, 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. - Ans--C. Vocational evaluation assesses
a client's readiness, skills and ability to engage in a particular occupation.
A dental hygienist is referred to occupational therapy for establishment of a
work conditioning program after carpal tunnel release 1 month ago. The
client is anxious to return to work but fearful of reinjury. Which intervention is
MOST appropriate to include in the client's work conditioning program?
A. Instructing the client in median nerve gliding exercises
B. Instructing the client in ulnar nerve gliding exercises
C. Guiding the client in progressive resistive exercises using therapy putty
D. Writing simulated client progress notes - Ans--A. Instructing the client in
median nerve gliding exercises
An OTR® has written treatment goals for a client receiving occupational
therapy services in a work conditioning program after a right shoulder
sprain. The client is employed as a surgical technician in an outpatient
surgery center. Which option is the BEST example of a long-term goal?
A. Client will return to full duty as a surgical technician in a full-time capacity
within 4 weeks.
B. Client's employer will implement reasonable accommodations to
promote the client's ability to complete full-time physical demands as a
surgical technician within 4 weeks.
C. Client will return to full duty as a surgical technician with the ability to carry
over proper body mechanics to reduce risk for reinjury.
D. Client will use proper body mechanics 100% of the time while completing
the job of a surgical technician within 4 weeks. - Ans--A. Client will return to
full duty as a surgical technician in a full-time capacity within 4 weeks.
