NBCOT PRACTICE EXAM 1 2026/2027 TEST QUESTIONS WITH ACCURATE SOLUTIONS
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 new parent recently returned to work and reports difficulty concentrating at work
because of thoughts about the baby. When at home, the individual feels distracted by
thoughts about work. This MOST likely suggests the need to help this individual in what
area?
,A. Parenting skills
B. Attention span
C. Assertiveness
D. Role performance
D. Role performance
An OT is beginning to work with individuals in recovery in a community-based program. The
OT needs an evaluation tool that can be administered in less than 20 minutes, identifies
occupational performance limitations can be used to establish goals based on client
priorities, and measure outcomes. Which is the BEST tool for this purpose?
A. Occupational Performance History Interview II
B. Role checklist
C. Canadian Occupational Performance Measure (COPM)
D. Occupational Self-Assessment
D. Occupational Self-Assessment
While making brownies, an individual is able to obtain all the supplies from the cabinet and
check the oven temperature periodically. However, when the TV is turned on halfway
through the activity, she becomes involved with the program and burns the brownies. This
individual is showing signs of a deficit in which area?
A. Sustained attention
B. Detecting and reacting
C. Shifting of attention
D. Mental tracking
, D. Mental tracking
In preparation for an annual Individualized Family Service Plan (IFSP) meeting, the OT is
developing ideas for intervention to develop a child's fine motor performance for
independent play participation. To match the principles of Part C Early Intervention
programs. What would be the OT's BEST recommendation?
A. Family encouragement of the child to engage in play with toys he has at home, without
concern for normal development
B. A periodic reassessment using Peabody Developmental Motor Scales, 2nd edition, fine
motor subtest to measure progress in fine motor skill achievement
C. Home visit, during which OT will identify and encourage opportunities for fine motor
practice within the family's preferred routines
D. Increased weekly home visits so OT can implement therapy activities to promote child's
fine motor skill development, using a remedial approach
C. Home visit, during which OT will identify and encourage opportunities for fine motor
practice within the family's preferred routines
An adolescent with a history of shoplifting and gang violence has been hospitalized with a
diagnosis of conduct disorder. During a task group, what are the MOST important
performance skills for the OT to evaluate?
A. Perceptual-motor performance
B. Leisure and vocational interests
C. Attention span and social interaction skills
D. Interest in performing and ability to perform multiple roles
C. Attention span and social interaction skills
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 new parent recently returned to work and reports difficulty concentrating at work
because of thoughts about the baby. When at home, the individual feels distracted by
thoughts about work. This MOST likely suggests the need to help this individual in what
area?
,A. Parenting skills
B. Attention span
C. Assertiveness
D. Role performance
D. Role performance
An OT is beginning to work with individuals in recovery in a community-based program. The
OT needs an evaluation tool that can be administered in less than 20 minutes, identifies
occupational performance limitations can be used to establish goals based on client
priorities, and measure outcomes. Which is the BEST tool for this purpose?
A. Occupational Performance History Interview II
B. Role checklist
C. Canadian Occupational Performance Measure (COPM)
D. Occupational Self-Assessment
D. Occupational Self-Assessment
While making brownies, an individual is able to obtain all the supplies from the cabinet and
check the oven temperature periodically. However, when the TV is turned on halfway
through the activity, she becomes involved with the program and burns the brownies. This
individual is showing signs of a deficit in which area?
A. Sustained attention
B. Detecting and reacting
C. Shifting of attention
D. Mental tracking
, D. Mental tracking
In preparation for an annual Individualized Family Service Plan (IFSP) meeting, the OT is
developing ideas for intervention to develop a child's fine motor performance for
independent play participation. To match the principles of Part C Early Intervention
programs. What would be the OT's BEST recommendation?
A. Family encouragement of the child to engage in play with toys he has at home, without
concern for normal development
B. A periodic reassessment using Peabody Developmental Motor Scales, 2nd edition, fine
motor subtest to measure progress in fine motor skill achievement
C. Home visit, during which OT will identify and encourage opportunities for fine motor
practice within the family's preferred routines
D. Increased weekly home visits so OT can implement therapy activities to promote child's
fine motor skill development, using a remedial approach
C. Home visit, during which OT will identify and encourage opportunities for fine motor
practice within the family's preferred routines
An adolescent with a history of shoplifting and gang violence has been hospitalized with a
diagnosis of conduct disorder. During a task group, what are the MOST important
performance skills for the OT to evaluate?
A. Perceptual-motor performance
B. Leisure and vocational interests
C. Attention span and social interaction skills
D. Interest in performing and ability to perform multiple roles
C. Attention span and social interaction skills
