NBCOT ACTUAL EXAM PRACTICE QUESTIONS (LATEST UPDATE) WITH ACCURATE
SOLUTIONS ALREADY GRADED A+
A client is in the recovery phase of intervention after having had an acute onset of Guillain
Barre Syndrome one month ago. The OTR advises the client that using assistive devices will
improve independence, but the client refuses to use the devices stating: "My wife is happy
to help me whenever I need it." How should the OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence
C. Use other techniques to maximize independence
Quiz #10
An individual cannot independently get from a supine position to a sitting position to a
sitting position. The person has good scapular, shoulder, and elbow muscle strength. What
is the MOST APPROPRIATE recommendation for the OTR to make to improve bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder
C. Rope ladder
Quiz #10
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The
individual drives daily to therapy despite several suggestions from the OTR to discontinue
,this activity. The therapists has determined that the client is an unsafe driver. What is the
BEST approach for the OTR to take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
C. Suggest that the individual attend a driver training program
B. Report the information to the physician
Quiz #10
An OTR who works in a skilled nursing facility frequently provides residents with adaptive
devices to improve functional performance. Which of the following methods is MOST
EFFECTIVE for evaluating the impact of an adaptive device for supporting the residents'
participation in occupation?
A. Tracking the number of times the client brings the device to OT sessions
B. Having the client verbalize understanding of the functional of the device
C. Observing the client spontaneously using the device for a variety of activities
C. Observing the client spontaneously using the device for a variety of activities
Quiz #9
An OTR uses a neurodevelopmental (NDT) approach to reduce spasticity in a client's upper
extremities. What is the MOST APPROPRIATE intervention technique for the OTR to
incorporate into the treatment session?
A. Wrapping the upper extremities
B. Applying tendinous pressure
C. Tendon tapping
D. Upper extremity weight bearing
, D. Upper extremity weight bearing
Quiz #9
A 7-year-old child with a diagnosis of traumatic brain injury in seen in OT for the initial
evaluation. The child presents with extension of both upper extremities and flexion of both
lower extremities following a stimulus of neck extension. How would the OTR interpret and
document this reaction?
A. +STNR, which is "abnormal" and has reappeared after the TBI
B. +ATNR, which is "abnormal" and has reappeared after the TBI
C. +STNR, which is "normal" in a child this age, the reflex has not yet been integrated.
A. +STNR, which is "abnormal" and has reappeared after the TBI
Quiz #9
A client who has had a CVA is preparing for discharge from an inpatient rehabilitation
facility to home. The client is independent with BADL, and the OTR has completed a visit to
the client's home. Which of the following constructs represents the ecology of human
performance approach and should be reflected in the client's discharge summary?
A. Recommendations for home modifications to maximize accessibility and task
performance
B. Exercise protocols for maintaining physical strength and cardiovascular endurance
C. Current functional status and anticipated occupational performance upon return home
A. Recommendations for home modifications to maximize accessibility and task
performance
SOLUTIONS ALREADY GRADED A+
A client is in the recovery phase of intervention after having had an acute onset of Guillain
Barre Syndrome one month ago. The OTR advises the client that using assistive devices will
improve independence, but the client refuses to use the devices stating: "My wife is happy
to help me whenever I need it." How should the OTR respond to the client's comment?
A. Convince the client to try at least one device
B. Discuss the comment with family members
C. Use other techniques to maximize independence
C. Use other techniques to maximize independence
Quiz #10
An individual cannot independently get from a supine position to a sitting position to a
sitting position. The person has good scapular, shoulder, and elbow muscle strength. What
is the MOST APPROPRIATE recommendation for the OTR to make to improve bed mobility?
A. Bed rail assist
B. Log roll technique
C. Roll ladder
C. Rope ladder
Quiz #10
An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The
individual drives daily to therapy despite several suggestions from the OTR to discontinue
,this activity. The therapists has determined that the client is an unsafe driver. What is the
BEST approach for the OTR to take in this situation?
A. Report the individual to the department of motor vehicles
B. Report the information to the physician
C. Suggest that the individual attend a driver training program
B. Report the information to the physician
Quiz #10
An OTR who works in a skilled nursing facility frequently provides residents with adaptive
devices to improve functional performance. Which of the following methods is MOST
EFFECTIVE for evaluating the impact of an adaptive device for supporting the residents'
participation in occupation?
A. Tracking the number of times the client brings the device to OT sessions
B. Having the client verbalize understanding of the functional of the device
C. Observing the client spontaneously using the device for a variety of activities
C. Observing the client spontaneously using the device for a variety of activities
Quiz #9
An OTR uses a neurodevelopmental (NDT) approach to reduce spasticity in a client's upper
extremities. What is the MOST APPROPRIATE intervention technique for the OTR to
incorporate into the treatment session?
A. Wrapping the upper extremities
B. Applying tendinous pressure
C. Tendon tapping
D. Upper extremity weight bearing
, D. Upper extremity weight bearing
Quiz #9
A 7-year-old child with a diagnosis of traumatic brain injury in seen in OT for the initial
evaluation. The child presents with extension of both upper extremities and flexion of both
lower extremities following a stimulus of neck extension. How would the OTR interpret and
document this reaction?
A. +STNR, which is "abnormal" and has reappeared after the TBI
B. +ATNR, which is "abnormal" and has reappeared after the TBI
C. +STNR, which is "normal" in a child this age, the reflex has not yet been integrated.
A. +STNR, which is "abnormal" and has reappeared after the TBI
Quiz #9
A client who has had a CVA is preparing for discharge from an inpatient rehabilitation
facility to home. The client is independent with BADL, and the OTR has completed a visit to
the client's home. Which of the following constructs represents the ecology of human
performance approach and should be reflected in the client's discharge summary?
A. Recommendations for home modifications to maximize accessibility and task
performance
B. Exercise protocols for maintaining physical strength and cardiovascular endurance
C. Current functional status and anticipated occupational performance upon return home
A. Recommendations for home modifications to maximize accessibility and task
performance
