2026/2027 NBCOT PURPLE BOOK EXAM PREP QUESTIONS WITH ACCURATE
SOLUTIONS -ALREADY GRADED A+
an OT is training an OTA to administer a standardized assessment. Which of the following is
the best method to eval the OTAs services competency with that assessment tool?
a. observe a competent OTs performance of the standardized test
b. observe a competent OT practice then teach another how to administer the test
c. follow procedures exactly as outlined in the test manuals
d. obtain the same results as another OT does who has demonstrated service competency
d. obtain the same results as another OT does who has demonstrated service competency
service competency is the process of teaching, training, and evaluating in which the OT
determines that the OTA performs tasks in the same way that the OT would and achieves
the same outcome.
a client presents with post cerebral vascular accident edema in her dominant hand. The OT
has introduced manual edema mobilization method and attempts to activate the
lymphatic system. which of the following is the most representative of what the OT would
perform via the MEM program?
a. retrograde massage, use of orthosis, and positioning
b. massage, compression bandaging, exercise, and external compression
c. ultrasound, fluidotherapy, and AROM
d. elevation, use of orthosis, PROM, and desensitization
b. massage, compression bandaging, exercise, and external compression
The goals are to stimulate the initial lymphatics to absorb excessive fluid. The other
answers are not representative of MEM.
,an OT consulting with a community center is developing a club for youth at risk for violence,
with the primary goal of engaging the children and meaningful occupations designed to
build their participation and community enhancement. which activity is most consistent
with this goal?
a. develop a community-based chess competition
b. plant flower seeds in small pots to be taken home once a sprout
c. provide a psycho educational intervention on anger management
d. convert an empty lot filled with trash into a community garden
d. convert an empty lot filled with trash into a community garden
This modifies the environment and impacts occupational performance. A promotes
competition and B promotes individual reward. Anger management skills are important for
children at risk but a psychoeducational format will not directly contribute to community
building
an individual with Alzheimer's disease has limitations and shoulder ROM. The OT goal for
this individual is to improve active shoulder range of motion in order to resume self-care
activities. which strategy would be the most effective and actively engaging the individual?
a. telling the individual to perform repetitions of activity UE ROM independently.
b. training the individual to use long-handed adaptive devices to compensate for
decreased shoulder motion
c. incorporating simple, familiar activities such as hanging up clothing or catching a ball
d. instructing the caregivers to perform PROM exercises on the individual
c. incorporating simple, familiar activities such as hanging up clothing or catching a ball
The primary goal for OT for clients with this disease is to maximize QOL and engagement in
occupation. A might not be effective because it can be confusing and will likely be
,forgotten. B would not increase active shoulder motion and would be confusing. D would
not lead to improvement in AROM.
A construction worker reports experiencing severe anxiety when climbing ladders. The OT
has only received authorization for one session to work on self-management strategies that
the individual can use to reduce anxiety while on the job. what is the most appropriate
strategy to teach this client?
a. autogenic training
b. meditation
c. deep breathing
d. progressive muscle relaxation
c. deep breathing
All four answers are examples of self-management techniques however deep breathing is
most appropriate because it can be taught quickly and used in a relatively short amount of
time.
an OT practitioner is instructing an individual with a total hip replacement (posterior- lateral
approach) how to perform a passenger side car transfer. which of the following is the best
method for entering the car?
a. stand the body parallel to the car, hold on to a stable section of the car, lift and place the
involved leg into the car, and slowly sit and follow with the opposite leg
b. back up the body to the passenger seat, hold onto a stable section of the car, extend the
involved leg, and slowly sit into the car
c. back up the body to the passenger seat, hold on to a stable section of the car, flex both
legs simultaneously, and slowly sit in the car
d. back up the body to the passenger seat, hold onto a stable section of the car, flex the
involved leg, and slowly sit into the car
, b. back up the body to the passenger seat, hold onto a stable section of the car, extend the
involved leg, and slowly sit into the car
This transfer will prevent the hip adduction, IR and flexion. The other answers are
contraindicated due to hip precautions.
The school-based OT meets with the classroom teacher to gain information to help plan
services for a student with learning disabilities in the middle school general education
curriculum. The IEP includes occupational therapy to support the student's participation in
the language arts curriculum. which question is most likely to elicit useful information that
will also promote collaboration for the students benefit?
a. what are you most concerned about with the students' performance in the language arts
curriculum?
b. does the student perform better on spelling tests when answers are typed rather than
written
c. are the students parents in favor of moving to computer use for assignments that require
a good deal of an expression?
d. what is the student's approach when writing an outline that will guide a short research
report
A. what are you most concerned about with the students performance in the language arts
curriculum.
Answer A is an open ended question that doesn't assume any particular difficulties. B and
C are close ended questions. D will gather limited info only about short research reports.
and OT is working with a medically stable child who sustained bilateral UE, partial
thickness burns 3 days ago while playing with a lighter. which ADL intervention should the
OT introduce first?
SOLUTIONS -ALREADY GRADED A+
an OT is training an OTA to administer a standardized assessment. Which of the following is
the best method to eval the OTAs services competency with that assessment tool?
a. observe a competent OTs performance of the standardized test
b. observe a competent OT practice then teach another how to administer the test
c. follow procedures exactly as outlined in the test manuals
d. obtain the same results as another OT does who has demonstrated service competency
d. obtain the same results as another OT does who has demonstrated service competency
service competency is the process of teaching, training, and evaluating in which the OT
determines that the OTA performs tasks in the same way that the OT would and achieves
the same outcome.
a client presents with post cerebral vascular accident edema in her dominant hand. The OT
has introduced manual edema mobilization method and attempts to activate the
lymphatic system. which of the following is the most representative of what the OT would
perform via the MEM program?
a. retrograde massage, use of orthosis, and positioning
b. massage, compression bandaging, exercise, and external compression
c. ultrasound, fluidotherapy, and AROM
d. elevation, use of orthosis, PROM, and desensitization
b. massage, compression bandaging, exercise, and external compression
The goals are to stimulate the initial lymphatics to absorb excessive fluid. The other
answers are not representative of MEM.
,an OT consulting with a community center is developing a club for youth at risk for violence,
with the primary goal of engaging the children and meaningful occupations designed to
build their participation and community enhancement. which activity is most consistent
with this goal?
a. develop a community-based chess competition
b. plant flower seeds in small pots to be taken home once a sprout
c. provide a psycho educational intervention on anger management
d. convert an empty lot filled with trash into a community garden
d. convert an empty lot filled with trash into a community garden
This modifies the environment and impacts occupational performance. A promotes
competition and B promotes individual reward. Anger management skills are important for
children at risk but a psychoeducational format will not directly contribute to community
building
an individual with Alzheimer's disease has limitations and shoulder ROM. The OT goal for
this individual is to improve active shoulder range of motion in order to resume self-care
activities. which strategy would be the most effective and actively engaging the individual?
a. telling the individual to perform repetitions of activity UE ROM independently.
b. training the individual to use long-handed adaptive devices to compensate for
decreased shoulder motion
c. incorporating simple, familiar activities such as hanging up clothing or catching a ball
d. instructing the caregivers to perform PROM exercises on the individual
c. incorporating simple, familiar activities such as hanging up clothing or catching a ball
The primary goal for OT for clients with this disease is to maximize QOL and engagement in
occupation. A might not be effective because it can be confusing and will likely be
,forgotten. B would not increase active shoulder motion and would be confusing. D would
not lead to improvement in AROM.
A construction worker reports experiencing severe anxiety when climbing ladders. The OT
has only received authorization for one session to work on self-management strategies that
the individual can use to reduce anxiety while on the job. what is the most appropriate
strategy to teach this client?
a. autogenic training
b. meditation
c. deep breathing
d. progressive muscle relaxation
c. deep breathing
All four answers are examples of self-management techniques however deep breathing is
most appropriate because it can be taught quickly and used in a relatively short amount of
time.
an OT practitioner is instructing an individual with a total hip replacement (posterior- lateral
approach) how to perform a passenger side car transfer. which of the following is the best
method for entering the car?
a. stand the body parallel to the car, hold on to a stable section of the car, lift and place the
involved leg into the car, and slowly sit and follow with the opposite leg
b. back up the body to the passenger seat, hold onto a stable section of the car, extend the
involved leg, and slowly sit into the car
c. back up the body to the passenger seat, hold on to a stable section of the car, flex both
legs simultaneously, and slowly sit in the car
d. back up the body to the passenger seat, hold onto a stable section of the car, flex the
involved leg, and slowly sit into the car
, b. back up the body to the passenger seat, hold onto a stable section of the car, extend the
involved leg, and slowly sit into the car
This transfer will prevent the hip adduction, IR and flexion. The other answers are
contraindicated due to hip precautions.
The school-based OT meets with the classroom teacher to gain information to help plan
services for a student with learning disabilities in the middle school general education
curriculum. The IEP includes occupational therapy to support the student's participation in
the language arts curriculum. which question is most likely to elicit useful information that
will also promote collaboration for the students benefit?
a. what are you most concerned about with the students' performance in the language arts
curriculum?
b. does the student perform better on spelling tests when answers are typed rather than
written
c. are the students parents in favor of moving to computer use for assignments that require
a good deal of an expression?
d. what is the student's approach when writing an outline that will guide a short research
report
A. what are you most concerned about with the students performance in the language arts
curriculum.
Answer A is an open ended question that doesn't assume any particular difficulties. B and
C are close ended questions. D will gather limited info only about short research reports.
and OT is working with a medically stable child who sustained bilateral UE, partial
thickness burns 3 days ago while playing with a lighter. which ADL intervention should the
OT introduce first?
