COLORADO OCCUPATIONAL THERAPIST
NBCOT PRACTICE Questions with Verified
Answers & Rationales 2026 Q&A | Instant
Download Pdf
1. A patient with a recent CVA has right hemiplegia. What is the BEST
initial OT focus?
A. Advanced cooking skills
B. Strengthening unaffected limb
C. Basic ADL retraining
D. Return to driving
Answer: C
Rationale: Early rehab prioritizes basic self-care and functional
independence before higher-level tasks.
2. Which condition is MOST associated with ulnar drift?
A. Osteoarthritis
B. Rheumatoid arthritis
C. Carpal tunnel syndrome
D. Gout
Answer: B
Rationale: RA causes joint deformities including ulnar deviation.
3. A client with Parkinson’s disease benefits MOST from:
A. Speed-based tasks
B. Large amplitude movements
, C. Dual-task training early
D. Immobilization
Answer: B
Rationale: BIG movements counter bradykinesia.
4. Best splint for carpal tunnel syndrome:
A. Volar wrist cock-up
B. Thumb spica
C. Long arm splint
D. Dynamic elbow splint
Answer: A
Rationale: Neutral wrist position reduces median nerve
compression.
5. A child with autism benefits MOST from:
A. Sensory integration approach
B. Strict punishment systems
C. High-stimulation environment
D. Isolation therapy
Answer: A
Rationale: Sensory integration supports regulation and
participation.
6. What is the FIRST step in a hand injury evaluation?
A. Strength testing
B. Pain assessment
C. Wound inspection
D. ROM measurement
Answer: C
Rationale: Visual inspection ensures safety before movement.
, 7. A client with TBI shows agitation. Best OT strategy:
A. Increase stimulation
B. Reduce environmental input
C. Intensive cognitive drills
D. Force independence
Answer: B
Rationale: Low-stimulation environments reduce agitation.
8. Which intervention improves fine motor control in stroke
recovery?
A. Constraint-induced movement therapy
B. Bed rest
C. Passive stretching only
D. Heat therapy alone
Answer: A
Rationale: CIMT forces use of affected limb.
9. A patient with spinal cord injury at C6 can typically:
A. Walk independently
B. Self-feed with adaptive devices
C. Perform fine handwriting easily
D. Drive without modifications
Answer: B
Rationale: C6 retains wrist extension enabling adaptive feeding
tools.
10. Which is a PRIMARY goal in acute burn care OT?
A. Return to work
B. Scar management and ROM
C. Sports participation
NBCOT PRACTICE Questions with Verified
Answers & Rationales 2026 Q&A | Instant
Download Pdf
1. A patient with a recent CVA has right hemiplegia. What is the BEST
initial OT focus?
A. Advanced cooking skills
B. Strengthening unaffected limb
C. Basic ADL retraining
D. Return to driving
Answer: C
Rationale: Early rehab prioritizes basic self-care and functional
independence before higher-level tasks.
2. Which condition is MOST associated with ulnar drift?
A. Osteoarthritis
B. Rheumatoid arthritis
C. Carpal tunnel syndrome
D. Gout
Answer: B
Rationale: RA causes joint deformities including ulnar deviation.
3. A client with Parkinson’s disease benefits MOST from:
A. Speed-based tasks
B. Large amplitude movements
, C. Dual-task training early
D. Immobilization
Answer: B
Rationale: BIG movements counter bradykinesia.
4. Best splint for carpal tunnel syndrome:
A. Volar wrist cock-up
B. Thumb spica
C. Long arm splint
D. Dynamic elbow splint
Answer: A
Rationale: Neutral wrist position reduces median nerve
compression.
5. A child with autism benefits MOST from:
A. Sensory integration approach
B. Strict punishment systems
C. High-stimulation environment
D. Isolation therapy
Answer: A
Rationale: Sensory integration supports regulation and
participation.
6. What is the FIRST step in a hand injury evaluation?
A. Strength testing
B. Pain assessment
C. Wound inspection
D. ROM measurement
Answer: C
Rationale: Visual inspection ensures safety before movement.
, 7. A client with TBI shows agitation. Best OT strategy:
A. Increase stimulation
B. Reduce environmental input
C. Intensive cognitive drills
D. Force independence
Answer: B
Rationale: Low-stimulation environments reduce agitation.
8. Which intervention improves fine motor control in stroke
recovery?
A. Constraint-induced movement therapy
B. Bed rest
C. Passive stretching only
D. Heat therapy alone
Answer: A
Rationale: CIMT forces use of affected limb.
9. A patient with spinal cord injury at C6 can typically:
A. Walk independently
B. Self-feed with adaptive devices
C. Perform fine handwriting easily
D. Drive without modifications
Answer: B
Rationale: C6 retains wrist extension enabling adaptive feeding
tools.
10. Which is a PRIMARY goal in acute burn care OT?
A. Return to work
B. Scar management and ROM
C. Sports participation
