ILLINOIS OCCUPATIONAL THERAPIST EXAM PRACTICE TEST QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
                Core
Domains
*    - Evaluation and Assessment*
*    - Analysis, Interpretation, and Planning*
*    - Select and Manage Interventions*
*    - Competency and Practice Management*
*    - Ethics and Professional Standards*
*    - Illinois Regulatory and Legal Compliance*
* &endl;  - Pediatric Occupational Therapy*
*    - Physical Rehabilitation and Neurological Conditions*
*    - Mental Health and Psychosocial Interventions*
*    - Evidence-Based Practice and Outcomes Measurement*
                Introduction
*    This practice exam is designed to prepare candidates for the Illinois Occupational Therapist*
*    licensure examination, which requires passing the NBCOT Occupational Therapist Registered
(OTR)*
    exam. The assessment evaluates foundational knowledge, clinical reasoning, and professional
*    competency across all core domains of occupational therapy practice. Questions are multiple-
choice*
*    and scenario-based, emphasizing real-world application, critical thinking, and evidence-based*
*    decision-making. Candidates will encounter situations requiring evaluation, intervention
planning,*
    ethical judgment, and compliance with Illinois regulations and national professional standards.
    Successful mastery demonstrates readiness for safe, effective, and client-centered practice.
,SECTION ONE: QUESTIONS 1–100
Question 1
An occupational therapist is evaluating a 7-year-old child with suspected sensory processing disorder. The child demonstrates
extreme avoidance of tactile stimuli and becomes distressed during handwashing. Which assessment tool is MOST appropriate
for evaluating sensory processing patterns?
A. Bruininks-Oseretsky Test of Motor Proficiency
B. Sensory Profile 2
C. Peabody Developmental Motor Scales
D. Miller Assessment for Preschoolers
🟢 Correct answer: B
🔴 RATIONALE: The Sensory Profile 2 is specifically designed to assess sensory processing patterns including sensory
avoidance, seeking, sensitivity, and registration. It provides caregiver questionnaires that identify how a child processes
sensory input in daily activities, making it the most appropriate tool for evaluating the tactile avoidance behaviors described.
Question 2
According to Illinois Occupational Therapy Practice Act Section 1315.165, what is the consequence for an occupational
therapist who violates professional conduct standards?
A. Mandatory continuing education requirement
B. Fine up to $500
C. Suspension or revocation of license
D. Written warning only
🟢 Correct answer: C
,🔴 RATIONALE: Illinois Administrative Code Section 1315.165 explicitly states that the Division may suspend or revoke a
license, refuse to issue or renew a license, or take other disciplinary action based upon finding of unethical, unauthorized, or
unprofessional conduct.
Question 3
A client with chronic stroke recovery demonstrates hemiparesis on the right side. The therapist wants to establish goals using
the CMOP-E model. Which element is CENTRAL to the Canadian Model of Occupational Performance and Engagement?
A. Environment
B. Spirituality
C. Physical activity
D. Social support
🟢 Correct answer: B
🔴 RATIONALE: In the CMOP-E model, spirituality is at the center, representing the core of the person that drives
motivation and meaning in occupation. The model places spirituality as central with mental, physical, and affective
dimensions surrounding it, while environment and occupation are external components.
Question 4
An occupational therapist is working with a client who has major depressive disorder. The client states, "I can't get out of bed
in the morning." Which intervention approach focuses on remediation?
A. Providing a shower chair for safety
B. Teaching energy conservation techniques
C. Establishing a gradual morning routine to restore activity patterns
D. Recommending depression medication management
🟢 Correct answer: C
, 🔴 RATIONALE: Remediation focuses on restoring or improving impaired skills and abilities. Establishing a gradual morning
routine aims to restore the client's ability to initiate and complete morning self-care activities independently, directly
addressing the impaired function.
Question 5
What is the minimum supervision requirement for an occupational therapy assistant practicing under a letter of authorization
in Illinois before passing the exam?
A. 25% onsite licensed OT
B. 50% onsite licensed OT
C. 75% onsite licensed OT
D. 100% onsite licensed OT
🟢 Correct answer: C
🔴 RATIONALE: Illinois regulations specify that supervision requires a licensed occupational therapist onsite for at least 75%
of work hours when practicing under a letter of authorization before passing the exam.
Question 6
A client with rheumatoid arthritis experiences joint pain and stiffness in the morning. Which intervention is MOST
appropriate for the morning hours?
A. High-intensity strengthening exercises
B. Warm paraffin bath before activities
C. Complex fine motor tasks
D. Prolonged static positioning
🟢 Correct answer: B
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
                Core
Domains
*    - Evaluation and Assessment*
*    - Analysis, Interpretation, and Planning*
*    - Select and Manage Interventions*
*    - Competency and Practice Management*
*    - Ethics and Professional Standards*
*    - Illinois Regulatory and Legal Compliance*
* &endl;  - Pediatric Occupational Therapy*
*    - Physical Rehabilitation and Neurological Conditions*
*    - Mental Health and Psychosocial Interventions*
*    - Evidence-Based Practice and Outcomes Measurement*
                Introduction
*    This practice exam is designed to prepare candidates for the Illinois Occupational Therapist*
*    licensure examination, which requires passing the NBCOT Occupational Therapist Registered
(OTR)*
    exam. The assessment evaluates foundational knowledge, clinical reasoning, and professional
*    competency across all core domains of occupational therapy practice. Questions are multiple-
choice*
*    and scenario-based, emphasizing real-world application, critical thinking, and evidence-based*
*    decision-making. Candidates will encounter situations requiring evaluation, intervention
planning,*
    ethical judgment, and compliance with Illinois regulations and national professional standards.
    Successful mastery demonstrates readiness for safe, effective, and client-centered practice.
,SECTION ONE: QUESTIONS 1–100
Question 1
An occupational therapist is evaluating a 7-year-old child with suspected sensory processing disorder. The child demonstrates
extreme avoidance of tactile stimuli and becomes distressed during handwashing. Which assessment tool is MOST appropriate
for evaluating sensory processing patterns?
A. Bruininks-Oseretsky Test of Motor Proficiency
B. Sensory Profile 2
C. Peabody Developmental Motor Scales
D. Miller Assessment for Preschoolers
🟢 Correct answer: B
🔴 RATIONALE: The Sensory Profile 2 is specifically designed to assess sensory processing patterns including sensory
avoidance, seeking, sensitivity, and registration. It provides caregiver questionnaires that identify how a child processes
sensory input in daily activities, making it the most appropriate tool for evaluating the tactile avoidance behaviors described.
Question 2
According to Illinois Occupational Therapy Practice Act Section 1315.165, what is the consequence for an occupational
therapist who violates professional conduct standards?
A. Mandatory continuing education requirement
B. Fine up to $500
C. Suspension or revocation of license
D. Written warning only
🟢 Correct answer: C
,🔴 RATIONALE: Illinois Administrative Code Section 1315.165 explicitly states that the Division may suspend or revoke a
license, refuse to issue or renew a license, or take other disciplinary action based upon finding of unethical, unauthorized, or
unprofessional conduct.
Question 3
A client with chronic stroke recovery demonstrates hemiparesis on the right side. The therapist wants to establish goals using
the CMOP-E model. Which element is CENTRAL to the Canadian Model of Occupational Performance and Engagement?
A. Environment
B. Spirituality
C. Physical activity
D. Social support
🟢 Correct answer: B
🔴 RATIONALE: In the CMOP-E model, spirituality is at the center, representing the core of the person that drives
motivation and meaning in occupation. The model places spirituality as central with mental, physical, and affective
dimensions surrounding it, while environment and occupation are external components.
Question 4
An occupational therapist is working with a client who has major depressive disorder. The client states, "I can't get out of bed
in the morning." Which intervention approach focuses on remediation?
A. Providing a shower chair for safety
B. Teaching energy conservation techniques
C. Establishing a gradual morning routine to restore activity patterns
D. Recommending depression medication management
🟢 Correct answer: C
, 🔴 RATIONALE: Remediation focuses on restoring or improving impaired skills and abilities. Establishing a gradual morning
routine aims to restore the client's ability to initiate and complete morning self-care activities independently, directly
addressing the impaired function.
Question 5
What is the minimum supervision requirement for an occupational therapy assistant practicing under a letter of authorization
in Illinois before passing the exam?
A. 25% onsite licensed OT
B. 50% onsite licensed OT
C. 75% onsite licensed OT
D. 100% onsite licensed OT
🟢 Correct answer: C
🔴 RATIONALE: Illinois regulations specify that supervision requires a licensed occupational therapist onsite for at least 75%
of work hours when practicing under a letter of authorization before passing the exam.
Question 6
A client with rheumatoid arthritis experiences joint pain and stiffness in the morning. Which intervention is MOST
appropriate for the morning hours?
A. High-intensity strengthening exercises
B. Warm paraffin bath before activities
C. Complex fine motor tasks
D. Prolonged static positioning
🟢 Correct answer: B
