Virginia Occupational Therapy Assistant
Licensure Exam Practice Questions And
Correct Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
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1. A certified occupational therapy assistant (COTA) is implementing a
feeding intervention for a client with Parkinson disease. Which action
is MOST appropriate for the OTA within the occupational therapy
process?
A. Independently establish long-term treatment goals
B. Diagnose the cause of dysphagia
C. Implement interventions under the supervision of the occupational
therapist
D. Discharge the client from services without consultation
Rationale: The OTA is responsible for implementing interventions and
contributing to treatment under the supervision of the occupational
therapist. Evaluation, diagnosis, and final discharge decisions remain the
responsibility of the OT.
2. A client with a right cerebrovascular accident demonstrates left-sided
neglect. Which intervention is MOST appropriate?
,A. Place all objects on the unaffected side
B. Encourage visual scanning toward the neglected side
C. Eliminate environmental stimulation
D. Restrict movement of the unaffected arm
Rationale: Visual scanning activities promote awareness of the neglected
side and improve functional performance during daily activities.
3. Which transfer technique is MOST appropriate for a client who can
bear partial weight through both lower extremities?
A. Dependent lift transfer
B. Mechanical lift only
C. Pivot transfer with appropriate assistance
D. Scoop transfer
Rationale: A pivot transfer is suitable when the client can participate and
bear some weight through the lower extremities.
4. During a treatment session, a client reports chest pain and shortness
of breath. What should the OTA do FIRST?
A. Continue treatment cautiously
B. Complete documentation
C. Stop the activity and seek immediate medical assistance
D. Ask the client to rest for 30 minutes
Rationale: Chest pain and shortness of breath may indicate a medical
emergency requiring immediate intervention.
5. Which cognitive level on the Allen Cognitive Scale is MOST associated
with goal-directed actions and problem-solving with some assistance?
A. Level 2
B. Level 3
, C. Level 5
D. Level 1
Rationale: Clients at Level 5 can perform goal-directed actions and learn
through trial and error but may require assistance with anticipating
hazards.
6. A client with rheumatoid arthritis reports morning joint stiffness.
Which intervention is MOST appropriate?
A. High-resistance strengthening immediately after waking
B. Gentle range-of-motion exercises and joint protection techniques
C. Prolonged immobilization
D. Repetitive gripping activities
Rationale: Gentle ROM and joint protection reduce stiffness and protect
inflamed joints from further damage.
7. Which adaptive device would BEST assist a client with limited shoulder
range of motion when dressing?
A. Sock aid
B. Dressing stick
C. Long-handled sponge
D. Transfer board
Rationale: A dressing stick helps clients reach clothing and manipulate
garments without excessive shoulder movement.
8. An OTA is treating a child with sensory over-responsiveness. Which
activity may help provide calming sensory input?
A. Flashing lights
B. Fast spinning activities
C. Deep-pressure activities
D. Loud music
Licensure Exam Practice Questions And
Correct Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
1. A certified occupational therapy assistant (COTA) is implementing a
feeding intervention for a client with Parkinson disease. Which action
is MOST appropriate for the OTA within the occupational therapy
process?
A. Independently establish long-term treatment goals
B. Diagnose the cause of dysphagia
C. Implement interventions under the supervision of the occupational
therapist
D. Discharge the client from services without consultation
Rationale: The OTA is responsible for implementing interventions and
contributing to treatment under the supervision of the occupational
therapist. Evaluation, diagnosis, and final discharge decisions remain the
responsibility of the OT.
2. A client with a right cerebrovascular accident demonstrates left-sided
neglect. Which intervention is MOST appropriate?
,A. Place all objects on the unaffected side
B. Encourage visual scanning toward the neglected side
C. Eliminate environmental stimulation
D. Restrict movement of the unaffected arm
Rationale: Visual scanning activities promote awareness of the neglected
side and improve functional performance during daily activities.
3. Which transfer technique is MOST appropriate for a client who can
bear partial weight through both lower extremities?
A. Dependent lift transfer
B. Mechanical lift only
C. Pivot transfer with appropriate assistance
D. Scoop transfer
Rationale: A pivot transfer is suitable when the client can participate and
bear some weight through the lower extremities.
4. During a treatment session, a client reports chest pain and shortness
of breath. What should the OTA do FIRST?
A. Continue treatment cautiously
B. Complete documentation
C. Stop the activity and seek immediate medical assistance
D. Ask the client to rest for 30 minutes
Rationale: Chest pain and shortness of breath may indicate a medical
emergency requiring immediate intervention.
5. Which cognitive level on the Allen Cognitive Scale is MOST associated
with goal-directed actions and problem-solving with some assistance?
A. Level 2
B. Level 3
, C. Level 5
D. Level 1
Rationale: Clients at Level 5 can perform goal-directed actions and learn
through trial and error but may require assistance with anticipating
hazards.
6. A client with rheumatoid arthritis reports morning joint stiffness.
Which intervention is MOST appropriate?
A. High-resistance strengthening immediately after waking
B. Gentle range-of-motion exercises and joint protection techniques
C. Prolonged immobilization
D. Repetitive gripping activities
Rationale: Gentle ROM and joint protection reduce stiffness and protect
inflamed joints from further damage.
7. Which adaptive device would BEST assist a client with limited shoulder
range of motion when dressing?
A. Sock aid
B. Dressing stick
C. Long-handled sponge
D. Transfer board
Rationale: A dressing stick helps clients reach clothing and manipulate
garments without excessive shoulder movement.
8. An OTA is treating a child with sensory over-responsiveness. Which
activity may help provide calming sensory input?
A. Flashing lights
B. Fast spinning activities
C. Deep-pressure activities
D. Loud music
