COTA EXAM QUESTIONS FROM NBCOT 3RD EDITION
An OTA is asked to develop a discharge planning group for clients being discharged
within the next month from a long term facility for adults with serious and persistent
metal illness. Which action is best for the OTA to take initially?
A. Obtain prospective group members occupational profile and postd/c goals and
options.
B. Identify community resources to develop a community reintegration program and
enhance post-d/c participation.
C. Develop a self medication management teaching module to increase post-d/c
medication compliance.
D. Complete an evidence based search to identity best practices in community based
mental health occupational therapy. - answer- Correct Answer : A
Rationale is on page 429
An elementary school aged child holds a pencil with a tightly held static tripod grasp and
forms letters at an average rate of speed. The child demonstrates the ability to write all
class and homework assignments. Which approach is best for the OTA to recommend
this child use to improve grasp?
A. Perform all written work with a larger pencil and jumbo crayons on a horizontal
surface.
B. Take a break every 15 mins while writing to open and close the hand several times.
C. Practice moving coins from the fingertips to the palm and then from the palm to the
fingertips.
D. Write all written work on a vertical surface, such as an easel or classroom wall board.
- answer- Correct Answer: C
Rationale is on page 435
A 19 year old with spastic diplegia and an IQ in the range of 55-69 is graduating from a
special education program. The student has been involved in transitional programming
since the age of 14. The OTA collaborates with the occupational therapist and the
student to complete a discharge plan to meet the student's post secondary goals. Which
of the following should the OTA recommend be included as a post d/c referral?
A. A vocational rehabilitation workshop
B. State vocational rehabilitation services
, C. A community college.
D. A transitional employment program - answer- Correct Answer: B
Rationale is on page 437
An OTA provides home based occupational therapy. services. An ambulatory older
adult with hemiparesis and presbycusis has recently moved in with an adult child. The
child requests information from the OTA to help maintain the parent's functional ability in
the home. Which should the OTA recommend?
A. Remove knobs from the stove when the parent is home alone
B. Speak directly, clearly, and slowly to the parent
C. Add bright color strips to the edge of each stair tread
D. Provide the parent with lists of the sequence of routine tasks. - answer- Correct
Answer: B
Rationale is on page 478
The parent of two elementary school aged children receives home care hospice
services due to metastasized bone cancer. The client is in pain and has poor endurance
and decreased muscle strength. The client requires moderate assistance with self care
and dressing. Which is the best intervention for the OTA to incorporate into sessions
with this patient?
A. Training in energy conservation techniques for self care/dressing
B. Training in joint protection techniques for self care/dressing
C. Using biofeedback to reduce the. client's pain
D. Exploring play activities for the parent to do with the children - answer- Correct
Answer: D
Rationale is on page. 483-484
An OTA is scheduled to give a 1 hour presentation to a support group of parents of
infants with a diversity of developmental disabilities. Which of the following is the most
important focus for the OTA's presentation?
A. Demonstration of infant positioning techniques
B. Discussion of typical areas of concern addressed by OT practitioners
C. Demonstration of different types of developmental assessments
An OTA is asked to develop a discharge planning group for clients being discharged
within the next month from a long term facility for adults with serious and persistent
metal illness. Which action is best for the OTA to take initially?
A. Obtain prospective group members occupational profile and postd/c goals and
options.
B. Identify community resources to develop a community reintegration program and
enhance post-d/c participation.
C. Develop a self medication management teaching module to increase post-d/c
medication compliance.
D. Complete an evidence based search to identity best practices in community based
mental health occupational therapy. - answer- Correct Answer : A
Rationale is on page 429
An elementary school aged child holds a pencil with a tightly held static tripod grasp and
forms letters at an average rate of speed. The child demonstrates the ability to write all
class and homework assignments. Which approach is best for the OTA to recommend
this child use to improve grasp?
A. Perform all written work with a larger pencil and jumbo crayons on a horizontal
surface.
B. Take a break every 15 mins while writing to open and close the hand several times.
C. Practice moving coins from the fingertips to the palm and then from the palm to the
fingertips.
D. Write all written work on a vertical surface, such as an easel or classroom wall board.
- answer- Correct Answer: C
Rationale is on page 435
A 19 year old with spastic diplegia and an IQ in the range of 55-69 is graduating from a
special education program. The student has been involved in transitional programming
since the age of 14. The OTA collaborates with the occupational therapist and the
student to complete a discharge plan to meet the student's post secondary goals. Which
of the following should the OTA recommend be included as a post d/c referral?
A. A vocational rehabilitation workshop
B. State vocational rehabilitation services
, C. A community college.
D. A transitional employment program - answer- Correct Answer: B
Rationale is on page 437
An OTA provides home based occupational therapy. services. An ambulatory older
adult with hemiparesis and presbycusis has recently moved in with an adult child. The
child requests information from the OTA to help maintain the parent's functional ability in
the home. Which should the OTA recommend?
A. Remove knobs from the stove when the parent is home alone
B. Speak directly, clearly, and slowly to the parent
C. Add bright color strips to the edge of each stair tread
D. Provide the parent with lists of the sequence of routine tasks. - answer- Correct
Answer: B
Rationale is on page 478
The parent of two elementary school aged children receives home care hospice
services due to metastasized bone cancer. The client is in pain and has poor endurance
and decreased muscle strength. The client requires moderate assistance with self care
and dressing. Which is the best intervention for the OTA to incorporate into sessions
with this patient?
A. Training in energy conservation techniques for self care/dressing
B. Training in joint protection techniques for self care/dressing
C. Using biofeedback to reduce the. client's pain
D. Exploring play activities for the parent to do with the children - answer- Correct
Answer: D
Rationale is on page. 483-484
An OTA is scheduled to give a 1 hour presentation to a support group of parents of
infants with a diversity of developmental disabilities. Which of the following is the most
important focus for the OTA's presentation?
A. Demonstration of infant positioning techniques
B. Discussion of typical areas of concern addressed by OT practitioners
C. Demonstration of different types of developmental assessments
