EXAM: COTA Purple Book Simulation Exam
1: 1-50;Questions & Answers
A)age appropriate. Correct Answer-1. In assessing the dressing skills of a 5-
year-old child, the COTA observes that the child is able to put on a jacket, zip the
zipper, and tie a knot in the draw string, but needs verbal cueing to tie a bow.
The COTA would MOST likely determine that the child's dressing skills are: A)age
appropriate. B)delayed. C)advanced. D)limited.
A)Thumb against the tip of the index finger Correct Answer-2. In
administering an assessment of fingertip pinch strength, the OT practitioner
would instruct the individual being tested to place their fingers in which
position? A)Thumb against the tip of the index finger B)Thumb against the side
of the index finger C)Thumb against the tips of the index and middle fingers
D)Thumb against the tips of all the fingers at once
A)assist with skill development in the areas of leisure, self-expression, and ADLs.
Correct Answer-3. The OT treatment approach that will MOST likely meet the
overall needs experienced by individuals with substance abuse problems is to:
A)assist with skill development in the areas of leisure, self-expression, and ADLs.
B)educate the family members about making safety modifications to the kitchen
area. C)encourage Alcoholics Anonymous (AA) involvement, address personal
appearance, and issues of loss. D)make aftercare arrangements for vocational
counseling and AA; provide time management education for self-care activities.
A)a developmental delay Correct Answer-4. A COTA observes that a 10-
month-old child is able to sit alone by propping himself forward on his arms, but
consistently loses his balance when reaching for a toy. This behavior MOST likely
indicates: A)a developmental delay. B)unintegrated primitive reflexes. C)normal
development. D)advanced development.
, EXAM: COTA Purple Book Simulation Exam
1: 1-50;Questions & Answers
C)Tip Correct Answer-5.An individual demonstrates the ability to pick up a
penny from a flat surface. This represents which of the following prehension
patterns? A)Lateral B)Palmar C)Tip D)Three-jaw chuck
C) ask the questions as they are stated on the interview sheet. Correct
Answer-6.When conducting a structured interview, it is MOST important for the
OT practitioner to: A)rephrase the interview questions in his or her own words.
B)ask questions that he or she thinks are pertinent to this patient. C)ask the
questions as they are stated on the interview sheet. D)ask additional questions
(other than those listed) to gain further insight into the patient.
C)At age level Correct Answer-7. A 3-year-old child demonstrates the ability
to use the toilet independently except for wiping and readjusting clothing
afterward. This behavior indicates the child is performing at which of the
following levels? A)Significantly below age level B)Slightly below age level C)At
age level D)Above age level
D)endurance. Correct Answer-8.The COTA is observing dressing skills in an
individual with COPD. While putting on his shirt, the individual becomes short of
breath and stops to rest before finishing with the shirt and going on to his
trousers. This behavior MOST likely indicates a deficit in: A)postural control.
B)muscle tone. C)strength. D)endurance.
D)distractibility. Correct Answer-9.An individual with the goal of increasing
attention span is frequently observed watching the person next to her instead of
performing her assigned task. This behavior MOST likely indicates a problem
with: A)memory. B)spatial operations. C)generalization of learning.
D)distractibility.
1: 1-50;Questions & Answers
A)age appropriate. Correct Answer-1. In assessing the dressing skills of a 5-
year-old child, the COTA observes that the child is able to put on a jacket, zip the
zipper, and tie a knot in the draw string, but needs verbal cueing to tie a bow.
The COTA would MOST likely determine that the child's dressing skills are: A)age
appropriate. B)delayed. C)advanced. D)limited.
A)Thumb against the tip of the index finger Correct Answer-2. In
administering an assessment of fingertip pinch strength, the OT practitioner
would instruct the individual being tested to place their fingers in which
position? A)Thumb against the tip of the index finger B)Thumb against the side
of the index finger C)Thumb against the tips of the index and middle fingers
D)Thumb against the tips of all the fingers at once
A)assist with skill development in the areas of leisure, self-expression, and ADLs.
Correct Answer-3. The OT treatment approach that will MOST likely meet the
overall needs experienced by individuals with substance abuse problems is to:
A)assist with skill development in the areas of leisure, self-expression, and ADLs.
B)educate the family members about making safety modifications to the kitchen
area. C)encourage Alcoholics Anonymous (AA) involvement, address personal
appearance, and issues of loss. D)make aftercare arrangements for vocational
counseling and AA; provide time management education for self-care activities.
A)a developmental delay Correct Answer-4. A COTA observes that a 10-
month-old child is able to sit alone by propping himself forward on his arms, but
consistently loses his balance when reaching for a toy. This behavior MOST likely
indicates: A)a developmental delay. B)unintegrated primitive reflexes. C)normal
development. D)advanced development.
, EXAM: COTA Purple Book Simulation Exam
1: 1-50;Questions & Answers
C)Tip Correct Answer-5.An individual demonstrates the ability to pick up a
penny from a flat surface. This represents which of the following prehension
patterns? A)Lateral B)Palmar C)Tip D)Three-jaw chuck
C) ask the questions as they are stated on the interview sheet. Correct
Answer-6.When conducting a structured interview, it is MOST important for the
OT practitioner to: A)rephrase the interview questions in his or her own words.
B)ask questions that he or she thinks are pertinent to this patient. C)ask the
questions as they are stated on the interview sheet. D)ask additional questions
(other than those listed) to gain further insight into the patient.
C)At age level Correct Answer-7. A 3-year-old child demonstrates the ability
to use the toilet independently except for wiping and readjusting clothing
afterward. This behavior indicates the child is performing at which of the
following levels? A)Significantly below age level B)Slightly below age level C)At
age level D)Above age level
D)endurance. Correct Answer-8.The COTA is observing dressing skills in an
individual with COPD. While putting on his shirt, the individual becomes short of
breath and stops to rest before finishing with the shirt and going on to his
trousers. This behavior MOST likely indicates a deficit in: A)postural control.
B)muscle tone. C)strength. D)endurance.
D)distractibility. Correct Answer-9.An individual with the goal of increasing
attention span is frequently observed watching the person next to her instead of
performing her assigned task. This behavior MOST likely indicates a problem
with: A)memory. B)spatial operations. C)generalization of learning.
D)distractibility.
