NBCOT Pediatric Assessment and Intervention Exam Prep Questions and Solutions

NBCOT Pediatric Assessment and Intervention Exam Prep Questions and Solutions A COTA® is working with a child with sickle cell anemia. Which intervention strategy would be appropriate when working with this child? A. Joint protection B. PROM C. Pursed-lip breathing D. Pain management D. Pain management A COTA® is working with a 4-year-old who was recently diagnosed with Duchenne's muscular dystrophy (DMD). The client's parents are concerned and want to understand how this condition will progress and affect the child's participation in daily life. Which statement describes the progression of DMD? A. The condition progresses slowly, and children often experience difficulty with muscles around their pelvis and shoulder girdle. B. The condition progresses so that the facial muscles have decreased mobility; children eventually have a masklike appearance. C. The condition usually has an onset before adolescence, and it progresses until children cannot raise their arms above their heads. D. The condition progresses quickly, and children often need to use a wheelchair by age 9. D. The condition progresses quickly, and children often need to use a wheelchair by age 9. A COTA® is working on the playground with a child who has sensory integration dysfunction. The COTA® is trying to foster an adaptive response, which is best described by which statement? A. The behavioral manifestation of optimal sensory organization that results in an efficient goal-directed action B. Engagement in rough-and-tumble play and other activities that provide the child with muscle resistance C. A reflection on primitive neural functions in children with sensory processing problems D. An individualized plan that provides a specific child with optimal sensory experiences A. The behavioral manifestation of optimal sensory organization that results in an efficient goal-directed action An OTR® is evaluating a 16-year-old client with attention deficit hyperactivity disorder who is learning how to set a table for a job at a banquet facility. The client has trouble remembering proper utensil placement and requires increased time to complete the task. Which intervention strategy would the OTR recommend to help the client place the utensils in the correct order? A. Construct single-step cards with pictures of single utensils and corresponding steps to follow when setting the table B. Provide a visual cue card that has a picture of a completed place setting to follow when setting the table C. Develop a visual reinforcement chart and put a star or check mark on it for every table successfully set D. Set a visual timer to a specified amount of time and require the client to complete the task in that time B. Provide a visual cue card that has a picture of a completed place setting to follow when setting the table A 7-year-old child presents with amelia. The OTR® recommends the use of a myoelectric hand. What type of terminal device would be appropriate? A. Externally powered prosthesis B. Body-powered prosthesis C. Passive prosthesis D. Hook prosthesis A. Externally powered prosthesis A COTA® is working with a child in second grade during handwriting assignments to remediate the child's pencil grip. Which pencil grips require the most remediation because they are the least developmentally appropriate for a second grader? Select the 3 BEST choices. A. Dynamic tripod grip B. Lateral tripod grip C. Palmar grip D. Quadrupod grip E. Power grip F. Supinated grip C. Palmar grip E. Power grip F. Supinated grip A COTA® is working with a high school student with juvenile rheumatoid arthritis (JRA). The COTA®suggests that the student stop using the arms and hands to carry heavy textbooks to class and instead use a backpack. What type of strategy did the COTA® recommend? A. Energy conservation B. Joint protection C. Work simplification D. Pacing B. Joint protection A COTA® is working on sequencing a bedtime routine with a child with autism. Which activities would be supportive of this outcome? A. Providing the child with pictures of the different tasks involved in the routine so that the child may perform them in order. B. Encouraging the child to complete the last task in a series of tasks so that the child is more inclined to want to complete the routine. C. Allowing the child to select which activities to eliminate from the routine. D. Introducing the child to adaptive equipment (e.g., an electric toothbrush) so that the routine takes less time. A. Providing the child with pictures of the different tasks involved in the routine so that the child may perform them in order. A COTA® in a school setting is working with a child with autism spectrum disorder (ASD). Which situations would likely create difficulty for this child? Select the 3 BEST choices. A. Giving a speech on a preferred topic B. Remembering a parent's work telephone number C. Being able to pick up on a peer's nonverbal cues during a conversation D. Switching topics during a group discussion E. Attending an impromptu assembly during the school day F. Copying homework assignments into a daily planner C. Being able to pick up on a peer's nonverbal cues during a conversation D. Switching topics during a group discussion E. Attending an impromptu assembly during the school day A COTA® is working with a child who has a diagnosis of myelomeningocele spina bifida. Which ADLs might be difficult for a child with this condition? A. Grooming at the sink B. Feeding oneself lunch C. Upper-body bathing D. Toileting at school D. Toileting at school A 7-year-old child presents with amelia and uses a myoelectric hand. Which terminal device is the client MOST likely to wear? A. Externally powered prosthesis B. Body-powered prosthesis C. Passive prosthesis D. Hook prosthesis A. Externally powered prosthesis A COTA® wants to teach a home exercise strengthening program to a child with a mild intellectual disability. How should the COTA® modify the home exercise program so that the client can follow it independently? A. Reduce the number of exercises from 20 to 15 to encourage independence. B. Incorporate simplified vocabulary and pictures to encourage independence. C. Model the home exercise program and allow the child to follow along to encourage independence. D. Pair the child with a peer who has a similar home exercise program to encourage independence. B. Incorporate simplified vocabulary and pictures to encourage independence. An 8-year-old child with juvenile rheumatoid arthritis requires a splint to prevent drifting of the metacarpophalangeal joints toward the small finger. Which splint would be the MOST appropriate for this client? A. Cock-up splint B. Ulnar deviation splint C. Dynamic splint D. Resting pan splint B. Ulnar deviation splint A school-based OTR® is evaluating a high school student with autism. The student has a high level of auditory sensitivity that limits the ability to successfully transition between classes. Which recommendation would support the student's ability to transition successfully to the next class? A. Allow the student to transition to the next class 3 minutes early B. Provide the student with a visual checklist to support the transition to the next class C. Reduce the amount of materials that the student needs to take to the next class D. Provide the student with a key lock for use in the locker A. Allow the student to transition to the next class 3 minutes early A COTA® is working with a 5-year-old with autism on developing a toileting routine. Which intervention strategy is most appropriate? A. Teaching energy conservation techniques to incorporate into the routine B. Using a picture checklist that depicts the routine C. Encouraging the child to invite a peer to model the routine D. Incorporating adaptive equipment or orthotics into the routine B. Using a picture checklist that depicts the routine A COTA® chooses to use preparatory activities to modulate muscle tone, promote proximal joint stability, and improve hand function during a handwriting intervention session. Which frame of reference is the COTA® using to guide intervention? A. Neurodevelopmental B. Acquisitional C. Sensorimotor D. Biomechanical A. Neurodevelopmental An OTR® is evaluating a kindergarten student's prewriting skills. The student has difficulty controlling writing utensils because the student does not spontaneously extend the wrist when drawing. Which intervention strategy would BEST help the student develop spontaneous wrist extension? A. Using stencils B. Playing with resistive putty before drawing C. Drawing shapes on an easel D. Using a built-up writing utensil C. Drawing shapes on an easel