NBCOT- COTA exam questions with correct
answers
A |client |with |bilateral |elbow |contractures |has |45° |active |extension |and |90° |active |flexion |of |both |
elbows |and |5° |supination/pronation. |Upper |extremity |muscle |strength |is |Normal |(5/5). |Which |activity |
would |be |MOST |DIFFICULT |for |the |client |to |perform |without |using |compensatory |movements?
A.Putting |a |belt |through |pant |belt |loops
B.Tying |shoelaces
C.Using |a |spoon |to |eat |soup |- |VERIFIED |ANSWER✔✔-C
The |results |of |a |task |analysis |of |each |of |these |activities |indicate |that |using |a |spoon |to |eat |soup |
requires |supination |and |would |be |MOST |DIFFICULT |for |the |client |to |perform |without |using |
compensatory |movements.
A |COTA |is |working |with |the |Individualized |Education |Program |(IEP) |team |to |determine |a |student's |
eligibility |for |school-based |OT |intervention. |What |information |does |the |team |rely |upon |for |making |
final |eligibility |determinations?
A.Classroom |performance |and |curriculum-based |needs
B.Birth |history |and |previous |early |intervention |services
C.Physician's |referral |and |diagnosis |severity
D.Standardized |test |scores |and |documented |disability |- |VERIFIED |ANSWER✔✔-Correct |Answer: |A
Rationale:
The |Individuals |with |Disabilities |Education |Act |(IDEA) |mandates |that |eligibility |requirements |for |IEP |
services |are |based |on |a |student's |classroom |needs |and |performance |in |relation |to |curriculum-based |
objectives.
A |4-year-old |child |with |pervasive |developmental |delay |requires |maximum |assistance |for |toileting. |The
|COTA |is |teaching |the |child's |parents |strategies |for |improving |the |child's |independence |with |these |
tasks. |During |a |session, |the |parents |indicate |that |over |the |past |several |months |the |child |typically |
does |not |have |a |bowel |movement |for |several |days |at |a |time |due |to |constipation. |Which |
recommendation |should |the |COTA |provide |the |parents |in |response |to |this |comment?
A.Consult |with |a |dietitian |to |learn |how |to |increase |the |amount |of |fiber |in |the |child's |diet.
B.Schedule |an |appointment |with |the |child's |primary |physician |to |rule |out |gastrointestinal |issues.
,C.Ask |a |pharmacist |to |recommend |a |non-prescription |children's |stool |softener |for |the |child. |- |
VERIFIED |ANSWER✔✔-Correct |Answer: |B
Rationale:
A |referral |to |the |primary |physician |is |warranted |to |determine |if |there |is |a |medical |cause |for |the |
child's |constipation.
A |COTA |is |preparing |to |assess |light |touch |sensation |of |a |client |who |has |an |acute |radial |nerve |palsy. |
Based |on |the |TYPICAL |pattern |of |sensory |impairment |for |this |condition, |where |on |the |dorsum |of |the |
affected |hand |should |the |COTA |expect |to |detect |diminished |light |touch?
A.Entire |length |of |the |fifth |digit
B.Fingertips |of |the |index |and |middle |fingers
C.Area |over |the |first |dorsal |interossei |- |VERIFIED |ANSWER✔✔-Correct |Answer: |C
Rationale:
The |area |over |the |first |dorsal |interossei |falls |within |the |sensory |distribution |of |the |radial |nerve.
A |COTA |working |in |a |long |term |care |facility |is |responsible |for |teaching |the |residents |strategies |for |
supporting |their |independence |with |BADL. |During |BADL |sessions |over |the |past |week, |several |of |the |
residents |reported |that |the |assistive |devices |used |during |the |sessions |are |not |available |to |them |when
|completing |routine |BADL |with |the |nursing |aides. |What |action |would |be |MOST |BENEFICIAL |for |the |
COTA |to |take |in |response |to |these |reports?
A.Submit |an |incident |report |about |the |nursing |aides |to |the |appropriate |supervisor.
B.Present |in-service |training |to |nursing |staff |about |the |benefits |and |uses |of |BADL |devices.
C.Ensure |the |assistive |devices |are |in |a |visible |location |and |labeled |with |the |residents' |name.
D.Advise |the |residents |to |ask |for |the |assistive |devices |prior |to |starting |BADL. |- |VERIFIED |ANSWER✔✔-
Correct |Answer: |B
Rationale:
Providing |in-service |training |to |the |nursing |staff |will |allow |the |opportunity |to |teach |information |about
|the |benefits |and |use |of |BADL |devices |and |to |facilitate |a |collaborative |approach |in |supporting |each |
resident |to |meet |their |goals.
A |COTA |is |selecting |activities |to |include |in |a |homemaking |skills |session |with |a |client |who |has |an |
anxiety |disorder. |A |review |of |the |occupational |profile |indicates |the |client |immigrated |to |the |United |
States |with |a |spouse |and |two |children |one |year |ago. |Stress |of |the |relocation |and |symptoms |of |the |
anxiety |disorder |are |interfering |with |the |ability |to |complete |simple |daily |tasks. |One |of |the |client's |
, goals |is |to |fully |participate |in |family |roles |and |routines. |What |activities |should |the |COTA |include |in |
the |session |in |order |to |support |the |client's |goal?
A.Provide |instruction |about |using |appliances |typically |found |in |homes |in |the |U.S.
B.Incorporate |the |client's |culture |and |values |into |the |session |activities.
C.Teach |the |client |about |the |family |values |system |in |the |United |States. |- |VERIFIED |ANSWER✔✔-
Correct |Answer: |B
Rationale:
The |COTA |should |gather |information |about |the |client's |values, |routines, |habits, |and |expectations. |
When |teaching |homemaking |skills, |the |COTA |should |respect |and |support |the |client's |cultural |
preferences.
A |COTA, |who |works |in |a |hospital |setting, |is |teaching |precautions |to |an |inpatient |who |recently |had |
open |heart |surgery. |Which |of |the |following |would |be |the |MOST |EFFECTIVE |communication |methods |
for |the |COTA |to |use |in |the |education |session |to |promote |the |patient's |understanding |of |the |
information |presented?
Select |the |three |BEST |responses.
A.Fill |quiet |moments |with |conversation |and |additional |information.
B.Make |eye |contact |during |the |intervention |session.
C.Explain |the |information |thoroughly |using |evidence |and |medical |language.
D.Provide |detailed |instructions |to |the |patient |and |the |caregiver.
E.Be |approachable |and |allow |the |patient |to |ask |questions.
F.Present |small |amounts |of |information |at |a |time |and |give |the |patient |time |to |respond. |- |VERIFIED |
ANSWER✔✔-Correct |Answers: |B,E,F
Rationale:
These |options |represent |effective |communication |methods |that |result |in |enhanced |health |literacy |of |
the |patient.
A |client |who |has |multiple |sclerosis |works |as |an |administrative |assistant |in |a |large |corporation. |Fatigue
|and |weakness |interfere |with |the |client's |ability |to |complete |job |tasks. |The |corporate |physician |is |
requesting |a |job |site |analysis |for |this |client. |What |is |the |PRIMARY |purpose |of |this |type |of |analysis?
A.To |identify |the |management's |willingness |to |provide |special |accommodations
B.To |assess |the |client's |vocational |interests |in |relation |to |work |assignments
C.To |determine |the |critical |work |demands |in |relation |to |the |client |needs
answers
A |client |with |bilateral |elbow |contractures |has |45° |active |extension |and |90° |active |flexion |of |both |
elbows |and |5° |supination/pronation. |Upper |extremity |muscle |strength |is |Normal |(5/5). |Which |activity |
would |be |MOST |DIFFICULT |for |the |client |to |perform |without |using |compensatory |movements?
A.Putting |a |belt |through |pant |belt |loops
B.Tying |shoelaces
C.Using |a |spoon |to |eat |soup |- |VERIFIED |ANSWER✔✔-C
The |results |of |a |task |analysis |of |each |of |these |activities |indicate |that |using |a |spoon |to |eat |soup |
requires |supination |and |would |be |MOST |DIFFICULT |for |the |client |to |perform |without |using |
compensatory |movements.
A |COTA |is |working |with |the |Individualized |Education |Program |(IEP) |team |to |determine |a |student's |
eligibility |for |school-based |OT |intervention. |What |information |does |the |team |rely |upon |for |making |
final |eligibility |determinations?
A.Classroom |performance |and |curriculum-based |needs
B.Birth |history |and |previous |early |intervention |services
C.Physician's |referral |and |diagnosis |severity
D.Standardized |test |scores |and |documented |disability |- |VERIFIED |ANSWER✔✔-Correct |Answer: |A
Rationale:
The |Individuals |with |Disabilities |Education |Act |(IDEA) |mandates |that |eligibility |requirements |for |IEP |
services |are |based |on |a |student's |classroom |needs |and |performance |in |relation |to |curriculum-based |
objectives.
A |4-year-old |child |with |pervasive |developmental |delay |requires |maximum |assistance |for |toileting. |The
|COTA |is |teaching |the |child's |parents |strategies |for |improving |the |child's |independence |with |these |
tasks. |During |a |session, |the |parents |indicate |that |over |the |past |several |months |the |child |typically |
does |not |have |a |bowel |movement |for |several |days |at |a |time |due |to |constipation. |Which |
recommendation |should |the |COTA |provide |the |parents |in |response |to |this |comment?
A.Consult |with |a |dietitian |to |learn |how |to |increase |the |amount |of |fiber |in |the |child's |diet.
B.Schedule |an |appointment |with |the |child's |primary |physician |to |rule |out |gastrointestinal |issues.
,C.Ask |a |pharmacist |to |recommend |a |non-prescription |children's |stool |softener |for |the |child. |- |
VERIFIED |ANSWER✔✔-Correct |Answer: |B
Rationale:
A |referral |to |the |primary |physician |is |warranted |to |determine |if |there |is |a |medical |cause |for |the |
child's |constipation.
A |COTA |is |preparing |to |assess |light |touch |sensation |of |a |client |who |has |an |acute |radial |nerve |palsy. |
Based |on |the |TYPICAL |pattern |of |sensory |impairment |for |this |condition, |where |on |the |dorsum |of |the |
affected |hand |should |the |COTA |expect |to |detect |diminished |light |touch?
A.Entire |length |of |the |fifth |digit
B.Fingertips |of |the |index |and |middle |fingers
C.Area |over |the |first |dorsal |interossei |- |VERIFIED |ANSWER✔✔-Correct |Answer: |C
Rationale:
The |area |over |the |first |dorsal |interossei |falls |within |the |sensory |distribution |of |the |radial |nerve.
A |COTA |working |in |a |long |term |care |facility |is |responsible |for |teaching |the |residents |strategies |for |
supporting |their |independence |with |BADL. |During |BADL |sessions |over |the |past |week, |several |of |the |
residents |reported |that |the |assistive |devices |used |during |the |sessions |are |not |available |to |them |when
|completing |routine |BADL |with |the |nursing |aides. |What |action |would |be |MOST |BENEFICIAL |for |the |
COTA |to |take |in |response |to |these |reports?
A.Submit |an |incident |report |about |the |nursing |aides |to |the |appropriate |supervisor.
B.Present |in-service |training |to |nursing |staff |about |the |benefits |and |uses |of |BADL |devices.
C.Ensure |the |assistive |devices |are |in |a |visible |location |and |labeled |with |the |residents' |name.
D.Advise |the |residents |to |ask |for |the |assistive |devices |prior |to |starting |BADL. |- |VERIFIED |ANSWER✔✔-
Correct |Answer: |B
Rationale:
Providing |in-service |training |to |the |nursing |staff |will |allow |the |opportunity |to |teach |information |about
|the |benefits |and |use |of |BADL |devices |and |to |facilitate |a |collaborative |approach |in |supporting |each |
resident |to |meet |their |goals.
A |COTA |is |selecting |activities |to |include |in |a |homemaking |skills |session |with |a |client |who |has |an |
anxiety |disorder. |A |review |of |the |occupational |profile |indicates |the |client |immigrated |to |the |United |
States |with |a |spouse |and |two |children |one |year |ago. |Stress |of |the |relocation |and |symptoms |of |the |
anxiety |disorder |are |interfering |with |the |ability |to |complete |simple |daily |tasks. |One |of |the |client's |
, goals |is |to |fully |participate |in |family |roles |and |routines. |What |activities |should |the |COTA |include |in |
the |session |in |order |to |support |the |client's |goal?
A.Provide |instruction |about |using |appliances |typically |found |in |homes |in |the |U.S.
B.Incorporate |the |client's |culture |and |values |into |the |session |activities.
C.Teach |the |client |about |the |family |values |system |in |the |United |States. |- |VERIFIED |ANSWER✔✔-
Correct |Answer: |B
Rationale:
The |COTA |should |gather |information |about |the |client's |values, |routines, |habits, |and |expectations. |
When |teaching |homemaking |skills, |the |COTA |should |respect |and |support |the |client's |cultural |
preferences.
A |COTA, |who |works |in |a |hospital |setting, |is |teaching |precautions |to |an |inpatient |who |recently |had |
open |heart |surgery. |Which |of |the |following |would |be |the |MOST |EFFECTIVE |communication |methods |
for |the |COTA |to |use |in |the |education |session |to |promote |the |patient's |understanding |of |the |
information |presented?
Select |the |three |BEST |responses.
A.Fill |quiet |moments |with |conversation |and |additional |information.
B.Make |eye |contact |during |the |intervention |session.
C.Explain |the |information |thoroughly |using |evidence |and |medical |language.
D.Provide |detailed |instructions |to |the |patient |and |the |caregiver.
E.Be |approachable |and |allow |the |patient |to |ask |questions.
F.Present |small |amounts |of |information |at |a |time |and |give |the |patient |time |to |respond. |- |VERIFIED |
ANSWER✔✔-Correct |Answers: |B,E,F
Rationale:
These |options |represent |effective |communication |methods |that |result |in |enhanced |health |literacy |of |
the |patient.
A |client |who |has |multiple |sclerosis |works |as |an |administrative |assistant |in |a |large |corporation. |Fatigue
|and |weakness |interfere |with |the |client's |ability |to |complete |job |tasks. |The |corporate |physician |is |
requesting |a |job |site |analysis |for |this |client. |What |is |the |PRIMARY |purpose |of |this |type |of |analysis?
A.To |identify |the |management's |willingness |to |provide |special |accommodations
B.To |assess |the |client's |vocational |interests |in |relation |to |work |assignments
C.To |determine |the |critical |work |demands |in |relation |to |the |client |needs
