COTA PURPLE BOOK SIMULATION
EXAM 1: 1-50 QUESTIONS AND
CORRECT ANSWERS
A)a developmental delay ✅✅ANSW-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.
C)Tip ✅✅ANSW-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. ✅✅ANSW-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 ✅✅ANSW-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. ✅✅ANSW-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. ✅✅ANSW-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.
D)determine the need for further evaluation. ✅✅ANSW-10.In screening a child who has been
referred to occupational therapy, the PRIMARY goal of the OT practitioner is to: A)obtain necessary
information for an occupational therapy consultation with teachers or parents. B)test a wide variety
, of developmental behaviors. C)establish an information base for the occupational therapy treatment
plan. D)determine the need for further evaluation.
C)visual agnosia. ✅✅ANSW-11. A COTA is working with an individual who is unable to name or
demonstrate the use of common household objects. This behavior MOST likely indicates: A)apraxia.
B)stereognosis. C)visual agnosia. D)alexia.
C)provide a summary of observations of the patient's behavior, including what the patient said and
did during the interview. ✅✅ANSW-12.When reporting data collected to the OTR, it is MOST
important for the COTA to: A)observe everything the patient said and did during the interview and
provide extensive notes for the OTR to read. B)provide the OTR with a comprehensive treatment
plan based on the results of the evaluation. C)provide a summary of observations of the patient's
behavior, including what the patient said and did during the interview. D)provide an interpretation
of how the patient behaved during the interview.
A)ADHD. ✅✅ANSW-13.A child is observed grabbing toys from others, becoming easily frustrated,
and unable to sit still. This behavior MOST likely indicates: A)ADHD. B)mood disorder, manic episode.
C)conduct disorder. D)anxiety disorder.
B)left unilateral neglect. ✅✅ANSW-14.An individual who had a stroke is copying a picture of a
clock. The drawing appears as a lopsided circle with a flat side on the left. The numbers one through
eight are written in numerical order around the right side of the clock. The hands are correctly
drawn on the clock to represent three o'clock. The individual's performance appears to
demonstrate: A)right hemianopsia. B)left unilateral neglect. C)cataracts in the left eye. D)bitemporal
hemianopia.
B)emotional lability ✅✅ANSW-15.An individual alternately exhibits laughing and crying
throughout a treatment session. This behavior should be documented as: A)mania. B)emotional
lability. C)paranoia. D)denial.
B)communication, self-care, and social skills ✅✅ANSW-16.Evaluation of a school-age child
diagnosed with moderate mental retardation should generally focus on: A)positioning and
communication skills. B)communication, self-care, and social skills. C)ADL's and IADL's. D)feeding and
personal hygiene.
C)steps, width of doorways, and threshold heights ✅✅ANSW-17.An individual who uses a
wheelchair is being discharged from a rehabilitation facility to home. In determining accessibility of
the interior home environment, the area the COTA should be MOST concerned with is: A)location of
EXAM 1: 1-50 QUESTIONS AND
CORRECT ANSWERS
A)a developmental delay ✅✅ANSW-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.
C)Tip ✅✅ANSW-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. ✅✅ANSW-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 ✅✅ANSW-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. ✅✅ANSW-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. ✅✅ANSW-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.
D)determine the need for further evaluation. ✅✅ANSW-10.In screening a child who has been
referred to occupational therapy, the PRIMARY goal of the OT practitioner is to: A)obtain necessary
information for an occupational therapy consultation with teachers or parents. B)test a wide variety
, of developmental behaviors. C)establish an information base for the occupational therapy treatment
plan. D)determine the need for further evaluation.
C)visual agnosia. ✅✅ANSW-11. A COTA is working with an individual who is unable to name or
demonstrate the use of common household objects. This behavior MOST likely indicates: A)apraxia.
B)stereognosis. C)visual agnosia. D)alexia.
C)provide a summary of observations of the patient's behavior, including what the patient said and
did during the interview. ✅✅ANSW-12.When reporting data collected to the OTR, it is MOST
important for the COTA to: A)observe everything the patient said and did during the interview and
provide extensive notes for the OTR to read. B)provide the OTR with a comprehensive treatment
plan based on the results of the evaluation. C)provide a summary of observations of the patient's
behavior, including what the patient said and did during the interview. D)provide an interpretation
of how the patient behaved during the interview.
A)ADHD. ✅✅ANSW-13.A child is observed grabbing toys from others, becoming easily frustrated,
and unable to sit still. This behavior MOST likely indicates: A)ADHD. B)mood disorder, manic episode.
C)conduct disorder. D)anxiety disorder.
B)left unilateral neglect. ✅✅ANSW-14.An individual who had a stroke is copying a picture of a
clock. The drawing appears as a lopsided circle with a flat side on the left. The numbers one through
eight are written in numerical order around the right side of the clock. The hands are correctly
drawn on the clock to represent three o'clock. The individual's performance appears to
demonstrate: A)right hemianopsia. B)left unilateral neglect. C)cataracts in the left eye. D)bitemporal
hemianopia.
B)emotional lability ✅✅ANSW-15.An individual alternately exhibits laughing and crying
throughout a treatment session. This behavior should be documented as: A)mania. B)emotional
lability. C)paranoia. D)denial.
B)communication, self-care, and social skills ✅✅ANSW-16.Evaluation of a school-age child
diagnosed with moderate mental retardation should generally focus on: A)positioning and
communication skills. B)communication, self-care, and social skills. C)ADL's and IADL's. D)feeding and
personal hygiene.
C)steps, width of doorways, and threshold heights ✅✅ANSW-17.An individual who uses a
wheelchair is being discharged from a rehabilitation facility to home. In determining accessibility of
the interior home environment, the area the COTA should be MOST concerned with is: A)location of
