COTA EXAM #4 PART 1 QUESTIONS
AND CORRECT ANSWERS
A child with poor sitting balance is unable to put on and remove LE clothing. Which of the following
approaches would the COTA recommend to BEST address this functional issue? ✅✅ANSW-Teach
the child to dress in sidelying position
Setting up an obstacle course that provides several options for allowing a child to choose the
direction he will take (unstructured) would be MOST appropriate if the COTA wished to encourage:
✅✅ANSW-Exploratory play
A COTA and an OTR are working on discharge plans for a child with paraplegic spina bifida who has
just started using a powered w/c. The community resource that would be recommended as MOST
critical for this child is: ✅✅ANSW-A local w/c equipment vendor
A COTA is demonstrating bathing techniques for a child with hypertonic muscle tone. Which of the
following suggestions would be MOST appropriate for the COTA to recommend to the child's
parents? ✅✅ANSW-Handle the child slowly and gently
A child is lacing a series of geometric beads from a stimulus card and is unable to identify a moon-
shaped bead when it is turned sideways on the table. This MOST likely indicates difficulty with:
✅✅ANSW-Form constancy perception
An individual with underreactive sensory processing has been referred to OT. Based on a sensory
integration frame of reference, activities for this individual should have which of the following
facilitory characteristics? ✅✅ANSW-Arhythmic and unexpected
The COTA is working with the parents of a 4-year old boy who demonstrates strong tonic bite reflex
when eating. What type of utensils will the COTA MOST likely recommend to the child's parents?
✅✅ANSW-Rubber-coated spoons
During the evaluation of a 6-month old baby the COTA gently pulls the infant from a supine position
into a sitting position by the hands. The child demonstrates the ability to hold her up and trunk in
alignment against gravity. This observable movement can MOST accurately be described by the
COTA as a(n): ✅✅ANSW-Flexion righting reaction
, A child with athetoid CP demonstrates a jaw and tongue thrust when a fod filled spoon is placed in
his mouth. To decrease this problem, the COTA is MOST likely to recommend a positioning strategy
that includes increased: ✅✅ANSW-Neck flexion
A COTA observes a 5-year old child with down syndrome who has low muscle tone sitting on the
floor exclusively using a "W" sitting position. This observation MOST likely indicates that the child is:
✅✅ANSW-Demonstrating typical development for a child with Down syndrome
A child is on a pureed diet because of an inability to chew food. The most effective method for the
COTA to facilitate the child's ability to chew would be to: ✅✅ANSW-Increase the management of
texture by slowing increasing texture of food with a baby food grinder
An OT is administering a standardized test to a young client who suddenly becomes uncooperative
and complains that the test is "too hard." The MOST appropriate response would be to:
✅✅ANSW-Follow administration instructions and note changes in behavior
A child with poor anticipatory postural control demonstrates inadequate playground skills, losing her
balance when trying to anticipate movement. Which of the following activities will BEST promote the
development of these skills? ✅✅ANSW-Ballet
A 3-year old child with a diagnosis of mental retardation is dependent in all areas of dressing. If the
COTA uses a developmental approach with this child, which skill should FIRST be addressed?
✅✅ANSW-Removing pants
The COTA has fitted a 6-year old child for an adapted seat for use in the home for mealtime and
other tabletop activities. Which of the following instructions is MOST appropriate to convey to the
parents? ✅✅ANSW-Bring the seat in for reevaluation within 6 months
The BEST activity to encourage the bilateral use of a child's hands is: ✅✅ANSW-Playing clapping
games
A COTA is working with a child who has mild spastic cerebral palsy. The evaluation has shown that
the child has poor in-hand manipulation skills. Practicing what type of activity would be BEST to
improve this inability? ✅✅ANSW-Removing a nut from a bolt
AND CORRECT ANSWERS
A child with poor sitting balance is unable to put on and remove LE clothing. Which of the following
approaches would the COTA recommend to BEST address this functional issue? ✅✅ANSW-Teach
the child to dress in sidelying position
Setting up an obstacle course that provides several options for allowing a child to choose the
direction he will take (unstructured) would be MOST appropriate if the COTA wished to encourage:
✅✅ANSW-Exploratory play
A COTA and an OTR are working on discharge plans for a child with paraplegic spina bifida who has
just started using a powered w/c. The community resource that would be recommended as MOST
critical for this child is: ✅✅ANSW-A local w/c equipment vendor
A COTA is demonstrating bathing techniques for a child with hypertonic muscle tone. Which of the
following suggestions would be MOST appropriate for the COTA to recommend to the child's
parents? ✅✅ANSW-Handle the child slowly and gently
A child is lacing a series of geometric beads from a stimulus card and is unable to identify a moon-
shaped bead when it is turned sideways on the table. This MOST likely indicates difficulty with:
✅✅ANSW-Form constancy perception
An individual with underreactive sensory processing has been referred to OT. Based on a sensory
integration frame of reference, activities for this individual should have which of the following
facilitory characteristics? ✅✅ANSW-Arhythmic and unexpected
The COTA is working with the parents of a 4-year old boy who demonstrates strong tonic bite reflex
when eating. What type of utensils will the COTA MOST likely recommend to the child's parents?
✅✅ANSW-Rubber-coated spoons
During the evaluation of a 6-month old baby the COTA gently pulls the infant from a supine position
into a sitting position by the hands. The child demonstrates the ability to hold her up and trunk in
alignment against gravity. This observable movement can MOST accurately be described by the
COTA as a(n): ✅✅ANSW-Flexion righting reaction
, A child with athetoid CP demonstrates a jaw and tongue thrust when a fod filled spoon is placed in
his mouth. To decrease this problem, the COTA is MOST likely to recommend a positioning strategy
that includes increased: ✅✅ANSW-Neck flexion
A COTA observes a 5-year old child with down syndrome who has low muscle tone sitting on the
floor exclusively using a "W" sitting position. This observation MOST likely indicates that the child is:
✅✅ANSW-Demonstrating typical development for a child with Down syndrome
A child is on a pureed diet because of an inability to chew food. The most effective method for the
COTA to facilitate the child's ability to chew would be to: ✅✅ANSW-Increase the management of
texture by slowing increasing texture of food with a baby food grinder
An OT is administering a standardized test to a young client who suddenly becomes uncooperative
and complains that the test is "too hard." The MOST appropriate response would be to:
✅✅ANSW-Follow administration instructions and note changes in behavior
A child with poor anticipatory postural control demonstrates inadequate playground skills, losing her
balance when trying to anticipate movement. Which of the following activities will BEST promote the
development of these skills? ✅✅ANSW-Ballet
A 3-year old child with a diagnosis of mental retardation is dependent in all areas of dressing. If the
COTA uses a developmental approach with this child, which skill should FIRST be addressed?
✅✅ANSW-Removing pants
The COTA has fitted a 6-year old child for an adapted seat for use in the home for mealtime and
other tabletop activities. Which of the following instructions is MOST appropriate to convey to the
parents? ✅✅ANSW-Bring the seat in for reevaluation within 6 months
The BEST activity to encourage the bilateral use of a child's hands is: ✅✅ANSW-Playing clapping
games
A COTA is working with a child who has mild spastic cerebral palsy. The evaluation has shown that
the child has poor in-hand manipulation skills. Practicing what type of activity would be BEST to
improve this inability? ✅✅ANSW-Removing a nut from a bolt
