NBCOT- COTA Exam Questions with Correct Answers

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 - Correct 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 - Correct 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. - Correct Answer Correct Answer: B Rationale: A referral to the primary physician is warranted to determine