NBCOT domain 2 exam questions
1. A client with relapsing-remitting multiple sclerosis is 7 days post-partum. The
client requires minimal assistance for unsupported sitting balance, has mild
incoordination of the upper extremity and is able to independently com- plete
self-care in a seated position. The client wants to learn how to safely hold the
infant. Which positions would the COTA teach the client to use for supporting this
goal Ans: A. Side-lying on a bed with the client and the infant facing each other
C. Supported in an arm chair with the infant in an over-the-shoulder sling baby carrier
E. Propped against a 45° wedge cushion with the infant held on the chest
Rationale
These positions support progress toward the goal identified by the client and
promote a position of safety for both the client and the infant.
2. An OTR and a COTA are collaborating to select a thermoplastic material to use
when fabricating a long-arm posterior elbow immobilization orthosis for a client
who sustained a proximal radius fracture. What material characteristics are
OPTIMAL for this type of orthosis Ans: A. Low conformability
B. High rigidity
E. 1/8 in (3.18 mm) thickness material
Rationale
,Strong thermoplastic materials with high rigidity and low conformability are
recom- mended for immobilizing a large surface area, such as when fabricating a
long-arm posterior elbow orthosis
3. A student in second grade recently witnessed domestic violence in the home
and has symptoms of post-traumatic stress disorder (PTSD). One of the
intervention priorities is for the student to develop coping strategies to manage
the symptoms associated with the condition. Which initial action would be MOST
BENEFICIAL for the COTA to include in the intervention for this student Ans:
Develop a calm and sensory-friendly space for the student at school.
Rationale
, A student who has experienced trauma benefits from a safe, sensory-friendly room
or environment to manage the symptoms of PTSD.
4. A client who has a transhumeral amputation is participating in a prosthetic
training program. During a session, the client experiences new symptoms
consistent with phantom pain. What INITIAL action should the COTA take in
response to the onset of these symptoms Ans: Arrange to incorporate a graded
desensitization program into the intervention plan.
Rationale
A graded desensitization program aims to reduce hypersensitivity of the residual
limb including discomfort associated with phantom limb pain.
5. A client who has reduced visual acuity reports difficulty preparing meals due to
low vision. Which kitchen modification would be MOST BENEFICIAL to include as a
recommendation for supporting the client's participation with meal preparation
tasks Ans: A. Label food items in large print using high-contrast colors.
6. A 10-month-old infant has Down syndrome. Excessive tongue protrusion and
drooling interferes with the infant's ability to swallow. Which technique should
be used FIRST during a feeding intervention to promote improved swallowing
Ans: Position the infant's trunk, shoulders, head, and neck in midline.
Rationale
Positioning the infant in an upright position with trunk, neck and head in alignmen
1. A client with relapsing-remitting multiple sclerosis is 7 days post-partum. The
client requires minimal assistance for unsupported sitting balance, has mild
incoordination of the upper extremity and is able to independently com- plete
self-care in a seated position. The client wants to learn how to safely hold the
infant. Which positions would the COTA teach the client to use for supporting this
goal Ans: A. Side-lying on a bed with the client and the infant facing each other
C. Supported in an arm chair with the infant in an over-the-shoulder sling baby carrier
E. Propped against a 45° wedge cushion with the infant held on the chest
Rationale
These positions support progress toward the goal identified by the client and
promote a position of safety for both the client and the infant.
2. An OTR and a COTA are collaborating to select a thermoplastic material to use
when fabricating a long-arm posterior elbow immobilization orthosis for a client
who sustained a proximal radius fracture. What material characteristics are
OPTIMAL for this type of orthosis Ans: A. Low conformability
B. High rigidity
E. 1/8 in (3.18 mm) thickness material
Rationale
,Strong thermoplastic materials with high rigidity and low conformability are
recom- mended for immobilizing a large surface area, such as when fabricating a
long-arm posterior elbow orthosis
3. A student in second grade recently witnessed domestic violence in the home
and has symptoms of post-traumatic stress disorder (PTSD). One of the
intervention priorities is for the student to develop coping strategies to manage
the symptoms associated with the condition. Which initial action would be MOST
BENEFICIAL for the COTA to include in the intervention for this student Ans:
Develop a calm and sensory-friendly space for the student at school.
Rationale
, A student who has experienced trauma benefits from a safe, sensory-friendly room
or environment to manage the symptoms of PTSD.
4. A client who has a transhumeral amputation is participating in a prosthetic
training program. During a session, the client experiences new symptoms
consistent with phantom pain. What INITIAL action should the COTA take in
response to the onset of these symptoms Ans: Arrange to incorporate a graded
desensitization program into the intervention plan.
Rationale
A graded desensitization program aims to reduce hypersensitivity of the residual
limb including discomfort associated with phantom limb pain.
5. A client who has reduced visual acuity reports difficulty preparing meals due to
low vision. Which kitchen modification would be MOST BENEFICIAL to include as a
recommendation for supporting the client's participation with meal preparation
tasks Ans: A. Label food items in large print using high-contrast colors.
6. A 10-month-old infant has Down syndrome. Excessive tongue protrusion and
drooling interferes with the infant's ability to swallow. Which technique should
be used FIRST during a feeding intervention to promote improved swallowing
Ans: Position the infant's trunk, shoulders, head, and neck in midline.
Rationale
Positioning the infant in an upright position with trunk, neck and head in alignmen
