Page 1 of 332
NBCOT PRACTICE EXAM QUESTION BANK ALL 800
QUESTIONS AND CORRECT DETAILED SOLUTIONS JUST
RELEASED THIS YEAR
QUESTION: 1. An OTR is working to establish a therapeutic relationship with a client in a skilled
nursing facility. Which consideration is the MOST important in establishing an effective
relationship?
a. The OTR has the power to determine the goals
b. The client is an informed equal in the relationship
c. The OTR is solely responsible for any positive outcomes
d. The client is expected to follow the OTR advice - ANSWER✔✔b. The client is an informed
equal in the relationship
QUESTION: 2. A client with a herniated lumbar disk was referred to OT. The OTR completes an
initial eval. And develops an intervention plan. Which task can the OTR assign to the COTA?
a. Write up the initial eval.
b. Alter the initial plan to address pain
c. Do a complete reeval. Of strength
d. Educate the client in proper body mechanics - ANSWER✔✔d. Educate the client in proper
body mechanics
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QUESTION: 3. According to the Standards of Practice for OT, what is the role of the COTA in the
screening process
a. Completing the screening process
b. Initialing the screening process
c. Analyzing and interpreting screening results
d. Providing observations to the OTR - ANSWER✔✔d. Providing observations to the OTR
QUESTION: 4. A COTA who spend 2 years working on the ortho. Unit of an acute care hospital is
now working on the neuro. Floor. How is appropriate supervision best described?
a. The OTR and COTA decide to set up supervisory visits on an as-needed basis
b. The COTA requires minimal supervision owing to his or her 2 years of experience
c. The OTR and COTA agree that close supervision is best at this time
d. The OTR and COTA decide that continuous supervisor is needed. - ANSWER✔✔c. The OTR and
COTA agree that close supervision is best at this time
QUESTION: 5. A supervising OTR hires two newly graduated COTA's who have different learning
styles. One prefers visual learning, and the other prefers hands on learning. Which approach is
the best way for the OTR to supervise both COTAS
a. Demonstrated tasks and have both COTAs return the demonstration
b. Provide written instructions and protocols and discuss them
c. Have both COTA role-play clinical scenarios
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d. Have one COTA perform new tasks and the other observe - ANSWER✔✔d. Have one COTA
perform new tasks and the other observe
QUESTION: 6. A student OT arrives at a facility for Level 2 FW and discovers that the OTR
supervisor has to take an unplanned eave for the duration of fieldwork. An entry-level COTA is
present at the facility. What options does the student have for appropriate fieldwork
supervision at that facility?
a. The student may be supervised by the entry level COTA as long as the COTA consults with the
OTR
b. The student may be supervised by an OTR who works at another facility
c. The student may be supervised by an entry-level COTA who works at another facility
d. The student cannot complete fieldwork at the facility because adequate supervision is not
available. - ANSWER✔✔d. The student cannot complete fieldwork at the facility because
adequate supervision is not available.
QUESTION: 7. An extremely agitated pt. is admitted to an inpatient psychiatric hospital late on a
Friday afternoon. Because nursing is short staffed, the nurse on the unit requires that the
patient attend an OT group being led by a COTA that evening. The COTA calls the OTR who is
working at a location far from the unit, for guidance. The OTR is unable to return to the unit in
time to evaluate the patient. What should the OTR recommend to the COTA?
a. Allow the patient to attend the group
b. Do no allow the patient to attend the group
c. Cancel the group and eval. The client
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d. Allow the patient to attend the group with the understanding that the OTR will complete the
eval on returning to the unit. - ANSWER✔✔b. Do no allow the patient to attend the group
QUESTION: 8. An entry-level COTA begins working at a long-term care facility and needs direct
continuous supervision. Which statement BEST describes this type of supervision?
a. The COTA and supervising OTR are in the rehab. Gym, the OTR observes the COTA's
performance
b. The COTA and OTR meet at the end of the day to discuss the COTA's caseload and review
documentation
c. The supervising OTR is in the facility but in another area
d. The COTA emails or texts the OTR questions throughout the day as needed, and the OTR
reviews the COTA's documentation regularly. - ANSWER✔✔a. The COTA and supervising OTR are
in the rehab. Gym, the OTR observes the COTA's performance
QUESTION: 9. According to the Standards of Practice for OT, which task can the COTA complete
in the eval. Process?
a. Respond to the initial referral request
b. Interpret and document the eval results
c. Perform delegated assessments using current tools
d. Make recommendations to other professionals - ANSWER✔✔c. Perform delegated
assessments using current tools
NBCOT PRACTICE EXAM QUESTION BANK ALL 800
QUESTIONS AND CORRECT DETAILED SOLUTIONS JUST
RELEASED THIS YEAR
QUESTION: 1. An OTR is working to establish a therapeutic relationship with a client in a skilled
nursing facility. Which consideration is the MOST important in establishing an effective
relationship?
a. The OTR has the power to determine the goals
b. The client is an informed equal in the relationship
c. The OTR is solely responsible for any positive outcomes
d. The client is expected to follow the OTR advice - ANSWER✔✔b. The client is an informed
equal in the relationship
QUESTION: 2. A client with a herniated lumbar disk was referred to OT. The OTR completes an
initial eval. And develops an intervention plan. Which task can the OTR assign to the COTA?
a. Write up the initial eval.
b. Alter the initial plan to address pain
c. Do a complete reeval. Of strength
d. Educate the client in proper body mechanics - ANSWER✔✔d. Educate the client in proper
body mechanics
, Page 2 of 332
QUESTION: 3. According to the Standards of Practice for OT, what is the role of the COTA in the
screening process
a. Completing the screening process
b. Initialing the screening process
c. Analyzing and interpreting screening results
d. Providing observations to the OTR - ANSWER✔✔d. Providing observations to the OTR
QUESTION: 4. A COTA who spend 2 years working on the ortho. Unit of an acute care hospital is
now working on the neuro. Floor. How is appropriate supervision best described?
a. The OTR and COTA decide to set up supervisory visits on an as-needed basis
b. The COTA requires minimal supervision owing to his or her 2 years of experience
c. The OTR and COTA agree that close supervision is best at this time
d. The OTR and COTA decide that continuous supervisor is needed. - ANSWER✔✔c. The OTR and
COTA agree that close supervision is best at this time
QUESTION: 5. A supervising OTR hires two newly graduated COTA's who have different learning
styles. One prefers visual learning, and the other prefers hands on learning. Which approach is
the best way for the OTR to supervise both COTAS
a. Demonstrated tasks and have both COTAs return the demonstration
b. Provide written instructions and protocols and discuss them
c. Have both COTA role-play clinical scenarios
, Page 3 of 332
d. Have one COTA perform new tasks and the other observe - ANSWER✔✔d. Have one COTA
perform new tasks and the other observe
QUESTION: 6. A student OT arrives at a facility for Level 2 FW and discovers that the OTR
supervisor has to take an unplanned eave for the duration of fieldwork. An entry-level COTA is
present at the facility. What options does the student have for appropriate fieldwork
supervision at that facility?
a. The student may be supervised by the entry level COTA as long as the COTA consults with the
OTR
b. The student may be supervised by an OTR who works at another facility
c. The student may be supervised by an entry-level COTA who works at another facility
d. The student cannot complete fieldwork at the facility because adequate supervision is not
available. - ANSWER✔✔d. The student cannot complete fieldwork at the facility because
adequate supervision is not available.
QUESTION: 7. An extremely agitated pt. is admitted to an inpatient psychiatric hospital late on a
Friday afternoon. Because nursing is short staffed, the nurse on the unit requires that the
patient attend an OT group being led by a COTA that evening. The COTA calls the OTR who is
working at a location far from the unit, for guidance. The OTR is unable to return to the unit in
time to evaluate the patient. What should the OTR recommend to the COTA?
a. Allow the patient to attend the group
b. Do no allow the patient to attend the group
c. Cancel the group and eval. The client
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d. Allow the patient to attend the group with the understanding that the OTR will complete the
eval on returning to the unit. - ANSWER✔✔b. Do no allow the patient to attend the group
QUESTION: 8. An entry-level COTA begins working at a long-term care facility and needs direct
continuous supervision. Which statement BEST describes this type of supervision?
a. The COTA and supervising OTR are in the rehab. Gym, the OTR observes the COTA's
performance
b. The COTA and OTR meet at the end of the day to discuss the COTA's caseload and review
documentation
c. The supervising OTR is in the facility but in another area
d. The COTA emails or texts the OTR questions throughout the day as needed, and the OTR
reviews the COTA's documentation regularly. - ANSWER✔✔a. The COTA and supervising OTR are
in the rehab. Gym, the OTR observes the COTA's performance
QUESTION: 9. According to the Standards of Practice for OT, which task can the COTA complete
in the eval. Process?
a. Respond to the initial referral request
b. Interpret and document the eval results
c. Perform delegated assessments using current tools
d. Make recommendations to other professionals - ANSWER✔✔c. Perform delegated
assessments using current tools
