NBCOT- COTA STUDY GUIDE EXAM.
1. A client with bilateral elbow contractures has
C
45° ac- tive extension and 90° active flexion
The results of a task
of both elbows and 5° supination/pronation.
analy- sis of each of
Upper extremity muscle
these ac-
strength is Normal (5/5). Which activity would be MOST tivities indicate
that us-
DIFFICULT for the client to perform without using com- ing a spoon
to eat soup
pensatory movements? requires supination
A. Putting a belt through pant belt loops and would be MOST
B. Tying shoelaces DIFFI- CULT for the
C. Using a spoon to eat soup client to per- form
without using com-
pensatory
2. A COTA is working with the Individualized
Education movements.
Correct Answer: A
Program (IEP) team to determine a student's eligibility Rationale:
for school-based OT intervention. What The Individuals with
information does the team rely upon for Dis- abilities Education
making final eligibility determinations? Act (IDEA) mandates
A. Classroom performance and that el- igibility
curriculum-based needs requirements for IEP
B. Birth history and previous early services are based on a
intervention ser- vices student's classroom
C. Physician's referral and diagnosis needs and performance
severity D.Standardized test scores and in rela- tion to
documented disability
curriculum-based
3. A 4-year-old child with pervasive objectives.
developmental delay requires maximum
Correct Answer: B
assistance for toileting. The COTA
Rationale:
, NBCOT- COTA STUDY GUIDE EXAM.
is teaching the child's parents strategies for improving A referral to
the prima-
the child's independence with these tasks. During a ry physician is
warranted
session, the parents indicate that over the past several to determine
if there is
months the child typically does not have a bowel move- a medical
cause for the
ment for several days at a time due to child's constipation.
constipation. Which recommendation should
the COTA provide the parents in response to
this comment?
, NBCOT- COTA STUDY GUIDE EXAM.
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 Correct Answer: C
child. Rationale:
4. A COTA is preparing to assess light touch
sensation of a client who has an acute radial
nerve palsy. Based
on the TYPICAL pattern of sensory impairment for this The area over
the first dor-
condition, where on the dorsum of the affected sal interossei falls
hand should the COTA expect to detect within the sensory
diminished light touch? distribution of the
A. Entire length of the fifth digit radial nerve.
B. Fingertips of the index and
middle fingers C.Area over the first
dorsal interossei
5. A COTA working in a long term care facility is responsi- Correct
Answer: B
ble for teaching the residents strategies for supporting Rationale:
their independence with BADL. During BADL Providing in-service
sessions over the past week, several of the train- ing to the
residents reported nursing statt
that the assistive devices used during the sessions are will allow the
opportu-
not available to them when completing routine take in
BADL with the nursing aides. What action response to
would be MOST BENEFICIAL for the COTA to these
, NBCOT- COTA STUDY GUIDE EXAM.
reports? nity to teach
information about the
benefits and use of
BADL devices and to
facilitate a collabora-
A. Submit an incident report about the nursing aides to tive
approach in support-
the appropriate supervisor. ing each resident to
meet
B. Present in-service training to nursing staff about the their
goals.
benefits and uses of BADL devices.
C. Ensure the assistive devices are in a
visible location and labeled with the
residents' name.
1. A client with bilateral elbow contractures has
C
45° ac- tive extension and 90° active flexion
The results of a task
of both elbows and 5° supination/pronation.
analy- sis of each of
Upper extremity muscle
these ac-
strength is Normal (5/5). Which activity would be MOST tivities indicate
that us-
DIFFICULT for the client to perform without using com- ing a spoon
to eat soup
pensatory movements? requires supination
A. Putting a belt through pant belt loops and would be MOST
B. Tying shoelaces DIFFI- CULT for the
C. Using a spoon to eat soup client to per- form
without using com-
pensatory
2. A COTA is working with the Individualized
Education movements.
Correct Answer: A
Program (IEP) team to determine a student's eligibility Rationale:
for school-based OT intervention. What The Individuals with
information does the team rely upon for Dis- abilities Education
making final eligibility determinations? Act (IDEA) mandates
A. Classroom performance and that el- igibility
curriculum-based needs requirements for IEP
B. Birth history and previous early services are based on a
intervention ser- vices student's classroom
C. Physician's referral and diagnosis needs and performance
severity D.Standardized test scores and in rela- tion to
documented disability
curriculum-based
3. A 4-year-old child with pervasive objectives.
developmental delay requires maximum
Correct Answer: B
assistance for toileting. The COTA
Rationale:
, NBCOT- COTA STUDY GUIDE EXAM.
is teaching the child's parents strategies for improving A referral to
the prima-
the child's independence with these tasks. During a ry physician is
warranted
session, the parents indicate that over the past several to determine
if there is
months the child typically does not have a bowel move- a medical
cause for the
ment for several days at a time due to child's constipation.
constipation. Which recommendation should
the COTA provide the parents in response to
this comment?
, NBCOT- COTA STUDY GUIDE EXAM.
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 Correct Answer: C
child. Rationale:
4. A COTA is preparing to assess light touch
sensation of a client who has an acute radial
nerve palsy. Based
on the TYPICAL pattern of sensory impairment for this The area over
the first dor-
condition, where on the dorsum of the affected sal interossei falls
hand should the COTA expect to detect within the sensory
diminished light touch? distribution of the
A. Entire length of the fifth digit radial nerve.
B. Fingertips of the index and
middle fingers C.Area over the first
dorsal interossei
5. A COTA working in a long term care facility is responsi- Correct
Answer: B
ble for teaching the residents strategies for supporting Rationale:
their independence with BADL. During BADL Providing in-service
sessions over the past week, several of the train- ing to the
residents reported nursing statt
that the assistive devices used during the sessions are will allow the
opportu-
not available to them when completing routine take in
BADL with the nursing aides. What action response to
would be MOST BENEFICIAL for the COTA to these
, NBCOT- COTA STUDY GUIDE EXAM.
reports? nity to teach
information about the
benefits and use of
BADL devices and to
facilitate a collabora-
A. Submit an incident report about the nursing aides to tive
approach in support-
the appropriate supervisor. ing each resident to
meet
B. Present in-service training to nursing staff about the their
goals.
benefits and uses of BADL devices.
C. Ensure the assistive devices are in a
visible location and labeled with the
residents' name.
