CALIFORNIA OCCUPATIONAL THERAPIST
LICENSING EXAM , QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
1. Which of the following is the most appropriate assessment tool to
evaluate fine motor coordination in adults?
A. Barthel Index
B. Purdue Pegboard Test
C. Beck Depression Inventory
D. Mini-Mental State Exam
B
The Purdue Pegboard Test specifically measures fine motor coordination
and dexterity, making it suitable for adults.
2. What is the primary goal of sensory integration therapy?
A. Improve cognitive skills
B. Enhance social communication
C. Organize sensory input for adaptive responses
D. Increase cardiovascular endurance
C
Sensory integration therapy focuses on helping clients process and
respond to sensory information in functional ways.
3. A client demonstrates difficulty with performing ADLs due to upper
extremity weakness. Which intervention is most appropriate?
A. Cognitive-behavioral therapy
,B. Strengthening exercises and adaptive equipment
C. Speech therapy
D. Electroconvulsive therapy
B
Strengthening exercises and adaptive equipment address physical
limitations affecting activities of daily living.
4. Which frame of reference emphasizes client-centered goals and
meaningful activity engagement?
A. Biomechanical
B. Rehabilitative
C. Canadian Model of Occupational Performance (CMOP)
D. Neurodevelopmental
C
CMOP focuses on the interaction between the person, occupation, and
environment, emphasizing client-centered meaningful activities.
5. What is the first step in developing an occupational therapy
treatment plan?
A. Evaluate progress
B. Set goals
C. Conduct assessment
D. Discharge planning
C
Assessment provides baseline data needed to identify deficits and guide
goal-setting.
6. A client with a spinal cord injury at C6 level is likely to retain which
movement?
A. Full hand function
B. Shoulder and elbow flexion
C. Trunk control
,D. Independent ambulation
B
C6 injuries typically allow shoulder movement, elbow flexion, and some
wrist extension but limited hand function.
7. Which of the following is a primary purpose of using splints in
occupational therapy?
A. Reduce pain, maintain joint alignment, prevent contractures
B. Increase cognitive awareness
C. Improve emotional regulation
D. Facilitate social participation
A
Splints are used to support joints, prevent deformities, and reduce
discomfort in musculoskeletal conditions.
8. Which approach is most appropriate for treating a client with
hemiplegia after stroke?
A. Brunnstrom Approach
B. Cognitive-behavioral Approach
C. Psychoanalytic Approach
D. Psychosocial Approach
A
The Brunnstrom Approach uses sequential movement recovery patterns
to improve motor function after stroke.
9. When documenting occupational therapy services, what is required
for reimbursement?
A. Subjective impressions only
B. Objective measurements, interventions, and client response
C. Personal opinions
D. Informal notes
B
, Accurate, detailed documentation with measurable outcomes is
required for insurance reimbursement.
10. Which activity is most appropriate for improving bilateral
coordination in a pediatric client?
A. Finger painting with both hands
B. Watching TV
C. Reading silently
D. Listening to music
A
Finger painting requires coordinated use of both hands, promoting
bilateral motor control.
11. Which condition is most commonly associated with repetitive
strain injuries in the workplace?
A. Carpal Tunnel Syndrome
B. Parkinson’s Disease
C. Cerebral Palsy
D. Multiple Sclerosis
A
Repetitive strain injuries like Carpal Tunnel Syndrome result from
repeated movements causing nerve compression.
12. The role of an occupational therapist in a multidisciplinary team
primarily involves:
A. Prescribing medication
B. Assessing and facilitating functional independence
C. Performing surgery
D. Conducting psychological evaluations
B
OTs focus on enhancing daily function and participation within a client-
centered framework.
LICENSING EXAM , QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
PLUS RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
1. Which of the following is the most appropriate assessment tool to
evaluate fine motor coordination in adults?
A. Barthel Index
B. Purdue Pegboard Test
C. Beck Depression Inventory
D. Mini-Mental State Exam
B
The Purdue Pegboard Test specifically measures fine motor coordination
and dexterity, making it suitable for adults.
2. What is the primary goal of sensory integration therapy?
A. Improve cognitive skills
B. Enhance social communication
C. Organize sensory input for adaptive responses
D. Increase cardiovascular endurance
C
Sensory integration therapy focuses on helping clients process and
respond to sensory information in functional ways.
3. A client demonstrates difficulty with performing ADLs due to upper
extremity weakness. Which intervention is most appropriate?
A. Cognitive-behavioral therapy
,B. Strengthening exercises and adaptive equipment
C. Speech therapy
D. Electroconvulsive therapy
B
Strengthening exercises and adaptive equipment address physical
limitations affecting activities of daily living.
4. Which frame of reference emphasizes client-centered goals and
meaningful activity engagement?
A. Biomechanical
B. Rehabilitative
C. Canadian Model of Occupational Performance (CMOP)
D. Neurodevelopmental
C
CMOP focuses on the interaction between the person, occupation, and
environment, emphasizing client-centered meaningful activities.
5. What is the first step in developing an occupational therapy
treatment plan?
A. Evaluate progress
B. Set goals
C. Conduct assessment
D. Discharge planning
C
Assessment provides baseline data needed to identify deficits and guide
goal-setting.
6. A client with a spinal cord injury at C6 level is likely to retain which
movement?
A. Full hand function
B. Shoulder and elbow flexion
C. Trunk control
,D. Independent ambulation
B
C6 injuries typically allow shoulder movement, elbow flexion, and some
wrist extension but limited hand function.
7. Which of the following is a primary purpose of using splints in
occupational therapy?
A. Reduce pain, maintain joint alignment, prevent contractures
B. Increase cognitive awareness
C. Improve emotional regulation
D. Facilitate social participation
A
Splints are used to support joints, prevent deformities, and reduce
discomfort in musculoskeletal conditions.
8. Which approach is most appropriate for treating a client with
hemiplegia after stroke?
A. Brunnstrom Approach
B. Cognitive-behavioral Approach
C. Psychoanalytic Approach
D. Psychosocial Approach
A
The Brunnstrom Approach uses sequential movement recovery patterns
to improve motor function after stroke.
9. When documenting occupational therapy services, what is required
for reimbursement?
A. Subjective impressions only
B. Objective measurements, interventions, and client response
C. Personal opinions
D. Informal notes
B
, Accurate, detailed documentation with measurable outcomes is
required for insurance reimbursement.
10. Which activity is most appropriate for improving bilateral
coordination in a pediatric client?
A. Finger painting with both hands
B. Watching TV
C. Reading silently
D. Listening to music
A
Finger painting requires coordinated use of both hands, promoting
bilateral motor control.
11. Which condition is most commonly associated with repetitive
strain injuries in the workplace?
A. Carpal Tunnel Syndrome
B. Parkinson’s Disease
C. Cerebral Palsy
D. Multiple Sclerosis
A
Repetitive strain injuries like Carpal Tunnel Syndrome result from
repeated movements causing nerve compression.
12. The role of an occupational therapist in a multidisciplinary team
primarily involves:
A. Prescribing medication
B. Assessing and facilitating functional independence
C. Performing surgery
D. Conducting psychological evaluations
B
OTs focus on enhancing daily function and participation within a client-
centered framework.
