CTR EXAM AND PRACTICE EXAM NEWEST 2026 TEST
BANK| COMPLETE 700 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| CTR TEST PREP 2025 (BRAND
NEW!!)
Question 1
A CTRS is conducting an initial leisure assessment with a 78-year-
old client who has moderate dementia. The client becomes
agitated when asked open-ended questions. Which assessment
method is MOST appropriate?
a) Written questionnaire with 20 items
b) Caregiver interview only
c) Observation during a preferred sensory activity (e.g., folding
towels)
d) Computer-based adaptive testing
Answer: c
1
,Rationale: Clients with moderate dementia often cannot respond
reliably to direct questioning. Observation during a familiar,
calming activity yields functional data. Written questionnaires (a)
are too abstract. Caregiver only (b) excludes client perspective.
Computer testing (d) requires cognitive skills this client lacks.
Question 2
A CTRS assesses a 16-year-old with social anxiety disorder.
Which assessment tool has the strongest validity for this
population?
a) Leisure Interest Inventory for Teens (LIT-T)
b) Beck Anxiety Inventory (BAI)
c) Social Phobia Inventory (SPIN)
d) Global Assessment of Functioning (GAF)
Answer: c
Rationale: SPIN is specifically validated for social anxiety disorder
screening and severity. LIT-T (a) measures interests, not anxiety.
2
,BAI (b) measures general anxiety, not specifically social. GAF (d) is
a global psychiatric rating, not specific to social anxiety.
Question 3
During a functional assessment, a client with a spinal cord injury
(C7 level) attempts to transfer from wheelchair to mat table. The
CTRS observes that the client cannot perform the transfer
independently. What is the BEST next step?
a) Document "dependent for transfers" and modify all activities
to wheelchair level
b) Refer to occupational therapy for transfer training
c) Attempt to teach the transfer using a sliding board
d) Ask the client why they cannot perform the transfer
Answer: b
Rationale: Transfer training is within OT scope. CTRS should refer
to the appropriate discipline. Attempting to teach (c) without
3
, specialized training could cause injury. Documenting dependence
(a) without referral is negligent. Asking why (d) is non-therapeutic.
Question 4
A CTRS is assessing a client with aphasia following a left-
hemisphere stroke. Which approach BEST captures the client's
leisure preferences?
a) Provide a list of 50 activities and ask the client to circle
preferences
b) Use a set of large-print photographs of common leisure
activities and ask the client to point
c) Interview the spouse separately
d) Observe the client during a cooking group
Answer: b
Rationale: Aphasia impairs language processing, but receptive
language (pointing) may be intact. Photographs reduce cognitive
load. Written lists (a) assume reading ability. Spouse interview (c)
4
BANK| COMPLETE 700 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| CTR TEST PREP 2025 (BRAND
NEW!!)
Question 1
A CTRS is conducting an initial leisure assessment with a 78-year-
old client who has moderate dementia. The client becomes
agitated when asked open-ended questions. Which assessment
method is MOST appropriate?
a) Written questionnaire with 20 items
b) Caregiver interview only
c) Observation during a preferred sensory activity (e.g., folding
towels)
d) Computer-based adaptive testing
Answer: c
1
,Rationale: Clients with moderate dementia often cannot respond
reliably to direct questioning. Observation during a familiar,
calming activity yields functional data. Written questionnaires (a)
are too abstract. Caregiver only (b) excludes client perspective.
Computer testing (d) requires cognitive skills this client lacks.
Question 2
A CTRS assesses a 16-year-old with social anxiety disorder.
Which assessment tool has the strongest validity for this
population?
a) Leisure Interest Inventory for Teens (LIT-T)
b) Beck Anxiety Inventory (BAI)
c) Social Phobia Inventory (SPIN)
d) Global Assessment of Functioning (GAF)
Answer: c
Rationale: SPIN is specifically validated for social anxiety disorder
screening and severity. LIT-T (a) measures interests, not anxiety.
2
,BAI (b) measures general anxiety, not specifically social. GAF (d) is
a global psychiatric rating, not specific to social anxiety.
Question 3
During a functional assessment, a client with a spinal cord injury
(C7 level) attempts to transfer from wheelchair to mat table. The
CTRS observes that the client cannot perform the transfer
independently. What is the BEST next step?
a) Document "dependent for transfers" and modify all activities
to wheelchair level
b) Refer to occupational therapy for transfer training
c) Attempt to teach the transfer using a sliding board
d) Ask the client why they cannot perform the transfer
Answer: b
Rationale: Transfer training is within OT scope. CTRS should refer
to the appropriate discipline. Attempting to teach (c) without
3
, specialized training could cause injury. Documenting dependence
(a) without referral is negligent. Asking why (d) is non-therapeutic.
Question 4
A CTRS is assessing a client with aphasia following a left-
hemisphere stroke. Which approach BEST captures the client's
leisure preferences?
a) Provide a list of 50 activities and ask the client to circle
preferences
b) Use a set of large-print photographs of common leisure
activities and ask the client to point
c) Interview the spouse separately
d) Observe the client during a cooking group
Answer: b
Rationale: Aphasia impairs language processing, but receptive
language (pointing) may be intact. Photographs reduce cognitive
load. Written lists (a) assume reading ability. Spouse interview (c)
4
