OT Exam Practice
Questions and Answers
Updated 2026-2027
ABclientBwillBinitiateBdressingBatBtheBappropriateBtimeBofBtheBdayBbutBwillBnotBatten
dBtoBtheBday,Btemperature,BorBseason.BTheBclientBisBableBtoBdonBclothingBslowlyBbut
BhasBdifficultyBwithBfastenersBorBfailsBtoBseeBerrorsBinBtheBbackB(i.e.,BnotBtuckingBin
BtheBshirt).BAtBwhatBstageBofBtheBAllenBCognitiveBLevelBScreenBisBthisBclient?
A.B4.4
B.B4.0
C.B3.6
D.B3.2B-BAnswerBB.B
TheBquestionBdescribesBtypicalBdressingBbehaviorsBofBclientsBatBModeB4.0;BaBclientBw
ouldBattendBtoBvisibleBsensoryBcuesBandBignoreBwhatBisBnotBinBplainBsightB(e.g.,Bnot
BtuckingBinBtheBbackBofBtheBshirt).
ABpatientBinBtheBearlyBstagesBofBamyotrophicBlateralBsclerosisB(ALS)BpresentsBwithBw
eaknessBinBtheBthenarBeminence.BDuringBwhichBADLBtaskBwouldBtheBevaluatingBOTR®
BMOSTBLIKELYBobserveBtheBeffectBonBfunction?
A.BTransferringBfromBtheBbedBtoBtheBbedsideBcommode
B.BTakingBaBsipBfromBaBglassBofBwater
C.BReachingBoverheadBtoBdonBaBT-shirt
D.BSqueezingBtoothpasteBontoBaBtoothbrushB-BAnswerBD.
TypicalBearlyBsignsBofBALSBareBdistal,BwithBweaknessBofBtheBsmallBmusclesBofBtheBha
ndBbeingBtheBmostBtypicalBinitialBsymptom.BTheBmusclesBthatBmakeBupBtheBthenarBe
minenceBareBresponsibleBforBoppositionBofBtheBthumb.BSqueezingBtoothpasteBandBhol
dingBaBtoothbrushBrequireBgrasp-and-pinchBpatternsBthatBinvolveBthumbBopposition.
,TheBOTR®BisBworkingBonBaBtask-
orientedBgardeningBactivityBwithBaBsmallBgroupBofBadolescentsBinBanBinpatientBmenta
lBhealthBsetting.BOneBofBtheBparticipantsBbecomesBself-
absorbedBandBdistractibleBandBhasBburstsBofBenergyBthatBareBaffectingBtheBotherBme
mbersBofBtheBgroup.BWhatBisBtheBOTR®'sBMOSTBappropriateBresponse?
A.B"HowBareBweBdoingBwithBourBpotBtransfer?BWeBneedBtoBgetBthisBdoneBtoday."
B.B"CanBIBspeakBtoByouBprivatelyBaboutByourBbehaviorBduringBtheBgroupBwork?"
C.B"YouBseemBtoBbeBdistractingBtheBotherBmembersBofBtheBgroup."
D.B"PleaseBstopBwhateverBitBisByouBareBdoing."B-BAnswerBA.
WhenBaBclientBstartsBshowsBsymptomsBofBaBmanicBepisode,BparticularlyBemotionalBa
ndBcognitiveBsymptoms,BitBisBbestBtoBhelpBtheBclientBengageBinBgoal-directedBaction.
ABCOTA®BisBworkingBtowardBserviceBcompetencyBforBadaptiveBfeedingBequipmentBinst
ruction.BHowBwouldBtheBOTR®BBESTBestablishBserviceBcompetency?
A.BReviewBtheBCOTA'sBdocumentationBofBmultipleBpatientsBwhoseBfeedingBimpairment
sBwarrantedBadaptiveBequipment,BthenBdiscussBtheBoutcomesBwithBtheBCOTA.
B.BObserveBtheBCOTABeducateBclientsBonBhowBtoBuseBadaptiveBfeedingBequipmentBto
BensureBthatBtheBCOTABinstructsBclientsBinBtheBsameBmannerBasBwouldBtheBOTR.
C.BCompareBoutcomesBbyBratingBtheBsameBclient'sBperformanceBwithBtheBadaptiveBfe
edingBequipmentBatBtheBsameBlevelBofBindependence.
D.BCollectBinformationBfromBvariousBsources,BincludingBotherBtherapists,BtheBCOTA'sBd
ocumentation,BandBfeedbackBfromBclients,BtoBdetermineBcompetency.B-BAnswerBC.
ServiceBcompetencyBisBdefinedBasB"theBprocessBofBteaching,Btraining,BandBevaluatingB
inBwhichBtheBOTR®BdeterminesBthatBtheBCOTA®BperformsBtasksBinBtheBsameBwayBtha
tBtheBOTRBwouldBandBachievesBtheBsameBoutcomes"B(Youngstrom,B2009,Bp.B943).BIn
BthisBexample,BbothBtheBCOTABandBOTRBobserveBtheBsameBclientBperformingBaBtaskB
andBrateBthatBperformanceBinBaBsimilarBmanner.BComparingBoutcomesBhelpsBtoBensur
eBclientsBreceiveBcareBofBequalBquality.
,AnBOTR®BisBperformingBfamilyBtrainingBwithBaBclientBwithBStageBVIBamyotrophicBlater
alBsclerosisB(ALS)BwhoBisBpreparingBforBdischargeBhome.BWhichBpointsBareBMOSTBIM
PORTANTBforBtheBOTR®BtoBaddress?
A.BAdaptiveBequipmentBforBADLsBandBhowBtoBsetBupBtheBclientBwithBALSBtoBperform
BasBindependentlyBasBpossible
B.BEnergyBconservationBforBtheBclientBwithBALS,BasBwellBasBcaregiverBsupportBresourc
esBtoBpreventBburnout
C.BPositioningBtoBpreventBskinBbreakdown,BaBROMBhomeBprogram,BandBsafeBbedBmo
bilityBandBtransfers
D.BTherapeuticBexercisesBforBtheBclientBwithBALSBandBhowBcaregiversBcanBuseBproper
BbodyBmechanicsB-BAnswerBC.
ABclientBwithBend-
stageBALSBwouldBlikelyBbeBtotallyBdependentBforBallBADLBandBmobility,BthusBrequiring
BmajorBcaregiverBassistanceBforBbedBmobilityBandBtransfers.BAnBOTR®BinstructingBfami
lyBmembersBinBtheseBtechniquesBwouldBeducateBthemBonBbodyBmechanics.BPositionin
gBandBROMBatBthisBstageBareBimportantBtoBpreventBdiscomfort,Bcontractures,BandBski
nBbreakdown.
ABCOTA®BworkingBonBanBinpatientBrehabilitationBunitBhasBhadBtwoBpatientsBfallBinBth
eBpastBmonth.BTheBsupervisingBOTR®BhasBconcernsBaboutBtheBCOTA®'sBsafetyBawaren
essBduringBcertainBinterventions.BWhichBapproachBisBtheBBESTBforBtheBOTR®BtoBtakeB
toBaddressBtheseBconcerns?
A.BSpeakBwithBtheBrehabilitationBmanagerBaboutBpossibleBdisciplinaryBaction.
B.BReviewBtheBdocumentationBofBtheBtwoBpatientsBwhoBfellBandBdiscussBtheirBcasesB
thoroughlyBwithBtheBCOTA®BtoBdetermineBtheBcausesBofBtheBfalls.
C.BAskBtheBCOTA®BwhetherBmoreBthoroughBsupervisionBisBneededBandBthenBproceed
BtoBprovideBcloseBsupervision.
D.BCollaborateBwithBtheBCOTA®BtoBdetermineBpotentialBcausesBofBtheBfallsBandBprovi
deBdirectBsupervisionBwithBmoreBdeliberateBfeedback.B-BAnswerBD.
SupervisionBthatBisBmoreBfrequentBmayBbeBnecessaryBwhenBtheBOTR®,BCOTA®,BorBbo
thBdetermineBthatBadditionalBsupervisionBisBneededBtoBensureBsafeBandBeffectiveBdeli
, veryBofBoccupationalBtherapyBservices.BInBthisBcase,BsafetyBisBaBmajorBconcern,BandBt
hereforeBadditionalBsupervisionBmayBbeBnecessary.
AnBOTR®BevaluatesBaBclientBwhoBhasBjustBenteredBtheBplateauBphaseBofBGuillain-
BarréBsyndromeB(GBS).BWhenBassessingBADLs,BwhatBwouldBtheBOTRBmostBlikelyBexpe
ctBtoBsee?
A.BBowelBandBbladderBincontinence,BwhichBaffectsBskinBintegrityBandBtoiletingBroutine
B.BUnilateralBsensoryBimpairments,BwhichBaffectBfineBmotorBtasksBsuchBasBoralBcare
C.BEdemaBandBweaknessBinBtheBlowerBextremities,BwhichBmakesBbathingBandBdressin
gBdifficult
D.BShoulderBweakness,BwhichBresultsBinBdecreasedBindependenceBinBupper-
bodyBbathingBandBdressingB-BAnswerBC.
InBtheBplateauBphase,BsymptomsBareBatBtheirBmostBsevere:BEdemaBandBweaknessBar
eBcommonBsymptomsBwithBGBS.BBecauseBsymptomsBareBtypicallyBsymmetricalBandBas
cendBfromBdistalBtoBproximal,BbilateralBsymptomsBwouldBlikelyBaffectBlower-bodyBself-
care.
AnBOTR®BisBassessingBbedBmobilityBwithBaBclientBwithBGuillain-
BarréBsyndromeB(GBS)B2BweeksBintoBtheBplateauBphase.BTheBpatientBreportsBdizzines
sBonBperformingBsupineBtoBsitBatBtheBedgeBofBtheBbedBandBbeginsBtoBlieBbackBdow
n.BWhatBstepBisBMOSTBappropriateBforBtheBOTR®BtoBtake?
A.BEncourageBtheBpatientBtoBremainBuprightBandBallowBforBtheBdizzinessBtoBsubsideB
byBperformingBsimpleBROMBexercisesBtoBpromoteBcirculation.
B.BAssistBtheBpatientBbackBtoBbedBsafely,BlowerBtheBheadBofBtheBbed,BandBmonitorB
vitals,BcomparingBtheBcurrentBbloodBpressureBwithBtheBrestingBbloodBpressure.
C.BAssistBtheBpatientBbackBtoBbedBslowly,BelevateBtheBlowerBextremities,BandBimmedi
atelyBsearchBforBtheBnurseBtoBassessBtheBpatient.
D.BEducateBtheBpatientBonBtheBimportanceBofBsittingBuprightBandBoutBofBbedBtoBhel
pBregulateBtheBnervousBsystemBandBpreventBsecondaryBcomplications.B-BAnswerBB.
PeopleBwithBGBSBareBatBriskBforBautonomicBnervousBsystemBdysfunctionBsuchBasBpos
turalBhypotensionBorBexperiencingBaBsignificantBdropBinBsystolicBbloodBpressureBonBm
Questions and Answers
Updated 2026-2027
ABclientBwillBinitiateBdressingBatBtheBappropriateBtimeBofBtheBdayBbutBwillBnotBatten
dBtoBtheBday,Btemperature,BorBseason.BTheBclientBisBableBtoBdonBclothingBslowlyBbut
BhasBdifficultyBwithBfastenersBorBfailsBtoBseeBerrorsBinBtheBbackB(i.e.,BnotBtuckingBin
BtheBshirt).BAtBwhatBstageBofBtheBAllenBCognitiveBLevelBScreenBisBthisBclient?
A.B4.4
B.B4.0
C.B3.6
D.B3.2B-BAnswerBB.B
TheBquestionBdescribesBtypicalBdressingBbehaviorsBofBclientsBatBModeB4.0;BaBclientBw
ouldBattendBtoBvisibleBsensoryBcuesBandBignoreBwhatBisBnotBinBplainBsightB(e.g.,Bnot
BtuckingBinBtheBbackBofBtheBshirt).
ABpatientBinBtheBearlyBstagesBofBamyotrophicBlateralBsclerosisB(ALS)BpresentsBwithBw
eaknessBinBtheBthenarBeminence.BDuringBwhichBADLBtaskBwouldBtheBevaluatingBOTR®
BMOSTBLIKELYBobserveBtheBeffectBonBfunction?
A.BTransferringBfromBtheBbedBtoBtheBbedsideBcommode
B.BTakingBaBsipBfromBaBglassBofBwater
C.BReachingBoverheadBtoBdonBaBT-shirt
D.BSqueezingBtoothpasteBontoBaBtoothbrushB-BAnswerBD.
TypicalBearlyBsignsBofBALSBareBdistal,BwithBweaknessBofBtheBsmallBmusclesBofBtheBha
ndBbeingBtheBmostBtypicalBinitialBsymptom.BTheBmusclesBthatBmakeBupBtheBthenarBe
minenceBareBresponsibleBforBoppositionBofBtheBthumb.BSqueezingBtoothpasteBandBhol
dingBaBtoothbrushBrequireBgrasp-and-pinchBpatternsBthatBinvolveBthumbBopposition.
,TheBOTR®BisBworkingBonBaBtask-
orientedBgardeningBactivityBwithBaBsmallBgroupBofBadolescentsBinBanBinpatientBmenta
lBhealthBsetting.BOneBofBtheBparticipantsBbecomesBself-
absorbedBandBdistractibleBandBhasBburstsBofBenergyBthatBareBaffectingBtheBotherBme
mbersBofBtheBgroup.BWhatBisBtheBOTR®'sBMOSTBappropriateBresponse?
A.B"HowBareBweBdoingBwithBourBpotBtransfer?BWeBneedBtoBgetBthisBdoneBtoday."
B.B"CanBIBspeakBtoByouBprivatelyBaboutByourBbehaviorBduringBtheBgroupBwork?"
C.B"YouBseemBtoBbeBdistractingBtheBotherBmembersBofBtheBgroup."
D.B"PleaseBstopBwhateverBitBisByouBareBdoing."B-BAnswerBA.
WhenBaBclientBstartsBshowsBsymptomsBofBaBmanicBepisode,BparticularlyBemotionalBa
ndBcognitiveBsymptoms,BitBisBbestBtoBhelpBtheBclientBengageBinBgoal-directedBaction.
ABCOTA®BisBworkingBtowardBserviceBcompetencyBforBadaptiveBfeedingBequipmentBinst
ruction.BHowBwouldBtheBOTR®BBESTBestablishBserviceBcompetency?
A.BReviewBtheBCOTA'sBdocumentationBofBmultipleBpatientsBwhoseBfeedingBimpairment
sBwarrantedBadaptiveBequipment,BthenBdiscussBtheBoutcomesBwithBtheBCOTA.
B.BObserveBtheBCOTABeducateBclientsBonBhowBtoBuseBadaptiveBfeedingBequipmentBto
BensureBthatBtheBCOTABinstructsBclientsBinBtheBsameBmannerBasBwouldBtheBOTR.
C.BCompareBoutcomesBbyBratingBtheBsameBclient'sBperformanceBwithBtheBadaptiveBfe
edingBequipmentBatBtheBsameBlevelBofBindependence.
D.BCollectBinformationBfromBvariousBsources,BincludingBotherBtherapists,BtheBCOTA'sBd
ocumentation,BandBfeedbackBfromBclients,BtoBdetermineBcompetency.B-BAnswerBC.
ServiceBcompetencyBisBdefinedBasB"theBprocessBofBteaching,Btraining,BandBevaluatingB
inBwhichBtheBOTR®BdeterminesBthatBtheBCOTA®BperformsBtasksBinBtheBsameBwayBtha
tBtheBOTRBwouldBandBachievesBtheBsameBoutcomes"B(Youngstrom,B2009,Bp.B943).BIn
BthisBexample,BbothBtheBCOTABandBOTRBobserveBtheBsameBclientBperformingBaBtaskB
andBrateBthatBperformanceBinBaBsimilarBmanner.BComparingBoutcomesBhelpsBtoBensur
eBclientsBreceiveBcareBofBequalBquality.
,AnBOTR®BisBperformingBfamilyBtrainingBwithBaBclientBwithBStageBVIBamyotrophicBlater
alBsclerosisB(ALS)BwhoBisBpreparingBforBdischargeBhome.BWhichBpointsBareBMOSTBIM
PORTANTBforBtheBOTR®BtoBaddress?
A.BAdaptiveBequipmentBforBADLsBandBhowBtoBsetBupBtheBclientBwithBALSBtoBperform
BasBindependentlyBasBpossible
B.BEnergyBconservationBforBtheBclientBwithBALS,BasBwellBasBcaregiverBsupportBresourc
esBtoBpreventBburnout
C.BPositioningBtoBpreventBskinBbreakdown,BaBROMBhomeBprogram,BandBsafeBbedBmo
bilityBandBtransfers
D.BTherapeuticBexercisesBforBtheBclientBwithBALSBandBhowBcaregiversBcanBuseBproper
BbodyBmechanicsB-BAnswerBC.
ABclientBwithBend-
stageBALSBwouldBlikelyBbeBtotallyBdependentBforBallBADLBandBmobility,BthusBrequiring
BmajorBcaregiverBassistanceBforBbedBmobilityBandBtransfers.BAnBOTR®BinstructingBfami
lyBmembersBinBtheseBtechniquesBwouldBeducateBthemBonBbodyBmechanics.BPositionin
gBandBROMBatBthisBstageBareBimportantBtoBpreventBdiscomfort,Bcontractures,BandBski
nBbreakdown.
ABCOTA®BworkingBonBanBinpatientBrehabilitationBunitBhasBhadBtwoBpatientsBfallBinBth
eBpastBmonth.BTheBsupervisingBOTR®BhasBconcernsBaboutBtheBCOTA®'sBsafetyBawaren
essBduringBcertainBinterventions.BWhichBapproachBisBtheBBESTBforBtheBOTR®BtoBtakeB
toBaddressBtheseBconcerns?
A.BSpeakBwithBtheBrehabilitationBmanagerBaboutBpossibleBdisciplinaryBaction.
B.BReviewBtheBdocumentationBofBtheBtwoBpatientsBwhoBfellBandBdiscussBtheirBcasesB
thoroughlyBwithBtheBCOTA®BtoBdetermineBtheBcausesBofBtheBfalls.
C.BAskBtheBCOTA®BwhetherBmoreBthoroughBsupervisionBisBneededBandBthenBproceed
BtoBprovideBcloseBsupervision.
D.BCollaborateBwithBtheBCOTA®BtoBdetermineBpotentialBcausesBofBtheBfallsBandBprovi
deBdirectBsupervisionBwithBmoreBdeliberateBfeedback.B-BAnswerBD.
SupervisionBthatBisBmoreBfrequentBmayBbeBnecessaryBwhenBtheBOTR®,BCOTA®,BorBbo
thBdetermineBthatBadditionalBsupervisionBisBneededBtoBensureBsafeBandBeffectiveBdeli
, veryBofBoccupationalBtherapyBservices.BInBthisBcase,BsafetyBisBaBmajorBconcern,BandBt
hereforeBadditionalBsupervisionBmayBbeBnecessary.
AnBOTR®BevaluatesBaBclientBwhoBhasBjustBenteredBtheBplateauBphaseBofBGuillain-
BarréBsyndromeB(GBS).BWhenBassessingBADLs,BwhatBwouldBtheBOTRBmostBlikelyBexpe
ctBtoBsee?
A.BBowelBandBbladderBincontinence,BwhichBaffectsBskinBintegrityBandBtoiletingBroutine
B.BUnilateralBsensoryBimpairments,BwhichBaffectBfineBmotorBtasksBsuchBasBoralBcare
C.BEdemaBandBweaknessBinBtheBlowerBextremities,BwhichBmakesBbathingBandBdressin
gBdifficult
D.BShoulderBweakness,BwhichBresultsBinBdecreasedBindependenceBinBupper-
bodyBbathingBandBdressingB-BAnswerBC.
InBtheBplateauBphase,BsymptomsBareBatBtheirBmostBsevere:BEdemaBandBweaknessBar
eBcommonBsymptomsBwithBGBS.BBecauseBsymptomsBareBtypicallyBsymmetricalBandBas
cendBfromBdistalBtoBproximal,BbilateralBsymptomsBwouldBlikelyBaffectBlower-bodyBself-
care.
AnBOTR®BisBassessingBbedBmobilityBwithBaBclientBwithBGuillain-
BarréBsyndromeB(GBS)B2BweeksBintoBtheBplateauBphase.BTheBpatientBreportsBdizzines
sBonBperformingBsupineBtoBsitBatBtheBedgeBofBtheBbedBandBbeginsBtoBlieBbackBdow
n.BWhatBstepBisBMOSTBappropriateBforBtheBOTR®BtoBtake?
A.BEncourageBtheBpatientBtoBremainBuprightBandBallowBforBtheBdizzinessBtoBsubsideB
byBperformingBsimpleBROMBexercisesBtoBpromoteBcirculation.
B.BAssistBtheBpatientBbackBtoBbedBsafely,BlowerBtheBheadBofBtheBbed,BandBmonitorB
vitals,BcomparingBtheBcurrentBbloodBpressureBwithBtheBrestingBbloodBpressure.
C.BAssistBtheBpatientBbackBtoBbedBslowly,BelevateBtheBlowerBextremities,BandBimmedi
atelyBsearchBforBtheBnurseBtoBassessBtheBpatient.
D.BEducateBtheBpatientBonBtheBimportanceBofBsittingBuprightBandBoutBofBbedBtoBhel
pBregulateBtheBnervousBsystemBandBpreventBsecondaryBcomplications.B-BAnswerBB.
PeopleBwithBGBSBareBatBriskBforBautonomicBnervousBsystemBdysfunctionBsuchBasBpos
turalBhypotensionBorBexperiencingBaBsignificantBdropBinBsystolicBbloodBpressureBonBm
