Hofstra NBCOT ACTUAL PRACTICE EXAM 2
2026-2027 EXAM PREP WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
SECTION 1: COGNITIVE AND PERCEPTUAL DEFICITS (Questions
1-25)
1. During a self-care evaluation of an individual who recently
sustained a brain injury, the OT instructs the individual to brush his
teeth immediately after he washes his hands. The individual washes
his hands quickly, but then the therapist must give him several
reminders to brush his teeth. The OT is MOST likely to identify this
as a deficit in what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
Answer: A. Working memory
Rationale: Working memory is the temporary storage of information
while one is working with it or attending to it. This individual's
inability to brush his teeth without reminders suggests a deficit in
working memory.
,2. A grocery store employee with obsessive-compulsive disorder
takes 45 minutes to arrange 20 cereal boxes on a shelf because
once he has placed the boxes, he removes them and starts over,
stating that "all boxes must face exactly forward." Which method
would MOST effectively evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on job requirements
D. Task evaluation using a "clean" medium such as a puzzle
Answer: A. On-site observation of performance skills
3. An OT has been working with an individual recovering from a TBI.
A standing transfer has been successfully demonstrated in the gym.
The MOST appropriate way to assess generalization of this new
learning would be to have the patient perform which activity?**
A. Identify potential hazards in the patient's bathroom that could
make transfers unsafe
B. Select an appropriate grab bar for the patient's bathroom at home
C. Attempt a standing transfer from wheelchair to bed in the
patient's hospital room
D. Attempt a sliding board transfer from wheelchair to tub
Answer: C. Attempt a standing transfer from wheelchair to bed in
the patient's hospital room**
,4. An OT is working with an individual with bipolar disorder who is
cognitively intact but demonstrating difficulty carrying out self-care
and other ADL tasks. The OT would like to identify a standardized
assessment to measure ADL performance. Which is the MOST
appropriate tool for this purpose?**
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
Answer: C. Kohlman Evaluation of Living Skills
5. An OT is conducting a perceptual function screening with an
individual who has had a CVA. Which informal screening activity
would the therapist ask the individual to perform to identify the
presence of agnosia?
A. Demonstrate common gestures such as waving
B. Name objects through touch only
C. Identify or demonstrate the use of common household objects
D. Read a paragraph and explain its meaning
Answer: C. Identify or demonstrate the use of common household
objects
, 6. An individual with a T6 spinal cord injury wishes to become
independent in driving an automobile. The MOST appropriate piece
of adaptive equipment for this individual is:
A. A palmar cuff for the steering wheel
B. A spinner knob on the steering wheel
C. Pedal extensions for accelerating and braking
D. Hand controls for acceleration and braking
Answer: D. Hand controls for acceleration and braking
7. What is the MOST important aspect of administering and scoring
a standardized test?
A. Judgment to determine how best to administer the test
B. Previous experience as a way to gauge test results
C. Adherence to specific instructions for administration and scoring
D. Practice administering the test items
Answer: C. Adherence to specific instructions for administration
and scoring
2026-2027 EXAM PREP WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST
RECENT!!)
SECTION 1: COGNITIVE AND PERCEPTUAL DEFICITS (Questions
1-25)
1. During a self-care evaluation of an individual who recently
sustained a brain injury, the OT instructs the individual to brush his
teeth immediately after he washes his hands. The individual washes
his hands quickly, but then the therapist must give him several
reminders to brush his teeth. The OT is MOST likely to identify this
as a deficit in what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
Answer: A. Working memory
Rationale: Working memory is the temporary storage of information
while one is working with it or attending to it. This individual's
inability to brush his teeth without reminders suggests a deficit in
working memory.
,2. A grocery store employee with obsessive-compulsive disorder
takes 45 minutes to arrange 20 cereal boxes on a shelf because
once he has placed the boxes, he removes them and starts over,
stating that "all boxes must face exactly forward." Which method
would MOST effectively evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on job requirements
D. Task evaluation using a "clean" medium such as a puzzle
Answer: A. On-site observation of performance skills
3. An OT has been working with an individual recovering from a TBI.
A standing transfer has been successfully demonstrated in the gym.
The MOST appropriate way to assess generalization of this new
learning would be to have the patient perform which activity?**
A. Identify potential hazards in the patient's bathroom that could
make transfers unsafe
B. Select an appropriate grab bar for the patient's bathroom at home
C. Attempt a standing transfer from wheelchair to bed in the
patient's hospital room
D. Attempt a sliding board transfer from wheelchair to tub
Answer: C. Attempt a standing transfer from wheelchair to bed in
the patient's hospital room**
,4. An OT is working with an individual with bipolar disorder who is
cognitively intact but demonstrating difficulty carrying out self-care
and other ADL tasks. The OT would like to identify a standardized
assessment to measure ADL performance. Which is the MOST
appropriate tool for this purpose?**
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
Answer: C. Kohlman Evaluation of Living Skills
5. An OT is conducting a perceptual function screening with an
individual who has had a CVA. Which informal screening activity
would the therapist ask the individual to perform to identify the
presence of agnosia?
A. Demonstrate common gestures such as waving
B. Name objects through touch only
C. Identify or demonstrate the use of common household objects
D. Read a paragraph and explain its meaning
Answer: C. Identify or demonstrate the use of common household
objects
, 6. An individual with a T6 spinal cord injury wishes to become
independent in driving an automobile. The MOST appropriate piece
of adaptive equipment for this individual is:
A. A palmar cuff for the steering wheel
B. A spinner knob on the steering wheel
C. Pedal extensions for accelerating and braking
D. Hand controls for acceleration and braking
Answer: D. Hand controls for acceleration and braking
7. What is the MOST important aspect of administering and scoring
a standardized test?
A. Judgment to determine how best to administer the test
B. Previous experience as a way to gauge test results
C. Adherence to specific instructions for administration and scoring
D. Practice administering the test items
Answer: C. Adherence to specific instructions for administration
and scoring
