NBCOT Practice Questions with complete solution 2023

NBCOT Practice Questions with complete solution 2023A client is in the recovery phase of intervention after having had an acute onset of Guillain Barre Syndrome one month ago. The OTR advises the client that using assistive devices will improve independence, but the client refuses to use the devices stating: "My wife is happy to help me whenever I need it." How should the OTR respond to the client's comment? A. Convince the client to try at least one device B. Discuss the comment with family members C. Use other techniques to maximize independence - correct answer C. Use other techniques to maximize independence Quiz #10 An individual cannot independently get from a supine position to a sitting position to a sitting position. The person has good scapular, shoulder, and elbow muscle strength. What is the MOST APPROPRIATE recommendation for the OTR to make to improve bed mobility? A. Bed rail assist B. Log roll technique C. Roll ladder - correct answer C. Rope ladder Quiz #10 An individual who had a CVA one year ago continues to demonstrate unilateral neglect. The individual drives daily to therapy despite several suggestions from the OTR to discontinue this activity. The therapists has determined that the client is an unsafe driver. What is the BEST approach for the OTR to take in this situation? A. Report the individual to the department of motor vehicles B. Report the information to the physician C. Suggest that the individual attend a driver training program - correct answer B. Report the information to the physician Quiz #10 A four-year-old preschooler is referred to OT. Upon evaluation, the occupational therapists determines that the child demonstrates age-appropriate cognitive and fine motor skills. What would the OTR observe in the child to help make this determination? A. Assemble a four-piece puzzle of a human body B. Build a tower of nine cubes C. Copy a five-cube gate block construction - correct answer A. Assemble a four-piece puzzle of a human body Quiz #10 The OTR works on increasing extensor tone in an individual's upper extremity. What is the MOST APPROPRIATE intervention according to the Rood approach? A. Tendinous pressure over the insertion of the triceps B. Maintained stretch to the triceps C. High frequency vibration on the triceps D. Low frequency vibration on the triceps - correct answer C. High frequency vibration on the triceps Quiz #10 A child with cerebral palsy tends to flex forward while riding adapted tricycle, even though her lower extremities are correctly positioned. Which of the following adaptations should the OTR recommend to BEST enable the child to maintain an upright position while riding? A. Raising the seat height B. Raising the handlebars C. Lowering the seat height D. Lowering the handlebars - correct answer B. Raising the handlebars Quiz #10 A therapist is utilizing proprioceptive neuromuscular facilitation (PNF) to increase range of motion (ROM) in the upper extremity of an individual recovering from a traumatic brain injury. Upon performing a D1 pattern, the OTR feels a restriction during the ROM. What is the MOST APPROPRIATE relaxation technique for the OTR to use according to the PNF approach? A. Rhythmic initiation B. Quick stretching C. Slow stroking D. Rhythmic rotation - correct answer D. Rhythmic rotation Quiz #10 After a motor vehicle accident, a 23 year-old college student was in a coma for 3 weeks. She regained consciousness and was severely confused. She frequently became agitated for no apparent reason. Her level of agitation has recently decreased but she is still distractible. Currently, she remains forgetful and confused, repeating the same questions throughout the day. Her family and friends visit consistently and have asked the OTR for an activity recommendation that they can do with the client during visiting hours. What is the MOST APPROPRIATE activity for the OTR to recommend the visitors complete with the individual? A. Play a simple board game that is familiar from her childhood B. Review the client's memory picture book of familiar people and activities C. Play a matching card game that includes pictures of her past interests. - correct answer B. Review the client's memory picture book of familiar people and activities Quiz #10 An individual with ALS swims three times a week to maximize strength and endurance. Initially able to swim for only 10 minutes, the individual is now able to swim 20 minutes without becoming fatigued. What would be the NEXT step with this individual? A. Continue the program of swimming 20 minutes, three times a week B. Decrease swimming frequency to two times a week C. Increase swimming time to 25 minutes or to tolerance - correct answer C. Increase swimming time to 25 minutes or to tolerance Quiz #10 An OTR is working with a group of 3-year-old children in a preschool setting. The OTR has decided to initiate a group that facilitates symbolic play. Which of the following would be the MOST APPROPRIATE activity to introduce first? A. Scissors and cutting activities with construction paper B. Make-believe group with stuffed animals and imaginary friends C. Building towers with blocks that resemble pictures in books - correct answer B. Make-believe group with stuffed animals and imaginary friends