NBCOT Weekly Prep 2024 Questions and
Answers A+ Guide
An inpatient in an acute care hospital had a small bowel resection
4 days ago. The patient has an in-dwelling catheter, several
intravenous lines, and a nasogastric tube. During an ADL session,
the patient washes the upper body in a sitting position on the
edge of the bed. The OTR measures the patient's vital signs and
notes the oxygen saturation level is 89%, blood pressure is 86/55
mmHg, and heart rate is 90 bpm. Based on this information, what
is the NEXT action the OTR should take?
A. Proceed with the intervention activity and plan to measure the
patient's vital signs at the end of the session.
B. Have the patient take 2-3 deep breaths and assist the patient
to return to a supine position with the head of the bed raised to
45°.
C. Advise the patient to put on a nasal cannula and elevate the
lower extremity on a chair for the duration of the session.
D. Activate the emergency response team and plan to docum -
correct answers✅✅B. Have the patient take 2-3 deep breaths
and assist the patient to return to a supine position with the head
of the bed raised to 45°.
A school-based OTR is providing transportation recommendations
for a student in middle school who has autism spectrum disorder
and gravitational insecurity. The student frequently makes loud
noises and repetitively rocks forward in the seat when the bus is
in motion. Which recommendation is MOST BENEFICIAL for the
OTR to provide for this student?
, NBCOT Weekly Prep 2024 Questions and
Answers A+ Guide
A. Ensure that a three-point seatbelt is available on the bus for
the student and cover the belt buckle with the student's outer
clothing.
B. Have the student sit next to the window with a peer seated on
the aisle side and encourage the student to place both feet on the
floor of the bus.
C. Provide the student with a social story highlighting the daily
bus routine and ask the student to wear noise-canceling
headphones. - correct answers✅✅Correct Answer: B
Rationale: The least restrictive recommendations to maintain
safety are to place the student near the window and to have a
peer provide a natural barrier. For a student with gravitational
insecurity, using a grounding technique, such as ensuring the
student's feet are firmly on the floor of the bus, can help orient
the student and decrease feelings of anxiety when the bus is in
motion.
Incorrect Responses:
A: Although the student is demonstrating repetitive behaviors
while seated on the bus, there is no identified concerns about the
student's immediate safety that would warrant the use of this
level of restraint.
C: These interventions do not align with the student that is
presented in this question but are better suited for a student who
has difficulty with following the daily bus routine and exhibits
behaviors associated with auditory hyper-responsiveness.
Answers A+ Guide
An inpatient in an acute care hospital had a small bowel resection
4 days ago. The patient has an in-dwelling catheter, several
intravenous lines, and a nasogastric tube. During an ADL session,
the patient washes the upper body in a sitting position on the
edge of the bed. The OTR measures the patient's vital signs and
notes the oxygen saturation level is 89%, blood pressure is 86/55
mmHg, and heart rate is 90 bpm. Based on this information, what
is the NEXT action the OTR should take?
A. Proceed with the intervention activity and plan to measure the
patient's vital signs at the end of the session.
B. Have the patient take 2-3 deep breaths and assist the patient
to return to a supine position with the head of the bed raised to
45°.
C. Advise the patient to put on a nasal cannula and elevate the
lower extremity on a chair for the duration of the session.
D. Activate the emergency response team and plan to docum -
correct answers✅✅B. Have the patient take 2-3 deep breaths
and assist the patient to return to a supine position with the head
of the bed raised to 45°.
A school-based OTR is providing transportation recommendations
for a student in middle school who has autism spectrum disorder
and gravitational insecurity. The student frequently makes loud
noises and repetitively rocks forward in the seat when the bus is
in motion. Which recommendation is MOST BENEFICIAL for the
OTR to provide for this student?
, NBCOT Weekly Prep 2024 Questions and
Answers A+ Guide
A. Ensure that a three-point seatbelt is available on the bus for
the student and cover the belt buckle with the student's outer
clothing.
B. Have the student sit next to the window with a peer seated on
the aisle side and encourage the student to place both feet on the
floor of the bus.
C. Provide the student with a social story highlighting the daily
bus routine and ask the student to wear noise-canceling
headphones. - correct answers✅✅Correct Answer: B
Rationale: The least restrictive recommendations to maintain
safety are to place the student near the window and to have a
peer provide a natural barrier. For a student with gravitational
insecurity, using a grounding technique, such as ensuring the
student's feet are firmly on the floor of the bus, can help orient
the student and decrease feelings of anxiety when the bus is in
motion.
Incorrect Responses:
A: Although the student is demonstrating repetitive behaviors
while seated on the bus, there is no identified concerns about the
student's immediate safety that would warrant the use of this
level of restraint.
C: These interventions do not align with the student that is
presented in this question but are better suited for a student who
has difficulty with following the daily bus routine and exhibits
behaviors associated with auditory hyper-responsiveness.
