NBCOT exam practice test (ALEXIA) Exam
Question & Answers
An OTR is developing an intervention plan for a 4-year-old child with
autism spectrum disorder. The child demonstrates echolalia and has
frequent behavioral outbursts when transitioning from one activity to
another. A primary goal is for the child to successfully navigate
transitions. Which strategy would be MOST BENEFICIAL to include in
the intervention plan to support progress toward this goal?
a. An illustrated communication board to visually support effective
comprehension
b. A written schedule placed in the child's bedroom with predictable
events and routines
c. A behavior management plan with built-in rewards and natural
consequences - Correct Answers ✅A
A patient in an acute care hospital who has renal disease, diabetes, and
atrial fibrillation is scheduled to participate in OT. Before beginning the
session, the OTR reviews the medical record and finds the patient's INR
is 2.5, blood glucose level is 100 mg/dL, and sodium levels are below
the normal range. What action should the OTR take based on these lab
values?
,NBCOT exam practice test (ALEXIA) Exam
Question & Answers
a. Ask nursing staff if it is necessary to provide the patient with a snack
prior to the start of the treatment session.
b. Monitor the patient for fluctuations in cognition during the planned
treatment session.
c. Encourage the patient to drink water at regular intervals throughout
the session.
d. Measure the patient's blood pressure at rest in supine and repeat
after the patient moves to sitting on the edge of the bed. - Correct
Answers ✅b
A 10-year-old child has end stage metastatic disease and resides at
home with a single parent as the primary caregiver. Although hospice
care providers are enabling the child to remain at home,
the parent is concerned about the challenges associated with caring for
the child as the disease progresses. After acknowledging the parent's
concern, what action should the OTR take INITIALLY in response to the
parent's concern?
a. Provide the parent with a list of private-pay certified homecare
agencies ni the area.
,NBCOT exam practice test (ALEXIA) Exam
Question & Answers
b. Discuss the benefits of relocating the child to a hospice home near
the current residence.
c. Te a c h r e l e v a n t c a r e g i v e r t e c h n i q u e s a n d c o p i n g s t
rategiesbasedontheparent'slearningstyle.-
Correct Answers ✅C
An OTR is assessing the current wheelchair seating system of an adult
client with congenital muscular dystrophy. The OTR observes that the
wheelchair has a 95° seat-to-back angle with a 3°-5° angle-in-space
recline. What is the PRIMARY effect of this seating position on the
client?
• Pelvic instability with internal rotation of the hips
• Improved postural control with decreased sacral pressure
• Inefficient wheelchair propulsion with decreased lumbar support -
Correct Answers ✅B
6-year-old-child has been undergoing treatment for leukemia for the
past 2years. The most recent medical tests indicate the child is now ni
remission. Currently, the child is independent with
, NBCOT exam practice test (ALEXIA) Exam
Question & Answers
ADL but persistent fatigue and poor endurance interfere with the
child's ability to return to school for a ful day. Which type of activity
would MOST EFFECTIVELY increase the child's physical endurance for
return to school?
a. Isometric exercises involving light weights or resistance bands
•b. Graded aerobic exercises such as swimming or running
c. Anaerobic exercises such as repetitive calisthenics or fun drills -
Correct Answers ✅b
Astudent ni second grade who has ADHD often wanders around the
room during individual work time. The student is working on staying
seated throughout the scheduled work period. Which sensory-based
strategy would be MOST BENEFICIAL for the OTR to recommend to
support progress toward this goal?
•
a. Provide hte student with a desk chair with armrests and wheels.
•
b. Place an inflatable disc cushion on the student's desk chair.
•
Question & Answers
An OTR is developing an intervention plan for a 4-year-old child with
autism spectrum disorder. The child demonstrates echolalia and has
frequent behavioral outbursts when transitioning from one activity to
another. A primary goal is for the child to successfully navigate
transitions. Which strategy would be MOST BENEFICIAL to include in
the intervention plan to support progress toward this goal?
a. An illustrated communication board to visually support effective
comprehension
b. A written schedule placed in the child's bedroom with predictable
events and routines
c. A behavior management plan with built-in rewards and natural
consequences - Correct Answers ✅A
A patient in an acute care hospital who has renal disease, diabetes, and
atrial fibrillation is scheduled to participate in OT. Before beginning the
session, the OTR reviews the medical record and finds the patient's INR
is 2.5, blood glucose level is 100 mg/dL, and sodium levels are below
the normal range. What action should the OTR take based on these lab
values?
,NBCOT exam practice test (ALEXIA) Exam
Question & Answers
a. Ask nursing staff if it is necessary to provide the patient with a snack
prior to the start of the treatment session.
b. Monitor the patient for fluctuations in cognition during the planned
treatment session.
c. Encourage the patient to drink water at regular intervals throughout
the session.
d. Measure the patient's blood pressure at rest in supine and repeat
after the patient moves to sitting on the edge of the bed. - Correct
Answers ✅b
A 10-year-old child has end stage metastatic disease and resides at
home with a single parent as the primary caregiver. Although hospice
care providers are enabling the child to remain at home,
the parent is concerned about the challenges associated with caring for
the child as the disease progresses. After acknowledging the parent's
concern, what action should the OTR take INITIALLY in response to the
parent's concern?
a. Provide the parent with a list of private-pay certified homecare
agencies ni the area.
,NBCOT exam practice test (ALEXIA) Exam
Question & Answers
b. Discuss the benefits of relocating the child to a hospice home near
the current residence.
c. Te a c h r e l e v a n t c a r e g i v e r t e c h n i q u e s a n d c o p i n g s t
rategiesbasedontheparent'slearningstyle.-
Correct Answers ✅C
An OTR is assessing the current wheelchair seating system of an adult
client with congenital muscular dystrophy. The OTR observes that the
wheelchair has a 95° seat-to-back angle with a 3°-5° angle-in-space
recline. What is the PRIMARY effect of this seating position on the
client?
• Pelvic instability with internal rotation of the hips
• Improved postural control with decreased sacral pressure
• Inefficient wheelchair propulsion with decreased lumbar support -
Correct Answers ✅B
6-year-old-child has been undergoing treatment for leukemia for the
past 2years. The most recent medical tests indicate the child is now ni
remission. Currently, the child is independent with
, NBCOT exam practice test (ALEXIA) Exam
Question & Answers
ADL but persistent fatigue and poor endurance interfere with the
child's ability to return to school for a ful day. Which type of activity
would MOST EFFECTIVELY increase the child's physical endurance for
return to school?
a. Isometric exercises involving light weights or resistance bands
•b. Graded aerobic exercises such as swimming or running
c. Anaerobic exercises such as repetitive calisthenics or fun drills -
Correct Answers ✅b
Astudent ni second grade who has ADHD often wanders around the
room during individual work time. The student is working on staying
seated throughout the scheduled work period. Which sensory-based
strategy would be MOST BENEFICIAL for the OTR to recommend to
support progress toward this goal?
•
a. Provide hte student with a desk chair with armrests and wheels.
•
b. Place an inflatable disc cushion on the student's desk chair.
•
