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NBCOT AND OTKE PRACTICE EXAMS
WITH VERIFIED QUESTIONS AND
ANSWERS




A-13-year-old-female-client-has-difficulty-with-sequencing-steps-of-an-activity-and-
has-ideational-apraxia.-One-of-her-goals-is-to-be-able-to-independently-brush-her-hair-
in-all-3-zones-(right-side,-left-side,-and-back-of-head).-Which-of-the-following-is-NOT-
an-intervention-the-OT-can-use-to-address-the-client's-goal?--
-
Select-one:-
a. Provide-step-by-step-instructions-
b. Use-hand-over-hand-guiding-techniques-
c. Provide-opportunities-for-motor-planning-and-motor-execution-
d. Increase-environmental-stimuli--
--ANSWERS-d.-Increase-environmental-stimuli-
-
A-20-year-old-male-patient-had-recently-been-involved-in-a-car-crash-and-suffered-a-
TBI.-After-reviewing-his-chart,-you-read-that-he-has-cortical-blindness-and-cannot-
see.-What-part-of-the-brain-is-this-most-likely-an-injury-from?-
-
Select-one:-
a. Frontal-lobe-
b. Occipital-lobe-
c. Temporal-lobe-
d. Parietal-lobe--
--ANSWERS-b.-Occipital-lobe-
-

,A-3-year-old-girl-has-been-diagnosed-with-a-pervasive-developmental-disorder-that-
deteriorates-motor-and-social-skills.-The-child-has-irregular-breathing-problems-and-
regression-in-cognition-and-praxis.-Which-of-the-following-diagnosis-MOST-closely-
relates-to-the-child's-condition?--
-
Select-one:-
a. Tourette's-Syndrome-
b. Rett's-Syndrome-
c. Autism-Spectrum-Disorder-
d. Intellectual-Disorder--
--ANSWERS-b.-Rett's-Syndrome-
-
A-45-year-old-client-sustained-burns-to-the-front-of-her-left-arm,-posterior-trunk,-
front-of-her-left-leg,-and-back-of-her-left-leg.-Using-the-Rule-of-Nines,-calculate-the-
total-body-surface-area-percentage-that-is-burned.-
-
Select-one:-
a.-66%-
b. 45%-
c. 40.5%-
d. 62.5%--
--ANSWERS-c.-40.5%-
-
A-55-year-old-patient-has-been-admitted-to-the-acute-rehabilitation-unit-after-a-CVA-
one-week-ago.-She-is-now-relearning-her-functional-ADLs,-however,-requires-
modifications-for-most-of-these-tasks.-She-has-chosen-her-most-valued-ADLs-to-
practice-daily-and-her-motor-function-has-begun-to-improve.-What-approach-are-her-
and-her-OT-using-during-the-therapy-sessions?-
-
Select-one:-
a.-Remedial/Restorative/Transfer-of-Training-Approach-
b.Compensatory/Adaptive/Functional-Approach-
c. Neurofunctional-Approach-
d. Dynamic-Interactional-Approach--
--ANSWERS-b.Compensatory/Adaptive/Functional-Approach-
-
A-6-year-old-girl-has-been-experiencing-symptoms-of-frequent-urination,-extreme-
hunger,-and-excessive-thirst.-After-visiting-her-family-physician,-she-has-been-
diagnosed-with-diabetes.-What-type-of-diabetes-does-this-client-have?-
-

,Select-one:-
a. Type-2,-non-insulin-dependent-
b. Type-1,-non-insulin-dependent-
c. Type-2,-insulin-dependent-
d. Type-1,-insulin-dependent--
--ANSWERS-d.-Type-1,-insulin-dependent-
-
A-70-year-old-male-gets-admitted-to-a-SNF-for-rehabilitation-services-after-sustaining-
a-left-hip-fracture-due-to-a-fall.-He-is-required-to-receive-occupational-therapy-
services-for-a-minimum-of-5-days-per-week.-Which-of-the-following-is-his-
reimbursement-source?-
-
Select-one:-
a. Medicare-Part-B-
b. Medicare-Part-A-
c. Medi-Cal-
d. Medicaid--
--ANSWERS-b.-Medicare-Part-A-
-
A-75-year-old-male-client-is-complaining-of-ringing-in-both-of-his-ears-during-
treatment-and-cannot-comprehend-the-OT's-directions-when-engaging-in-therapy.-
Which-type-of-hearing-loss-is-the-client-exhibiting?-
-
Select-one:-
a. Tinnitus-
b. Conductive-
c. Presbycusis-
d. Sensorineural--
--ANSWERS-c.-Presbycusis-
-
A-child-has-recently-begun-to-build-with-blocks-both-horizontally-and-vertically-but-
cannot-yet-build-a-tower-of-nine-cubes,-what-age-is-this-child?--
-
Select-one:-
a. 24-30-months--
b. 6-9-months-
c. 21-24-months-
d. 12-15-months--
--ANSWERS-a.-24-30-months-
-

, A-client-is-admitted-to-the-hospital-exhibiting-the-following-symptoms:-symmetric-
muscular-weakness,-distal-sensory-loss,-stocking-glove-distribution-(tingling-from-the-
feet-and-legs-to-the-upper-body),-and-deep-tendon-reflex-loss.-What-neurological-
system-disorder-might-this-client-have?-
-
Select-one:-
a. Post-polio-Syndrome-
b. Amyotrophic-Lateral-Sclerosis-(ALS)-
c. Guillan-Barre-Syndrome--
d. Muscular-Dystrophy--
--ANSWERS-c.-Guillan-Barre-Syndrome-
-
A-client-who-recently-experienced-an-MI-has-been-referred-to-OT.-To-determine-the-
individual's-current-endurance-level,-the-OT-plans-to-monitor-the-performance-of-
selfcare-activities.-The-FIRST-step-is-to:-
-
Select-one:-
a. Take-vital-signs-5-minutes-after-the-client-has-completed-self-care-activities.-
b. Observe-the-client-for-signs-and-symptoms-of-fatigue-and-exhaustion-during-self-
care-activities.-
c. Take-the-client's-vital-signs-at-rest.-
d. Take-the-client's-vital-signs-after-the-performance-of-self-care-activities.----
ANSWERS-c.-Take-the-client's-vital-signs-at-rest.-
-
A-client-with-a-diagnosis-of-trigger-finger-is-seen-in-an-outpatient-hand-clinic-for-an-
initial-occupational-therapy-evaluation.-The-client-reports-having-a-trigger-finger-
release-surgery-done-1-month-prior-and-complains-of-pain-and-limited-ROM.-Which-
of-these-treatment-interventions-would-NOT-be-appropriate?-
-
Select-one:-
a. Edema-control-
b. Tendon-gliding-exercises-
c. Strengthening-exercises-with-repetitive-gripping--
d. Scar-massage--
--ANSWERS-c.-Strengthening-exercises-with-repetitive-gripping-
-
A-client-with-a-recent-heart-attack-is-now-able-to-participate-in-Phase-1:-Inpatient-
Rehabilitation/Hospitalization-OT.-You-are-planning-to-incorporate-physical-
activities-into-your-treatment-sessions-that-are-between-MET-level-1-2.-Which-of-the-
following-is-NOT-included-in-these-levels?-