NBCOT and OTKE Practice Questions
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 - c. Guillan-Barre Syndrome
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 - 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 - 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% - 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 - 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 - 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 - 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 - 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 - a. 24-30 months
, 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 self-care 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. - 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 - 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?
Select one:
a. Motorcycling
b. Table tennis
c. Walking
d. Playing cards - b. Table tennis
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 - c. Guillan-Barre Syndrome
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 - 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 - 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% - 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 - 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 - 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 - 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 - 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 - a. 24-30 months
, 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 self-care 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. - 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 - 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?
Select one:
a. Motorcycling
b. Table tennis
c. Walking
d. Playing cards - b. Table tennis
