NBCOT and OTKE Practice Questions
and Answers
An OT is conducting an evaluation on a client post-CVA. The client present with
contralateral hemiplegia, grasp reflex, incontinence, confusion, and apathy. What is the
involved artery and the site of the infarct?
Select one:
a. Posterior cerebral artery (PCA)
b. Middle cerebral artery (MCA)
c. Internal carotid artery (ICA)
d. Anterior cerebral artery (ACA) -
✔d. Anterior cerebral artery (ACA)
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
An OT working in a school setting is observing a new client in the classroom. The OT
notices that the child is reluctant to fully participate in the school environment. In order
to assess functional performance to promote increased participation in the school
environment, which assessment should the OT use?
,Select one:
a. School Function Assessment
b. Participation Scale
c. Test of Playfulness Revised Version 3.5
d. Coping Inventory -
✔a. School Function Assessment Correct
The OT is observing a typical 3-year-old child playing house with her doll. The child is
using a teapot filled with cotton balls that symbolizes the "tea" she is serving. She uses
a variety of words that she did not use before, as well as phrases. While there are other
children in the clinic, the child is not playing with them. What stage of play is the child
experiencing?
Select one:
a. Creative Play
b. Exploratory Play
c. Games
d. Symbolic Play -
✔d. Symbolic Play
An OT is evaluating a 10-month-old child who was referred to OT for developmental
delays. The infant exhibits extension of the extremities on the face side and flexion of
extremities on the skull side. Which reflex is not integrated and will likely affect the
child's ability to creep and crawl?
Select one:
a. ATNR
b. STNR
c. TLR
d. BOB -
,✔a. ATNR
An OT begins seeing a 2-year-old client for feeding. Upon initial observation, the OT
notices that the client pockets a large amount of food in his mouth. The client's parents
report that he typically holds food in his mouth for hours at a time and refuses to
swallow in between bites. What is the most appropriate intervention strategy to apply
during treatment sessions?
Select one:
a. Prevent tongue retraction to avoid choking
b. Refer the parents for a VFSS
c. Facilitate swallow by placement and slight downward pressure of the spoon on the
middle aspect of the tongue
d. Facilitate chewing by placement of long, crunchy-textured food on lateral molars -
✔c. Facilitate swallow by placement and slight downward pressure of the spoon on the
middle aspect of the tongue
An OT is treating an 86-year-old male who has difficulty visually scanning objects
outside of his central vision. After providing a visual screen, the OT notices that the
client has tunnel vision and has difficulty seeing objects in the outer borders of his visual
field in both eyes. This leads the OT to believe that the client has loss of peripheral
vision. What is the most likely cause of this vision loss?
Select one:
a. Macular degeneration
b. Glaucoma
c. Cataracts
d. Diabetic retinopathy -
✔b. Glaucoma
, An OT is working with an 88-year-old female client who was admitted to a SNF s/p R
THA. During the evaluation, you ask the client what her goals are for therapy and she
replies with: "I want to get stronger so I can go back home and be able to take care of
myself." Which of the following statements is TRUE that the OT should keep in mind
when designing her client-centered goals and exercise program?
Select one:
a. The exercise program should consist of strength training at 70-80% of the client's
one-rep max in order to see improved strength with predictable results.
b. The exercise program should focus more on cardio rather than strength training
c. Elders ages 80 and above should not participate in any kind of strength training
because they are frail and it is unsafe for their health.
d. Improvements in strength does not correlate with improving ability to complete
functional tasks. -
✔a. The exercise program should consist of strength training at 70-80% of the client's
one-rep max in order to see improved strength with predictable results.
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
An OT who is working in a pediatric clinic is completing an evaluation on a new 5-year-
old client. The OT needs an assessment that will detect the client's functional deficits,
and Answers
An OT is conducting an evaluation on a client post-CVA. The client present with
contralateral hemiplegia, grasp reflex, incontinence, confusion, and apathy. What is the
involved artery and the site of the infarct?
Select one:
a. Posterior cerebral artery (PCA)
b. Middle cerebral artery (MCA)
c. Internal carotid artery (ICA)
d. Anterior cerebral artery (ACA) -
✔d. Anterior cerebral artery (ACA)
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
An OT working in a school setting is observing a new client in the classroom. The OT
notices that the child is reluctant to fully participate in the school environment. In order
to assess functional performance to promote increased participation in the school
environment, which assessment should the OT use?
,Select one:
a. School Function Assessment
b. Participation Scale
c. Test of Playfulness Revised Version 3.5
d. Coping Inventory -
✔a. School Function Assessment Correct
The OT is observing a typical 3-year-old child playing house with her doll. The child is
using a teapot filled with cotton balls that symbolizes the "tea" she is serving. She uses
a variety of words that she did not use before, as well as phrases. While there are other
children in the clinic, the child is not playing with them. What stage of play is the child
experiencing?
Select one:
a. Creative Play
b. Exploratory Play
c. Games
d. Symbolic Play -
✔d. Symbolic Play
An OT is evaluating a 10-month-old child who was referred to OT for developmental
delays. The infant exhibits extension of the extremities on the face side and flexion of
extremities on the skull side. Which reflex is not integrated and will likely affect the
child's ability to creep and crawl?
Select one:
a. ATNR
b. STNR
c. TLR
d. BOB -
,✔a. ATNR
An OT begins seeing a 2-year-old client for feeding. Upon initial observation, the OT
notices that the client pockets a large amount of food in his mouth. The client's parents
report that he typically holds food in his mouth for hours at a time and refuses to
swallow in between bites. What is the most appropriate intervention strategy to apply
during treatment sessions?
Select one:
a. Prevent tongue retraction to avoid choking
b. Refer the parents for a VFSS
c. Facilitate swallow by placement and slight downward pressure of the spoon on the
middle aspect of the tongue
d. Facilitate chewing by placement of long, crunchy-textured food on lateral molars -
✔c. Facilitate swallow by placement and slight downward pressure of the spoon on the
middle aspect of the tongue
An OT is treating an 86-year-old male who has difficulty visually scanning objects
outside of his central vision. After providing a visual screen, the OT notices that the
client has tunnel vision and has difficulty seeing objects in the outer borders of his visual
field in both eyes. This leads the OT to believe that the client has loss of peripheral
vision. What is the most likely cause of this vision loss?
Select one:
a. Macular degeneration
b. Glaucoma
c. Cataracts
d. Diabetic retinopathy -
✔b. Glaucoma
, An OT is working with an 88-year-old female client who was admitted to a SNF s/p R
THA. During the evaluation, you ask the client what her goals are for therapy and she
replies with: "I want to get stronger so I can go back home and be able to take care of
myself." Which of the following statements is TRUE that the OT should keep in mind
when designing her client-centered goals and exercise program?
Select one:
a. The exercise program should consist of strength training at 70-80% of the client's
one-rep max in order to see improved strength with predictable results.
b. The exercise program should focus more on cardio rather than strength training
c. Elders ages 80 and above should not participate in any kind of strength training
because they are frail and it is unsafe for their health.
d. Improvements in strength does not correlate with improving ability to complete
functional tasks. -
✔a. The exercise program should consist of strength training at 70-80% of the client's
one-rep max in order to see improved strength with predictable results.
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
An OT who is working in a pediatric clinic is completing an evaluation on a new 5-year-
old client. The OT needs an assessment that will detect the client's functional deficits,
