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 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.
- 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?
Select one:
a. Motorcycling
b. Table tennis
c. Walking
d. Playing cards
- ANSWERS-b. Table tennis
A patient at a skilled nursing facility is experiencing decreased cardiac output and starts
to appear bluish in color. You notice this change in skin color is especially visible in the
lips, fingertips, and nail beds. This change in skin color and vascular status is known as:
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 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.
- 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?
Select one:
a. Motorcycling
b. Table tennis
c. Walking
d. Playing cards
- ANSWERS-b. Table tennis
A patient at a skilled nursing facility is experiencing decreased cardiac output and starts
to appear bluish in color. You notice this change in skin color is especially visible in the
lips, fingertips, and nail beds. This change in skin color and vascular status is known as:
