NBCOT PRACTICE EXAM 1 QUESTIONS WITH
CORRECT ANSWERS LATEST UPDATE WITH
RATIONALES
A supermarket employee with obsessive-compulsive disorder takes an hour to
stock 24 soup cans on the shelf because once he has placed the cans on the
shelf, he removes them and starts over, stating that "all labels were not lines up
exactly in the same direction." Which of the following methods would MOST
effectively evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the job
D. Task evaluation using a "clean" medium such as a puzzle
that is right
A. On-site observation of performance skills
An OT has been working with an individual who is recovering from a TBI. A
standard pivot transfer has been successfully demonstrated in the gym. The
MOST appropriate way to assess generalization of this new learning would be
to have the patient perform which activity?
A. Identify potential hazards in the patient's bathrooms that could make
transfers unsafe
B. Select an appropriate tub bench and nonskid mat for the patient's bathroom at
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,home
C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room
D. Attempt a sliding board transfer from wheelchair to tub
ANS C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room
An OT is working with an individual with depression who is cognitively intact
but demonstrating difficulty carrying out self-care and other ADL tasks. The
OT, who has no advanced certifications, would like to identify a standardized
assessment to measure ADL performance. Which is the MOST appropriate tool
for this purpose?
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
ANS C. Kohlman Evaluation of Living Skills
An OT is conducting a perceptual function screening with an individual who
has had a CVA. Which of the following informal screening activities would the
therapist ask the individual to perform in order to identify the presence of
agnosia?
A. Demonstrate common gestures such as waving
B. Name objects through touch only
C. Identify or demonstrate the use of common household objects
D. Read a paragraph and explain its meaning.
ANS C. Identify or demonstrate the use of common household objects
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,An individual with an L4 spinal cord injury wishes to become independent in
driving an automobile. The MOST appropriate piece of adaptive equipment for
this individual is:
A. A palmar cuff for the steering wheel
B. A spinner knob on the steering wheel
C. Pedal extensions for accelerating and braking
D. Hand controls for acceleration and braking
ANS D. Hand controls for acceleration and braking
An OT is preparing to evaluate a toddler who has upper extremity orthopedic
concerns. How will the OT MOST likely obtain the majority of initial
assessment data?
A. Measurement tools that assess visual-motor skills
B. Dynamometer and pinch meter readings.
C. Observation of child during activities in the child-care center.
D. Functional independence measures.
ANS C. Observation of child during activities in the child-care center.
Through observation of the child during child-care center activities, the OT can
collect information about the child's motor performance skills and participation
in activities that require upper extremity/hand skill. Naturalistic observation is a
method of ecological assessment, which is "a primary mechanism for obtaining
data relevant to the child's performance context..... Skilled observation of child
performing a functional task offers..... important information about the child's
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, performance". Answers A, B, ad D are all appropriate choices after the child is
old enough for these assessments.
During an initial evaluation, the OT suspects that a child has somatodyspraxia.
In what area should the OT focus the evaluation?
A. Ability to print or write.
B. Reading competency.
C. Math calculations.
D. New motor task planning.
ANS D. New motor task planning.
"Somatodyspraxia is described as a deficit in learning new motor skills,
planning new motor actions, and generalizing motor plans." Inability to print or
write (answer A) is termed "dysgraphia." The term "dyslexia" (answer B) means
dysfunction in reading. Inability to perform mathematics (answer C) is known
as "dyscalculia"
An OT working in a long-term care facility needs to evaluate the long-term
memory of a resident. Which of the following methods is BEST for evaluating
memory or personally experienced events (declarative memory)?
A. Show the person a series of objects and ask him to recall the objects within
60 seconds.
B. Ask the individual how he spent New Year's/
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to the next therapy
session
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CORRECT ANSWERS LATEST UPDATE WITH
RATIONALES
A supermarket employee with obsessive-compulsive disorder takes an hour to
stock 24 soup cans on the shelf because once he has placed the cans on the
shelf, he removes them and starts over, stating that "all labels were not lines up
exactly in the same direction." Which of the following methods would MOST
effectively evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the job
D. Task evaluation using a "clean" medium such as a puzzle
that is right
A. On-site observation of performance skills
An OT has been working with an individual who is recovering from a TBI. A
standard pivot transfer has been successfully demonstrated in the gym. The
MOST appropriate way to assess generalization of this new learning would be
to have the patient perform which activity?
A. Identify potential hazards in the patient's bathrooms that could make
transfers unsafe
B. Select an appropriate tub bench and nonskid mat for the patient's bathroom at
Page 1 of 56
,home
C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room
D. Attempt a sliding board transfer from wheelchair to tub
ANS C. Attempt a standard pivot transfer from wheelchair to bed in the patient's
hospital room
An OT is working with an individual with depression who is cognitively intact
but demonstrating difficulty carrying out self-care and other ADL tasks. The
OT, who has no advanced certifications, would like to identify a standardized
assessment to measure ADL performance. Which is the MOST appropriate tool
for this purpose?
A. Bay Area Functional Performance Evaluation
B. Routine Task Inventory-Expanded
C. Kohlman Evaluation of Living Skills
D. Assessment of Motor and Process Skills
ANS C. Kohlman Evaluation of Living Skills
An OT is conducting a perceptual function screening with an individual who
has had a CVA. Which of the following informal screening activities would the
therapist ask the individual to perform in order to identify the presence of
agnosia?
A. Demonstrate common gestures such as waving
B. Name objects through touch only
C. Identify or demonstrate the use of common household objects
D. Read a paragraph and explain its meaning.
ANS C. Identify or demonstrate the use of common household objects
Page 2 of 56
,An individual with an L4 spinal cord injury wishes to become independent in
driving an automobile. The MOST appropriate piece of adaptive equipment for
this individual is:
A. A palmar cuff for the steering wheel
B. A spinner knob on the steering wheel
C. Pedal extensions for accelerating and braking
D. Hand controls for acceleration and braking
ANS D. Hand controls for acceleration and braking
An OT is preparing to evaluate a toddler who has upper extremity orthopedic
concerns. How will the OT MOST likely obtain the majority of initial
assessment data?
A. Measurement tools that assess visual-motor skills
B. Dynamometer and pinch meter readings.
C. Observation of child during activities in the child-care center.
D. Functional independence measures.
ANS C. Observation of child during activities in the child-care center.
Through observation of the child during child-care center activities, the OT can
collect information about the child's motor performance skills and participation
in activities that require upper extremity/hand skill. Naturalistic observation is a
method of ecological assessment, which is "a primary mechanism for obtaining
data relevant to the child's performance context..... Skilled observation of child
performing a functional task offers..... important information about the child's
Page 3 of 56
, performance". Answers A, B, ad D are all appropriate choices after the child is
old enough for these assessments.
During an initial evaluation, the OT suspects that a child has somatodyspraxia.
In what area should the OT focus the evaluation?
A. Ability to print or write.
B. Reading competency.
C. Math calculations.
D. New motor task planning.
ANS D. New motor task planning.
"Somatodyspraxia is described as a deficit in learning new motor skills,
planning new motor actions, and generalizing motor plans." Inability to print or
write (answer A) is termed "dysgraphia." The term "dyslexia" (answer B) means
dysfunction in reading. Inability to perform mathematics (answer C) is known
as "dyscalculia"
An OT working in a long-term care facility needs to evaluate the long-term
memory of a resident. Which of the following methods is BEST for evaluating
memory or personally experienced events (declarative memory)?
A. Show the person a series of objects and ask him to recall the objects within
60 seconds.
B. Ask the individual how he spent New Year's/
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to the next therapy
session
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