MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
NBCOT PRACTICE EXAMS – COMPLETE OT/OTA EXAM
PREP WITH VERIFIED QUESTIONS & ANSWERS (2025
EDITION) GRADED A+
A person is 5 days' post coronary artery bypass graft (CABG). The patient expresses anxiety
about performing any type of activity
and reports chest pain during ambulation. The cardiologist has approved activities at a
metabolic equivalent (MET) level of 2-3. Which activity is best for the occupational
therapist to use when initiating intervention with this person?
a) Sponge bathing while sitting.
b) Grooming in sitting.
c) Grooming while standing at the sink.
d) Performing light house work.
c) Grooming while standing at the sink.
An occupational therapist works with a patient with diabetes and below-knee (BK)
amputation to learn how to effectively perform
home management tasks while wearing a BK prosthesis. When taking laundry from a front-
loading washer and placing it into a
top-loading washer and placing it into a top-loading dryer, the patient reports feeling weak,
dizzy, and somewhat nauseous. The
occupational therapist notices that the patient is sweating profusely and is unsteady when
standing. Which is the best immediate
course of action for the therapist to take in response to the patient's complaints and these
observations?
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
a) Call a nurse to administer an insulin injection for developing hyperglycemia.
b) Return the person to the unit of care due to an insulin reaction.
c) Have the patient sit down until the orthostatic hypotension resolves.
d) Administer orange juice for developing hypoglycemia.
d) Administer orange juice for developing hypoglycemia.
The patient has demonstrated functional gains in deficit areas and the rehabilitation team
is planning for the patient's discharge home.
The patient independently completes basic and instrumental ADL but requires extra time
for task completion. The patient has been
weaned off oxygen, but continues to complain of shortness of breath with chaotic
breathing when anxious. The patient states difficulty
sleeping at night and is fearful about suffocation when lying flat, though nursing staff report
no saturation changes when lying flat. Which of the following choices are most beneficial in
preparation for the patient's discharge to home? Check all that apply.
a) Recommend participation in a local pulmonary diseases support group.
b) Conduct a home evaluation to ensure safety and independence in home tasks.
c) Provide a wedge cushion for use in bed to elevate the head at night.
d) Teach the participant diaphragmatic breathing exercises to complete at home.
e) Instruct the patient to engage in hyperventilation strategies when experiencing shortness
of breath
to increase oxygen saturation.
f) Contact a home care agency for delivery of a hospital bed to the home.
a) Recommend participation in a local pulmonary diseases support group.
AND
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
b) Conduct a home evaluation to ensure safety and independence in home tasks.
AND
c) Provide a wedge cushion for use in bed to elevate the head at night.
AND
d) Teach the participant diaphragmatic breathing exercises to complete at home.
A person with recently diagnosed multiple sclerosis begins an outpatient program. During
the initial intervention session, the client
expresses difficulty concentrating on daily tasks due to chronic fatigue. Which should the
occupational therapist do in response to
the client's stated concerns?
a) Reassure the client that medications will ease these symptoms.
b) Reassure the client that these are typical symptoms of this diagnosis.
c) Inquire about the client's fatigue level during different tasks.
d) Evaluate the client's endurance and cognition.
c) Inquire about the client's fatigue level during different tasks.
An occupational therapist works with a patient who incurred a right CVA. The patient has
homonymous hemianopsia. Which is the
most effective compensatory strategy for the therapist to use initially with this patient?
a) Place the patient's plate and eating utensils on the left side of the bed tray.
b) Provide printed notes on the left side telling the patient look to the left.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
c) Rearrange the patient's room so while the patient is in bed the left side is facing the
doorway.
d) Teach the patient to turn the head to the affected left side.
d) Teach the patient to turn the head to the affected left side.
Opening Scene
An adult with chronic obstructive pulmonary disease (COPD) is admitted to a rehabilitation
facility after a brief hospital stay
for stabilization. The patient is deconditioned and fatigues easily. Prior to hospitalization,
the patent lived with a spouse and
worked full-time as a home inspector. The occupational therapist receives a physician
order for evaluation and treatment.
Section A
The occupational therapist is preparing to evaluate the patient to determine functional
abilities and pre-morbid status. The
patient uses two liters of oxygen and complains of shortness of breath during most
activities. Which approaches should the
occupational therapist include during the evaluation process? Choose all that apply.
a) Provide education and information about smoking cessation.
b) Assess performance of basic ADL skills.
c) Increase oxygen intake to 3 liters during periods of shortness of breath.
d) Administer manual muscle test to determine current level of strength.
e) Use the pulseoximeter to determine oxygen levels at rest and with activity.
f) Demonstrate the use of a reacher, dressing stick, and sock aide to promote ADL
independence.
g) Assess ability to persist in activity by having the patient walk on a treadmill until fatigued.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
NBCOT PRACTICE EXAMS – COMPLETE OT/OTA EXAM
PREP WITH VERIFIED QUESTIONS & ANSWERS (2025
EDITION) GRADED A+
A person is 5 days' post coronary artery bypass graft (CABG). The patient expresses anxiety
about performing any type of activity
and reports chest pain during ambulation. The cardiologist has approved activities at a
metabolic equivalent (MET) level of 2-3. Which activity is best for the occupational
therapist to use when initiating intervention with this person?
a) Sponge bathing while sitting.
b) Grooming in sitting.
c) Grooming while standing at the sink.
d) Performing light house work.
c) Grooming while standing at the sink.
An occupational therapist works with a patient with diabetes and below-knee (BK)
amputation to learn how to effectively perform
home management tasks while wearing a BK prosthesis. When taking laundry from a front-
loading washer and placing it into a
top-loading washer and placing it into a top-loading dryer, the patient reports feeling weak,
dizzy, and somewhat nauseous. The
occupational therapist notices that the patient is sweating profusely and is unsteady when
standing. Which is the best immediate
course of action for the therapist to take in response to the patient's complaints and these
observations?
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
a) Call a nurse to administer an insulin injection for developing hyperglycemia.
b) Return the person to the unit of care due to an insulin reaction.
c) Have the patient sit down until the orthostatic hypotension resolves.
d) Administer orange juice for developing hypoglycemia.
d) Administer orange juice for developing hypoglycemia.
The patient has demonstrated functional gains in deficit areas and the rehabilitation team
is planning for the patient's discharge home.
The patient independently completes basic and instrumental ADL but requires extra time
for task completion. The patient has been
weaned off oxygen, but continues to complain of shortness of breath with chaotic
breathing when anxious. The patient states difficulty
sleeping at night and is fearful about suffocation when lying flat, though nursing staff report
no saturation changes when lying flat. Which of the following choices are most beneficial in
preparation for the patient's discharge to home? Check all that apply.
a) Recommend participation in a local pulmonary diseases support group.
b) Conduct a home evaluation to ensure safety and independence in home tasks.
c) Provide a wedge cushion for use in bed to elevate the head at night.
d) Teach the participant diaphragmatic breathing exercises to complete at home.
e) Instruct the patient to engage in hyperventilation strategies when experiencing shortness
of breath
to increase oxygen saturation.
f) Contact a home care agency for delivery of a hospital bed to the home.
a) Recommend participation in a local pulmonary diseases support group.
AND
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
,MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
b) Conduct a home evaluation to ensure safety and independence in home tasks.
AND
c) Provide a wedge cushion for use in bed to elevate the head at night.
AND
d) Teach the participant diaphragmatic breathing exercises to complete at home.
A person with recently diagnosed multiple sclerosis begins an outpatient program. During
the initial intervention session, the client
expresses difficulty concentrating on daily tasks due to chronic fatigue. Which should the
occupational therapist do in response to
the client's stated concerns?
a) Reassure the client that medications will ease these symptoms.
b) Reassure the client that these are typical symptoms of this diagnosis.
c) Inquire about the client's fatigue level during different tasks.
d) Evaluate the client's endurance and cognition.
c) Inquire about the client's fatigue level during different tasks.
An occupational therapist works with a patient who incurred a right CVA. The patient has
homonymous hemianopsia. Which is the
most effective compensatory strategy for the therapist to use initially with this patient?
a) Place the patient's plate and eating utensils on the left side of the bed tray.
b) Provide printed notes on the left side telling the patient look to the left.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
, MINDPLUG SOLUTIONS, EMPOWERING MINDS, BUILDING FUTURES
c) Rearrange the patient's room so while the patient is in bed the left side is facing the
doorway.
d) Teach the patient to turn the head to the affected left side.
d) Teach the patient to turn the head to the affected left side.
Opening Scene
An adult with chronic obstructive pulmonary disease (COPD) is admitted to a rehabilitation
facility after a brief hospital stay
for stabilization. The patient is deconditioned and fatigues easily. Prior to hospitalization,
the patent lived with a spouse and
worked full-time as a home inspector. The occupational therapist receives a physician
order for evaluation and treatment.
Section A
The occupational therapist is preparing to evaluate the patient to determine functional
abilities and pre-morbid status. The
patient uses two liters of oxygen and complains of shortness of breath during most
activities. Which approaches should the
occupational therapist include during the evaluation process? Choose all that apply.
a) Provide education and information about smoking cessation.
b) Assess performance of basic ADL skills.
c) Increase oxygen intake to 3 liters during periods of shortness of breath.
d) Administer manual muscle test to determine current level of strength.
e) Use the pulseoximeter to determine oxygen levels at rest and with activity.
f) Demonstrate the use of a reacher, dressing stick, and sock aide to promote ADL
independence.
g) Assess ability to persist in activity by having the patient walk on a treadmill until fatigued.
EDUCATIONAL SUPPORT • ACADEMIC RESOURCES • PROFESSIONAL GUIDANCE
