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NBCOT Practice Exam 1 OTKE Competency Exam Nb
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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