NBCOT EXAM 130 QUESTIONS & CORRECT
ANSWERS LATEST 2026
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.
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
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.
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
B Ask the individual how he spent New Year's
"Declarative memory is one aspect of long term memory and includes conscious
memory for events, knowledge or facts". It is commonly assessed through verbal
interviews and informal testing such as asking a question about an individual's
recall of personal events (answer B). Working memory refers to "the temporary
storage of inforamtion while one is working with it or attending to it" (answer A).
"Prospective memory involves the ability to remember intentions or activities that
will be required in the future" (answer D). Knowing the date, place, and time is
indicative of orientation (answer C).
A child avoids playground equipment that requires her feet to be off the ground.
What does this behavior MOST likely indicate?
A. Difficulty modulating proprioception.
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficit.
C. Gravitational insecurity.
Gravitational insecurity is described as "fear response to movement". The child
easily experiences a fear of falling and prefers to keep her feet firmly on the
ground. Tactile defensiveness (answer A) is a term used to describe discomfort
with various textures and with unexpected touch. Somatodyspraxia (answer B) has
is "foundation in somatosensory (e.g. primarily tactile but also proprioceptive)
,discrimination deficits, which interfere with the development of body scheme and
awareness". Bilateral integration and sequencing deficits are related to "poor
vestibular-propioceptive discrimination, which interferes with the ability to
coordinate, sequence, and execute motor actions quickly and efficiently".
When the OT suspects tactile defensiveness as a rationale for a child's challenges,
in what area of participation should the OT focus on FIRST?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests
B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of daily living
activities.... specific types of clothing.... specific textures materials". The child may
be bothered by certain textures or avoid wearing turtlenecks, socks, or shoes.
Conversely, some children may never take off their shoes to avoid tactile
stimulation. Play behavior (answer A), social skills (answer C), and the choice of
hobbies (answer D) could be affected secondarily, as a result of intolerance to
certain textures or human touch. Knowledge of the child's dressing habits will give
the OT key information at the start of the evaluation process.
An OT is working with an individual with schizophrenia who is in the process of
preparing to move from a state hospital to a group home. During a baking group,
the client becomes agitated and leaves the room when another client uses the
electric hand mixer to mix the cake batter, and again when two clients begin to
argue loudly about which type of icing to use. How would the OT BEST describe
the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior, characterized
, by a low threshold to stimuli perceived as noxious, followed by an active response
such as leaving the room. Individuals with sensory avoiding behavior may
"become distressed in situations in which they cannot control the environment" and
"do well in low stimulus situation or settings that others find dull". An individual
with low registration (answer A), sensory seeking behavior (answer C), or a
hearing impairment (answer D) would not have difficult with the auditory
stimulation caused by the roar of the mixer or loud voices.
During a self-care evaluation of an individual who recently sustained a brain
injury, the OT instructs the individual to comb his hair immediately after he
washes his face. The individual washes his face quickly, but then the therapist must
give him several reminders to comb his hair. The OT is MOST likely to identify
this as a deficit in what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
A. Working memory
"Working memory is the temporary storage of information while one is working
with it or attending to it. It includes the ability to recall information immediately
after exposure. It allows one to focus conscious attention and keeps track of
information as one is performing an activity". This individual's inability to comb is
hair without reminders suggests a deficit in working memory (answer A).
Judgment (answer B), the ability to make realistic and safe decisions based on
available environmental information, would not be needed for this task. Because
the person performed the first request, hearing (answer C) would seem to be intact.
Abstraction (answer D) is the ability to extrapolate information from an idea to
generalize to another situation and would not be needed to follow this direction.
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?
ANSWERS LATEST 2026
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.
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
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.
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
B Ask the individual how he spent New Year's
"Declarative memory is one aspect of long term memory and includes conscious
memory for events, knowledge or facts". It is commonly assessed through verbal
interviews and informal testing such as asking a question about an individual's
recall of personal events (answer B). Working memory refers to "the temporary
storage of inforamtion while one is working with it or attending to it" (answer A).
"Prospective memory involves the ability to remember intentions or activities that
will be required in the future" (answer D). Knowing the date, place, and time is
indicative of orientation (answer C).
A child avoids playground equipment that requires her feet to be off the ground.
What does this behavior MOST likely indicate?
A. Difficulty modulating proprioception.
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficit.
C. Gravitational insecurity.
Gravitational insecurity is described as "fear response to movement". The child
easily experiences a fear of falling and prefers to keep her feet firmly on the
ground. Tactile defensiveness (answer A) is a term used to describe discomfort
with various textures and with unexpected touch. Somatodyspraxia (answer B) has
is "foundation in somatosensory (e.g. primarily tactile but also proprioceptive)
,discrimination deficits, which interfere with the development of body scheme and
awareness". Bilateral integration and sequencing deficits are related to "poor
vestibular-propioceptive discrimination, which interferes with the ability to
coordinate, sequence, and execute motor actions quickly and efficiently".
When the OT suspects tactile defensiveness as a rationale for a child's challenges,
in what area of participation should the OT focus on FIRST?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests
B. Dressing habits
Children with tactile defensiveness are "bothered by tactile aspects of daily living
activities.... specific types of clothing.... specific textures materials". The child may
be bothered by certain textures or avoid wearing turtlenecks, socks, or shoes.
Conversely, some children may never take off their shoes to avoid tactile
stimulation. Play behavior (answer A), social skills (answer C), and the choice of
hobbies (answer D) could be affected secondarily, as a result of intolerance to
certain textures or human touch. Knowledge of the child's dressing habits will give
the OT key information at the start of the evaluation process.
An OT is working with an individual with schizophrenia who is in the process of
preparing to move from a state hospital to a group home. During a baking group,
the client becomes agitated and leaves the room when another client uses the
electric hand mixer to mix the cake batter, and again when two clients begin to
argue loudly about which type of icing to use. How would the OT BEST describe
the behavior?
A. Low registration
B. Sensory avoiding
C. Sensation seeking
D. A hearing impairment
B. Sensory avoiding
The individual's actions are indicative of sensor avoiding behavior, characterized
, by a low threshold to stimuli perceived as noxious, followed by an active response
such as leaving the room. Individuals with sensory avoiding behavior may
"become distressed in situations in which they cannot control the environment" and
"do well in low stimulus situation or settings that others find dull". An individual
with low registration (answer A), sensory seeking behavior (answer C), or a
hearing impairment (answer D) would not have difficult with the auditory
stimulation caused by the roar of the mixer or loud voices.
During a self-care evaluation of an individual who recently sustained a brain
injury, the OT instructs the individual to comb his hair immediately after he
washes his face. The individual washes his face quickly, but then the therapist must
give him several reminders to comb his hair. The OT is MOST likely to identify
this as a deficit in what area?
A. Working memory
B. Judgment
C. Hearing
D. Abstraction
A. Working memory
"Working memory is the temporary storage of information while one is working
with it or attending to it. It includes the ability to recall information immediately
after exposure. It allows one to focus conscious attention and keeps track of
information as one is performing an activity". This individual's inability to comb is
hair without reminders suggests a deficit in working memory (answer A).
Judgment (answer B), the ability to make realistic and safe decisions based on
available environmental information, would not be needed for this task. Because
the person performed the first request, hearing (answer C) would seem to be intact.
Abstraction (answer D) is the ability to extrapolate information from an idea to
generalize to another situation and would not be needed to follow this direction.
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?
