NBCOT AND OTKE PRACTICE EXAM PREP LATEST
2025/2026 ACTUAL EXAM COMPLETE 150 QUESTIONS
AND CORRECT ANSWERS GRADED A+ GUARANTEED PASS-
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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 - Correct Answer-b. Glaucoma
An OT is working with an 88-year-old female client who was admitted to a SNF s/p
R THA. During the evaluation, you ask the client what her goals are for therapy
and she replies with: "I want to get stronger so I can go back home and be able to
take care of myself." Which of the following statements is TRUE that the OT should
keep in mind when designing her client-centered goals and exercise program?
Select one:
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a. The exercise program should consist of strength training at 70-80% of the
client's one-rep max in order to see improved strength with predictable results.
b. The exercise program should focus more on cardio rather than strength training
c. Elders ages 80 and above should not participate in any kind of strength training
because they are frail and it is unsafe for their health.
d. Improvements in strength does not correlate with improving ability to complete
functional tasks. - Correct Answer-a. The exercise program should consist of
strength training at 70-80% of the client's one-rep max in order to see improved
strength with predictable results.
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 - Correct Answer-c. Presbycusis
An OT who is working in a pediatric clinic is completing an evaluation on a new 5-
year-old client. The OT needs an assessment that will detect the client's functional
deficits, determine developmental level and assess capabilities. Which overall
development assessment is most appropriate for the OT to use?
Select one:
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a. Hayley Scales of Infant Development (BSID-III)
b. Pediatric Evaluation of Disabilities Inventory (PEDI)
c. Miller Assessment for Preschoolers (MAP)
d. Denver Developmental Screening Test II - Correct Answer-b. Pediatric Evaluation
of Disabilities Inventory (PEDI)
An OT receives a home health referral for a 78-year-old male client with general
weakness. During the evaluation, the OT notices that the client is dehydrated,
malnourished, has poor personal hygiene, and is living in unsafe conditions. The
OT suspects that this is a case of elderly abuse. Given these signs and symptoms,
what form of elderly abuse is suspected?
Select one:
a. Physical abuse
b. Sexual abuse
c. Psychological abuse
d. Neglect - Correct Answer-d. Neglect
An occupational therapist is working with a client who had a LE amputation.
Which of the following treatment is NOT considered an appropriate treatment?
Select one:
a. Transfer training using standing pivot
b. Desensitization
c. Wrapping the residual limb to decrease swelling
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d. Strengthening exercises on the residual limb - Correct Answer-d. Strengthening
exercises on the residual limb
An OT is evaluating a client who is complaining of severe pain, edema and
temperature changes in their L UE after a fall. Upon evaluating the clients' arm,
you also notice discoloration and tropic changes. What UE injury do you suspect
the client to have?
Select one:
a. Complex Regional Pain Syndrome (CRPS)
b. Carpal Tunnel Syndrome (CTS)
c. Skier's Thumb
d. Dupurytren's Disease - Correct Answer-a. Complex Regional Pain Syndrome
(CRPS)
An occupational therapist is seeing a new patient for evaluation. Upon reviewing
medical records, the OT reads that the patient fell in her home and now has a
Smith's fracture. What should the OT expect to see?
Select one:
a. Fracture of the distal radius with volar displacement
b. Fracture of the distal ulna
c. Fracture of the distal radius with dorsal displacement
d. Fracture of the 5th metacarpal - Correct Answer-a. Fracture of the distal radius
with volar displacement
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