Exam Practice Questions And Correct
Answers (Verified Answers) Plus Rationales
2025|2026 Q&A | Instant Download Pdf
1. A patient recovering from a stroke demonstrates difficulty using their
affected hand. What is the most appropriate initial intervention?
Task-oriented activities and strengthening exercises for the affected
hand
Rationale: Early task-specific exercises and strengthening help
promote neuroplasticity and functional recovery in post-stroke
patients.
2. An OT is working with a child with autism who has sensory processing
difficulties. Which strategy is most effective?
Implement a sensory diet tailored to the child’s needs
Rationale: A sensory diet provides structured sensory input throughout
, the day to improve regulation and attention in children with sensory
processing disorders.
3. A patient with rheumatoid arthritis reports pain in multiple joints
during activity. What is the OT’s best approach?
Instruct joint protection techniques and energy conservation
strategies
Rationale: Joint protection and energy conservation reduce pain and
prevent further joint damage in RA patients.
4. Which adaptive equipment is most appropriate for a patient with
limited grip strength?
Universal cuff or built-up handle utensils
Rationale: These devices improve independence in self-care tasks
without requiring strong pinch or grip strength.
5. A patient demonstrates difficulty sequencing steps to complete
dressing. Which approach should the OT use?
Task analysis and breaking activities into smaller, manageable steps
Rationale: Breaking tasks into smaller steps helps patients with
cognitive or executive function deficits successfully complete complex
ADLs.
6. An OT treats a patient post-hip replacement. Which precaution is most
critical during early rehabilitation?
Avoid hip flexion past 90 degrees and crossing legs
, Rationale: Adhering to hip precautions prevents dislocation and
promotes safe recovery.
7. A patient with multiple sclerosis experiences fatigue during daily
activities. Which OT intervention is most appropriate?
Energy conservation techniques and activity modification
Rationale: Educating patients on pacing, prioritizing tasks, and
modifying activities helps manage fatigue in MS.
8. A patient presents with unilateral neglect after a right CVA. What
strategy should the OT implement?
Use visual scanning and cueing strategies toward the neglected side
Rationale: Visual scanning helps patients compensate for neglect and
improve safety during functional tasks.
9. A child with developmental coordination disorder struggles with
handwriting. Which intervention is best?
Handwriting without Tears program focusing on motor planning and
fine motor skills
Rationale: Structured programs targeting fine motor skills and motor
planning improve handwriting in children with DCD.
10. An OT is evaluating a patient’s ability to perform activities of
daily living. Which tool is most appropriate?
Barthel Index
Rationale: The Barthel Index is a validated tool for assessing
independence in ADLs.
, 11. During an OT session, a patient becomes agitated and non-
compliant. What is the best immediate response?
Pause the activity and use calming strategies to de-escalate
Rationale: Ensuring safety and addressing agitation before continuing
therapy promotes patient cooperation and prevents harm.
12. Which position is safest for a patient with severe COPD during
an OT session?
Upright or semi-Fowler position
Rationale: Upright positions improve diaphragmatic breathing and
oxygenation in patients with respiratory compromise.
13. A patient with Parkinson’s disease has difficulty initiating
movement. Which OT technique is most helpful?
Use external cues, such as rhythmic auditory cues or visual markers
Rationale: External cues help bypass basal ganglia deficits and
facilitate motor initiation.
14. An OT is designing a home exercise program for a patient with a
recent shoulder rotator cuff repair. Which principle should guide
exercise selection?
Follow the surgeon’s protocol, emphasizing gradual progression and
range-of-motion limitations
Rationale: Adhering to post-operative protocols ensures healing and
prevents re-injury.