COTA Exam questions from
NBCOT 3rd edition with Answers
Updated 2026
AnAOTAAisAaskedAtoAdevelopAaAdischargeAplanningAgroupAforAclientsAbeingAdischargedAwithinAtheAn
extAmonthAfromAaAlongAtermAfacilityAforAadultsAwithAseriousAandApersistentAmetalAillness.AWhichAa
ctionAisAbestAforAtheAOTAAtoAtakeAinitially?
A.AObtainAprospectiveAgroupAmembersAoccupationalAprofileAandApostd/cAgoalsAandAoptions.
B.AIdentifyAcommunityAresourcesAtoAdevelopAaAcommunityAreintegrationAprogramAandAenhanceApost-
d/cAparticipation.
C.ADevelopAaAselfAmedicationAmanagementAteachingAmoduleAtoAincreaseApost-
d/cAmedicationAcompliance.A
D.ACompleteAanAevidenceAbasedAsearchAtoAidentityAbestApracticesAinAcommunityAbasedAmentalAhealt
hAoccupationalAtherapy.A-AAnswerACorrectAAnswerA:AA
RationaleAisAonApageA429
AnAelementaryAschoolAagedAchildAholdsAaApencilAwithAaAtightlyAheldAstaticAtripodAgraspAandAforms
AlettersAatAanAaverageArateAofAspeed.ATheAchildAdemonstratesAtheAabilityAtoAwriteAallAclassAandAh
omeworkAassignments.AWhichAapproachAisAbestAforAtheAOTAAtoArecommendAthisAchildAuseAtoAimpro
veAgrasp?
A.APerformAallAwrittenAworkAwithAaAlargerApencilAandAjumboAcrayonsAonAaAhorizontalAsurface.A
B.ATakeAaAbreakAeveryA15AminsAwhileAwritingAtoAopenAandAcloseAtheAhandAseveralAtimes.
C.APracticeAmovingAcoinsAfromAtheAfingertipsAtoAtheApalmAandAthenAfromAtheApalmAtoAtheAfingertip
s.
D.AWriteAallAwrittenAworkAonAaAverticalAsurface,AsuchAasAanAeaselAorAclassroomAwallAboard.A-
AAnswerACorrectAAnswer:AC
RationaleAisAonApageA435
, AA19AyearAoldAwithAspasticAdiplegiaAandAanAIQAinAtheArangeAofA55-
69AisAgraduatingAfromAaAspecialAeducationAprogram.ATheAstudentAhasAbeenAinvolvedAinAtransitional
AprogrammingAsinceAtheAageAofA14.ATheAOTAAcollaboratesAwithAtheAoccupationalAtherapistAandAtheA
studentAtoAcompleteAaAdischargeAplanAtoAmeetAtheAstudent'sApostAsecondaryAgoals.AWhichAofAtheAfo
llowingAshouldAtheAOTAArecommendAbeAincludedAasAaApostAd/cAreferral?
A.AAAvocationalArehabilitationAworkshop
B.AStateAvocationalArehabilitationAservices
C.AAAcommunityAcollege.
D.AAAtransitionalAemploymentAprogramA-AAnswerACorrectAAnswer:AB
RationaleAisAonApageA437
AAOTAAisAconductingAaAcommunityAtransportationAgroupAwithAindividualsAattendingAaATBIAdayAtreat
mentAprogramAinAanAurbanAarea.AWhichAshouldAtheAgroupAdoAfirst?
A.AReadAaAsubwayAmap
B.ATakeAaAsubwayAasAaAgroup
C.ADetermineAaAdestination
D.APurchaseAaAsubwayAfreeAcardA-AAnswerACorrectAAnswer:AC
RationaleAisAonApageA443
AnAindividualAwithAaAspinalAcordAinjuryAatAtheAlevelAofAT1AisApracticingAaAstandApivotAtransferAin
AtheAOTAdepartmentAofAaArehabilitationAcenter.ATheApatientAcomplainsAofAdizzinessAandAnausea.AWh
ichAactionAisAmostAimportantAforAtheAOTAAtoAtakeAfirst?
A.ACallAforAhelpAaccordingAtoAtheAfacilityAprocedures
B.AReturnAtheApatientAtoAtheAw/cAforAaA5AminArestAbreak
C.AReturnAtheApersonAtoAtheAw/cAandAimmediatelyAreclineAit
NBCOT 3rd edition with Answers
Updated 2026
AnAOTAAisAaskedAtoAdevelopAaAdischargeAplanningAgroupAforAclientsAbeingAdischargedAwithinAtheAn
extAmonthAfromAaAlongAtermAfacilityAforAadultsAwithAseriousAandApersistentAmetalAillness.AWhichAa
ctionAisAbestAforAtheAOTAAtoAtakeAinitially?
A.AObtainAprospectiveAgroupAmembersAoccupationalAprofileAandApostd/cAgoalsAandAoptions.
B.AIdentifyAcommunityAresourcesAtoAdevelopAaAcommunityAreintegrationAprogramAandAenhanceApost-
d/cAparticipation.
C.ADevelopAaAselfAmedicationAmanagementAteachingAmoduleAtoAincreaseApost-
d/cAmedicationAcompliance.A
D.ACompleteAanAevidenceAbasedAsearchAtoAidentityAbestApracticesAinAcommunityAbasedAmentalAhealt
hAoccupationalAtherapy.A-AAnswerACorrectAAnswerA:AA
RationaleAisAonApageA429
AnAelementaryAschoolAagedAchildAholdsAaApencilAwithAaAtightlyAheldAstaticAtripodAgraspAandAforms
AlettersAatAanAaverageArateAofAspeed.ATheAchildAdemonstratesAtheAabilityAtoAwriteAallAclassAandAh
omeworkAassignments.AWhichAapproachAisAbestAforAtheAOTAAtoArecommendAthisAchildAuseAtoAimpro
veAgrasp?
A.APerformAallAwrittenAworkAwithAaAlargerApencilAandAjumboAcrayonsAonAaAhorizontalAsurface.A
B.ATakeAaAbreakAeveryA15AminsAwhileAwritingAtoAopenAandAcloseAtheAhandAseveralAtimes.
C.APracticeAmovingAcoinsAfromAtheAfingertipsAtoAtheApalmAandAthenAfromAtheApalmAtoAtheAfingertip
s.
D.AWriteAallAwrittenAworkAonAaAverticalAsurface,AsuchAasAanAeaselAorAclassroomAwallAboard.A-
AAnswerACorrectAAnswer:AC
RationaleAisAonApageA435
, AA19AyearAoldAwithAspasticAdiplegiaAandAanAIQAinAtheArangeAofA55-
69AisAgraduatingAfromAaAspecialAeducationAprogram.ATheAstudentAhasAbeenAinvolvedAinAtransitional
AprogrammingAsinceAtheAageAofA14.ATheAOTAAcollaboratesAwithAtheAoccupationalAtherapistAandAtheA
studentAtoAcompleteAaAdischargeAplanAtoAmeetAtheAstudent'sApostAsecondaryAgoals.AWhichAofAtheAfo
llowingAshouldAtheAOTAArecommendAbeAincludedAasAaApostAd/cAreferral?
A.AAAvocationalArehabilitationAworkshop
B.AStateAvocationalArehabilitationAservices
C.AAAcommunityAcollege.
D.AAAtransitionalAemploymentAprogramA-AAnswerACorrectAAnswer:AB
RationaleAisAonApageA437
AAOTAAisAconductingAaAcommunityAtransportationAgroupAwithAindividualsAattendingAaATBIAdayAtreat
mentAprogramAinAanAurbanAarea.AWhichAshouldAtheAgroupAdoAfirst?
A.AReadAaAsubwayAmap
B.ATakeAaAsubwayAasAaAgroup
C.ADetermineAaAdestination
D.APurchaseAaAsubwayAfreeAcardA-AAnswerACorrectAAnswer:AC
RationaleAisAonApageA443
AnAindividualAwithAaAspinalAcordAinjuryAatAtheAlevelAofAT1AisApracticingAaAstandApivotAtransferAin
AtheAOTAdepartmentAofAaArehabilitationAcenter.ATheApatientAcomplainsAofAdizzinessAandAnausea.AWh
ichAactionAisAmostAimportantAforAtheAOTAAtoAtakeAfirst?
A.ACallAforAhelpAaccordingAtoAtheAfacilityAprocedures
B.AReturnAtheApatientAtoAtheAw/cAforAaA5AminArestAbreak
C.AReturnAtheApersonAtoAtheAw/cAandAimmediatelyAreclineAit
