NBCOT OTR Certification Exam
NBCOT OTR Certification Exam Prep Test Bank
TEST BANK QUESTIONS AND CORRECT
ANSWERS (100% CORRECT ANSWERS) WITH
RATIONALES/ GUARANTEED PASS GRADED A+
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
A+ TEST BANK 1
, NBCOT OTR Certification Exam
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
A+ TEST BANK 2
, NBCOT OTR Certification Exam
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
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.
A+ TEST BANK 3
, NBCOT OTR Certification Exam
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".
As the school team meets to develop the IEP for a third-grade student with autism spectrum disorder,
the OT helps to project longer-term academic and functional performance outcomes for the student
in middle school and high school. What is the MOST significant benefit of this approach for program
planning?
A. Assurance that services will be available for the student in future years
B. Likelihood for optimal progress toward relevant post-high school goals
C. Current services that focus on steps to achieve targeted long-range outcomes
D. Avoidance of unnecessary duplication of services from year to year
C. Current services that focus on steps to achieve targeted long-range outcomes
A+ TEST BANK 4
NBCOT OTR Certification Exam Prep Test Bank
TEST BANK QUESTIONS AND CORRECT
ANSWERS (100% CORRECT ANSWERS) WITH
RATIONALES/ GUARANTEED PASS GRADED A+
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
A+ TEST BANK 1
, NBCOT OTR Certification Exam
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
A+ TEST BANK 2
, NBCOT OTR Certification Exam
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
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.
A+ TEST BANK 3
, NBCOT OTR Certification Exam
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".
As the school team meets to develop the IEP for a third-grade student with autism spectrum disorder,
the OT helps to project longer-term academic and functional performance outcomes for the student
in middle school and high school. What is the MOST significant benefit of this approach for program
planning?
A. Assurance that services will be available for the student in future years
B. Likelihood for optimal progress toward relevant post-high school goals
C. Current services that focus on steps to achieve targeted long-range outcomes
D. Avoidance of unnecessary duplication of services from year to year
C. Current services that focus on steps to achieve targeted long-range outcomes
A+ TEST BANK 4
