NBCOT OTR Exam Prep Test Bank
NBCOT OTR EXAM PREP TEST BANK NEWEST 2026/2027
ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
An OTR is working with an elderly client in her home who was recently discharged
from the hospital. She lives alone and is able to ambulate in her house with a
walker. Which of the following environmental adaptations will MOST improve the
safety of the client when preparing meals at home?
A. using a walker tray to transport items
B. attach non-skid mats by the sink
C. place items on the top shelf of the pantry
D. use lightweight pots and pans - Correct Answer-A. using a walker tray to
transport items
Electrical modalities are CONTRAINDICATED in which of the following treatment
goals?
A. promote muscle lengthening after tenolysis
B. reduced recovery after nerve injury repair
C. increase strength after pacemaker placement
D. provide distraction for pain control in complex regional pain syndrome - Correct
Answer-C. increase strength after pacemaker placement
1|Page
, NBCOT OTR Exam Prep Test Bank
An OTR plans interventions for a client in the recovery phase of Guillain-Barre
syndrome. Which intervention approach is MOST effective to promote re-
engagement in occupations?
A. activity tolerance training
B. strength-training program
C. communication devices
D. role and task modification - Correct Answer-D. role and task modification
The client is a 30-year-old nurse's aid who sustained a glenoid labrum tear while
transferring a resident out of bed. She was referred to occupational therapy after
undergoing shoulder surgery. The goal of her therapy program is to prepare her to
return to work at the nursing home. In order to address her shoulder range of
motion and strength, the OTR asked her to practice transferring a person using a
mechanical lift since this will be one of the activities involved in her job when she
returns to work. The OTR is providing what type of rehabilitation program?
A. work conditioning
B. on-site prevention program
C. work hardening
D. functional capacity evaluation - Correct Answer-C. work hardening
A 58-year-old mother was admitted to a skilled nursing facility to continue
rehabilitation following a right internal carotid artery stroke. The client's
occupational therapy notes from the hospital indicate that ideational apraxia is
present. What behavior is the OTR MOST likely to observe in this client during an
activity of daily living (ADL) assessment at the skilled nursing facility?
A. the client will not be able to understand verbal instruction to don a shirt
B. the client will have difficulty monitoring the quality of performance
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, NBCOT OTR Exam Prep Test Bank
C. the client will not know what to do with the shirt when it is presented
D. the client will not be able to put the left arm in the sleeve of the shirt - Correct
Answer-C. the client will not know what to do with the shirt when it is presented
A client with a 3-year history of back pain presents to occupational therapy for
intervention. Which strategy is MOST effective for the OTR to recommend the
client to use during occupational engagement?
A. bend forward at hips when reaching in drawers
B. bend forward while donning and doffing socks
C. squat with knees apart to pick items off floor - Correct Answer-C. squat with
knees apart to pick items off floor
An OTR is working with a 3-year-old boy with developmental delays. He appears to
have hypotonia and difficulty manipulating small objects during play. Which
activity is MOST EFFECTIVE to increase fine motor and object manipulation
performance in this child?
A. picking up beans repetitively and dropping them in a cup
B. building an airport with blocks, roads, and planes from Legos
C. doing the wheelbarrow and walking from one room to another - Correct
Answer-B. building an airport with blocks, roads, and planes from Legos
A client with rheumatoid arthritis is practicing meal preparation in an outpatient
OT clinic. The client complains of pain in the hands with meal preparation. Which
action is MOST appropriate for the OT to address?
A. use of built-up handles for stirring
B. use of heavy bowls to prevent sliding
3|Page
, NBCOT OTR Exam Prep Test Bank
C. use on thin-handled knives for chopping
D. use of large jars with more quantities - Correct Answer-A. use of built-up
handles for stirring
An OTR is working with an adult with a substance abuse disorder in a community-
based setting. The client has maintained sobriety for 1 year; however, the
evaluation results indicate that the client has inadequate adaptive skills, poor
hygiene, and low self-esteem. What INITIAL goal is MOST BENEFICIAL to include in
the intervention plan to improve occupational performance and participation?
A. provide education and coping skills to prevent any relapses
B. increase engagement in social and leisure activities with friends
C. acquisition of basic life skills for greater independence - Correct Answer-C.
acquisition of basic life skills for greater independence
An OTR is planning group programming in an acute care psychiatric setting for
individuals with severe mental illnesses who display disorganized thinking and
difficulty functioning in many occupation areas. What type of group is MOST
APPROPRIATE for this population?
A. activity group
B. psychoeducational group
C. neurodevelopmental group
D. directive group - Correct Answer-D. directive group
A client attends a group intervention program to address substance abuse. The
client is aware that the number of therapy sessions are limited. Which is the
MOST BENEFICIAL assessment for the OTR to conduct with this client based on the
limited number of sessions?
4|Page
NBCOT OTR EXAM PREP TEST BANK NEWEST 2026/2027
ACTUAL EXAM COMPLETE 600 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
An OTR is working with an elderly client in her home who was recently discharged
from the hospital. She lives alone and is able to ambulate in her house with a
walker. Which of the following environmental adaptations will MOST improve the
safety of the client when preparing meals at home?
A. using a walker tray to transport items
B. attach non-skid mats by the sink
C. place items on the top shelf of the pantry
D. use lightweight pots and pans - Correct Answer-A. using a walker tray to
transport items
Electrical modalities are CONTRAINDICATED in which of the following treatment
goals?
A. promote muscle lengthening after tenolysis
B. reduced recovery after nerve injury repair
C. increase strength after pacemaker placement
D. provide distraction for pain control in complex regional pain syndrome - Correct
Answer-C. increase strength after pacemaker placement
1|Page
, NBCOT OTR Exam Prep Test Bank
An OTR plans interventions for a client in the recovery phase of Guillain-Barre
syndrome. Which intervention approach is MOST effective to promote re-
engagement in occupations?
A. activity tolerance training
B. strength-training program
C. communication devices
D. role and task modification - Correct Answer-D. role and task modification
The client is a 30-year-old nurse's aid who sustained a glenoid labrum tear while
transferring a resident out of bed. She was referred to occupational therapy after
undergoing shoulder surgery. The goal of her therapy program is to prepare her to
return to work at the nursing home. In order to address her shoulder range of
motion and strength, the OTR asked her to practice transferring a person using a
mechanical lift since this will be one of the activities involved in her job when she
returns to work. The OTR is providing what type of rehabilitation program?
A. work conditioning
B. on-site prevention program
C. work hardening
D. functional capacity evaluation - Correct Answer-C. work hardening
A 58-year-old mother was admitted to a skilled nursing facility to continue
rehabilitation following a right internal carotid artery stroke. The client's
occupational therapy notes from the hospital indicate that ideational apraxia is
present. What behavior is the OTR MOST likely to observe in this client during an
activity of daily living (ADL) assessment at the skilled nursing facility?
A. the client will not be able to understand verbal instruction to don a shirt
B. the client will have difficulty monitoring the quality of performance
2|Page
, NBCOT OTR Exam Prep Test Bank
C. the client will not know what to do with the shirt when it is presented
D. the client will not be able to put the left arm in the sleeve of the shirt - Correct
Answer-C. the client will not know what to do with the shirt when it is presented
A client with a 3-year history of back pain presents to occupational therapy for
intervention. Which strategy is MOST effective for the OTR to recommend the
client to use during occupational engagement?
A. bend forward at hips when reaching in drawers
B. bend forward while donning and doffing socks
C. squat with knees apart to pick items off floor - Correct Answer-C. squat with
knees apart to pick items off floor
An OTR is working with a 3-year-old boy with developmental delays. He appears to
have hypotonia and difficulty manipulating small objects during play. Which
activity is MOST EFFECTIVE to increase fine motor and object manipulation
performance in this child?
A. picking up beans repetitively and dropping them in a cup
B. building an airport with blocks, roads, and planes from Legos
C. doing the wheelbarrow and walking from one room to another - Correct
Answer-B. building an airport with blocks, roads, and planes from Legos
A client with rheumatoid arthritis is practicing meal preparation in an outpatient
OT clinic. The client complains of pain in the hands with meal preparation. Which
action is MOST appropriate for the OT to address?
A. use of built-up handles for stirring
B. use of heavy bowls to prevent sliding
3|Page
, NBCOT OTR Exam Prep Test Bank
C. use on thin-handled knives for chopping
D. use of large jars with more quantities - Correct Answer-A. use of built-up
handles for stirring
An OTR is working with an adult with a substance abuse disorder in a community-
based setting. The client has maintained sobriety for 1 year; however, the
evaluation results indicate that the client has inadequate adaptive skills, poor
hygiene, and low self-esteem. What INITIAL goal is MOST BENEFICIAL to include in
the intervention plan to improve occupational performance and participation?
A. provide education and coping skills to prevent any relapses
B. increase engagement in social and leisure activities with friends
C. acquisition of basic life skills for greater independence - Correct Answer-C.
acquisition of basic life skills for greater independence
An OTR is planning group programming in an acute care psychiatric setting for
individuals with severe mental illnesses who display disorganized thinking and
difficulty functioning in many occupation areas. What type of group is MOST
APPROPRIATE for this population?
A. activity group
B. psychoeducational group
C. neurodevelopmental group
D. directive group - Correct Answer-D. directive group
A client attends a group intervention program to address substance abuse. The
client is aware that the number of therapy sessions are limited. Which is the
MOST BENEFICIAL assessment for the OTR to conduct with this client based on the
limited number of sessions?
4|Page
