NBCOT Exam Prep Test Bank
NBCOT EXAM PREP TEST BANK NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
Contents
Pediatric Assessment and Intervention ................................................... 2
Pediatrics Mental Health .................................................................... 56
ADULT/GERO Assessment and Intervention ........................................ 108
Adult Mental Health ......................................................................... 142
1|Page
, NBCOT Exam Prep Test Bank
Pediatric Assessment and Intervention
A COTA® is working with a child with sickle cell anemia. Which intervention
strategy would be appropriate when working with this child?
A. Joint protection
B. PROM
C. Pursed-lip breathing
D. Pain management - Correct Answer-D. Pain management
A COTA® is working with a 4-year-old who was recently diagnosed with
Duchenne's muscular dystrophy (DMD). The client's parents are concerned and
want to understand how this condition will progress and affect the child's
participation in daily life. Which statement describes the progression of DMD?
A. The condition progresses slowly, and children often experience difficulty with
muscles around their pelvis and shoulder girdle.
B. The condition progresses so that the facial muscles have decreased mobility;
children eventually have a masklike appearance.
C. The condition usually has an onset before adolescence, and it progresses until
children cannot raise their arms above their heads.
D. The condition progresses quickly, and children often need to use a wheelchair
by age 9. - Correct Answer-D. The condition progresses quickly, and children often
need to use a wheelchair by age 9.
A COTA® is working on the playground with a child who has sensory integration
dysfunction. The COTA® is trying to foster an adaptive response, which is best
described by which statement?
2|Page
, NBCOT Exam Prep Test Bank
A. The behavioral manifestation of optimal sensory organization that results in an
efficient goal-directed action
B. Engagement in rough-and-tumble play and other activities that provide the
child with muscle resistance
C. A reflection on primitive neural functions in children with sensory processing
problems
D. An individualized plan that provides a specific child with optimal sensory
experiences - Correct Answer-A. The behavioral manifestation of optimal sensory
organization that results in an efficient goal-directed action
An OTR® is evaluating a 16-year-old client with attention deficit hyperactivity
disorder who is learning how to set a table for a job at a banquet facility. The
client has trouble remembering proper utensil placement and requires increased
time to complete the task. Which intervention strategy would the OTR
recommend to help the client place the utensils in the correct order?
A. Construct single-step cards with pictures of single utensils and corresponding
steps to follow when setting the table
B. Provide a visual cue card that has a picture of a completed place setting to
follow when setting the table
C. Develop a visual reinforcement chart and put a star or check mark on it for
every table successfully set
D. Set a visual timer to a specified amount of time and require the client to
complete the task in that time - Correct Answer-B. Provide a visual cue card that
has a picture of a completed place setting to follow when setting the table
A 7-year-old child presents with amelia. The OTR® recommends the use of a
myoelectric hand. What type of terminal device would be appropriate?
3|Page
, NBCOT Exam Prep Test Bank
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis - Correct Answer-A. Externally powered prosthesis
A COTA® is working with a child in second grade during handwriting assignments
to remediate the child's pencil grip. Which pencil grips require the most
remediation because they are the least developmentally appropriate for a second
grader? Select the 3 BEST choices.
A. Dynamic tripod grip
B. Lateral tripod grip
C. Palmar grip
D. Quadrupod grip
E. Power grip
F. Supinated grip - Correct Answer-C. Palmar grip
E. Power grip
F. Supinated grip
A COTA® is working with a high school student with juvenile rheumatoid arthritis
(JRA). The COTA®suggests that the student stop using the arms and hands to carry
heavy textbooks to class and instead use a backpack. What type of strategy did
the COTA® recommend?
A. Energy conservation
B. Joint protection
C. Work simplification
4|Page
NBCOT EXAM PREP TEST BANK NEWEST 2026/2027 ACTUAL
EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND
NEW VERSION!!
Contents
Pediatric Assessment and Intervention ................................................... 2
Pediatrics Mental Health .................................................................... 56
ADULT/GERO Assessment and Intervention ........................................ 108
Adult Mental Health ......................................................................... 142
1|Page
, NBCOT Exam Prep Test Bank
Pediatric Assessment and Intervention
A COTA® is working with a child with sickle cell anemia. Which intervention
strategy would be appropriate when working with this child?
A. Joint protection
B. PROM
C. Pursed-lip breathing
D. Pain management - Correct Answer-D. Pain management
A COTA® is working with a 4-year-old who was recently diagnosed with
Duchenne's muscular dystrophy (DMD). The client's parents are concerned and
want to understand how this condition will progress and affect the child's
participation in daily life. Which statement describes the progression of DMD?
A. The condition progresses slowly, and children often experience difficulty with
muscles around their pelvis and shoulder girdle.
B. The condition progresses so that the facial muscles have decreased mobility;
children eventually have a masklike appearance.
C. The condition usually has an onset before adolescence, and it progresses until
children cannot raise their arms above their heads.
D. The condition progresses quickly, and children often need to use a wheelchair
by age 9. - Correct Answer-D. The condition progresses quickly, and children often
need to use a wheelchair by age 9.
A COTA® is working on the playground with a child who has sensory integration
dysfunction. The COTA® is trying to foster an adaptive response, which is best
described by which statement?
2|Page
, NBCOT Exam Prep Test Bank
A. The behavioral manifestation of optimal sensory organization that results in an
efficient goal-directed action
B. Engagement in rough-and-tumble play and other activities that provide the
child with muscle resistance
C. A reflection on primitive neural functions in children with sensory processing
problems
D. An individualized plan that provides a specific child with optimal sensory
experiences - Correct Answer-A. The behavioral manifestation of optimal sensory
organization that results in an efficient goal-directed action
An OTR® is evaluating a 16-year-old client with attention deficit hyperactivity
disorder who is learning how to set a table for a job at a banquet facility. The
client has trouble remembering proper utensil placement and requires increased
time to complete the task. Which intervention strategy would the OTR
recommend to help the client place the utensils in the correct order?
A. Construct single-step cards with pictures of single utensils and corresponding
steps to follow when setting the table
B. Provide a visual cue card that has a picture of a completed place setting to
follow when setting the table
C. Develop a visual reinforcement chart and put a star or check mark on it for
every table successfully set
D. Set a visual timer to a specified amount of time and require the client to
complete the task in that time - Correct Answer-B. Provide a visual cue card that
has a picture of a completed place setting to follow when setting the table
A 7-year-old child presents with amelia. The OTR® recommends the use of a
myoelectric hand. What type of terminal device would be appropriate?
3|Page
, NBCOT Exam Prep Test Bank
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis - Correct Answer-A. Externally powered prosthesis
A COTA® is working with a child in second grade during handwriting assignments
to remediate the child's pencil grip. Which pencil grips require the most
remediation because they are the least developmentally appropriate for a second
grader? Select the 3 BEST choices.
A. Dynamic tripod grip
B. Lateral tripod grip
C. Palmar grip
D. Quadrupod grip
E. Power grip
F. Supinated grip - Correct Answer-C. Palmar grip
E. Power grip
F. Supinated grip
A COTA® is working with a high school student with juvenile rheumatoid arthritis
(JRA). The COTA®suggests that the student stop using the arms and hands to carry
heavy textbooks to class and instead use a backpack. What type of strategy did
the COTA® recommend?
A. Energy conservation
B. Joint protection
C. Work simplification
4|Page
