NBCOT Practice Exam 1
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1. 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.
2. During an initial evaluation, the OT suspects that a child has somatodysprax-
ia. 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"
3. 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.
, NBCOT Practice Exam 1
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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).
4. 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".
5. 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
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D. Leisure interests: B. Dressing habits
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.
6. 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.
7. 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?
, NBCOT Practice Exam 1
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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 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.
8. A supermarket employee with obsessive-compulsive disorder takes an hour
to stock 24 soup cans on the shelf because once he has placed the cans on
the shelf, he removes them and starts over, stating that "all labels were not
lines up exactly in the same direction." Which of the following methods would
MOST effectively evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the job
D. Task evaluation using a "clean" medium such as a puzzle
that is right: A. On-site observation of performance skills
9. An OT has been working with an individual who is recovering from a TBI. A
standard pivot transfer has been successfully demonstrated in the gym. The
MOST appropriate way to assess generalization of this new learning would be
to have the patient perform which activity?
A. Identify potential hazards in the patient's bathrooms that could make
transfers unsafe
B. Select an appropriate tub bench and nonskid mat for the patient's bath-
Study online at https://quizlet.com/_6x8vb7
1. 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.
2. During an initial evaluation, the OT suspects that a child has somatodysprax-
ia. 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"
3. 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.
, NBCOT Practice Exam 1
Study online at https://quizlet.com/_6x8vb7
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).
4. 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".
5. 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
, NBCOT Practice Exam 1
Study online at https://quizlet.com/_6x8vb7
D. Leisure interests: B. Dressing habits
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.
6. 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.
7. 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?
, NBCOT Practice Exam 1
Study online at https://quizlet.com/_6x8vb7
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 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.
8. A supermarket employee with obsessive-compulsive disorder takes an hour
to stock 24 soup cans on the shelf because once he has placed the cans on
the shelf, he removes them and starts over, stating that "all labels were not
lines up exactly in the same direction." Which of the following methods would
MOST effectively evaluate the individual's work performance?
A. On-site observation of performance skills
B. Formal cognitive assessment
C. Verbal interview focusing on the requirements of the job
D. Task evaluation using a "clean" medium such as a puzzle
that is right: A. On-site observation of performance skills
9. An OT has been working with an individual who is recovering from a TBI. A
standard pivot transfer has been successfully demonstrated in the gym. The
MOST appropriate way to assess generalization of this new learning would be
to have the patient perform which activity?
A. Identify potential hazards in the patient's bathrooms that could make
transfers unsafe
B. Select an appropriate tub bench and nonskid mat for the patient's bath-
