NBCOT Practice Exam Questions and Answers
Latest Updated
Question 1
An OT practitioner is working with an individual in a work program
setting. What is the FIRST step to achieving the program objective of
preventing reinjury?
A. performing a prework screening
B. learning proper body mechanics
C. participating in work hardening
D. engaging in vocational counseling
Correct Answer
B. learning proper body mechanics
Question 2
The mother of a 3-year-old with spastic quadriplegia wants her son to
walk independently around the house. The child is not yet ready to
achieve this goal; however, his mobility would be helpful to the mother
who is finding her child difficult to lift. What is the BEST way to assist in
the development of family-centered intervention?
A. support and work on the parent's goal ass she has stated it
B. suggest an alternate goal of improving sitting balance for playing
C. propose a modified goal that still meets the parent's needs
D. include the child in the goal-setting process
Correct Answer
C. propose a modified goal that still meets the parent's needs
Question 3
An OT performing a motor skills evaluation observes that a child is
awkward at many gross motor tasks. Though able to skip rope forward,
the child is unable to skip rope backward, even after several attempts.
This information would lead the therapist to be particularly observant
Page 1 of 1010
,for which additional signs?
A. Delayed reflex integration
B. Inadequate bilateral coordination
C. Developmental dyspraxia
D. General incoordintion
Correct Answer
C. Developmental dyspraxia
Question 4
A client arrives to exercise group wearing traditional garments that
cover the body from head to toe, restricting movement while
exercising. The OT observes the individual's discomfort and is
concerned about participation, but also wants the client to be
comfortable in an environment that is obviously culturally different for
her. What is the BEST action for the OT to take, demonstrating cultural
competence in this situation?
A. when the opportunity arises, discreetly explain to her that dressing
more appropriately for the group will allow for better participation
B. comment on the beauty of the clothes, asking for affirmation from
the rest of the group
C. gently suggest that next time the client wear loose-fitting clothing
that will be comfortable to exercise in
D. ask the individual if there are cultural guidelines for how to dress for
exercise group
Correct Answer
D. ask the individual if there are cultural guidelines for how to dress for
exercise group
Question 5
Which of the following actions should the OT practitioner instruct a
patient to perform FIRST when initiating a safe wheelchair transfer??
A. Have the patient scoot forward to the front of the seat
B. Position foot plates in the up position
Page 2 of 1010
,C. Swing away the leg rests
D. Lock the brakes
Correct Answer
D. Lock the brakes
Question 6
An OT is treating a child with autism spectrum disorder. To maximize
the child's benefit from intervention using Ayres Sensory Integration,
what does the therapist need to ensure?
A. Sensory strategies re provided to enable child to process
proprioception and tactile stimuli
B. Only one option for activity is available at a time. to encourage
focus
C. Active participation and self-direction in activities matched to
identified needs
D. Highly structured session, facilitating step by step learning
Correct Answer
C. Active participation and self-direction in activities matched to
identified needs
Question 7
During a task group, an individual diagnosed with borderline
personality disorder tells one group member that their project "looks
like it was made by a little kid" and tells another group member that
their project "looks stupid" and tosses the project across the room.
Which is the BEST approach for the OT to take with the person who is
displaying this behavior?
A. ban the individual from group activities until her behavior improves
B. tell the individual how disappointed you are in her behavior
C. work with the individual on appropriate communication skills
D. ask the individual how she thinks the other group members felt
when she did that
Correct Answer
Page 3 of 1010
, C. work with the individual on appropriate communication skills
Question 8
An individual is about to be discharged from outpatient OT after
rehabilitation for a hand injury. The individual has not been able to
work for 3 months and is unable to perform all of the job requirements
as a truck driver. Which of the following should the OT practitioner
recommend at discharge?
A. A home exercise program
B. Home health OT
C. Work hardening
D. No further OT services
Correct Answer
C. Work hardening
Question 9
During an infant's OT session, the mother reports she has observed
that her baby has difficulty with swallowing and frequently chokes. To
reduce the risk of aspiration and facilitate swallowing the OT should
keep the head in what position?
A. neutral position
B. slightly flexed
C. slightly extended
D. rotated toward the feeder
Correct Answer
B. slightly flexed
Question 10
Individuals in a mental health clubhouse program are participating in a
social skills training group focused on learning skills for meeting
someone for the first time. The participants have completed the step in
which they performed the role-play as it most recently occurred,
without trying to use the most effective social skills. What is the NEXT
Page 4 of 1010
Latest Updated
Question 1
An OT practitioner is working with an individual in a work program
setting. What is the FIRST step to achieving the program objective of
preventing reinjury?
A. performing a prework screening
B. learning proper body mechanics
C. participating in work hardening
D. engaging in vocational counseling
Correct Answer
B. learning proper body mechanics
Question 2
The mother of a 3-year-old with spastic quadriplegia wants her son to
walk independently around the house. The child is not yet ready to
achieve this goal; however, his mobility would be helpful to the mother
who is finding her child difficult to lift. What is the BEST way to assist in
the development of family-centered intervention?
A. support and work on the parent's goal ass she has stated it
B. suggest an alternate goal of improving sitting balance for playing
C. propose a modified goal that still meets the parent's needs
D. include the child in the goal-setting process
Correct Answer
C. propose a modified goal that still meets the parent's needs
Question 3
An OT performing a motor skills evaluation observes that a child is
awkward at many gross motor tasks. Though able to skip rope forward,
the child is unable to skip rope backward, even after several attempts.
This information would lead the therapist to be particularly observant
Page 1 of 1010
,for which additional signs?
A. Delayed reflex integration
B. Inadequate bilateral coordination
C. Developmental dyspraxia
D. General incoordintion
Correct Answer
C. Developmental dyspraxia
Question 4
A client arrives to exercise group wearing traditional garments that
cover the body from head to toe, restricting movement while
exercising. The OT observes the individual's discomfort and is
concerned about participation, but also wants the client to be
comfortable in an environment that is obviously culturally different for
her. What is the BEST action for the OT to take, demonstrating cultural
competence in this situation?
A. when the opportunity arises, discreetly explain to her that dressing
more appropriately for the group will allow for better participation
B. comment on the beauty of the clothes, asking for affirmation from
the rest of the group
C. gently suggest that next time the client wear loose-fitting clothing
that will be comfortable to exercise in
D. ask the individual if there are cultural guidelines for how to dress for
exercise group
Correct Answer
D. ask the individual if there are cultural guidelines for how to dress for
exercise group
Question 5
Which of the following actions should the OT practitioner instruct a
patient to perform FIRST when initiating a safe wheelchair transfer??
A. Have the patient scoot forward to the front of the seat
B. Position foot plates in the up position
Page 2 of 1010
,C. Swing away the leg rests
D. Lock the brakes
Correct Answer
D. Lock the brakes
Question 6
An OT is treating a child with autism spectrum disorder. To maximize
the child's benefit from intervention using Ayres Sensory Integration,
what does the therapist need to ensure?
A. Sensory strategies re provided to enable child to process
proprioception and tactile stimuli
B. Only one option for activity is available at a time. to encourage
focus
C. Active participation and self-direction in activities matched to
identified needs
D. Highly structured session, facilitating step by step learning
Correct Answer
C. Active participation and self-direction in activities matched to
identified needs
Question 7
During a task group, an individual diagnosed with borderline
personality disorder tells one group member that their project "looks
like it was made by a little kid" and tells another group member that
their project "looks stupid" and tosses the project across the room.
Which is the BEST approach for the OT to take with the person who is
displaying this behavior?
A. ban the individual from group activities until her behavior improves
B. tell the individual how disappointed you are in her behavior
C. work with the individual on appropriate communication skills
D. ask the individual how she thinks the other group members felt
when she did that
Correct Answer
Page 3 of 1010
, C. work with the individual on appropriate communication skills
Question 8
An individual is about to be discharged from outpatient OT after
rehabilitation for a hand injury. The individual has not been able to
work for 3 months and is unable to perform all of the job requirements
as a truck driver. Which of the following should the OT practitioner
recommend at discharge?
A. A home exercise program
B. Home health OT
C. Work hardening
D. No further OT services
Correct Answer
C. Work hardening
Question 9
During an infant's OT session, the mother reports she has observed
that her baby has difficulty with swallowing and frequently chokes. To
reduce the risk of aspiration and facilitate swallowing the OT should
keep the head in what position?
A. neutral position
B. slightly flexed
C. slightly extended
D. rotated toward the feeder
Correct Answer
B. slightly flexed
Question 10
Individuals in a mental health clubhouse program are participating in a
social skills training group focused on learning skills for meeting
someone for the first time. The participants have completed the step in
which they performed the role-play as it most recently occurred,
without trying to use the most effective social skills. What is the NEXT
Page 4 of 1010
