NBCOT COTA EXAM QUESTIONS
AND ANSWERS 2026 - 2027
An adult who incurred a traumatic brain injury 3 months ago receives
home care OT services. During meal preparation tasks, the client
ignores items on the left side of the counter. Which is the best
remediation approach for the OTA to use with this client to enhance
performance?
A. Place a brightly colored placemat on the left side of the counter
B. Encourage bilateral activities
C. Place all items on the right side of the counter
D. Practice scanning activities - ANSWERS-Correct Answer: A
Rationale is on page 479
An OTA provides home based occupational therapy. services. An
ambulatory older adult with hemiparesis and presbycusis has recently
moved in with an adult child. The child requests information from the
OTA to help maintain the parent's functional ability in the home.
Which should the OTA recommend?
A. Remove knobs from the stove when the parent is home alone
, B. Speak directly, clearly, and slowly to the parent
C. Add bright color strips to the edge of each stair tread
D. Provide the parent with lists of the sequence of routine tasks. -
ANSWERS-Correct Answer: B
Rationale is on page 478
The parent of two elementary school aged children receives home
care hospice services due to metastasized bone cancer. The client is in
pain and has poor endurance and decreased muscle strength. The
client requires moderate assistance with self care and dressing. Which
is the best intervention for the OTA to incorporate into sessions with
this patient?
A. Training in energy conservation techniques for self care/dressing
B. Training in joint protection techniques for self care/dressing
C. Using biofeedback to reduce the. client's pain
D. Exploring play activities for the parent to do with the children -
ANSWERS-Correct Answer: D
Rationale is on page. 483-484
AND ANSWERS 2026 - 2027
An adult who incurred a traumatic brain injury 3 months ago receives
home care OT services. During meal preparation tasks, the client
ignores items on the left side of the counter. Which is the best
remediation approach for the OTA to use with this client to enhance
performance?
A. Place a brightly colored placemat on the left side of the counter
B. Encourage bilateral activities
C. Place all items on the right side of the counter
D. Practice scanning activities - ANSWERS-Correct Answer: A
Rationale is on page 479
An OTA provides home based occupational therapy. services. An
ambulatory older adult with hemiparesis and presbycusis has recently
moved in with an adult child. The child requests information from the
OTA to help maintain the parent's functional ability in the home.
Which should the OTA recommend?
A. Remove knobs from the stove when the parent is home alone
, B. Speak directly, clearly, and slowly to the parent
C. Add bright color strips to the edge of each stair tread
D. Provide the parent with lists of the sequence of routine tasks. -
ANSWERS-Correct Answer: B
Rationale is on page 478
The parent of two elementary school aged children receives home
care hospice services due to metastasized bone cancer. The client is in
pain and has poor endurance and decreased muscle strength. The
client requires moderate assistance with self care and dressing. Which
is the best intervention for the OTA to incorporate into sessions with
this patient?
A. Training in energy conservation techniques for self care/dressing
B. Training in joint protection techniques for self care/dressing
C. Using biofeedback to reduce the. client's pain
D. Exploring play activities for the parent to do with the children -
ANSWERS-Correct Answer: D
Rationale is on page. 483-484
