NBCOT EXAM QUESTIONS WITH
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||ALREADY A+
GRADED||<<LATEST VERSION>>
An OTR is working with a 2-year-old child with arthrogryposis, a congenital
orthopedic disorder, who has significant limitations in hand function. What is the
BEST intervention to promote play skills in this child?
A. HOH manipulation of a variety of toys
B. Button switch to operate a toy care to move
C. Mother playing peekaboo
D. Finger painting - ANSWER ✓ B
Children with arthrogryposis have multiple contractures in small and large joints.
The shoulders may be internally rotated and drawn inward (adducted), the elbows
are usually extended, and the wrists are usually flexed. In most affected
individuals, the fingers are flexed and stiff. These contractures impair range of
motion which can impact how a child performs everyday occupations such as play.
Adapted equipment and assistive devices (such as a button switch to operate a toy
car) are often used in therapy to promote occupational performance for this
population
An OTR is working on increasing social participation and engagement with a
teenager with a recent diagnosis of a C5 complete spinal cord injury. The teenager
previously used her phone to connect with others via social media and texting. She
is ready to experiment with an adapted app to access her smart phone. Which of
the following would BEST suit the client's needs?
A. Tech Speak
B. iClick
C. Universal remote control
D. Housemate Pro with joystick - ANSWER ✓ D.
A teenager with a recent traumatic injury may be interested in re-engaging in
previous social tasks with peers. Technologies are available to support teenagers
with physical challenges to engage and participate in desired tasks, including smart
,phone access. The Housemate Pro with joystick control would allow the youth to
engage in desired social engagement again.In addition to controlling household
items via an app, this system allows the user to integrate phone use with
adaptation. The app allows the individual to use the wheelchair joystick to control
the phone. The teenager would be able to access desired social media applications
using the joystick and adapted application.
Answer A: Tech Speak is an augmentative communication device that can also
integrate environmental home controls. A client with a C5 spinal cord injury likely
has the ability to speak, as a C5 spinal cord injury does not impact the ability to
speak independently. This device provides augmentative speaking options for
those that have speaking challenges.
Answer B: iClick allows the user to control appliances with a switch or iPad. This
tool could be handy when the client is ready to independently manipulate
appliances in the home.
Answer C: Universal remote control is used to control several media items
including TV, DVD, satellite receivers, etc. The client is seeking to control the
phone, not TV, DVD, or satellite
An OTR has an elementary aged student transitioning to a new manual chair. The
OTR has determined the appropriate chair type and is now determining the
appropriate wheelchair features for the client. The OTR has assessed the child's
functional mobility skills, the frame size of the manual chair, and the desirable
seat-to-floor height. What the BEST wheelchair feature selection that can be
ordered based on these measurements?
A. Backrest cushion
B. seat cushion
C. tilt in space
D. Armrest style - ANSWER ✓ B. Seat cushion
An elementary aged child has recently been discharged to home after open heart
surgery. Following the surgery, the child now requires oxygen to maintain
appropriate oxygen saturations. The child was provided a large tank of oxygen for
the home with a long tube to allow movement about in his bedroom but he cannot
quite get into the bathroom. The child is not able to access the dining room or
living room. The family states that they are able to order smaller tanks but didn't
know why they might need them. What might the OTR recommended during a
home visit to promote increased accessibility to the home environment?
A. Oxygen cylider cart for smaller tanks
B. Longer tubing
,C. Oxygen backpack carrier for smaller tanks
D. Remove oxygen during family time - ANSWER ✓ C.
When evaluating the needs of individuals, the OTR must weigh all options and
determine what best would meet the needs of the family, environment, and
individual. In this case, the child needs an option that best supports independence
and safety. Although several possibilities were proposed, only one would best suit
the child's size, needs, and environment.There are many options for children to
improve mobility and accessibility while on oxygen support. In this case, an
oxygen backpack allows the child to increase independence and access to his
environment. The large tank can be used when the child does not need to be
mobile. The OTR might recommend this option to allow the child to choose a
design that matches the child's personality while also supporting independence in
the home and community
A family is looking for additional seating options in the home for their 6-year-old
daughter with a genetic disorder that impacts muscle control and use. The child
uses a wheelchair for mobility and several adaptive seating options. The family
would like to explore a supportive option for the children's playroom during movie
times or family game time. What would be the BEST option for the OTR to
recommend?
A. Corner chair
B. Therapy bench
C. Rifton Modular Wooden Chair with Pommel
d. Rock'er Pediatric Chill Out Chair - ANSWER ✓ D.
Seating options vary depending on the child's needs. In this case, a cozy seating
alternative can be recommended to the family. The child's mobility and positioning
needs are individually attended to by using this custom relaxation chair.The
Rock'er Pediatric Chill Out Chair is designed to provide an alternative chair option
for individuals who are not in their wheelchair or adaptive seating. The chair
includes a soothing rocking motion that helps calm the individual. The chair is
custom designed for the needs of the user.
Answer A: A corner chair provides external support for children with inadequate
postural control of the neck, head, and trunk and who are inclined to fall sideways
or back if they overstretch.
Answer B: A therapy bench is the best choice for children working on transitioning
from one level to another. It provides the best option for complete use of upper
extremity for play and table-top tasks. Using the therapy bench requires a certain
level of lower extremity and trunk control for use.
, Answer C: A modular chair provides supports and can be adapted to meet the
needs of the individual. This may be a good option for the family; however, it
would not be the best choice given the current needs for the family.
An OTR is working with a family to determine an appropriate chair for a 6-year-
old child with spastic diplegia cerebral palsy. The child has indicated a desire to
begin independent toileting. Presently the child is able to walk with a reverse
walker and can don and doff elastic pants and underpants. Which is the BEST
support to help this child with independent toileting?
A. Special tomato Seat (comfort)
B. Bath Chair
C. Raised toilet seat
D. Plastic Reducer ring - ANSWER ✓ C.
Careful consideration of a client's motor control should be weighed when
evaluating self-care needs. In this case, the client is able to move his lower body
using a walker and is able to independently don and doff lower body clothing
items. However, the client may need support at the trunk when toileting to prevent
tipping. The raised toilet seat would facilitate trunk support during the toileting
task.A raised toilet seat is helpful for those needing additional supports in the
lower extremity. The information above suggests the client has the ability to move
his lower body, but may need increased support (walker). In this case, the client
would benefit from the stability of the raised seat to lower and raise himself from
the toilet independently.
An elementary aged boy with spastic quadriplegia cerebral palsy would like to
expand his leisure activities. He wants to be able to play video games on his tablet.
The OTR is able to position the tablet to an accessible position, but realizes the boy
would benefit from having more assistance with engaging the tablet's screen due to
decreased motor control and precision. What might the OTR recommend?
A. Tech Speak
B. Hook and Switch Interface
C. Big Mack
D. Housemate Pro - ANSWER ✓ B
Tech Speak - ANSWER ✓ Tech Speak is an augmentative communication device
that can also integrate environmental home controls. Tech Speak does not attach to
tablets, so this is not an appropriate choice.
CORRECT SOLUTIONS||100%
GUARANTEED PASS||UPDATED
2026/2027 SYLLABUS||ALREADY A+
GRADED||<<LATEST VERSION>>
An OTR is working with a 2-year-old child with arthrogryposis, a congenital
orthopedic disorder, who has significant limitations in hand function. What is the
BEST intervention to promote play skills in this child?
A. HOH manipulation of a variety of toys
B. Button switch to operate a toy care to move
C. Mother playing peekaboo
D. Finger painting - ANSWER ✓ B
Children with arthrogryposis have multiple contractures in small and large joints.
The shoulders may be internally rotated and drawn inward (adducted), the elbows
are usually extended, and the wrists are usually flexed. In most affected
individuals, the fingers are flexed and stiff. These contractures impair range of
motion which can impact how a child performs everyday occupations such as play.
Adapted equipment and assistive devices (such as a button switch to operate a toy
car) are often used in therapy to promote occupational performance for this
population
An OTR is working on increasing social participation and engagement with a
teenager with a recent diagnosis of a C5 complete spinal cord injury. The teenager
previously used her phone to connect with others via social media and texting. She
is ready to experiment with an adapted app to access her smart phone. Which of
the following would BEST suit the client's needs?
A. Tech Speak
B. iClick
C. Universal remote control
D. Housemate Pro with joystick - ANSWER ✓ D.
A teenager with a recent traumatic injury may be interested in re-engaging in
previous social tasks with peers. Technologies are available to support teenagers
with physical challenges to engage and participate in desired tasks, including smart
,phone access. The Housemate Pro with joystick control would allow the youth to
engage in desired social engagement again.In addition to controlling household
items via an app, this system allows the user to integrate phone use with
adaptation. The app allows the individual to use the wheelchair joystick to control
the phone. The teenager would be able to access desired social media applications
using the joystick and adapted application.
Answer A: Tech Speak is an augmentative communication device that can also
integrate environmental home controls. A client with a C5 spinal cord injury likely
has the ability to speak, as a C5 spinal cord injury does not impact the ability to
speak independently. This device provides augmentative speaking options for
those that have speaking challenges.
Answer B: iClick allows the user to control appliances with a switch or iPad. This
tool could be handy when the client is ready to independently manipulate
appliances in the home.
Answer C: Universal remote control is used to control several media items
including TV, DVD, satellite receivers, etc. The client is seeking to control the
phone, not TV, DVD, or satellite
An OTR has an elementary aged student transitioning to a new manual chair. The
OTR has determined the appropriate chair type and is now determining the
appropriate wheelchair features for the client. The OTR has assessed the child's
functional mobility skills, the frame size of the manual chair, and the desirable
seat-to-floor height. What the BEST wheelchair feature selection that can be
ordered based on these measurements?
A. Backrest cushion
B. seat cushion
C. tilt in space
D. Armrest style - ANSWER ✓ B. Seat cushion
An elementary aged child has recently been discharged to home after open heart
surgery. Following the surgery, the child now requires oxygen to maintain
appropriate oxygen saturations. The child was provided a large tank of oxygen for
the home with a long tube to allow movement about in his bedroom but he cannot
quite get into the bathroom. The child is not able to access the dining room or
living room. The family states that they are able to order smaller tanks but didn't
know why they might need them. What might the OTR recommended during a
home visit to promote increased accessibility to the home environment?
A. Oxygen cylider cart for smaller tanks
B. Longer tubing
,C. Oxygen backpack carrier for smaller tanks
D. Remove oxygen during family time - ANSWER ✓ C.
When evaluating the needs of individuals, the OTR must weigh all options and
determine what best would meet the needs of the family, environment, and
individual. In this case, the child needs an option that best supports independence
and safety. Although several possibilities were proposed, only one would best suit
the child's size, needs, and environment.There are many options for children to
improve mobility and accessibility while on oxygen support. In this case, an
oxygen backpack allows the child to increase independence and access to his
environment. The large tank can be used when the child does not need to be
mobile. The OTR might recommend this option to allow the child to choose a
design that matches the child's personality while also supporting independence in
the home and community
A family is looking for additional seating options in the home for their 6-year-old
daughter with a genetic disorder that impacts muscle control and use. The child
uses a wheelchair for mobility and several adaptive seating options. The family
would like to explore a supportive option for the children's playroom during movie
times or family game time. What would be the BEST option for the OTR to
recommend?
A. Corner chair
B. Therapy bench
C. Rifton Modular Wooden Chair with Pommel
d. Rock'er Pediatric Chill Out Chair - ANSWER ✓ D.
Seating options vary depending on the child's needs. In this case, a cozy seating
alternative can be recommended to the family. The child's mobility and positioning
needs are individually attended to by using this custom relaxation chair.The
Rock'er Pediatric Chill Out Chair is designed to provide an alternative chair option
for individuals who are not in their wheelchair or adaptive seating. The chair
includes a soothing rocking motion that helps calm the individual. The chair is
custom designed for the needs of the user.
Answer A: A corner chair provides external support for children with inadequate
postural control of the neck, head, and trunk and who are inclined to fall sideways
or back if they overstretch.
Answer B: A therapy bench is the best choice for children working on transitioning
from one level to another. It provides the best option for complete use of upper
extremity for play and table-top tasks. Using the therapy bench requires a certain
level of lower extremity and trunk control for use.
, Answer C: A modular chair provides supports and can be adapted to meet the
needs of the individual. This may be a good option for the family; however, it
would not be the best choice given the current needs for the family.
An OTR is working with a family to determine an appropriate chair for a 6-year-
old child with spastic diplegia cerebral palsy. The child has indicated a desire to
begin independent toileting. Presently the child is able to walk with a reverse
walker and can don and doff elastic pants and underpants. Which is the BEST
support to help this child with independent toileting?
A. Special tomato Seat (comfort)
B. Bath Chair
C. Raised toilet seat
D. Plastic Reducer ring - ANSWER ✓ C.
Careful consideration of a client's motor control should be weighed when
evaluating self-care needs. In this case, the client is able to move his lower body
using a walker and is able to independently don and doff lower body clothing
items. However, the client may need support at the trunk when toileting to prevent
tipping. The raised toilet seat would facilitate trunk support during the toileting
task.A raised toilet seat is helpful for those needing additional supports in the
lower extremity. The information above suggests the client has the ability to move
his lower body, but may need increased support (walker). In this case, the client
would benefit from the stability of the raised seat to lower and raise himself from
the toilet independently.
An elementary aged boy with spastic quadriplegia cerebral palsy would like to
expand his leisure activities. He wants to be able to play video games on his tablet.
The OTR is able to position the tablet to an accessible position, but realizes the boy
would benefit from having more assistance with engaging the tablet's screen due to
decreased motor control and precision. What might the OTR recommend?
A. Tech Speak
B. Hook and Switch Interface
C. Big Mack
D. Housemate Pro - ANSWER ✓ B
Tech Speak - ANSWER ✓ Tech Speak is an augmentative communication device
that can also integrate environmental home controls. Tech Speak does not attach to
tablets, so this is not an appropriate choice.
