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NBCOT PRACTICE EXAM 1|WELL
REVISED ASSESSMENT EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
2026
The OT is working with the parents of a 4-year-old boy who demonstrates a
strong tonic bite reflex when eating. What type of utensils will the OT MOST likely
recommend to the child's parents?
A. weighted universal grips
B. curved utensils
C. swivel utensils
D. rubber-coated spoons - correct-answer -D. rubber-coated spoons
Participants from a partial hospitalization program are taking a outing into the
community. One program member complains of shortness of breath. The OT
practitioner determines the individual's resting heart rate is 128 bpm, and blood
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pressure is 230/180 mm Hg. What is the MOST appropriate action for the OT to
take?
A. continue the community re-entry outing watching to see if additional
symptoms emerge
B. immediately return the rest of the clients to the day program
C. help the patient lie down and wait until his vital signs return to normal
D. activate the emergency response by calling 911 - correct-answer -D. activate
the emergency response by calling 911
Which of the following activities would BEST represent an expected outcome for
an individual who completes an energy-conservation program?
A. getting dressed without becoming fatigued
B. lifting heavy cookware without pain
C. doing handicrafts without damaging his or her joints
D. dusting and vacuuming more quickly - correct-answer -A. getting dressed
without becoming fatigued
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An OT is working with an individual who is s/p RUE shoulder replacement. The
client is right-hand dominant and an avid woodworker. Currently, limited RUE
ROM prevents participation in woodworking, which requires at least 120 degrees
of shoulder flexion. The OT and the patient collaboratively develop a plan that
incorporates woodworking to increase RUE ROM. After establishing the "just right
challenge" at 40 degree of shoulder flexion for sanding the pieces of a wood
project, how should the OT progress the patient in order to achieve his goal?
A. progress him to the use of power tools
B. apply increasingly heavier wrist weights during sanding and staining activities
C. provide him with tasks that require bilateral coordination
D. involve him in sanding and staining increasingly larger pieces - correct-answer -
D. involve him in sanding and staining increasingly larger pieces
The OT has been working with a group of individuals with co-occurring mental
illness and substance abuse in a clubhouse model for several months. The group is
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functioning at a mature level. Which is the BEST way for the OT to be involved in
this group?
A. functioning as a peer in the group
B. functioning as a group leader
C. function as group advisor
D. functioning as group facilitator - correct-answer -A. functioning as a peer in the
group
A man with arthritis in his hands i attending outpatient OT to learn joint
protection techniques. He wants to continue his hobby of needlepoint, which he
does every day during his train commute to and from work. What advice should
the OT give him regarding his hobby?
A. provide him with needlepoint designs that have a low level of complexity
B. teach him to take breaks frequently when doing needlepoint and to respect
pain
NBCOT PRACTICE EXAM 1|WELL
REVISED ASSESSMENT EXAM
QUESTIONS WITH VERIFIED SOLUTIONS
2026
The OT is working with the parents of a 4-year-old boy who demonstrates a
strong tonic bite reflex when eating. What type of utensils will the OT MOST likely
recommend to the child's parents?
A. weighted universal grips
B. curved utensils
C. swivel utensils
D. rubber-coated spoons - correct-answer -D. rubber-coated spoons
Participants from a partial hospitalization program are taking a outing into the
community. One program member complains of shortness of breath. The OT
practitioner determines the individual's resting heart rate is 128 bpm, and blood
,2|Page
pressure is 230/180 mm Hg. What is the MOST appropriate action for the OT to
take?
A. continue the community re-entry outing watching to see if additional
symptoms emerge
B. immediately return the rest of the clients to the day program
C. help the patient lie down and wait until his vital signs return to normal
D. activate the emergency response by calling 911 - correct-answer -D. activate
the emergency response by calling 911
Which of the following activities would BEST represent an expected outcome for
an individual who completes an energy-conservation program?
A. getting dressed without becoming fatigued
B. lifting heavy cookware without pain
C. doing handicrafts without damaging his or her joints
D. dusting and vacuuming more quickly - correct-answer -A. getting dressed
without becoming fatigued
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An OT is working with an individual who is s/p RUE shoulder replacement. The
client is right-hand dominant and an avid woodworker. Currently, limited RUE
ROM prevents participation in woodworking, which requires at least 120 degrees
of shoulder flexion. The OT and the patient collaboratively develop a plan that
incorporates woodworking to increase RUE ROM. After establishing the "just right
challenge" at 40 degree of shoulder flexion for sanding the pieces of a wood
project, how should the OT progress the patient in order to achieve his goal?
A. progress him to the use of power tools
B. apply increasingly heavier wrist weights during sanding and staining activities
C. provide him with tasks that require bilateral coordination
D. involve him in sanding and staining increasingly larger pieces - correct-answer -
D. involve him in sanding and staining increasingly larger pieces
The OT has been working with a group of individuals with co-occurring mental
illness and substance abuse in a clubhouse model for several months. The group is
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functioning at a mature level. Which is the BEST way for the OT to be involved in
this group?
A. functioning as a peer in the group
B. functioning as a group leader
C. function as group advisor
D. functioning as group facilitator - correct-answer -A. functioning as a peer in the
group
A man with arthritis in his hands i attending outpatient OT to learn joint
protection techniques. He wants to continue his hobby of needlepoint, which he
does every day during his train commute to and from work. What advice should
the OT give him regarding his hobby?
A. provide him with needlepoint designs that have a low level of complexity
B. teach him to take breaks frequently when doing needlepoint and to respect
pain
