NBCOT Practice Questions AND ANSWERS | GRADED A
A 5 year old child who has mild developmental delay is learning to self-dress. Most recently, the
child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From
the dressing tasks listed, which should the child learn to do next based on the typical
development sequence for dressing? Correct Answer: Pulling up a jacket zipper would be the
next dressing skill the child should learn.
An entry level OTR who works in a long-term care facility is screening a resident who has ALS
and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor
Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is
embarrassed about frequently dropping assistive eating devices and having several incidences of
coughing while eating. What care coordination task should the OTR complete FIRST? Correct
Answer: Coordinate with the multi-disciplinary team to identify specific feeding and swallowing
objectives.
An entry level OTR who works in a long-term care facility is screening a resident who has ALS
and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor
Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is
embarrassed about frequently dropping assistive eating devices and having several incidences of
coughing while eating. What symptom is the resident most at risk for experiencing during a
meal? Correct Answer: Variation in voice quality or loss of voice after swallowing, which is a
symptom of dysphagia.
Which factor is MOST IMPORTANT to determine when considering if the resident would
benefit from a mobile arm support? Correct Answer: Amount of upper extremity passive joint
mobility
At a minimum, what information should the OTR document to increase the likelihood of
additional authorized visits? Correct Answer: Functional problem statements indicating the need
for skilled services
How should the OTR respond to the client's concerns about splinting? Correct Answer:
Encourage full participation in daily tasks by collaborating on ways to modify typical daily
activities
Your patient had a CVA several weeks ago. Which task oriented approach would be most
beneficial to include as part of the intervention plan for maximizing the client's physical
abilities? Correct Answer: Constraint-induced movement therapy is a task-oriented approach to
motor acquisition.
For a patient who had a CVA several weeks ago, which type of activity should be included as
part of the INITIAL intervention to REMEDIATE the client's motor impairment? Correct
Answer: Weight bearing through the affected upper extremity prior to an activity
,Which assessment should be included as part of the initial evaluation and can be administered by
the COTA? Correct Answer: COPM
What is contraindicated during phase I of cardiac rehab? Correct Answer: Isometric exercises
can cause a rapid and sudden increase in blood pressure
AOTA Correct Answer: Publishes Standards of Practice for Occupational Therapy and the
Reference Manual of official Documents of the AOTA.
NBCOT Correct Answer: Responsible for issues related to certification and certification renewal
ACOTE Correct Answer: responsible for accreditation of OT education standards in support of
the practice standards set forth by the AOTA
Negligible Correlation Correct Answer: 0 - .2
low correlation Correct Answer: .2 - .4
moderate correlation Correct Answer: .4 - .6
high correlation Correct Answer: .6 - .8
.8 - 1.0 Correct Answer: very high correlation
Constructional Apraxia Correct Answer: have difficulty constructing/assembling objects
A client has Poor minus (2-/5) functional strength of the dominant UE. What is the most
effective method for grading an activity to improve the client's muscular strength? Correct
Answer: Increasing the amount of time an isometric contraction is held
What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a
right CVA several days ago? Correct Answer: To observe the patient's oral motor control and
determine a need for further evaluation. A screening is not used for diagnostics or treatment
planning - it allows the OTR to quickly detect the presence of a deficit and determine if an in-
depth evaluation is needed.
An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho
Level VII. What charcteristic of an individual's cognitive behavioral function is typically
included in the description of this level? Correct Answer: Consistent orientation to time and
space. Patients at this level frequently display robot-like behaviors and require minimal
assistance for routine ADL.
Cognitive Behavioral Therapy Correct Answer: The individual can change their behavior by
first challenging their negative assumptions (cognitions) relating to trigger events.
, If a client presents with a boutonniere type deformity, what is the most likely cause? Correct
Answer: Rupture or lengthening of the central slip of the EDC
Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips of the EDC
may result in... Correct Answer: swan neck deformity
An OTR who receives a referral for a 5 yr old with PDD should first gather background
information on the child by: Correct Answer: discussing the child's history with the caregiver to
identify the child's present level of performance in different occupational roles
When considering the readiness of a client for a power wheelchair, the OTR should primarily be
concerned with Correct Answer: Cognitive ability, to ensure that the individual has the
awareness, problem solving, and decision making capabilities to learn how to consistently and
safely operate the chair
agoraphobia Correct Answer: a morbid fear of open spaces (as fear of being caught alone in
some public place)
During an OT session at an outpatient facility, the client states that being injured has caused
considerable stress at home. The client often feels frustrated and angry and reports a concern for
having to physically discipline her children. The FIRST action that the OTR should take is to:
Correct Answer: further explore the situation since the child may be at risk. Gathering specific
information about the client's comment is critical due to the seriousness of the accusation.
Therapists are required by law to report any situation where abuse is suspected. Documentation
occurs after all information is obtained from the individual. More information is needed before
any action is taken.
According to SI frame of reference, tx is most effective when: Correct Answer: a child directs
his or her actions within an environment structured by an OTR that provides the just-right
challenge. The child's skills and abilities are facilitated in an environment where the child is
directing their participation in activities
An individual who is referred to OT to increase socialization and develop leisure skills sits alone,
despite the active involvement of the other group members. To increase the individual's
involvement in the group, the OTR's MOST APPROPRIATE FIRST action would be to Correct
Answer: review the goals and purpose of the group with the individual. In order for the
individual to become involved in a group process, the group norms and expectations must first be
explained to the client.
The BEST position in which to feed an 8-month old with severe hypotonia is Correct Answer:
semireclined with the neck in neutral and head at midline. This will promote correct alignment of
body parts during feeding and requires minimal active muscular control
An individual has difficulty conceptualizing and organizing future events, and is experiencing
decreased feelings of competence. The BEST treatment intervention is to have the individual:
A 5 year old child who has mild developmental delay is learning to self-dress. Most recently, the
child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From
the dressing tasks listed, which should the child learn to do next based on the typical
development sequence for dressing? Correct Answer: Pulling up a jacket zipper would be the
next dressing skill the child should learn.
An entry level OTR who works in a long-term care facility is screening a resident who has ALS
and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor
Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is
embarrassed about frequently dropping assistive eating devices and having several incidences of
coughing while eating. What care coordination task should the OTR complete FIRST? Correct
Answer: Coordinate with the multi-disciplinary team to identify specific feeding and swallowing
objectives.
An entry level OTR who works in a long-term care facility is screening a resident who has ALS
and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor
Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is
embarrassed about frequently dropping assistive eating devices and having several incidences of
coughing while eating. What symptom is the resident most at risk for experiencing during a
meal? Correct Answer: Variation in voice quality or loss of voice after swallowing, which is a
symptom of dysphagia.
Which factor is MOST IMPORTANT to determine when considering if the resident would
benefit from a mobile arm support? Correct Answer: Amount of upper extremity passive joint
mobility
At a minimum, what information should the OTR document to increase the likelihood of
additional authorized visits? Correct Answer: Functional problem statements indicating the need
for skilled services
How should the OTR respond to the client's concerns about splinting? Correct Answer:
Encourage full participation in daily tasks by collaborating on ways to modify typical daily
activities
Your patient had a CVA several weeks ago. Which task oriented approach would be most
beneficial to include as part of the intervention plan for maximizing the client's physical
abilities? Correct Answer: Constraint-induced movement therapy is a task-oriented approach to
motor acquisition.
For a patient who had a CVA several weeks ago, which type of activity should be included as
part of the INITIAL intervention to REMEDIATE the client's motor impairment? Correct
Answer: Weight bearing through the affected upper extremity prior to an activity
,Which assessment should be included as part of the initial evaluation and can be administered by
the COTA? Correct Answer: COPM
What is contraindicated during phase I of cardiac rehab? Correct Answer: Isometric exercises
can cause a rapid and sudden increase in blood pressure
AOTA Correct Answer: Publishes Standards of Practice for Occupational Therapy and the
Reference Manual of official Documents of the AOTA.
NBCOT Correct Answer: Responsible for issues related to certification and certification renewal
ACOTE Correct Answer: responsible for accreditation of OT education standards in support of
the practice standards set forth by the AOTA
Negligible Correlation Correct Answer: 0 - .2
low correlation Correct Answer: .2 - .4
moderate correlation Correct Answer: .4 - .6
high correlation Correct Answer: .6 - .8
.8 - 1.0 Correct Answer: very high correlation
Constructional Apraxia Correct Answer: have difficulty constructing/assembling objects
A client has Poor minus (2-/5) functional strength of the dominant UE. What is the most
effective method for grading an activity to improve the client's muscular strength? Correct
Answer: Increasing the amount of time an isometric contraction is held
What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a
right CVA several days ago? Correct Answer: To observe the patient's oral motor control and
determine a need for further evaluation. A screening is not used for diagnostics or treatment
planning - it allows the OTR to quickly detect the presence of a deficit and determine if an in-
depth evaluation is needed.
An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho
Level VII. What charcteristic of an individual's cognitive behavioral function is typically
included in the description of this level? Correct Answer: Consistent orientation to time and
space. Patients at this level frequently display robot-like behaviors and require minimal
assistance for routine ADL.
Cognitive Behavioral Therapy Correct Answer: The individual can change their behavior by
first challenging their negative assumptions (cognitions) relating to trigger events.
, If a client presents with a boutonniere type deformity, what is the most likely cause? Correct
Answer: Rupture or lengthening of the central slip of the EDC
Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips of the EDC
may result in... Correct Answer: swan neck deformity
An OTR who receives a referral for a 5 yr old with PDD should first gather background
information on the child by: Correct Answer: discussing the child's history with the caregiver to
identify the child's present level of performance in different occupational roles
When considering the readiness of a client for a power wheelchair, the OTR should primarily be
concerned with Correct Answer: Cognitive ability, to ensure that the individual has the
awareness, problem solving, and decision making capabilities to learn how to consistently and
safely operate the chair
agoraphobia Correct Answer: a morbid fear of open spaces (as fear of being caught alone in
some public place)
During an OT session at an outpatient facility, the client states that being injured has caused
considerable stress at home. The client often feels frustrated and angry and reports a concern for
having to physically discipline her children. The FIRST action that the OTR should take is to:
Correct Answer: further explore the situation since the child may be at risk. Gathering specific
information about the client's comment is critical due to the seriousness of the accusation.
Therapists are required by law to report any situation where abuse is suspected. Documentation
occurs after all information is obtained from the individual. More information is needed before
any action is taken.
According to SI frame of reference, tx is most effective when: Correct Answer: a child directs
his or her actions within an environment structured by an OTR that provides the just-right
challenge. The child's skills and abilities are facilitated in an environment where the child is
directing their participation in activities
An individual who is referred to OT to increase socialization and develop leisure skills sits alone,
despite the active involvement of the other group members. To increase the individual's
involvement in the group, the OTR's MOST APPROPRIATE FIRST action would be to Correct
Answer: review the goals and purpose of the group with the individual. In order for the
individual to become involved in a group process, the group norms and expectations must first be
explained to the client.
The BEST position in which to feed an 8-month old with severe hypotonia is Correct Answer:
semireclined with the neck in neutral and head at midline. This will promote correct alignment of
body parts during feeding and requires minimal active muscular control
An individual has difficulty conceptualizing and organizing future events, and is experiencing
decreased feelings of competence. The BEST treatment intervention is to have the individual:
