NBCOT ACTUAL EXAMS 2022 Questions AND ANSWERS 100% CORRECT
Entry into the early intervention system begins with which of the following?
A. Screening for developmental delay
B. Individualized Family Service Plan
C. Screening for family environmental risk factors
D. Individualized Education Plan (IEP) Correct Answer: A. A family is referred for an early
intervention screening at which a developmental therapist or OT screens the child to determine if
a full assessment is necessary. (Pediatric Occupational Therapy and Early Intervention by Case-
Smith)
In the assessment phase of early intervention, an OT assesses the daily living skills of an infant.
In the context of early intervention, the areas that are being assessed are:
A. Feeding and sleeping patterns
B. Play and leisure patterns
C. Motor development patterns
D. Sensory development patterns Correct Answer: A. Daily living skills in infants refer to self-
sustaining skills, such as feeding and sleeping. Sleep patterns can be evaluated from the parent's
description of a typical day. Daily living skills also refer to bathing and dressing, but this is as it
involves the parents. (Pediatric Occupational Therapy and Early Intervention by Case-Smith)
An assessment team in early intervention has completed an evaluation of a toddler. In compiling
the Individualized Family Service Plan, the goals should be determined by the:
A. Service coordinator for the case
B. Therapists from each discipline
C. Reimbursing agency
D. Parents Correct Answer: D. Although therapists suggest goals based on the evaluation
process, ultimately a child's parents decide which goals will be included and which goals are a
priority. Goals that relate specifically to the family's concerns about the care of their child are
included in the plan. If therapists have other goals, these can be added with parental consent.
(Pediatric Occupational Therapy and Early Intervention by Case-Smith)
In early intervention there are different types of risk factors. A child with Down syndrome is an
example of:
A. Biological risk
B. Environmental risk
C. Established risk
D. Recurring risk Correct Answer: C. Children with known chromosomal, structural, or
metabolic defects are classified as having established risk. (Pediatric Occupational Therapy and
Early Intervention by Case-Smith)
The parent of a child that is being treated in therapy describes how the child covers their ears
when riding in the car with the windows down. The parent does not understand why the child
persists in this behavior. The OT explains that this behavior could be the result of:
A. Sensory defensiveness
, B. Gravitational insecurity
C. Underresponsiveness
D. Aversion to movement Correct Answer: A. A child experiencing sensory defensiveness has a
tendency to respond negatively to sensation that is considered by most people to be noninvasive
or nonirritating. This frequently includes hyperresponsiveness to light or unexpected touches,
high-frequency noises, certain visual stimulation, or certain smells and tastes. (Sensory
Integration: Theory and Practice by Bundy)
An OT is using the Peabody Developmental Motor Scales to evaluate a child. The therapist is
assessing the child's:
A. Performance of tasks that support school participation
B. Visual perception skills in community settings
C. Gross and fine motor skills
D. Performance in everyday tasks Correct Answer: C. The Peabody assesses a child's abilities
with gross and fine motor skills. (Occupational Therapy for Children by Case-Smith)
A patient diagnosed with insulin dependent diabetes mellitus is referred to occupational therapy
for splinting. A primary area that must be assessed before prescribing a splint is:
A. Edema
B. Sensation
C. Pain
D. Fine motor manipulation Correct Answer: B. Persons with long-standing diabetes frequently
have increased incidences of other conditions, such as peripheral neuropathies. Therefore, a
sensory evaluation is necessary to determine if sensation is diminished. A person with
diminished sensation secondary to peripheral neuropathy may not be able to perceive or gauge
pressure when wearing a splint. This can lead to skin breakdown. (Introduction to Splinting: A
Clinical Reasoning & Problem Solving Process by Coppard and Lohman)
An OT is asked to administer a test to a child and compare the assessment results or scores to the
sample population of children that have similar characteristics as this child. The BEST type of
evaluation to administer would be:
A. Criterion-referenced test
B. Norm-referenced test
C. Skilled observation
D. Checklist Correct Answer: B. A norm-referenced test is developed by giving the test in
question to a large number of children, usually several hundred or more. This group is the more
normative group and norms or averages are derived from this sample. When a norm-referenced
test is administered, the performance of the child being tested is compared to the normative
sample. (Occupational Therapy for Children by Case-Smith)
During an evaluation, the OT must determine a child's exact chronological age. The child was
born on March 6, 2003 and the testing date is July 12, 2006. The child's chronological age is:
A. 4 years, 6 months, 5 days
B. 3 years, 2 months, 6 days
C. 4 years, 5 months, 6 days
Entry into the early intervention system begins with which of the following?
A. Screening for developmental delay
B. Individualized Family Service Plan
C. Screening for family environmental risk factors
D. Individualized Education Plan (IEP) Correct Answer: A. A family is referred for an early
intervention screening at which a developmental therapist or OT screens the child to determine if
a full assessment is necessary. (Pediatric Occupational Therapy and Early Intervention by Case-
Smith)
In the assessment phase of early intervention, an OT assesses the daily living skills of an infant.
In the context of early intervention, the areas that are being assessed are:
A. Feeding and sleeping patterns
B. Play and leisure patterns
C. Motor development patterns
D. Sensory development patterns Correct Answer: A. Daily living skills in infants refer to self-
sustaining skills, such as feeding and sleeping. Sleep patterns can be evaluated from the parent's
description of a typical day. Daily living skills also refer to bathing and dressing, but this is as it
involves the parents. (Pediatric Occupational Therapy and Early Intervention by Case-Smith)
An assessment team in early intervention has completed an evaluation of a toddler. In compiling
the Individualized Family Service Plan, the goals should be determined by the:
A. Service coordinator for the case
B. Therapists from each discipline
C. Reimbursing agency
D. Parents Correct Answer: D. Although therapists suggest goals based on the evaluation
process, ultimately a child's parents decide which goals will be included and which goals are a
priority. Goals that relate specifically to the family's concerns about the care of their child are
included in the plan. If therapists have other goals, these can be added with parental consent.
(Pediatric Occupational Therapy and Early Intervention by Case-Smith)
In early intervention there are different types of risk factors. A child with Down syndrome is an
example of:
A. Biological risk
B. Environmental risk
C. Established risk
D. Recurring risk Correct Answer: C. Children with known chromosomal, structural, or
metabolic defects are classified as having established risk. (Pediatric Occupational Therapy and
Early Intervention by Case-Smith)
The parent of a child that is being treated in therapy describes how the child covers their ears
when riding in the car with the windows down. The parent does not understand why the child
persists in this behavior. The OT explains that this behavior could be the result of:
A. Sensory defensiveness
, B. Gravitational insecurity
C. Underresponsiveness
D. Aversion to movement Correct Answer: A. A child experiencing sensory defensiveness has a
tendency to respond negatively to sensation that is considered by most people to be noninvasive
or nonirritating. This frequently includes hyperresponsiveness to light or unexpected touches,
high-frequency noises, certain visual stimulation, or certain smells and tastes. (Sensory
Integration: Theory and Practice by Bundy)
An OT is using the Peabody Developmental Motor Scales to evaluate a child. The therapist is
assessing the child's:
A. Performance of tasks that support school participation
B. Visual perception skills in community settings
C. Gross and fine motor skills
D. Performance in everyday tasks Correct Answer: C. The Peabody assesses a child's abilities
with gross and fine motor skills. (Occupational Therapy for Children by Case-Smith)
A patient diagnosed with insulin dependent diabetes mellitus is referred to occupational therapy
for splinting. A primary area that must be assessed before prescribing a splint is:
A. Edema
B. Sensation
C. Pain
D. Fine motor manipulation Correct Answer: B. Persons with long-standing diabetes frequently
have increased incidences of other conditions, such as peripheral neuropathies. Therefore, a
sensory evaluation is necessary to determine if sensation is diminished. A person with
diminished sensation secondary to peripheral neuropathy may not be able to perceive or gauge
pressure when wearing a splint. This can lead to skin breakdown. (Introduction to Splinting: A
Clinical Reasoning & Problem Solving Process by Coppard and Lohman)
An OT is asked to administer a test to a child and compare the assessment results or scores to the
sample population of children that have similar characteristics as this child. The BEST type of
evaluation to administer would be:
A. Criterion-referenced test
B. Norm-referenced test
C. Skilled observation
D. Checklist Correct Answer: B. A norm-referenced test is developed by giving the test in
question to a large number of children, usually several hundred or more. This group is the more
normative group and norms or averages are derived from this sample. When a norm-referenced
test is administered, the performance of the child being tested is compared to the normative
sample. (Occupational Therapy for Children by Case-Smith)
During an evaluation, the OT must determine a child's exact chronological age. The child was
born on March 6, 2003 and the testing date is July 12, 2006. The child's chronological age is:
A. 4 years, 6 months, 5 days
B. 3 years, 2 months, 6 days
C. 4 years, 5 months, 6 days
