COTA EXAM #2 Part 2 Questions and
Answers
Which of the following BEST describes how a COTA would document a normally
developing infant's first steps? - ✔ The infant uses a wide base of support and high
arm-guard position and takes short steps
A COTA is teaching several elderly clients with COPD energy conservation techniques
in home management skills. Following learning principles for older adults, the MOST
effective way to present the information would be for the COTA to: - ✔ Present
important principles in small units that are spaced at a slower than normal pace
A COTA is working with a client who has severe cognitive deficits. Using a functional
training approach, the MOST appropriate method to teach the client to brush his or her
teeth is based on: - ✔ Rote repetition of the task substeps with gradually fading cues
A 3rd grade student receives direct OT services provided through the public school
system. Which of the following activities should the COTA recommend to the gym
teacher to BEST consolidate the child's skills in spacial organization and motor
planning? - ✔ Obstacle course
An individual uses a mouthstick when working with a computer. Which of the following
devices will prevent the mouthstick from accidentally striking other keys? - ✔ Key
guard
A resident of a long-term care facility is being seen by the COTA in the morning to help
the resident reestablish dressing routines after a period of illness. The client is in a
weakened condition and has mild cognitive deficits. The BEST way to structure the task
is to: - ✔ Have the resident dress in bed with garments that are stretchy and one size
larger than usual, and then preview each step of the process with the resident.
A COTA has been working in a medical setting with a 6 year old child who has had a
traumatic brain injury. At what point should the COTA recommend discharge to the
supervising OTR? - ✔ When the child has achieved a maintenance level of functioning
An individual with emphysema reports recently "having an accident" when unable to
"make it to the bathroom in time." When the home health OT recommends a bedside
commode, the idea is immediately rejected. Which of the following actions should the
OT take first? - ✔ Identify options and the consequences of each option
A patient in an OT group suddenly becomes assaultive toward another group member.
What is the FIRST step the COTA should take in this situation? - ✔ Call for other staff
, During an infant's OT session, the mother reports she has observed that her baby has
difficulty swallowing and frequently chokes. The COTA can position the infant to MOST
effectively reduce the risk of aspiration and facilitate swallowing by keeping the head: -
✔ Slightly flexed
A COTA is working with a homemaker who sustained a partial thickness burn 6 months
ago. Which scar management technique is MOST appropriate for the COTA to
introduce during the rehabilitation phase of treatment? - ✔ Minimizing scar hypertrophy
through compression garments and proper skin care
A client with cognitive deficits has difficulty swallowing pills and refuses to take his
medication. Which of the following solutions is BEST? - ✔ Check with the pharmacist
to see which medication can be crushed and mixed in with applesauce
A 2-year old has hypotonia, extremely poor head control and inability to maintain a
sitting position. The BEST method for the COTA to use during the FIRST pre-sitting
activity is to provide stability for the child as needed and then move the child: - ✔
Forward and side-to-side with the child sitting on the therapist's lap.
A COTA is treating a client who has refused to wear his splint over the past three
sessions. The client now arrives to the clinic stating that he misplaced his splint. Prior to
fabricating a new splint the COTA should first: - ✔ Talk to the client to determine if
there are any motivational or cultural issues interfering with splint-wear compliance.
A client in a day program frequently does not make it to the bathroom on time. When
asked if he needs to use to toilet, he usually replies that he does not. Which of the
following approaches is MOST likely to succeed? - ✔ Determine how frequently he
needs toileting and take him without asking
Which of the following would be the BEST cup for the COTA to recommend using when
working with a child who tends to drink quickly? - ✔ A vacuum feeding cup
The supervising OTR of a hand clinic requests that the COTA treat a client with an
edematous hand following a healed Colles' fracture. Which of the following is the COTA
MOST likely to use to decrease the client's edema? - ✔ Contrast baths and retrograde
massage
A client who has MS is standing at a table folding laundry when she complains of
fatigue. In response to the client's comment the COTA adapts the activity by: - ✔
Suggesting the client complete the activity in a seated position
A COTA is working with a student who experiences tremors while writing. She instructs
the student to stabilize his forearm on the table when writing. The COTA recommends
this position because the student is MOST likely demonstrating: - ✔ Incoordination
Answers
Which of the following BEST describes how a COTA would document a normally
developing infant's first steps? - ✔ The infant uses a wide base of support and high
arm-guard position and takes short steps
A COTA is teaching several elderly clients with COPD energy conservation techniques
in home management skills. Following learning principles for older adults, the MOST
effective way to present the information would be for the COTA to: - ✔ Present
important principles in small units that are spaced at a slower than normal pace
A COTA is working with a client who has severe cognitive deficits. Using a functional
training approach, the MOST appropriate method to teach the client to brush his or her
teeth is based on: - ✔ Rote repetition of the task substeps with gradually fading cues
A 3rd grade student receives direct OT services provided through the public school
system. Which of the following activities should the COTA recommend to the gym
teacher to BEST consolidate the child's skills in spacial organization and motor
planning? - ✔ Obstacle course
An individual uses a mouthstick when working with a computer. Which of the following
devices will prevent the mouthstick from accidentally striking other keys? - ✔ Key
guard
A resident of a long-term care facility is being seen by the COTA in the morning to help
the resident reestablish dressing routines after a period of illness. The client is in a
weakened condition and has mild cognitive deficits. The BEST way to structure the task
is to: - ✔ Have the resident dress in bed with garments that are stretchy and one size
larger than usual, and then preview each step of the process with the resident.
A COTA has been working in a medical setting with a 6 year old child who has had a
traumatic brain injury. At what point should the COTA recommend discharge to the
supervising OTR? - ✔ When the child has achieved a maintenance level of functioning
An individual with emphysema reports recently "having an accident" when unable to
"make it to the bathroom in time." When the home health OT recommends a bedside
commode, the idea is immediately rejected. Which of the following actions should the
OT take first? - ✔ Identify options and the consequences of each option
A patient in an OT group suddenly becomes assaultive toward another group member.
What is the FIRST step the COTA should take in this situation? - ✔ Call for other staff
, During an infant's OT session, the mother reports she has observed that her baby has
difficulty swallowing and frequently chokes. The COTA can position the infant to MOST
effectively reduce the risk of aspiration and facilitate swallowing by keeping the head: -
✔ Slightly flexed
A COTA is working with a homemaker who sustained a partial thickness burn 6 months
ago. Which scar management technique is MOST appropriate for the COTA to
introduce during the rehabilitation phase of treatment? - ✔ Minimizing scar hypertrophy
through compression garments and proper skin care
A client with cognitive deficits has difficulty swallowing pills and refuses to take his
medication. Which of the following solutions is BEST? - ✔ Check with the pharmacist
to see which medication can be crushed and mixed in with applesauce
A 2-year old has hypotonia, extremely poor head control and inability to maintain a
sitting position. The BEST method for the COTA to use during the FIRST pre-sitting
activity is to provide stability for the child as needed and then move the child: - ✔
Forward and side-to-side with the child sitting on the therapist's lap.
A COTA is treating a client who has refused to wear his splint over the past three
sessions. The client now arrives to the clinic stating that he misplaced his splint. Prior to
fabricating a new splint the COTA should first: - ✔ Talk to the client to determine if
there are any motivational or cultural issues interfering with splint-wear compliance.
A client in a day program frequently does not make it to the bathroom on time. When
asked if he needs to use to toilet, he usually replies that he does not. Which of the
following approaches is MOST likely to succeed? - ✔ Determine how frequently he
needs toileting and take him without asking
Which of the following would be the BEST cup for the COTA to recommend using when
working with a child who tends to drink quickly? - ✔ A vacuum feeding cup
The supervising OTR of a hand clinic requests that the COTA treat a client with an
edematous hand following a healed Colles' fracture. Which of the following is the COTA
MOST likely to use to decrease the client's edema? - ✔ Contrast baths and retrograde
massage
A client who has MS is standing at a table folding laundry when she complains of
fatigue. In response to the client's comment the COTA adapts the activity by: - ✔
Suggesting the client complete the activity in a seated position
A COTA is working with a student who experiences tremors while writing. She instructs
the student to stabilize his forearm on the table when writing. The COTA recommends
this position because the student is MOST likely demonstrating: - ✔ Incoordination
