COTA EXAM #3 Part 1 Questions and
Answers 2022
Which of the following is BEST to use when assessing three-jaw chuck strength? - ✔ A
pinch meter
During a group activity, a COTA observes a client making frequent negative comments
pertaining to the collage activity that the group is working on. These comments are
MOST likely an indication of: - ✔ Insecurity
While working with a child diagnosed with CP, the COTA observes that the child's
movements appear writhing, purposeless, and uncontrollable. These movements would
BEST be described as: - ✔ Athetoid
Which is the MOST appropriate technique for assessing light touch sensation in a client
who has just been admitted to the rehab unit after a RCVA with left hemiplegia? - ✔
Demonstrate the procedure on the unaffected extremity, then occlude the client's vision
while testing the affected extremity
In evaluating an adolescent with psychosocial problems, an OTR would be MOST likely
to begin the process by screening the adolescent's level of function in which areas? - ✔
Socialization, task performance, daily living skills, and time management
At a team meeting, a teacher reports that a child is having difficulty copying letters,
doing mazes, and using scissors. This behavior MOST likely indicates a problem in
which of the following areas? - ✔ Visual-motor integration
While assessing dressing skills with a patient who recently had a stroke, the OT notes
that the individual is unable to see buttons on printed fabric. This MOST likely indicates
that the individual may be having difficulty with: - ✔ Figure ground perception
The OT has just completed observation of a child eating lunch. Which of the following
statements BEST describes an objective observation? - ✔ The child demonstrates
tongue thrust
Which of the following performance components are MOST important to consider when
analyzing activities for use with adults with psychosocial problems? - ✔ Self-control
demands, time management demands, self-expression opportunities, and interest in the
activity
An infant has begun to sit and is leaning forward onto his arms. The COTA notes that
the infant is able to co-activate muscle groups around the shoulder and arm in order to
bear weight on arms in sitting. This demonstrates that the infant has MOST likely
developed which type of reactions? - ✔ Support
, An individual who had a MI has been transferred from the acute care unit to a rehab
unit. During the initial interview, he displays good memory of information processed
before the MI, but poor recall of the period spend in the acute care unit. He is able to
recall information since the transfer. The OT would MOST likely document these
behaviors as: - ✔ Anterograde amnesia
A woman who had a stroke tries unsuccessfully to put on a blouse using a one-handed
technique. She states "I can do it. I'm just not trying hard enough." This COTA most
accurately recognizes this as: - ✔ Denial
A COTA working with an infant observes the presence of the first stage of voluntary
grasp. Which of the following would be the MOST appropriate statement for
documenting this behavior? - ✔ The infant is exhibiting ulnar palmar grasp
During evaluation, the COTA asks a client with RA to flex her shoulder. The client's
ROM is limited to 90 degrees and she can tolerate moderate resistance in this position.
The COTA further observes that the PROM is the same as the AROM. The manual
muscle test grade for shoulder flexion would MOST likely be documented as: - ✔ Good
(4)
By using an interest checklist that includes a report of both interests and actual
participation in activities, an OT will MOST likely collect information on a client's: - ✔
Use of time
When working with a child who exhibits tactile defensiveness, which of the following
areas should be evaluated FIRST? - ✔ Dressing habits
A client who recently started using a w/c will be returning to work. An OT is evaluating
the client's workplace for accessibility according to the ADA guidelines.The doorway to
the client's office has a clear opening of 28 inches. Which of the following
recommendations would be the MOST appropriate to facilitate clear passage of the w/c
through the doorway? - ✔ The doorway width needs to be expanded to have a
minimum clear opening of 32 inches.
Using the MODEL of HUMAN Occupation as a frame of reference, evaluation of an
individual should focus PRIMARILY on which of the following? - ✔ The effect of
personal traits and the environment of role performance
A preschooler with a diagnosis of developmental delay is very withdrawn and passive.
While working on toileting skills, the child reaches out for a toothbrush and starts to
brush her hair with it. The OT practitioner recognizes the PRIMARY importance of this
behavior as: - ✔ Indicating initiative and beginning task-directed behavior
A patient who is asked to show the path she would take to get from her room to the
therapy clinic at the other end of the corridor becomes easily confused and makes
Answers 2022
Which of the following is BEST to use when assessing three-jaw chuck strength? - ✔ A
pinch meter
During a group activity, a COTA observes a client making frequent negative comments
pertaining to the collage activity that the group is working on. These comments are
MOST likely an indication of: - ✔ Insecurity
While working with a child diagnosed with CP, the COTA observes that the child's
movements appear writhing, purposeless, and uncontrollable. These movements would
BEST be described as: - ✔ Athetoid
Which is the MOST appropriate technique for assessing light touch sensation in a client
who has just been admitted to the rehab unit after a RCVA with left hemiplegia? - ✔
Demonstrate the procedure on the unaffected extremity, then occlude the client's vision
while testing the affected extremity
In evaluating an adolescent with psychosocial problems, an OTR would be MOST likely
to begin the process by screening the adolescent's level of function in which areas? - ✔
Socialization, task performance, daily living skills, and time management
At a team meeting, a teacher reports that a child is having difficulty copying letters,
doing mazes, and using scissors. This behavior MOST likely indicates a problem in
which of the following areas? - ✔ Visual-motor integration
While assessing dressing skills with a patient who recently had a stroke, the OT notes
that the individual is unable to see buttons on printed fabric. This MOST likely indicates
that the individual may be having difficulty with: - ✔ Figure ground perception
The OT has just completed observation of a child eating lunch. Which of the following
statements BEST describes an objective observation? - ✔ The child demonstrates
tongue thrust
Which of the following performance components are MOST important to consider when
analyzing activities for use with adults with psychosocial problems? - ✔ Self-control
demands, time management demands, self-expression opportunities, and interest in the
activity
An infant has begun to sit and is leaning forward onto his arms. The COTA notes that
the infant is able to co-activate muscle groups around the shoulder and arm in order to
bear weight on arms in sitting. This demonstrates that the infant has MOST likely
developed which type of reactions? - ✔ Support
, An individual who had a MI has been transferred from the acute care unit to a rehab
unit. During the initial interview, he displays good memory of information processed
before the MI, but poor recall of the period spend in the acute care unit. He is able to
recall information since the transfer. The OT would MOST likely document these
behaviors as: - ✔ Anterograde amnesia
A woman who had a stroke tries unsuccessfully to put on a blouse using a one-handed
technique. She states "I can do it. I'm just not trying hard enough." This COTA most
accurately recognizes this as: - ✔ Denial
A COTA working with an infant observes the presence of the first stage of voluntary
grasp. Which of the following would be the MOST appropriate statement for
documenting this behavior? - ✔ The infant is exhibiting ulnar palmar grasp
During evaluation, the COTA asks a client with RA to flex her shoulder. The client's
ROM is limited to 90 degrees and she can tolerate moderate resistance in this position.
The COTA further observes that the PROM is the same as the AROM. The manual
muscle test grade for shoulder flexion would MOST likely be documented as: - ✔ Good
(4)
By using an interest checklist that includes a report of both interests and actual
participation in activities, an OT will MOST likely collect information on a client's: - ✔
Use of time
When working with a child who exhibits tactile defensiveness, which of the following
areas should be evaluated FIRST? - ✔ Dressing habits
A client who recently started using a w/c will be returning to work. An OT is evaluating
the client's workplace for accessibility according to the ADA guidelines.The doorway to
the client's office has a clear opening of 28 inches. Which of the following
recommendations would be the MOST appropriate to facilitate clear passage of the w/c
through the doorway? - ✔ The doorway width needs to be expanded to have a
minimum clear opening of 32 inches.
Using the MODEL of HUMAN Occupation as a frame of reference, evaluation of an
individual should focus PRIMARILY on which of the following? - ✔ The effect of
personal traits and the environment of role performance
A preschooler with a diagnosis of developmental delay is very withdrawn and passive.
While working on toileting skills, the child reaches out for a toothbrush and starts to
brush her hair with it. The OT practitioner recognizes the PRIMARY importance of this
behavior as: - ✔ Indicating initiative and beginning task-directed behavior
A patient who is asked to show the path she would take to get from her room to the
therapy clinic at the other end of the corridor becomes easily confused and makes
