NBCOT Practice Questions and Answers
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? - ANS 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? - ANS 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? - ANS 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? - ANS Amount of upper extremity passive joint
mobility
At a minimum, what information should the OTR document to increase the likelihood of
additional authorized visits? - ANS Functional problem statements indicating the need
for skilled services
How should the OTR respond to the client's concerns about splinting? - ANS 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? - ANS 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? - ANS 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? - ANS COPM
What is contraindicated during phase I of cardiac rehab? - ANS Isometric exercises can
cause a rapid and sudden increase in blood pressure
AOTA - ANS Publishes Standards of Practice for Occupational Therapy and the
Reference Manual of official Documents of the AOTA.
NBCOT - ANS Responsible for issues related to certification and certification renewal
ACOTE - ANS responsible for accreditation of OT education standards in support of the
practice standards set forth by the AOTA
Negligible Correlation - ANS 0 - .2
low correlation - ANS .2 - .4
moderate correlation - ANS .4 - .6
high correlation - ANS .6 - .8
.8 - 1.0 - ANS very high correlation
Constructional Apraxia - ANS 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? - ANS
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? - ANS 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? - ANS 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 - ANS 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? -
ANS 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... - ANS 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: - ANS 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 - ANS 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 - ANS 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: - ANS 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: - ANS 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 - ANS 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 - ANS
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: - ANS prioritize short term goals with a high chance of success.
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? - ANS 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? - ANS 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? - ANS 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? - ANS Amount of upper extremity passive joint
mobility
At a minimum, what information should the OTR document to increase the likelihood of
additional authorized visits? - ANS Functional problem statements indicating the need
for skilled services
How should the OTR respond to the client's concerns about splinting? - ANS 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? - ANS 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? - ANS 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? - ANS COPM
What is contraindicated during phase I of cardiac rehab? - ANS Isometric exercises can
cause a rapid and sudden increase in blood pressure
AOTA - ANS Publishes Standards of Practice for Occupational Therapy and the
Reference Manual of official Documents of the AOTA.
NBCOT - ANS Responsible for issues related to certification and certification renewal
ACOTE - ANS responsible for accreditation of OT education standards in support of the
practice standards set forth by the AOTA
Negligible Correlation - ANS 0 - .2
low correlation - ANS .2 - .4
moderate correlation - ANS .4 - .6
high correlation - ANS .6 - .8
.8 - 1.0 - ANS very high correlation
Constructional Apraxia - ANS 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? - ANS
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? - ANS 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? - ANS 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 - ANS 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? -
ANS 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... - ANS 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: - ANS 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 - ANS 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 - ANS 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: - ANS 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: - ANS 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 - ANS 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 - ANS
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: - ANS prioritize short term goals with a high chance of success.
