Practice COTA NBCOT Questions and
Answers.
Upon evaluation, the occupational therapist determined that a person has hypesthesia
in the mid-palmar region and the terminal phalanges of the thumb, index, and middle
fingers and decreased strength in thumb opposition. Which is the best INITIAL
intervention for the OTA to use to prepare the client for engagement in occupational
tasks? -
\A. hot packs
B. Passive ROM
C. Immobilization with a resting splint
D. Nerve and tendon gliding exercises
An adult with Amyotrophic lateral sclerosis shows increased muscle weakness and
decreased fine motor coordination. What should OT intervention emphasize? -
\A.Energy conservation, adaptation, and work simplification,
B. Progressive resistive exercises, sanding on a level surface, and energy conservation.
C. Fine motor activities, dexterity training, and fastening clothing.
D. Bilateral coordination activities, typing, and work simplification.
A client status post poster lateral total right hip arthroplasty is being discharged to
home. The patient ambulates independently with a standard walker accessed to
orthopedic surgeon guidelines of weight bearing as tolerated and follows posterior hip
precautions. Which is the best recommendation for the OTA to make to ensure client
safety and facilitate independence? -
\A. Rearrange furniture to make the home wheelchair accessible to accommodate the
client's use of a wheelchair when fatigued.
B.Place items used frequently within easy reach to eliminate the need to reach up or
bend down.
C. Use a chair that is low and has a soft-cushion to make transfers easier.
D. Teach the person to don and doff socks and shoes by placing one leg across the
knee of the other leg.
An adult referred to Occupational therapy complaining of severe pain in the right hand
one week after a bruising injury. The hand is swollen, cold, and difficult to move. The
skin appears Shiny and Blotchy. What is the best treatment goal and corresponding
therapeutic activity for the occupational therapy assistant to INITIALLY address and
use? -
\A. Reduce edema by retrograde massage
B.Increase hand mobility with passive range of motion
C. Reduce pain by gentle handling and desensitization
D. Increase functional hand use through bilateral functional tasks.
, A young adult with a C7 spinal cord injury wants to develop independent meal
preparation skills to attain a pre-unjury goal of attending culinary school. The client
watches television cooking shows for leisure. The client tells the OTA that the admission
process to the culinary school requires all applicants to prepare and original 4 course
meal. Which approaches should OTA include in the intervention sessions? Select BEST
3 responses. -
\A.Instruct the client in ways to modify recipes using a microwave.
B. Teach the client to spread out pastry dough with flattened palms and extended
wrists.
C. Teach the client to use a tenodesis grasp during meal preparation.
D. Supply the client with a wrist driven flexor hinge splint to hold kitchen utensils.
E. Supply the client with a universal cuff to hold kitchen utensils.
F. Instruct the student to prepare meals from original recipes that the student composes
from watching preferred cooking shows.
An adult has been in a coma for 14 days after sustaining a TBI in an automobile
collision. Initially, the patient was unresponsive and the pupils do not respond too light.
The patient is able to brush painful stimuli away, track a moving object, and
inconsistency responds to simple verbal commands. Which is the best initial action for
the OTA to take to attain ADL goals? -
\A. Incorporate adaptive equipment into self care skills
B.Provide verbal cueing to complete tasks
C. Utilize hand over hand assistance during the performance of familiar tasks.
D. Provide auditory, visual, and tactile sensory stimulation.
An older adult who incurred a collet fracture after a fall on an outstretched hand is
referred to OT after cast removal. The client has a secondary diagnosis of osteoporosis
and complains of pain, edema, and sensory loss in the hand. What is the best initial
intervention for the OTA to use? -
\A. Active Range of motion
B. Fine motor Activities
C.Progressive grasp and release activities.
The OTA reviews the occupational therapy evaluation and notes that a client has poor
tongue control. What will the client most likely demonstrate? -
\A.Pocketing of food in cheeks and poor bolus formation.
B. Coughing and choking after swallowing
C. Drooling and food spillage from the mouth
A client with a CVA and resulting right homonymous hemianopsia is admitted to an
outpatient facility. Which is the best initial arrangement for the call button and telephone
in the clients home? -
\A.Bedside table to the clients right
B.Bedside table to the clients left
C.Tray table placed at the foot of the bed
D. Shelf to the right of the client at eye level
Answers.
Upon evaluation, the occupational therapist determined that a person has hypesthesia
in the mid-palmar region and the terminal phalanges of the thumb, index, and middle
fingers and decreased strength in thumb opposition. Which is the best INITIAL
intervention for the OTA to use to prepare the client for engagement in occupational
tasks? -
\A. hot packs
B. Passive ROM
C. Immobilization with a resting splint
D. Nerve and tendon gliding exercises
An adult with Amyotrophic lateral sclerosis shows increased muscle weakness and
decreased fine motor coordination. What should OT intervention emphasize? -
\A.Energy conservation, adaptation, and work simplification,
B. Progressive resistive exercises, sanding on a level surface, and energy conservation.
C. Fine motor activities, dexterity training, and fastening clothing.
D. Bilateral coordination activities, typing, and work simplification.
A client status post poster lateral total right hip arthroplasty is being discharged to
home. The patient ambulates independently with a standard walker accessed to
orthopedic surgeon guidelines of weight bearing as tolerated and follows posterior hip
precautions. Which is the best recommendation for the OTA to make to ensure client
safety and facilitate independence? -
\A. Rearrange furniture to make the home wheelchair accessible to accommodate the
client's use of a wheelchair when fatigued.
B.Place items used frequently within easy reach to eliminate the need to reach up or
bend down.
C. Use a chair that is low and has a soft-cushion to make transfers easier.
D. Teach the person to don and doff socks and shoes by placing one leg across the
knee of the other leg.
An adult referred to Occupational therapy complaining of severe pain in the right hand
one week after a bruising injury. The hand is swollen, cold, and difficult to move. The
skin appears Shiny and Blotchy. What is the best treatment goal and corresponding
therapeutic activity for the occupational therapy assistant to INITIALLY address and
use? -
\A. Reduce edema by retrograde massage
B.Increase hand mobility with passive range of motion
C. Reduce pain by gentle handling and desensitization
D. Increase functional hand use through bilateral functional tasks.
, A young adult with a C7 spinal cord injury wants to develop independent meal
preparation skills to attain a pre-unjury goal of attending culinary school. The client
watches television cooking shows for leisure. The client tells the OTA that the admission
process to the culinary school requires all applicants to prepare and original 4 course
meal. Which approaches should OTA include in the intervention sessions? Select BEST
3 responses. -
\A.Instruct the client in ways to modify recipes using a microwave.
B. Teach the client to spread out pastry dough with flattened palms and extended
wrists.
C. Teach the client to use a tenodesis grasp during meal preparation.
D. Supply the client with a wrist driven flexor hinge splint to hold kitchen utensils.
E. Supply the client with a universal cuff to hold kitchen utensils.
F. Instruct the student to prepare meals from original recipes that the student composes
from watching preferred cooking shows.
An adult has been in a coma for 14 days after sustaining a TBI in an automobile
collision. Initially, the patient was unresponsive and the pupils do not respond too light.
The patient is able to brush painful stimuli away, track a moving object, and
inconsistency responds to simple verbal commands. Which is the best initial action for
the OTA to take to attain ADL goals? -
\A. Incorporate adaptive equipment into self care skills
B.Provide verbal cueing to complete tasks
C. Utilize hand over hand assistance during the performance of familiar tasks.
D. Provide auditory, visual, and tactile sensory stimulation.
An older adult who incurred a collet fracture after a fall on an outstretched hand is
referred to OT after cast removal. The client has a secondary diagnosis of osteoporosis
and complains of pain, edema, and sensory loss in the hand. What is the best initial
intervention for the OTA to use? -
\A. Active Range of motion
B. Fine motor Activities
C.Progressive grasp and release activities.
The OTA reviews the occupational therapy evaluation and notes that a client has poor
tongue control. What will the client most likely demonstrate? -
\A.Pocketing of food in cheeks and poor bolus formation.
B. Coughing and choking after swallowing
C. Drooling and food spillage from the mouth
A client with a CVA and resulting right homonymous hemianopsia is admitted to an
outpatient facility. Which is the best initial arrangement for the call button and telephone
in the clients home? -
\A.Bedside table to the clients right
B.Bedside table to the clients left
C.Tray table placed at the foot of the bed
D. Shelf to the right of the client at eye level
