NBCOT Prep OTR/COTA Questions and
Answers.
A client who has a C7 spinal cord injury has been admitted to an inpatient rehabilitation
facility and is beginning OT. One of the client's goals is to be able to prepare family
meals. After identifying the client's typical family mealtime routines and habits, what
should the OTR do NEXT to most effectively promote progress toward the client's goal?
A. Observe the client during a standardized meal preparation task.
B. Assess current physical skills and abilities during a kitchen task.
C. Discuss the lay-out and type of appliances in the client's home kitchen.
D. Provide assistive devices typically used by clients who have quadriplegia. -
\B. Assess current physical skills and abilities during a kitchen task.
Rationale: After identifying the client's typical mealtime habits and routines, the OTR
should conduct a screening by observing the client perform a kitchen task. This will
assist the therapist to generate hypotheses regarding performance deficits.
COTA: An inpatient had an uncomplicated total hip replacement, anterolateral approach
one week ago. What movement of the affected hip is typically CONTRAINDICATED
based on standard hip precautions?
A. Abduction beyond 25°
B. Internal rotation
C. Flexion to 90°
D. External rotation -
\D. External rotation
Rationale: Total hip precautions for an anterolateral approach include the following
movement restrictions: hip external rotation, hip extension, crossing the operated leg
over the unoperated leg, adduction of the operated leg.
A client who has cognitive and motor deficits secondary to the onset of Huntington's
disease is participating in OT. One of the client's goals is to be independent with
dressing. Which intervention activity is BEST to include as part of the initial intervention
plan?
A. Educate the client and caregivers about methods for adapting the fasteners on the
client's clothing
B. Teach the client to use a sequenced checklist to mark off tasks as they are
completed during dressing
, C. Have the client practice using a button-hook and long-handled reacher when
completing dressing tasks
D. Use backward chaining methods and hand-over-hand assistance to teach adapted
dressing skills -
\A. Educate the client and caregivers about methods for adapting the fasteners on the
client's clothing
Rationale: HD is a disorder characterized by progressive neurodegeneration. Symptoms
typically include choreo-athetoid movements and alterations in behavior and cognitive
functions. A client who is in the early stages of HD would most benefit from learning
techniques to compensate for motor deficits
COTA: A COTA is gathering information about the dressing skills of a 10-year-old child
who has moderate cognitive and developmental delays secondary to autism. Which
data-gathering method would provide the MOST OBJECTIVE information about the
child's current dressing skills?
A. Asking the parents to complete a questionnaire
B. Observing the child during BADL routines
C. Administering a functional independence screen
D. Having the child complete a simple checklist -
\B. Observing the child during BADL routines
Rationale: B: Observation provides information about the child's actual BADL skills and
abilities based on current routines.
During which home maintenance tasks would symptoms related to constructional
apraxia be MOST EVIDENT?
A. Washing the interior sides of single pane windows
B. Using a roller brush to paint an interior wall of the home
C. Vacuuming floors in the main living area of the home
D. Following written instructions for installing curtain rods -
\D. Following written instructions for installing curtain rods
Rationale: D: Individuals who have constructional apraxia have difficulty
constructing/assembling objects; as in following instructions for installing curtain rods.
A 10-year-old child has cerebral palsy with moderate athetosis and age-appropriate
cognition. The child currently requires moderate assistance with BADL. One of the
child's goals is to be more independent with dressing. The OTR plans to use a cognitive
approach during a dressing session with this child. Which method exemplifies this
approach?
A.Employing a top-down approach to encourage the child to problem solve when
difficulties are encountered during the dressing task
Answers.
A client who has a C7 spinal cord injury has been admitted to an inpatient rehabilitation
facility and is beginning OT. One of the client's goals is to be able to prepare family
meals. After identifying the client's typical family mealtime routines and habits, what
should the OTR do NEXT to most effectively promote progress toward the client's goal?
A. Observe the client during a standardized meal preparation task.
B. Assess current physical skills and abilities during a kitchen task.
C. Discuss the lay-out and type of appliances in the client's home kitchen.
D. Provide assistive devices typically used by clients who have quadriplegia. -
\B. Assess current physical skills and abilities during a kitchen task.
Rationale: After identifying the client's typical mealtime habits and routines, the OTR
should conduct a screening by observing the client perform a kitchen task. This will
assist the therapist to generate hypotheses regarding performance deficits.
COTA: An inpatient had an uncomplicated total hip replacement, anterolateral approach
one week ago. What movement of the affected hip is typically CONTRAINDICATED
based on standard hip precautions?
A. Abduction beyond 25°
B. Internal rotation
C. Flexion to 90°
D. External rotation -
\D. External rotation
Rationale: Total hip precautions for an anterolateral approach include the following
movement restrictions: hip external rotation, hip extension, crossing the operated leg
over the unoperated leg, adduction of the operated leg.
A client who has cognitive and motor deficits secondary to the onset of Huntington's
disease is participating in OT. One of the client's goals is to be independent with
dressing. Which intervention activity is BEST to include as part of the initial intervention
plan?
A. Educate the client and caregivers about methods for adapting the fasteners on the
client's clothing
B. Teach the client to use a sequenced checklist to mark off tasks as they are
completed during dressing
, C. Have the client practice using a button-hook and long-handled reacher when
completing dressing tasks
D. Use backward chaining methods and hand-over-hand assistance to teach adapted
dressing skills -
\A. Educate the client and caregivers about methods for adapting the fasteners on the
client's clothing
Rationale: HD is a disorder characterized by progressive neurodegeneration. Symptoms
typically include choreo-athetoid movements and alterations in behavior and cognitive
functions. A client who is in the early stages of HD would most benefit from learning
techniques to compensate for motor deficits
COTA: A COTA is gathering information about the dressing skills of a 10-year-old child
who has moderate cognitive and developmental delays secondary to autism. Which
data-gathering method would provide the MOST OBJECTIVE information about the
child's current dressing skills?
A. Asking the parents to complete a questionnaire
B. Observing the child during BADL routines
C. Administering a functional independence screen
D. Having the child complete a simple checklist -
\B. Observing the child during BADL routines
Rationale: B: Observation provides information about the child's actual BADL skills and
abilities based on current routines.
During which home maintenance tasks would symptoms related to constructional
apraxia be MOST EVIDENT?
A. Washing the interior sides of single pane windows
B. Using a roller brush to paint an interior wall of the home
C. Vacuuming floors in the main living area of the home
D. Following written instructions for installing curtain rods -
\D. Following written instructions for installing curtain rods
Rationale: D: Individuals who have constructional apraxia have difficulty
constructing/assembling objects; as in following instructions for installing curtain rods.
A 10-year-old child has cerebral palsy with moderate athetosis and age-appropriate
cognition. The child currently requires moderate assistance with BADL. One of the
child's goals is to be more independent with dressing. The OTR plans to use a cognitive
approach during a dressing session with this child. Which method exemplifies this
approach?
A.Employing a top-down approach to encourage the child to problem solve when
difficulties are encountered during the dressing task
