Master the NBCOT: Engaging Multiple Choice
Questions for Success.
An individual with left hemiplegia who is right hand dominant receives training to resume
independent driving. The OT recommends the use of:
a. "palming" of the steering wheel
b. hand controls for brake and gas pedals
c. left-sided accelerator pedal
d. a spinner knob on the steering wheel -
\d. a spinner knob on the steering wheel
A 15 year old with a complete myelomeningocele at the T9 level is diagnosed with
diabetes. The OT home education program will most likey focus on:
a. regular skin inspection performed by a parent
b. consumer-initiated pressure relief
c. upper extremity strengthening
d. bowel and bladder care -
\c. consumer-initiated pressure relief
An OT designs a dynamic splint for an individual recovering from tendon repair. To
ensure an appropriate angle of pull, the therapist positions an outrigger at:
a. 110 degrees to the joint
b. 60 degrees to the joint
c. 90 degrees to the joint
d. 45 degrees to the joint -
\c. 90 degrees to the joint
An individual recovering from hip replacement surgery prepares for discharge home. He
has a secondary diagnosis of GERD. The most appropriate bed position for the
occupational therapist to recommend is:
a. supine with elevation of the shoulders and head
b. sidelying with the neck in neutral
c. sidelying with elevation of the shoulders and head
d. supine with elevation of the hips -
\a. supine with elevation of the shoulders and head
An adult with obsessive-compulsive disorder is hospitalized due to the exacerbation of
her symptoms. During her first OT group, the best activity for the OT to employ with this
person is:
a. repotting plants
b. sanding a cutting board
c. stringing small beads into a necklace
d. lacing a wallet with the double cordovan stitch -
, \a. repotting plants
An OT provides home-based services to a person recovering from a recent CVA. The
individual lives alone and receives home care Medicare Part A benefits. The therapist
arrives at the client's house at the scheduled session time, but there is no response to
the knocking on the door. A neighbor states that she saw the client leave with a friend.
The most appropriate action for the therapist to take is to:
a. call the nurse case manager to report the missed appointment
b. document that no one answered the door and that the appointment will be
rescheduled
c. documents that no one was home and that the appointment will be rescheduled
d. documenet that the client is engaged in community mobility activities and should be
evaluated for discharge -
\b. document that no one answered the door and that the appointment will be
rescheduled
A child with tactile-defensiveness is receiving intervention from an OT using a SI
approach. In introducing tactile stimuli to the child the most appropriate method for the
therapist to use is:
a. apply the stimulus in the direction opposite of hair growth with vision occluded
b. apply light touch across the face and abdomen with vision occluded
c. provide light brushing across the palmar surfaces of the extremities with the child
watching
d. provide deep touch and firm pressure where the child can see the stimuli -
\d. provide deep touch and firm pressure where the child can see the stimuli
An OT receives a referral to evaluate an individual's executive functioning following a
mild CVA. The OT will most likely assess the person's:
a. initiation and planning
b. orientation, attention, and memory
c. job interests and efficacy
d. spatial relations and praxis -
\a. initiation and planning
A child with a diagnosis of TBI is seen in OT for the initial evaluation. The child presents
with extension of both UE's and flexion of both LE's following a stimulus of neck
extension. The OT interprets and describes this observation as:
a. +ATNR, which is "normal"
b. +STNR, which is "abnormal", and has reappeared after the TBI
c. +STNR, which is "abnormal" in a child this age, the reflex has not yet been integrated
d. +ATNR, which is "abnormal", and has reappeared after the TBI -
\b. +STNR, which is "abnormal", and has reappeared after the TBI
During a parallel task group, one of the clients agitated and fidgety. She gets up and
looks out the window occasionally for a few minutes and then returns to the task. The
therapist's best response is to:
Questions for Success.
An individual with left hemiplegia who is right hand dominant receives training to resume
independent driving. The OT recommends the use of:
a. "palming" of the steering wheel
b. hand controls for brake and gas pedals
c. left-sided accelerator pedal
d. a spinner knob on the steering wheel -
\d. a spinner knob on the steering wheel
A 15 year old with a complete myelomeningocele at the T9 level is diagnosed with
diabetes. The OT home education program will most likey focus on:
a. regular skin inspection performed by a parent
b. consumer-initiated pressure relief
c. upper extremity strengthening
d. bowel and bladder care -
\c. consumer-initiated pressure relief
An OT designs a dynamic splint for an individual recovering from tendon repair. To
ensure an appropriate angle of pull, the therapist positions an outrigger at:
a. 110 degrees to the joint
b. 60 degrees to the joint
c. 90 degrees to the joint
d. 45 degrees to the joint -
\c. 90 degrees to the joint
An individual recovering from hip replacement surgery prepares for discharge home. He
has a secondary diagnosis of GERD. The most appropriate bed position for the
occupational therapist to recommend is:
a. supine with elevation of the shoulders and head
b. sidelying with the neck in neutral
c. sidelying with elevation of the shoulders and head
d. supine with elevation of the hips -
\a. supine with elevation of the shoulders and head
An adult with obsessive-compulsive disorder is hospitalized due to the exacerbation of
her symptoms. During her first OT group, the best activity for the OT to employ with this
person is:
a. repotting plants
b. sanding a cutting board
c. stringing small beads into a necklace
d. lacing a wallet with the double cordovan stitch -
, \a. repotting plants
An OT provides home-based services to a person recovering from a recent CVA. The
individual lives alone and receives home care Medicare Part A benefits. The therapist
arrives at the client's house at the scheduled session time, but there is no response to
the knocking on the door. A neighbor states that she saw the client leave with a friend.
The most appropriate action for the therapist to take is to:
a. call the nurse case manager to report the missed appointment
b. document that no one answered the door and that the appointment will be
rescheduled
c. documents that no one was home and that the appointment will be rescheduled
d. documenet that the client is engaged in community mobility activities and should be
evaluated for discharge -
\b. document that no one answered the door and that the appointment will be
rescheduled
A child with tactile-defensiveness is receiving intervention from an OT using a SI
approach. In introducing tactile stimuli to the child the most appropriate method for the
therapist to use is:
a. apply the stimulus in the direction opposite of hair growth with vision occluded
b. apply light touch across the face and abdomen with vision occluded
c. provide light brushing across the palmar surfaces of the extremities with the child
watching
d. provide deep touch and firm pressure where the child can see the stimuli -
\d. provide deep touch and firm pressure where the child can see the stimuli
An OT receives a referral to evaluate an individual's executive functioning following a
mild CVA. The OT will most likely assess the person's:
a. initiation and planning
b. orientation, attention, and memory
c. job interests and efficacy
d. spatial relations and praxis -
\a. initiation and planning
A child with a diagnosis of TBI is seen in OT for the initial evaluation. The child presents
with extension of both UE's and flexion of both LE's following a stimulus of neck
extension. The OT interprets and describes this observation as:
a. +ATNR, which is "normal"
b. +STNR, which is "abnormal", and has reappeared after the TBI
c. +STNR, which is "abnormal" in a child this age, the reflex has not yet been integrated
d. +ATNR, which is "abnormal", and has reappeared after the TBI -
\b. +STNR, which is "abnormal", and has reappeared after the TBI
During a parallel task group, one of the clients agitated and fidgety. She gets up and
looks out the window occasionally for a few minutes and then returns to the task. The
therapist's best response is to:
