Ultimate NBCOT Practice Exam With
Detailed Answers: Ace Your
Certification.
Which statement BEST describes how a COTA® assists with performing an
occupational therapy evaluation? -
\The COTA® may perform delegated assessments and provide reports of a client's
capabilities to the OTR®.
A COTA® is working toward service competency for adaptive feeding equipment
instruction. How would an OTR® BEST establish service competency for the COTA? -
\Compare outcomes by rating the same client's performance with the adaptive feeding
equipment
A COTA® working on an inpatient rehabilitation unit has had two patients fall during
intervention sessions in the past month. The supervising OTR® has concerns about the
COTA®'s safety awareness during certain interventions. Which approach can the
COTA® expect the OTR® to take to help the COTA® BEST address these concerns? -
\The OTR® will collaborate with the COTA® to determine potential causes of the falls
and provide direct supervision with more deliberate feedback.
A COTA® has been working on the cardiology unit of an acute care hospital for 5 years.
An OTR® has just begun working on the cardiology unit and will be responsible for
supervising the COTA®. What is the BEST type of supervision for this COTA®? -
\Minimal
A COTA® has established service competency for administration and scoring of the
Mini-Mental State Examination. Which supervision is the MOST APPROPRIATE for the
OTR® to provide? -
\Minimal supervision to periodically recheck that service competency is maintained
A COTA® has been assigned to treat a new patient. The OTR® has evaluated this
patient but has not yet written the necessary documentation for the COTA® to review.
How should the COTA® proceed? -
\Discuss with the OTR® reason for admission, precautions, and goals, and proceed,
documenting the supervisory visit
A COTA® is working with a client who punched a wall after an argument. The client
presents with inflammation and pain in the right fourth and fifth metacarpals. What type
of fracture does this client most likely have? -
\Boxer's fracture
,A COTA® decides that a client has returned to the previous level of function and
continued occupational therapy services are no longer needed. Which is the BEST way
to discharge this client? -
\The COTA® alerts the OTR®, and the OTR® reviews the documentation, discusses
the client's progress and responses to intervention, and collaborates on a last treatment
day.
A COTA® who spent 2 years working on the orthopedics unit of an acute care hospital
is now working on the neurological floor. How is appropriate supervision BEST
described? -
\The OTR® and COTA® agree that close supervision is best at this time.
A COTA® is shifting roles within a skilled nursing facility to become the manager of the
therapeutic recreation department. In which way does supervision from the OTR®
change? -
\Supervision is no longer needed.
A COTA® is treating an adolescent client with major depression for the first time since
the OTR® completed the initial evaluation. The client has been withdrawn and has
stayed in bed except for meals. The COTA® is selecting an activity to use in the first
treatment session with this client. What is the MOST important consideration in
choosing an activity for the first individual treatment session with this client? -
\The activity should be completed easily.
A supervising OTR® hires two newly graduated COTA®s who have different learning
styles. One prefers visual learning, and the other prefers a more hands-on approach.
Which approach is the BEST way for the OTR to supervise both COTAs? -
\Have one COTA perform new tasks while the other observes.
A physician has referred a client to an outpatient setting for an occupational therapy
evaluation and intervention. The client has late effects from a stroke that occurred
approximately 10 years ago. The OTR® is performing a screening before initiating the
evaluation. Which is the MOST likely reason for completing the screening? -
\To identify whether the client may benefit from occupational therapy services
A physician has referred a client to an outpatient setting for an occupational therapy
evaluation and intervention. The client has late effects from a stroke that occurred
approximately 10 years ago. The OTR® conducts the evaluation and begins to
formulate the client's goals in conjunction with the client and the COTA®. Which short-
term objective would be MOST appropriate for improving independence in
homemaking? -
\By 2 weeks, client will be independent in cutting vegetables using adaptive equipment.
When a COTA® completes documentation, which of the following actions is MOST in
compliance with HIPAA regulations for maintaining client privacy and confidentiality? -
\Positioning computer screens and client charts out of others' view
, A client has severe intention tremors secondary to multiple sclerosis. Which adaptive
strategy would be MOST BENEFICIAL for this client to use when eating? -
\Stabilizing both arms on a counter or table top
Which strategy is MOST appropriate strategy for resolving conflicts in the workplace? -
\Listening effectively when others are speaking
A frail older adult client who uses an ultra lightweight manual wheelchair with a foam
cushion comes to the clinic is complaining of low back pain. The client's caregiver
indicates that the skin on the client's coccyx is very pink, and there is concern about
skin breakdown. The OTR®-COTA® team observes that the client's seated position is
stable without supports, the client's upper extremities rest on the armrests without the
shoulders hiking, the feet rest on the foot plates bilaterally, and the hips are at a 45°
angle, which keeps the knees higher than waist level. The client indicates that this
sitting posture is usual and is maintained most of the day. What intervention would the
OTR®-COTA® team try INITIALLY to relieve the client's pain and protect the skin? -
\Lower the footrests so that the thighs are level with the seat of the chair and the feet
rest flat on the footrests
A COTA® is working with a client experiencing a cumulative trauma disorder of the right
upper extremity. To document client improvement as a result of therapy, which
occupation-based statement would the COTA® be MOST likely to write? -
\Client can brush teeth using the involved upper extremity without pain.
A COTA® is establishing reasonable accommodations for a client with a history of
attention deficit disorder who is employed as a receptionist for a lawn care company.
The client exhibits decreased attention span, concentration, and periodic physical
restlessness. The essential job functions include answering phone calls, taking
messages, sending out statements for services rendered, and setting up appointments.
Which accommodation is MOST appropriate for the COTA® to recommend? -
\A redesign of the work space to minimize distractions
A COTA® is working with a client who fractured the distal radius of one arm 6 weeks
ago. Within what time frame is controlled AROM typically initiated if the fracture is
healing secondarily? -
\3-6 weeks postinjury
A COTA® working in an psychiatric inpatient setting is assigned to work individually with
an adolescent with major depression. The adolescent has refused to participate for 3
days, claiming not to feel well. How should the COTA® BEST respond? -
\"I can see that you aren't feeling well. Let's try doing something you like that will not
take too long and see what happens."
A COTA® is conducting a cooking group for people with schizophrenia. The COTA®
writes the following information in a progress note after a treatment session: "Client will
Detailed Answers: Ace Your
Certification.
Which statement BEST describes how a COTA® assists with performing an
occupational therapy evaluation? -
\The COTA® may perform delegated assessments and provide reports of a client's
capabilities to the OTR®.
A COTA® is working toward service competency for adaptive feeding equipment
instruction. How would an OTR® BEST establish service competency for the COTA? -
\Compare outcomes by rating the same client's performance with the adaptive feeding
equipment
A COTA® working on an inpatient rehabilitation unit has had two patients fall during
intervention sessions in the past month. The supervising OTR® has concerns about the
COTA®'s safety awareness during certain interventions. Which approach can the
COTA® expect the OTR® to take to help the COTA® BEST address these concerns? -
\The OTR® will collaborate with the COTA® to determine potential causes of the falls
and provide direct supervision with more deliberate feedback.
A COTA® has been working on the cardiology unit of an acute care hospital for 5 years.
An OTR® has just begun working on the cardiology unit and will be responsible for
supervising the COTA®. What is the BEST type of supervision for this COTA®? -
\Minimal
A COTA® has established service competency for administration and scoring of the
Mini-Mental State Examination. Which supervision is the MOST APPROPRIATE for the
OTR® to provide? -
\Minimal supervision to periodically recheck that service competency is maintained
A COTA® has been assigned to treat a new patient. The OTR® has evaluated this
patient but has not yet written the necessary documentation for the COTA® to review.
How should the COTA® proceed? -
\Discuss with the OTR® reason for admission, precautions, and goals, and proceed,
documenting the supervisory visit
A COTA® is working with a client who punched a wall after an argument. The client
presents with inflammation and pain in the right fourth and fifth metacarpals. What type
of fracture does this client most likely have? -
\Boxer's fracture
,A COTA® decides that a client has returned to the previous level of function and
continued occupational therapy services are no longer needed. Which is the BEST way
to discharge this client? -
\The COTA® alerts the OTR®, and the OTR® reviews the documentation, discusses
the client's progress and responses to intervention, and collaborates on a last treatment
day.
A COTA® who spent 2 years working on the orthopedics unit of an acute care hospital
is now working on the neurological floor. How is appropriate supervision BEST
described? -
\The OTR® and COTA® agree that close supervision is best at this time.
A COTA® is shifting roles within a skilled nursing facility to become the manager of the
therapeutic recreation department. In which way does supervision from the OTR®
change? -
\Supervision is no longer needed.
A COTA® is treating an adolescent client with major depression for the first time since
the OTR® completed the initial evaluation. The client has been withdrawn and has
stayed in bed except for meals. The COTA® is selecting an activity to use in the first
treatment session with this client. What is the MOST important consideration in
choosing an activity for the first individual treatment session with this client? -
\The activity should be completed easily.
A supervising OTR® hires two newly graduated COTA®s who have different learning
styles. One prefers visual learning, and the other prefers a more hands-on approach.
Which approach is the BEST way for the OTR to supervise both COTAs? -
\Have one COTA perform new tasks while the other observes.
A physician has referred a client to an outpatient setting for an occupational therapy
evaluation and intervention. The client has late effects from a stroke that occurred
approximately 10 years ago. The OTR® is performing a screening before initiating the
evaluation. Which is the MOST likely reason for completing the screening? -
\To identify whether the client may benefit from occupational therapy services
A physician has referred a client to an outpatient setting for an occupational therapy
evaluation and intervention. The client has late effects from a stroke that occurred
approximately 10 years ago. The OTR® conducts the evaluation and begins to
formulate the client's goals in conjunction with the client and the COTA®. Which short-
term objective would be MOST appropriate for improving independence in
homemaking? -
\By 2 weeks, client will be independent in cutting vegetables using adaptive equipment.
When a COTA® completes documentation, which of the following actions is MOST in
compliance with HIPAA regulations for maintaining client privacy and confidentiality? -
\Positioning computer screens and client charts out of others' view
, A client has severe intention tremors secondary to multiple sclerosis. Which adaptive
strategy would be MOST BENEFICIAL for this client to use when eating? -
\Stabilizing both arms on a counter or table top
Which strategy is MOST appropriate strategy for resolving conflicts in the workplace? -
\Listening effectively when others are speaking
A frail older adult client who uses an ultra lightweight manual wheelchair with a foam
cushion comes to the clinic is complaining of low back pain. The client's caregiver
indicates that the skin on the client's coccyx is very pink, and there is concern about
skin breakdown. The OTR®-COTA® team observes that the client's seated position is
stable without supports, the client's upper extremities rest on the armrests without the
shoulders hiking, the feet rest on the foot plates bilaterally, and the hips are at a 45°
angle, which keeps the knees higher than waist level. The client indicates that this
sitting posture is usual and is maintained most of the day. What intervention would the
OTR®-COTA® team try INITIALLY to relieve the client's pain and protect the skin? -
\Lower the footrests so that the thighs are level with the seat of the chair and the feet
rest flat on the footrests
A COTA® is working with a client experiencing a cumulative trauma disorder of the right
upper extremity. To document client improvement as a result of therapy, which
occupation-based statement would the COTA® be MOST likely to write? -
\Client can brush teeth using the involved upper extremity without pain.
A COTA® is establishing reasonable accommodations for a client with a history of
attention deficit disorder who is employed as a receptionist for a lawn care company.
The client exhibits decreased attention span, concentration, and periodic physical
restlessness. The essential job functions include answering phone calls, taking
messages, sending out statements for services rendered, and setting up appointments.
Which accommodation is MOST appropriate for the COTA® to recommend? -
\A redesign of the work space to minimize distractions
A COTA® is working with a client who fractured the distal radius of one arm 6 weeks
ago. Within what time frame is controlled AROM typically initiated if the fracture is
healing secondarily? -
\3-6 weeks postinjury
A COTA® working in an psychiatric inpatient setting is assigned to work individually with
an adolescent with major depression. The adolescent has refused to participate for 3
days, claiming not to feel well. How should the COTA® BEST respond? -
\"I can see that you aren't feeling well. Let's try doing something you like that will not
take too long and see what happens."
A COTA® is conducting a cooking group for people with schizophrenia. The COTA®
writes the following information in a progress note after a treatment session: "Client will
