NBCOT Exam: Ultimate Guide to
Enhance Your Success In OTR.
Iontophoresis -
\the process by which medications are induced through the skin into the body by means
of continuous direct current
An OTR is removing electrodes from a client who has just received iontophoresis.
Within several minutes of removing the electrodes, what should the OTR do to the skin
surface that came in contact with the electrodes? -
\Wipe the area with an alcohol pad.
Brachial plexus posterior cord injury -
\gives rise to the radial nerve....
SOAP Note -
\SUBJECTIVE
OBJECTIVE
ASSESSMENT
PLAN
How to determine premature baby's adjusted age -
\Subtract the number of weeks premature from the chronological age
A wrist extension splint with a low-profile dynamic MCP joint extension outrigger would
be MOST BENEFICIAL for a patient with which of the following conditions? -
\High radial nerve axonotmesis
* Low: wrist extension is maintained
* High: loss of wrist extension
Grading of peripheral nerve damage -
\1)Neurapraxia (mildest): no structural loss, temporary paralysis
2) Axonotmesis: axons disrupted, neves likely ot recover
3) Neurotmesis (most severe): neural tube severed, permanent injuries without repair
An inpatient who has an L1 spinal cord injury is preparing for discharge from a
rehabilitation unit to home. The patient's home has a wheelchair-accessible bathroom
with a bathtub that has a wall-mounted showerhead and shower curtains. Which home
modification should the OTR recommend for this patient? -
\Use a tub-transfer bench for getting into and out of the bathtub.
During a feeding evaluation, an OTR notes that a 4-year-old child who has a
developmental delay spits out most food, has a hyperactive gag reflex, and prefers
, foods that have a soft texture. To improve feeding skills, what should be the INITIAL
focus of the intervention program? -
\(X) Reducing the gag reflex
A 6-year-old child who has Down syndrome has been participating in OT to promote
visual-motor integration. Standardized tests of visual attention indicate the child scored -
1.0 standard deviations from the norm. Based on the hierarchy of visual-skills
development, which client factors should be addressed NEXT? -
\Visual discrimination
A client had a tendon repair of the flexor pollicis longus in the dominant hand 12 weeks
ago. Which of the following activities would be MOST BENEFICIAL for maximizing pull-
through of the involved tendon during this phase of recovery? -
\Pressing buttons on a handheld game controller
An inpatient with a T8 spinal cord injury uses a wheelchair for mobility and lives in a
federally subsidized housing community apartment. After completing a home health
evaluation, the OTR reports that several minor modifications are needed to ensure the
individual's functional independence. According to ADA, who is legally responsible to
ensure completion of the required modifications? -
\Federal housing authorities
An OTR is working with a student in high school who has cerebral palsy with mild
spastic hemiplegia, moderate dysarthria, and age-appropriate cognition. The student
reports that the teacher typically erases notes from the blackboard before the student is
able to copy critical information for tests and quizzes. Which type of assistive
technology is MOST EFFECTIVE for promoting the student's success with this task? -
\(X) Electronic notebook with voice recognition software and a tracking ball mouse
A client who is recovering from a radial head fracture is participating in OT. During an
intervention session, the OTR applied ice to the injured area for 20 minutes. How long
does the client continue to benefit from the analgesic effect of the ice when engaging in
functional intervention activities? -
\Approximately 30 minutes after removal of the ic
An OTR is designing a research study to evaluate the effects of a leisure-time
management group on the life satisfaction of individuals who have Parkinson's disease.
What is the BEST way to obtain quantifiable data? -
\Administering activity checklists pre- and post-group
A client who had a distal radius fracture 8 weeks ago continues to have moderate
edema and generalized hand stiffness. The client is a homemaker and wants to resume
homemaking tasks as soon as possible. Which of the following activities would be
MOST BENEFICIAL for the client to do at home prior to beginning daily ROM
exercises? -
\(X) Wash dishes by hand in water that is approximately 100°F (37.8°C)
Enhance Your Success In OTR.
Iontophoresis -
\the process by which medications are induced through the skin into the body by means
of continuous direct current
An OTR is removing electrodes from a client who has just received iontophoresis.
Within several minutes of removing the electrodes, what should the OTR do to the skin
surface that came in contact with the electrodes? -
\Wipe the area with an alcohol pad.
Brachial plexus posterior cord injury -
\gives rise to the radial nerve....
SOAP Note -
\SUBJECTIVE
OBJECTIVE
ASSESSMENT
PLAN
How to determine premature baby's adjusted age -
\Subtract the number of weeks premature from the chronological age
A wrist extension splint with a low-profile dynamic MCP joint extension outrigger would
be MOST BENEFICIAL for a patient with which of the following conditions? -
\High radial nerve axonotmesis
* Low: wrist extension is maintained
* High: loss of wrist extension
Grading of peripheral nerve damage -
\1)Neurapraxia (mildest): no structural loss, temporary paralysis
2) Axonotmesis: axons disrupted, neves likely ot recover
3) Neurotmesis (most severe): neural tube severed, permanent injuries without repair
An inpatient who has an L1 spinal cord injury is preparing for discharge from a
rehabilitation unit to home. The patient's home has a wheelchair-accessible bathroom
with a bathtub that has a wall-mounted showerhead and shower curtains. Which home
modification should the OTR recommend for this patient? -
\Use a tub-transfer bench for getting into and out of the bathtub.
During a feeding evaluation, an OTR notes that a 4-year-old child who has a
developmental delay spits out most food, has a hyperactive gag reflex, and prefers
, foods that have a soft texture. To improve feeding skills, what should be the INITIAL
focus of the intervention program? -
\(X) Reducing the gag reflex
A 6-year-old child who has Down syndrome has been participating in OT to promote
visual-motor integration. Standardized tests of visual attention indicate the child scored -
1.0 standard deviations from the norm. Based on the hierarchy of visual-skills
development, which client factors should be addressed NEXT? -
\Visual discrimination
A client had a tendon repair of the flexor pollicis longus in the dominant hand 12 weeks
ago. Which of the following activities would be MOST BENEFICIAL for maximizing pull-
through of the involved tendon during this phase of recovery? -
\Pressing buttons on a handheld game controller
An inpatient with a T8 spinal cord injury uses a wheelchair for mobility and lives in a
federally subsidized housing community apartment. After completing a home health
evaluation, the OTR reports that several minor modifications are needed to ensure the
individual's functional independence. According to ADA, who is legally responsible to
ensure completion of the required modifications? -
\Federal housing authorities
An OTR is working with a student in high school who has cerebral palsy with mild
spastic hemiplegia, moderate dysarthria, and age-appropriate cognition. The student
reports that the teacher typically erases notes from the blackboard before the student is
able to copy critical information for tests and quizzes. Which type of assistive
technology is MOST EFFECTIVE for promoting the student's success with this task? -
\(X) Electronic notebook with voice recognition software and a tracking ball mouse
A client who is recovering from a radial head fracture is participating in OT. During an
intervention session, the OTR applied ice to the injured area for 20 minutes. How long
does the client continue to benefit from the analgesic effect of the ice when engaging in
functional intervention activities? -
\Approximately 30 minutes after removal of the ic
An OTR is designing a research study to evaluate the effects of a leisure-time
management group on the life satisfaction of individuals who have Parkinson's disease.
What is the BEST way to obtain quantifiable data? -
\Administering activity checklists pre- and post-group
A client who had a distal radius fracture 8 weeks ago continues to have moderate
edema and generalized hand stiffness. The client is a homemaker and wants to resume
homemaking tasks as soon as possible. Which of the following activities would be
MOST BENEFICIAL for the client to do at home prior to beginning daily ROM
exercises? -
\(X) Wash dishes by hand in water that is approximately 100°F (37.8°C)
