Ace the NBCOT Exam: Comprehensive
OTR pre-test Questions and Answers.
An OTR is working with a client in a home health setting who has a wound on the
posterior aspect of the proximal forearm. The wound is 3cm in diameter and is being
treated by the wound care nurse with a transparent film dressing. The wound is dry, and
the margins are pink and flat. What is the PRIMARY reason for using a transparent film
dressing on this client's wound? -
\To keep bacteria out of the wound while promoting autolytic debridement
An OTR is collaborating with an inpatient who has moderate dementia to develop a
discharge plan. The primary concern is to identify the safest discharge location. What
responsibility does the OTR have during this phase of client-centered intervention
planning for this patient? -
\Ask a surrogate decision-maker to assist the patient in the selection process
rationale: a surrogate decision maker advocates for patients who cannot make
appropriate decisions that will benefit them
An OTR is determining wheelchair specifications for a client who has as an L1 spinal
cord injury. The client wants a wheelchair that is stable for use on even and uneven
terrain. Which of the following shows the MOST EFFECTIVE relationship between the
client's center of mass and the axle position to help achieve this objective?
a. Center of mass directly above the axle of the chair
b. Center of mass ahead of (i.e. anterior to) the axle of the chair
c. Center of mass behind (i.e. posterior to) the axle of the chair -
\b. center of mass ahead of or anterior to the axle of the chair
An OTR is planning an intervention session for an inpatient who sustained a C5 spinal
cord injury 2 weeks ago. One of the patients priorities is to be independent with self-
feeding. Which adaptive equipment is MOST BENEFICIAL for supporting progress
toward this goal?
a. mobile arm support
b. tenodesis orthosis
c. mechanical feeder -
\a. mobile arm support
rationale: to assist in supporting the weight of the arm
An OTR holds a 5-month old infant in vertical suspension and observes head position
while gently tilting the child from side to side then from front to back. Which automatic
reaction is the OTR screening when following this procedure?
a. Equilibrium reaction
b. Protective response
OTR pre-test Questions and Answers.
An OTR is working with a client in a home health setting who has a wound on the
posterior aspect of the proximal forearm. The wound is 3cm in diameter and is being
treated by the wound care nurse with a transparent film dressing. The wound is dry, and
the margins are pink and flat. What is the PRIMARY reason for using a transparent film
dressing on this client's wound? -
\To keep bacteria out of the wound while promoting autolytic debridement
An OTR is collaborating with an inpatient who has moderate dementia to develop a
discharge plan. The primary concern is to identify the safest discharge location. What
responsibility does the OTR have during this phase of client-centered intervention
planning for this patient? -
\Ask a surrogate decision-maker to assist the patient in the selection process
rationale: a surrogate decision maker advocates for patients who cannot make
appropriate decisions that will benefit them
An OTR is determining wheelchair specifications for a client who has as an L1 spinal
cord injury. The client wants a wheelchair that is stable for use on even and uneven
terrain. Which of the following shows the MOST EFFECTIVE relationship between the
client's center of mass and the axle position to help achieve this objective?
a. Center of mass directly above the axle of the chair
b. Center of mass ahead of (i.e. anterior to) the axle of the chair
c. Center of mass behind (i.e. posterior to) the axle of the chair -
\b. center of mass ahead of or anterior to the axle of the chair
An OTR is planning an intervention session for an inpatient who sustained a C5 spinal
cord injury 2 weeks ago. One of the patients priorities is to be independent with self-
feeding. Which adaptive equipment is MOST BENEFICIAL for supporting progress
toward this goal?
a. mobile arm support
b. tenodesis orthosis
c. mechanical feeder -
\a. mobile arm support
rationale: to assist in supporting the weight of the arm
An OTR holds a 5-month old infant in vertical suspension and observes head position
while gently tilting the child from side to side then from front to back. Which automatic
reaction is the OTR screening when following this procedure?
a. Equilibrium reaction
b. Protective response
