NBCOT Exam Prep: Your Ultimate Exam
Guide with Answers.
An OTR® is working in a lower socioeconomic status school district that offers
developmental screenings to all 3-year-olds whose parents can prove residency. As
part of the process, the OTR® screens for Duchenne's muscular dystrophy (DMD).
Which activity would alert the OTR® to the need to refer the child to a specialist?
A. A positive GOWER'S sign (Weakness of Quads/Gluts, must get up using kneel and
then using hands)
B. Abdominal DISTENTION (Bloating/swelling)
C. Excessive bruising
D. A positive TRENDELENDBURG'S sign (Weak hip abductors) -
\The right answer is A
A positive Gower's sign may be indicative of DMD. A positive Gower's sign is noted
when a child is asked to get up from sitting on the floor and walks the hands up the legs
and then moves into a standing position.
B: Abdominal distention may be a sign of CYSTIC FIBROSIS in infants. (INHERITED
DISORDER OF DAMAGED LUNGS/STOMACH)
C: Excessive bruising may be a sign of hemophilia.
D: A positive Trendelenburg's sign may be related to hip dysPLASI (FORMATION,
GROWTH, PRE-CANCER)
OTR®s can assist caregivers of clients with Alzheimer's disease (AD) with reducing
stress and burden by providing what type of intervention?
A. Habit training to improve independence in ADLs
B. Education related to the progression of AD
C. Environmental modifications to the home
D. Recommendations related to assistive technology -
\The right answer is B
Education related to the progression of AD would be the most important intervention
because such knowledge would allow the caregiver to have more control in choosing
what types of intervention would be appropriate for the client and would, in turn, reduce
,caregiver stress. In addition, they would learn to distinguish the normal progression of
AD from abnormal progression to advocate for better care of the client with AD.
A: Habit training would not be an appropriate intervention strategy for clients with AD,
because it is likely to be ineffective. New learning diminishes as the client progresses
through the stages of dementia.
C, D: Environmental modifications and assistive technology would be appropriate
interventions for clients with AD; however, caregiver education is more important
because it puts the caregiver more in control when collaborating with the OTR®.
An OTR® has been treating a client with a distal radius fracture. Because normal pain-
free range of motion (ROM) may not be possible after this injury, the OTR has
refocused efforts on gaining pain-free motion within the client's functional ROM. How
would the OTR determine this client's functional ROM?
A. Assist the client in identifying activities the client wants or needs to be able to
accomplish with the affected extremity and incorporate practice of these specific
activities
B. Measure passive ROM to determine the available range of the affected extremity and
then focus on place and hold exercises within that available range
C. Review the evidence to determine specific measurements that correspond to
functional ROM and then formulate functional ROM goals for the client
D. Use goniometric measurements of the unaffected extremity to create ROM goals for
the affected extremity -
\The right answer is A
Identifying activities with meaning for the individual client allows the OTR to measure
functional ROM needed for those activities.
B: Passive ROM is not a clear indicator of the client's functional ROM.
C: Functional ROM must be determined individually for each client.
D: Goniometry of the unaffected extremity does not identify functional ROM for the
affected side.
What is the MOST appropriate way in which an OTR® can address functional
ambulation with a client?
A. By creating an exercise program that increases strength, therefore improving
ambulation
B. By helping the client with valued roles and activities associated with ambulation
, C. By decreasing the use of assistive devices during daily ambulation activities
D. By assessing whether an orthosis is necessary for a client with ambulation
dysfunction -
\The right answer is B
Functional ambulation integrates ambulation with ADLs and IADLs. Using an
occupationally based approach, an OTR can focus on functional ambulation based on
the client's valued roles and activities.
A: Although muscle strengthening to improve ambulation is important, it is not functional
in and of itself. Physical therapy usually focuses on basic strengthening and ambulation.
C: Ambulation is not directly related to the use of assistive devices used in ADLs.
Mobility devices are used during ambulation, but the physical therapist usually makes
recommendations for any increase or decrease in assistive device use.
D: Physical therapists usually evaluate and make recommendations for orthoses in
relation to ambulation.
According to the Standards of Practice for Occupational Therapy, which task can the
COTA® can complete in the evaluation process?
A. Respond to the initial referral request.
B. Interpret and document the evaluation results.
C. Perform delegated assessments using current tools.
D. Make recommendations to other professionals. -
\The right answer is C
COTA®s are able to perform assessments delegated by the OTR®.
A, B, D: These tasks fall within the role of the OTR®.
A COTA® in an acute rehabilitation facility has been working with a client for four
consecutive sessions. The COTA® learns that the client has two cats at home for which
the client is the sole caregiver. Which option BEST describes the COTA®'s role in
making pet care a goal?
A. The COTA® can write this IADL goal into the next progress note and alert the OTR®
to the change in the plan of care.
B. The COTA® cannot add a goal once the evaluation has been completed.
Guide with Answers.
An OTR® is working in a lower socioeconomic status school district that offers
developmental screenings to all 3-year-olds whose parents can prove residency. As
part of the process, the OTR® screens for Duchenne's muscular dystrophy (DMD).
Which activity would alert the OTR® to the need to refer the child to a specialist?
A. A positive GOWER'S sign (Weakness of Quads/Gluts, must get up using kneel and
then using hands)
B. Abdominal DISTENTION (Bloating/swelling)
C. Excessive bruising
D. A positive TRENDELENDBURG'S sign (Weak hip abductors) -
\The right answer is A
A positive Gower's sign may be indicative of DMD. A positive Gower's sign is noted
when a child is asked to get up from sitting on the floor and walks the hands up the legs
and then moves into a standing position.
B: Abdominal distention may be a sign of CYSTIC FIBROSIS in infants. (INHERITED
DISORDER OF DAMAGED LUNGS/STOMACH)
C: Excessive bruising may be a sign of hemophilia.
D: A positive Trendelenburg's sign may be related to hip dysPLASI (FORMATION,
GROWTH, PRE-CANCER)
OTR®s can assist caregivers of clients with Alzheimer's disease (AD) with reducing
stress and burden by providing what type of intervention?
A. Habit training to improve independence in ADLs
B. Education related to the progression of AD
C. Environmental modifications to the home
D. Recommendations related to assistive technology -
\The right answer is B
Education related to the progression of AD would be the most important intervention
because such knowledge would allow the caregiver to have more control in choosing
what types of intervention would be appropriate for the client and would, in turn, reduce
,caregiver stress. In addition, they would learn to distinguish the normal progression of
AD from abnormal progression to advocate for better care of the client with AD.
A: Habit training would not be an appropriate intervention strategy for clients with AD,
because it is likely to be ineffective. New learning diminishes as the client progresses
through the stages of dementia.
C, D: Environmental modifications and assistive technology would be appropriate
interventions for clients with AD; however, caregiver education is more important
because it puts the caregiver more in control when collaborating with the OTR®.
An OTR® has been treating a client with a distal radius fracture. Because normal pain-
free range of motion (ROM) may not be possible after this injury, the OTR has
refocused efforts on gaining pain-free motion within the client's functional ROM. How
would the OTR determine this client's functional ROM?
A. Assist the client in identifying activities the client wants or needs to be able to
accomplish with the affected extremity and incorporate practice of these specific
activities
B. Measure passive ROM to determine the available range of the affected extremity and
then focus on place and hold exercises within that available range
C. Review the evidence to determine specific measurements that correspond to
functional ROM and then formulate functional ROM goals for the client
D. Use goniometric measurements of the unaffected extremity to create ROM goals for
the affected extremity -
\The right answer is A
Identifying activities with meaning for the individual client allows the OTR to measure
functional ROM needed for those activities.
B: Passive ROM is not a clear indicator of the client's functional ROM.
C: Functional ROM must be determined individually for each client.
D: Goniometry of the unaffected extremity does not identify functional ROM for the
affected side.
What is the MOST appropriate way in which an OTR® can address functional
ambulation with a client?
A. By creating an exercise program that increases strength, therefore improving
ambulation
B. By helping the client with valued roles and activities associated with ambulation
, C. By decreasing the use of assistive devices during daily ambulation activities
D. By assessing whether an orthosis is necessary for a client with ambulation
dysfunction -
\The right answer is B
Functional ambulation integrates ambulation with ADLs and IADLs. Using an
occupationally based approach, an OTR can focus on functional ambulation based on
the client's valued roles and activities.
A: Although muscle strengthening to improve ambulation is important, it is not functional
in and of itself. Physical therapy usually focuses on basic strengthening and ambulation.
C: Ambulation is not directly related to the use of assistive devices used in ADLs.
Mobility devices are used during ambulation, but the physical therapist usually makes
recommendations for any increase or decrease in assistive device use.
D: Physical therapists usually evaluate and make recommendations for orthoses in
relation to ambulation.
According to the Standards of Practice for Occupational Therapy, which task can the
COTA® can complete in the evaluation process?
A. Respond to the initial referral request.
B. Interpret and document the evaluation results.
C. Perform delegated assessments using current tools.
D. Make recommendations to other professionals. -
\The right answer is C
COTA®s are able to perform assessments delegated by the OTR®.
A, B, D: These tasks fall within the role of the OTR®.
A COTA® in an acute rehabilitation facility has been working with a client for four
consecutive sessions. The COTA® learns that the client has two cats at home for which
the client is the sole caregiver. Which option BEST describes the COTA®'s role in
making pet care a goal?
A. The COTA® can write this IADL goal into the next progress note and alert the OTR®
to the change in the plan of care.
B. The COTA® cannot add a goal once the evaluation has been completed.
