Dominate NBCOT: Your Ultimate Q&A
Guide for Success.
A client, who has low back pain, is participating in an outpatient program. One of the
intervention goals is for the client to learn proper body mechanics to use when picking
up objects off the floor. Which strategy should the COTA teach the client to support
progress toward this goal? -
\Place one foot forward to move into a lunge position.
Lean forward at the waist to reach toward the floor.
Bend at the knees to achieve a squatting position.
A client with diabetes mellitus has low vision that interferes with the client's ability to
read instructions on a prescription medication bottle. What would be the MOST
BENEFICIAL strategy to support the client's independence in reading these
instructions? -
\Large-print medication diary or notebook
Daily pill box with a built-in auditory alarm
Illuminated handheld magnification device
What type of activity would be MOST BENEFICIAL for an inpatient who recently had a
CVA with hemiplegia and has a significant gaze preference?
Position the television and meaningful objects in the client's unaffected field of view.
Have the client look at the affected side when applying lotion to the upper extremity.
Encourage the client to look in a mirror during grooming and hygiene activities. -
\Have the client look at the affected side when applying lotion to the upper extremity.
An inpatient was admitted to the hospital 3 days ago secondary to Guillain-Barré
syndrome. The patient is dependent in ADL. What interventions would be MOST
BENEFICIAL for the patient during this phase of the disease process? -
\Progressive aerobic activities
Therapeutic strengthening exercises
Electronic aids to support ADL
Pain management strategies
Positioning methods
Weighted eating utensils
Which precaution should be taken during intervention sessions with an inpatient in an
acute care setting who has frequent seizures? -
\Plan sedentary activities at the bedside and have an additional staff member present.
Provide treatment in a dimly lit room and have the patient lie in a supine position.
Be prepared for protective action and ensure a chair is available for the patient to sit in.
A COTA is teaching a client, who has chronic bronchitis, a breathing technique to use
when experiencing shortness of breath during ADL. The COTA instructs the client to
,count slowly during respiration and to exhale longer than inhale. Which breathing
technique do these instructions represent? -
\Pursed lip breathing
Relaxation breathing
Abdominal breathing
A COTA, who works in a home health setting, is working with a client who had open
heart surgery and a sternotomy 2 weeks ago. One of the goals for the client is to
independently transfer from the toilet while following sternal precautions. Which
technique should the COTA to teach the client to support progress toward this goal? -
\Place feet shoulder width apart, reach for a sturdy object, and slowly pull the body into
an upright position.
Lean forward with shoulders over the knees, cross arms over the chest, and use leg
strength to stand.
Scoot to the edge of the toilet, place hands on the seat of the toilet, and push through
the arms to stand up.
What is the PRIMARY reason for encouraging an inpatient who recently had surgery to
use an incentive spirometer? -
\To prevent risk of deep vein thrombosis
To decrease intensity of pain
To maintain healthy lung function
A COTA working in a hospital setting wants to search current evidence about
intervention methods that can be incorporated into intervention sessions with patients.
Which search method would be MOST BENEFICIAL to use for this purpose? -
\Access information through an online social media platform.
Read single-subject case studies written by clinical experts.
Find studies based on systematic randomized control trials.
An OTR and a COTA are collaborating to evaluate a client who has diabetes mellitus,
congestive heart failure, and depression. A screening indicates that the client lives
alone and has limited health literacy skills. What information would be MOST
BENEFICIAL to contribute to the client's occupational profile? -
\The client's perception of how well health information is processed and understood
The client's satisfaction with their health care providers and medical intervention plan
Availability of people in the client's social network who can provide assistance and
support
A client, who has osteosarcoma, reports that fatigue and low activity tolerance interfere
with the ability to complete daily activities. One of the client's goals is to use energy
conservation strategies to improve endurance for ADL. What is the FIRST action the
COTA should take to support progress toward this goal? -
\Understand the client's readiness to learn.
Develop a written handout with illustrations.
Identify resources in the client's community.
,A COTA and an OTR are collaborating on a quality improvement initiative. The goal of
the initiative is to review clinical documentation records to determine the presence of
specific criteria. What is the PRIMARY purpose for completing this type of quality
initiative? -
\To identify which staff members are out of compliance with the documentation policy
To determine if enhancements are needed for the clinical documentation system
To ensure financial reimbursement for rehabilitation services are received from third
party payers
Which government program is associated with health insurance for individuals based on
financial need? -
\Medicare Part D
Managed care
Medicaid
A young adult client with autism spectrum disorder has a goal to independently walk the
same distance each day for exercise, but does not want to walk the same route every
day. The client has a pedometer to track the distance, but frequently achieves the
distance goal in a location away from home. The COTA has tried to establish a variety
of predetermined routes with the client, but the client wants to independently select the
route during the walk. What would be the MOST BENEFICIAL strategy for the COTA to
recommend to this client? -
\Teach the client to navigate the neighborhood using familiar landmarks and street
signs.
Find a walking partner to assist the client in returning home within the distance goal.
Program a cell phone app to alert the client when the midway point has been reached.
Which adaptive toileting equipment would be MOST BENEFICIAL for a client who is
unable to reach to complete personal hygiene after toileting? -
\Reacher
Long-handled mirror
Toilet tissue aid
Which adaptive ADL equipment would be MOST BENEFICIAL for a client who has Poor
(2/5) hand strength? -
\Toothbrush with built-up handle
Button hook
Utensil inserted into a universal cuff
A COTA is reviewing the medical record of a patient in an acute care hospital. In
addition to a hospitalist, who is coordinating the medical care for the patient, the patient
is also under the care of a gastroenterologist. What is the PRIMARY specialty area of a
gastroenterologist on the interprofessional team? -
\Disorders of the stomach, gallbladder, liver, and pancreas
Diseases associated with aging and older adults
, Conditions related to blood and blood-forming tissue
Which of the following play skills is considered age-appropriate for a TYPICALLY
developing 4-year-old child? -
\Following rules while playing group board games
Role-playing a bathing routine with a favorite doll
Creating stories with "pretend" characters
Kicking soccer ball with consistent accuracy
Participating in a game of jump rope with peers
Building a play "castle" with blankets and chairs
Which intervention technique is MOST BENEFICIAL to use initially with a client who has
recently been diagnosed with homonymous hemianopsia? -
\Ask the client to read a paragraph displayed on a vertical computer monitor.
Have the client use smooth visual pursuits to track a moving object.
Teach the client to locate a solid line placed within the affected visual field.
A COTA is making wheelchair recommendations for a client who plans to join a
wheelchair basketball team. The client has transfemoral amputations of both legs and
currently uses prosthesis for standing activities and ambulating short distances. For
community mobility, the client uses a standard wheelchair. Which wheelchair feature
would be MOST BENEFICIAL for this client when playing basketball? -
\Slightly recline the seat so that the client is semi-reclined and hips are in 100° of
flexion.
Angle the rear wheels of the chair so that the bottom of the rims is farther apart than the
top.
Adjust the anterior of the seat base to have a forward and downward tilt.
An inpatient recently had surgery for a laryngectomy and placement of a permanent
tracheostomy tube. One of the intervention goals is for the patient to independently
perform personal hygiene routines at home. Which strategy should the COTA teach the
patient to use to promote progress toward this goal? -
\Use sterile wipes to clean the inner cannula.
Wear a stoma cover during sponge bath.
Keep the stoma dry when showering.
An inpatient had a C5-6 laminectomy and fusion 2 days ago. The patient is preparing for
discharge and learning post-surgical precautions to incorporate into everyday life at
home. What should the COTA include in the discharge instructions for this patient? -
\Limit walking in the home to bathroom visits only, and use a bedside commode at
nighttime.
Resume driving when free from pain and narcotic use has been discontinued.
Avoid reaching for objects above shoulder height and bending the neck forward.
A COTA working in a skilled nursing facility is planning a mealtime intervention session
for a resident who has dementia and is blind. Currently, the client is fed a regular diet by
Guide for Success.
A client, who has low back pain, is participating in an outpatient program. One of the
intervention goals is for the client to learn proper body mechanics to use when picking
up objects off the floor. Which strategy should the COTA teach the client to support
progress toward this goal? -
\Place one foot forward to move into a lunge position.
Lean forward at the waist to reach toward the floor.
Bend at the knees to achieve a squatting position.
A client with diabetes mellitus has low vision that interferes with the client's ability to
read instructions on a prescription medication bottle. What would be the MOST
BENEFICIAL strategy to support the client's independence in reading these
instructions? -
\Large-print medication diary or notebook
Daily pill box with a built-in auditory alarm
Illuminated handheld magnification device
What type of activity would be MOST BENEFICIAL for an inpatient who recently had a
CVA with hemiplegia and has a significant gaze preference?
Position the television and meaningful objects in the client's unaffected field of view.
Have the client look at the affected side when applying lotion to the upper extremity.
Encourage the client to look in a mirror during grooming and hygiene activities. -
\Have the client look at the affected side when applying lotion to the upper extremity.
An inpatient was admitted to the hospital 3 days ago secondary to Guillain-Barré
syndrome. The patient is dependent in ADL. What interventions would be MOST
BENEFICIAL for the patient during this phase of the disease process? -
\Progressive aerobic activities
Therapeutic strengthening exercises
Electronic aids to support ADL
Pain management strategies
Positioning methods
Weighted eating utensils
Which precaution should be taken during intervention sessions with an inpatient in an
acute care setting who has frequent seizures? -
\Plan sedentary activities at the bedside and have an additional staff member present.
Provide treatment in a dimly lit room and have the patient lie in a supine position.
Be prepared for protective action and ensure a chair is available for the patient to sit in.
A COTA is teaching a client, who has chronic bronchitis, a breathing technique to use
when experiencing shortness of breath during ADL. The COTA instructs the client to
,count slowly during respiration and to exhale longer than inhale. Which breathing
technique do these instructions represent? -
\Pursed lip breathing
Relaxation breathing
Abdominal breathing
A COTA, who works in a home health setting, is working with a client who had open
heart surgery and a sternotomy 2 weeks ago. One of the goals for the client is to
independently transfer from the toilet while following sternal precautions. Which
technique should the COTA to teach the client to support progress toward this goal? -
\Place feet shoulder width apart, reach for a sturdy object, and slowly pull the body into
an upright position.
Lean forward with shoulders over the knees, cross arms over the chest, and use leg
strength to stand.
Scoot to the edge of the toilet, place hands on the seat of the toilet, and push through
the arms to stand up.
What is the PRIMARY reason for encouraging an inpatient who recently had surgery to
use an incentive spirometer? -
\To prevent risk of deep vein thrombosis
To decrease intensity of pain
To maintain healthy lung function
A COTA working in a hospital setting wants to search current evidence about
intervention methods that can be incorporated into intervention sessions with patients.
Which search method would be MOST BENEFICIAL to use for this purpose? -
\Access information through an online social media platform.
Read single-subject case studies written by clinical experts.
Find studies based on systematic randomized control trials.
An OTR and a COTA are collaborating to evaluate a client who has diabetes mellitus,
congestive heart failure, and depression. A screening indicates that the client lives
alone and has limited health literacy skills. What information would be MOST
BENEFICIAL to contribute to the client's occupational profile? -
\The client's perception of how well health information is processed and understood
The client's satisfaction with their health care providers and medical intervention plan
Availability of people in the client's social network who can provide assistance and
support
A client, who has osteosarcoma, reports that fatigue and low activity tolerance interfere
with the ability to complete daily activities. One of the client's goals is to use energy
conservation strategies to improve endurance for ADL. What is the FIRST action the
COTA should take to support progress toward this goal? -
\Understand the client's readiness to learn.
Develop a written handout with illustrations.
Identify resources in the client's community.
,A COTA and an OTR are collaborating on a quality improvement initiative. The goal of
the initiative is to review clinical documentation records to determine the presence of
specific criteria. What is the PRIMARY purpose for completing this type of quality
initiative? -
\To identify which staff members are out of compliance with the documentation policy
To determine if enhancements are needed for the clinical documentation system
To ensure financial reimbursement for rehabilitation services are received from third
party payers
Which government program is associated with health insurance for individuals based on
financial need? -
\Medicare Part D
Managed care
Medicaid
A young adult client with autism spectrum disorder has a goal to independently walk the
same distance each day for exercise, but does not want to walk the same route every
day. The client has a pedometer to track the distance, but frequently achieves the
distance goal in a location away from home. The COTA has tried to establish a variety
of predetermined routes with the client, but the client wants to independently select the
route during the walk. What would be the MOST BENEFICIAL strategy for the COTA to
recommend to this client? -
\Teach the client to navigate the neighborhood using familiar landmarks and street
signs.
Find a walking partner to assist the client in returning home within the distance goal.
Program a cell phone app to alert the client when the midway point has been reached.
Which adaptive toileting equipment would be MOST BENEFICIAL for a client who is
unable to reach to complete personal hygiene after toileting? -
\Reacher
Long-handled mirror
Toilet tissue aid
Which adaptive ADL equipment would be MOST BENEFICIAL for a client who has Poor
(2/5) hand strength? -
\Toothbrush with built-up handle
Button hook
Utensil inserted into a universal cuff
A COTA is reviewing the medical record of a patient in an acute care hospital. In
addition to a hospitalist, who is coordinating the medical care for the patient, the patient
is also under the care of a gastroenterologist. What is the PRIMARY specialty area of a
gastroenterologist on the interprofessional team? -
\Disorders of the stomach, gallbladder, liver, and pancreas
Diseases associated with aging and older adults
, Conditions related to blood and blood-forming tissue
Which of the following play skills is considered age-appropriate for a TYPICALLY
developing 4-year-old child? -
\Following rules while playing group board games
Role-playing a bathing routine with a favorite doll
Creating stories with "pretend" characters
Kicking soccer ball with consistent accuracy
Participating in a game of jump rope with peers
Building a play "castle" with blankets and chairs
Which intervention technique is MOST BENEFICIAL to use initially with a client who has
recently been diagnosed with homonymous hemianopsia? -
\Ask the client to read a paragraph displayed on a vertical computer monitor.
Have the client use smooth visual pursuits to track a moving object.
Teach the client to locate a solid line placed within the affected visual field.
A COTA is making wheelchair recommendations for a client who plans to join a
wheelchair basketball team. The client has transfemoral amputations of both legs and
currently uses prosthesis for standing activities and ambulating short distances. For
community mobility, the client uses a standard wheelchair. Which wheelchair feature
would be MOST BENEFICIAL for this client when playing basketball? -
\Slightly recline the seat so that the client is semi-reclined and hips are in 100° of
flexion.
Angle the rear wheels of the chair so that the bottom of the rims is farther apart than the
top.
Adjust the anterior of the seat base to have a forward and downward tilt.
An inpatient recently had surgery for a laryngectomy and placement of a permanent
tracheostomy tube. One of the intervention goals is for the patient to independently
perform personal hygiene routines at home. Which strategy should the COTA teach the
patient to use to promote progress toward this goal? -
\Use sterile wipes to clean the inner cannula.
Wear a stoma cover during sponge bath.
Keep the stoma dry when showering.
An inpatient had a C5-6 laminectomy and fusion 2 days ago. The patient is preparing for
discharge and learning post-surgical precautions to incorporate into everyday life at
home. What should the COTA include in the discharge instructions for this patient? -
\Limit walking in the home to bathroom visits only, and use a bedside commode at
nighttime.
Resume driving when free from pain and narcotic use has been discontinued.
Avoid reaching for objects above shoulder height and bending the neck forward.
A COTA working in a skilled nursing facility is planning a mealtime intervention session
for a resident who has dementia and is blind. Currently, the client is fed a regular diet by
