NBCOT Practice Questions for Quiz 1
An inpatient had a TBI 2 weeks ago and is functioning at Level III (localized response)
on the Rancho Los Amigos scale. What type of assessment would be MOST
BENEFICIAL to include as part of the initial evaluation with this patient?
a- Functional independence screening
b- Upper extremity MMT
c- Standardized visual-perceptual test
d- Measured level of arousal -
\D- Measured level of arousal
A young adult client sustained transfemoral amputations to both legs after a recent
accident. The OTR is gathering information to identify the client's priorities and personal
goals regarding engagement in daily activities. Which standardized assessment tool
would be MOST BENEFICIAL to use for obtaining this information?
a- Kohlman Evaluation of Living Skills (KELS)
b- Functional Independence Measure (FIM)
c- Role Checklist
d- Canadian Occupational Performance Measure (COPM) -
\D- COPM
An OTR is evaluating the biceps strength of a client recovering from musculocutaneous
nerve injury. With the client seated upright, the shoulder adducted, the elbow fully
extended, and the forearm in supination, the OTR asks the client to fully flex the elbow.
The OTR observes the forearm consistently moves into midposition on each attempt to
flex the elbow; despite prompting the client to maintain the forearm in supination. What
conclusion can the OTR make based on this observation?
a- The brachioradialis muscle is substituting for the weaker prime mover.
b- The muscle strength of the biceps should be graded as Poor (2/5)
c- The pronator teres muscle should be blocked on future testing
d- The movement should be retested with the client positioned in prone -
\A- The brachioradialis muscle is substituting for the weaker prime mover
An inpatient is preparing for discharge to home after completing 3 months of inpatient
rehabilitation. The OTR is reviewing documentation in the patient's contact notes and
determines the patient is still working to achieve several short-term goals related to the
current treatment plan. What INITIAL action should the OTR take based on this finding?
A-Ensure durable medical equipment delivery and home health visits are scheduled in
preparation for the patient's discharge
B-Complete a comprehensive re-evaluation to identify current function in relation to the
discharge plan
,C.- Discuss options with the interprofessional team for extending inpatient rehabilitation
until goals are achieved
D-Prepare a discharge summary providing a rationale for the goal shortcomings noted
in the contact notes -
\B- Complete a comprehensive re-evaluation to identify current function in relation to the
discharge plan
A client with stage 2 Parkinson's disease is preparing to move from sitting on a tub
transfer bench in the bathtub to standing up at a walker placed outside the bathtub.
Which method would be effective for the client to use at the start of the transfer?
A-Rocking rhythmically back and forth on the bench a few times
B-Using a towel to quickly rub the larger muscles of the thighs
C-Bearing weight through both arms by pressing down on the bench
D-Pulling forward on the grab bar mounted to the bathroom wall -
\A- Rocking rhythmically back and forth on the bench a few times
An inpatient is recovering from partial and full thickness burns on the dominant upper
extremity and has recently developed heterotopic ossification (HO) at the elbow. Prior to
the onset of HO symptoms, the patient was independent with self-feeding. Now the
patient uses only the non-dominant hand for holding utensils. Which assistive device
would be MOST BENEFICIAL for improving the patient's functional abilities when
eating?
A-Universal cuff with elongated utensil
B-Swivel spoon and elongated utensils
C-Rocker knife with built-up handle
D-Mechanical feeder with supinator attachment -
\B- Swivel spoon and elongated utensils
A client in an outpatient setting sustained a frontal lobe TBI 2 months ago. The client
has good motor control, but has residual problems with executive functioning. One of
the client's goals is to be independent with homemaking tasks. During a meal
preparation session the client cooks a meal, but makes no attempt to clean the cooking
utensils and dishes or put the food items away after completing the cooking task. Which
are of executive function appears to be MOST affected by the TBI as evidenced by this
behavior?
A-Emergent awareness- Ability to recognize and react to situations as they are
occurring.
B-Selective attention
C-Episodic memory
D-Environmental agnosia- gets lost in familiar places (getting lost in own neighborhood)
-
\A- Emergent awareness- ability to recognize and react to situations as they are
occurring
, The parents of a child referred to occupational therapy ask the occupational therapist to
treat their child who does not have insurance and bill for services in the name of their
older who does have insurance. Which is the therapist's best response to this situation?
a- Deny the request
b- Report the parents to the insurance company
c- Refer the parents to the department supervisor
d- Ask the family to get a referral from a physician -
\A- Deny the request
An occupational therapist assistant (OTA) recently attended a two-day splinting
workshop. The OTA asks the supervising occupational therapist for a caseload that
includes more clients that require splinting interventions. Which action is best for the
occupational therapist to take in response to this request?
a- Decline the request because splinting is an advanced practice skill
b- Ask the OTA to give a splinting in-service to demonstrate acquired knowledge
c- Establish the OTA's service competency in splinting
d- Distribute the department's caseload to meet the OTA's request -
\C- Establish the OTA's service competency in splinting
A school-based occupational therapist is providing contracted per diem coverage for an
occupational therapist on a disability leave. Upon reviewing the caseload, the therapist
notes that 10 students have had evaluations completed during the past month. Five of
these students' individualized education plans (IEPs) have also been completed by the
team and approved by their families. Which is the best initial action for the therapist to
take as a contract practitioner?
a- Consult with the team and family to complete the IEPs for the remaining children
b- Conduct independent evaluations of each child
c- Implement the IEPs that have been established and approved
d- Report to the supervisor of the contract agency that the school has failed to comply
with IEP guidelines. -
\A- Consult with the team and family to complete the IEPs for the remaining children
An OT completes a risk management report for the reaccredidation of a rehab facility. In
this report, which information is most important for the therapist to include?
a- Procedures for informed consent
b- Revenue resulting from reimbursement claims
c- Medical necessity of resources used
d- The appropriateness of services provided -
\A- Procedures for informed consent
An OT receives a referral from a physician that outlines a specific course of treatment.
Following the evaluation of the person, the therapist believes that a different course of
An inpatient had a TBI 2 weeks ago and is functioning at Level III (localized response)
on the Rancho Los Amigos scale. What type of assessment would be MOST
BENEFICIAL to include as part of the initial evaluation with this patient?
a- Functional independence screening
b- Upper extremity MMT
c- Standardized visual-perceptual test
d- Measured level of arousal -
\D- Measured level of arousal
A young adult client sustained transfemoral amputations to both legs after a recent
accident. The OTR is gathering information to identify the client's priorities and personal
goals regarding engagement in daily activities. Which standardized assessment tool
would be MOST BENEFICIAL to use for obtaining this information?
a- Kohlman Evaluation of Living Skills (KELS)
b- Functional Independence Measure (FIM)
c- Role Checklist
d- Canadian Occupational Performance Measure (COPM) -
\D- COPM
An OTR is evaluating the biceps strength of a client recovering from musculocutaneous
nerve injury. With the client seated upright, the shoulder adducted, the elbow fully
extended, and the forearm in supination, the OTR asks the client to fully flex the elbow.
The OTR observes the forearm consistently moves into midposition on each attempt to
flex the elbow; despite prompting the client to maintain the forearm in supination. What
conclusion can the OTR make based on this observation?
a- The brachioradialis muscle is substituting for the weaker prime mover.
b- The muscle strength of the biceps should be graded as Poor (2/5)
c- The pronator teres muscle should be blocked on future testing
d- The movement should be retested with the client positioned in prone -
\A- The brachioradialis muscle is substituting for the weaker prime mover
An inpatient is preparing for discharge to home after completing 3 months of inpatient
rehabilitation. The OTR is reviewing documentation in the patient's contact notes and
determines the patient is still working to achieve several short-term goals related to the
current treatment plan. What INITIAL action should the OTR take based on this finding?
A-Ensure durable medical equipment delivery and home health visits are scheduled in
preparation for the patient's discharge
B-Complete a comprehensive re-evaluation to identify current function in relation to the
discharge plan
,C.- Discuss options with the interprofessional team for extending inpatient rehabilitation
until goals are achieved
D-Prepare a discharge summary providing a rationale for the goal shortcomings noted
in the contact notes -
\B- Complete a comprehensive re-evaluation to identify current function in relation to the
discharge plan
A client with stage 2 Parkinson's disease is preparing to move from sitting on a tub
transfer bench in the bathtub to standing up at a walker placed outside the bathtub.
Which method would be effective for the client to use at the start of the transfer?
A-Rocking rhythmically back and forth on the bench a few times
B-Using a towel to quickly rub the larger muscles of the thighs
C-Bearing weight through both arms by pressing down on the bench
D-Pulling forward on the grab bar mounted to the bathroom wall -
\A- Rocking rhythmically back and forth on the bench a few times
An inpatient is recovering from partial and full thickness burns on the dominant upper
extremity and has recently developed heterotopic ossification (HO) at the elbow. Prior to
the onset of HO symptoms, the patient was independent with self-feeding. Now the
patient uses only the non-dominant hand for holding utensils. Which assistive device
would be MOST BENEFICIAL for improving the patient's functional abilities when
eating?
A-Universal cuff with elongated utensil
B-Swivel spoon and elongated utensils
C-Rocker knife with built-up handle
D-Mechanical feeder with supinator attachment -
\B- Swivel spoon and elongated utensils
A client in an outpatient setting sustained a frontal lobe TBI 2 months ago. The client
has good motor control, but has residual problems with executive functioning. One of
the client's goals is to be independent with homemaking tasks. During a meal
preparation session the client cooks a meal, but makes no attempt to clean the cooking
utensils and dishes or put the food items away after completing the cooking task. Which
are of executive function appears to be MOST affected by the TBI as evidenced by this
behavior?
A-Emergent awareness- Ability to recognize and react to situations as they are
occurring.
B-Selective attention
C-Episodic memory
D-Environmental agnosia- gets lost in familiar places (getting lost in own neighborhood)
-
\A- Emergent awareness- ability to recognize and react to situations as they are
occurring
, The parents of a child referred to occupational therapy ask the occupational therapist to
treat their child who does not have insurance and bill for services in the name of their
older who does have insurance. Which is the therapist's best response to this situation?
a- Deny the request
b- Report the parents to the insurance company
c- Refer the parents to the department supervisor
d- Ask the family to get a referral from a physician -
\A- Deny the request
An occupational therapist assistant (OTA) recently attended a two-day splinting
workshop. The OTA asks the supervising occupational therapist for a caseload that
includes more clients that require splinting interventions. Which action is best for the
occupational therapist to take in response to this request?
a- Decline the request because splinting is an advanced practice skill
b- Ask the OTA to give a splinting in-service to demonstrate acquired knowledge
c- Establish the OTA's service competency in splinting
d- Distribute the department's caseload to meet the OTA's request -
\C- Establish the OTA's service competency in splinting
A school-based occupational therapist is providing contracted per diem coverage for an
occupational therapist on a disability leave. Upon reviewing the caseload, the therapist
notes that 10 students have had evaluations completed during the past month. Five of
these students' individualized education plans (IEPs) have also been completed by the
team and approved by their families. Which is the best initial action for the therapist to
take as a contract practitioner?
a- Consult with the team and family to complete the IEPs for the remaining children
b- Conduct independent evaluations of each child
c- Implement the IEPs that have been established and approved
d- Report to the supervisor of the contract agency that the school has failed to comply
with IEP guidelines. -
\A- Consult with the team and family to complete the IEPs for the remaining children
An OT completes a risk management report for the reaccredidation of a rehab facility. In
this report, which information is most important for the therapist to include?
a- Procedures for informed consent
b- Revenue resulting from reimbursement claims
c- Medical necessity of resources used
d- The appropriateness of services provided -
\A- Procedures for informed consent
An OT receives a referral from a physician that outlines a specific course of treatment.
Following the evaluation of the person, the therapist believes that a different course of
