NBCOT Practice Test: Key Questions
and Answers.
Reduce fall risks COTA recommends replacing existing phone w/cordless remote
model. Client refuses, COTA takes next based on client's response -
\Collaborate w/client to determine an alternative solution
Leading a group at community wellness center. Ind's. require a w/c for mobility &
recently became new parents. Most important to include as part of the group -
\Types of activities to optimize parent-infant bonding interactions.
Inpatient has dysphagia secondary to TBI functioning at level VI (confused-appropriate
on Rancho Los Amigos Scale). Re-establishing safe eating & Independent self-feeding.
Grade session Most Effective supports pt's. progress -
\Have pt. complete a dry cough after each bite
6 yr. old has mild hypotonia, to increase sensory awareness & sensory processing. Ax.
(play) provide the Most proprioceptive feedback -
\Pulling a wagon filled with bags of sand
Grooming ax. pt. w/TBI becomes agitated throws shampoo, shouts "this is ridiculous,
I'm not doing this anymore". Statement in "O" section -
\Pt. became verbally abusive and threw shampoo during tx.
6 yr. old mild to mod. symptoms asso. w/arthrogryposis (jt. are fixed in various posture,
lack muscle growth) learning to bath independently. Adaption Most Beneficial to use to
compensate for deficits asso. w/condition -
\Long-handled sponge, soap on a rope, towel with handles
Teaching nursing aides techn's. for assisting residents w/dysphagia management &
self-feeding strategy Most Effective to promote follow-through of learning -
\Structure interactive observation and practice sessions supplemented by instructional
handouts.
Disadvantage of fluidotherapy w/pt. w/distal radius fracture 8 wks ago -
\Contribution to the formation of dependent edema
5 yr. old w/developmental delay & proximal UE weakness. Uses palmer grasp holding
pencil. Most Beneficial for child to use for supporting handwriting development -
\Sitting at a school desk with both arms supported on the desk
1st grader visual perception, child plateaued COTA do prior to recommending
modifications to intervention plan -
, \Convene on ind's. Education Program team meeting to discuss the proposed changes
8 wk stress management class for client w/domestic violence program. Use cognitive
behavioral approach. COTA promote carry over of learned ax's. to everyday life using
this approach -
\Teach the participants structured steps to use for modifying negative behaviors
Follow up home visit w/client who had a CVA. Observes client's functional performance
significantly decreases since last home visit. What initial action should COTA take
based on observations -
\Collaborate w/OTR to schedule a re-evaluation for the client
Client had nondisplaced distal radius fracture to right-dominant UE work as hairstylist.
Client reports persistent wrist & finger stiffness makes difficult to comb & style hair at
work. Intervention represents a biomechanical approach and should be included as part
of client's initial intervention for measuring long-term functional performance -
\Bilateral ax's for improving FM dexterity
Variable can be graded to Most Effectively increase physical endurance (lasting quality
or duration) -
\Total amount of time spent on an ax.
COTA leads variety of groups for clients participating in community-based mental health
program. Primary role of COTA leading egocentric (self-centered) cooperative group in
this setting -
\Assisting the participants in developing and discuss group norms
OTR/COTA established service competency, preparing to administer several
standardized assessment to a student. Task is best for COTA to do as part of this
process -
\Follow the specific instructions as outlined in the test manual
Client has decreased (executive functioning) secondary to TBI. During BADL session
client has difficulty remembering to turn off the water after brushing teeth. COTA to
promote carry-over of learning for this task -
\Teach the client to use a checklist for self-monitor completion of the ADL
Inpatient instate IV of amyotrophic lateral sclerosis (ALS) learning how to use assistive
feeding devices. COTA observes during mealtime session pt. begins to have a wet-
sounding voice. Initial action COTA takes in response to observation -
\Have the pt. dry swallow to clear the throat
Seating & mobility team ordering a new w/c for adolescent w/spinal bifida. Primary
purpose of ordering smaller diameter casters for chair -
\Provides smaller turning radius & better manenverability
and Answers.
Reduce fall risks COTA recommends replacing existing phone w/cordless remote
model. Client refuses, COTA takes next based on client's response -
\Collaborate w/client to determine an alternative solution
Leading a group at community wellness center. Ind's. require a w/c for mobility &
recently became new parents. Most important to include as part of the group -
\Types of activities to optimize parent-infant bonding interactions.
Inpatient has dysphagia secondary to TBI functioning at level VI (confused-appropriate
on Rancho Los Amigos Scale). Re-establishing safe eating & Independent self-feeding.
Grade session Most Effective supports pt's. progress -
\Have pt. complete a dry cough after each bite
6 yr. old has mild hypotonia, to increase sensory awareness & sensory processing. Ax.
(play) provide the Most proprioceptive feedback -
\Pulling a wagon filled with bags of sand
Grooming ax. pt. w/TBI becomes agitated throws shampoo, shouts "this is ridiculous,
I'm not doing this anymore". Statement in "O" section -
\Pt. became verbally abusive and threw shampoo during tx.
6 yr. old mild to mod. symptoms asso. w/arthrogryposis (jt. are fixed in various posture,
lack muscle growth) learning to bath independently. Adaption Most Beneficial to use to
compensate for deficits asso. w/condition -
\Long-handled sponge, soap on a rope, towel with handles
Teaching nursing aides techn's. for assisting residents w/dysphagia management &
self-feeding strategy Most Effective to promote follow-through of learning -
\Structure interactive observation and practice sessions supplemented by instructional
handouts.
Disadvantage of fluidotherapy w/pt. w/distal radius fracture 8 wks ago -
\Contribution to the formation of dependent edema
5 yr. old w/developmental delay & proximal UE weakness. Uses palmer grasp holding
pencil. Most Beneficial for child to use for supporting handwriting development -
\Sitting at a school desk with both arms supported on the desk
1st grader visual perception, child plateaued COTA do prior to recommending
modifications to intervention plan -
, \Convene on ind's. Education Program team meeting to discuss the proposed changes
8 wk stress management class for client w/domestic violence program. Use cognitive
behavioral approach. COTA promote carry over of learned ax's. to everyday life using
this approach -
\Teach the participants structured steps to use for modifying negative behaviors
Follow up home visit w/client who had a CVA. Observes client's functional performance
significantly decreases since last home visit. What initial action should COTA take
based on observations -
\Collaborate w/OTR to schedule a re-evaluation for the client
Client had nondisplaced distal radius fracture to right-dominant UE work as hairstylist.
Client reports persistent wrist & finger stiffness makes difficult to comb & style hair at
work. Intervention represents a biomechanical approach and should be included as part
of client's initial intervention for measuring long-term functional performance -
\Bilateral ax's for improving FM dexterity
Variable can be graded to Most Effectively increase physical endurance (lasting quality
or duration) -
\Total amount of time spent on an ax.
COTA leads variety of groups for clients participating in community-based mental health
program. Primary role of COTA leading egocentric (self-centered) cooperative group in
this setting -
\Assisting the participants in developing and discuss group norms
OTR/COTA established service competency, preparing to administer several
standardized assessment to a student. Task is best for COTA to do as part of this
process -
\Follow the specific instructions as outlined in the test manual
Client has decreased (executive functioning) secondary to TBI. During BADL session
client has difficulty remembering to turn off the water after brushing teeth. COTA to
promote carry-over of learning for this task -
\Teach the client to use a checklist for self-monitor completion of the ADL
Inpatient instate IV of amyotrophic lateral sclerosis (ALS) learning how to use assistive
feeding devices. COTA observes during mealtime session pt. begins to have a wet-
sounding voice. Initial action COTA takes in response to observation -
\Have the pt. dry swallow to clear the throat
Seating & mobility team ordering a new w/c for adolescent w/spinal bifida. Primary
purpose of ordering smaller diameter casters for chair -
\Provides smaller turning radius & better manenverability
