Ultimate NBCOT Prep Questions: A
Guide to Exam Excellence.
1. Your client who presents with R hemiparesis is planning to return to work, where he
is required to wear button-up shirts every day. Your client is returning home where he
lives alone and has been receiving help dressing from the nurse every morning while in
the hospital. What is the best approach for you to take with this client?
a. Help your client advocate for his need to wear pullover shirts because they are easier
to put on.
b. Have your client only wear button-up shirts with magnetic closures.
c. Introduce your client to a one-handed technique of donning button-up shirts and using
a button hook.
d. Advise your client to work from home while he is recovering. -
\C
2. Your client is a 75-year-old woman who was admitted to your rehab facility after a TBI
and spends most of her time supine in bed. She has a history of diabetes, orthostatic
hypotension, and a contracture of the R wrist. Her goal is to independently don and doff
a pullover shirt while seated. What is the FIRST thing you must do with this client before
starting your treatment session?
a. Ask her if she has eaten.
b. Monitor her blood pressure.
c. Ask her how she got the contracture.
d. Ask the nurse to increase her pain medication so that she is more likely to participate
in the activity. -
\B
Your patient has recently had a (L) total hip replacement following an anterior approach.
They are one-week post op and following TTWB. They are having difficulty transferring
from supine to sit and sit to stand. They are currently ambulating with a standard non-
wheeled walker. What is the proper sequencing for your client to follow when moving
from sitting to standing?
A. Place both feet firmly on the ground and lined up with your knees, have walker
placed in front of you, arms length away, place both hands on chair and press up into
standing position, grab walker and begin to walk
B. Have walker placed in front of you, move forward in your chair, place (R) leg straight
out in front of you, have (L) leg bent, press up from arms of the chair, regain balance
and begin to walk
C. Have walker placed in front of you, move forward in your chair, place (L) leg straight
out in front of you, have (R) leg bent, press up from -
\C
, Your client has had a CVA and is experiencing (L) side weakness. He wears an AFO on
his (L) foot and a GivMohr sling to prevent his (L) shoulder from subluxing. You are
introducing a hemi-walker in today's treatment session, up until now he has been using
a standard non-wheeled walker but his UE weakness makes it difficult for him to support
himself. What is the proper positioning of the therapist during the three-step sequence
of using a hemi-walker?
A. Walk in tandem with client while holding their gait belt on hemi walker side in order to
assist in proper positioning of walker.
B. Walk behind client while supporting them at their gait belt
C. Walk in tandem with client while holding their gait belt on client side in order to assist
in proper positioning and movement of client
D. Walk in tandem with client on their side offering support, no gait belt required since
they demonstrate adequate balance qualifying them -
\C
You have just started treating a patient that has had a (L) CVA a month ago. This
patient has never used a walker in the past, requiring the OT to give proper instructions
for utilizing this device. Which one of these instructions would be incorrect to tell the
patient?
A.
When walking with the walker, do not step too far ahead.
B.
When walking with the walker, step forward with your unaffected leg first.
C.
When standing up, place both of your hands on the arms of the chair and push yourself
up.
D.
When sitting down, do not reach behind for the chair with your hands until you are
standing directly in front of the chair, and both of your legs are touching the chair. -
\B
You have just started treating a patient that has been recently diagnosed with
Parkinson's disease. This patient is experiencing loss of balance and stiffness. The
patient is still able to complete ADLs but is now requiring assistance to ambulate
throughout his home. You need to fit the patient for a walker. What are the proper
instructions when fitting a walker?
A.
Have the patient step inside of the walker, have the patient bend their elbows at about
30 degrees, and keep their shoulders relaxed. The top of the walker grip should be lined
up with the patient's hips.
Guide to Exam Excellence.
1. Your client who presents with R hemiparesis is planning to return to work, where he
is required to wear button-up shirts every day. Your client is returning home where he
lives alone and has been receiving help dressing from the nurse every morning while in
the hospital. What is the best approach for you to take with this client?
a. Help your client advocate for his need to wear pullover shirts because they are easier
to put on.
b. Have your client only wear button-up shirts with magnetic closures.
c. Introduce your client to a one-handed technique of donning button-up shirts and using
a button hook.
d. Advise your client to work from home while he is recovering. -
\C
2. Your client is a 75-year-old woman who was admitted to your rehab facility after a TBI
and spends most of her time supine in bed. She has a history of diabetes, orthostatic
hypotension, and a contracture of the R wrist. Her goal is to independently don and doff
a pullover shirt while seated. What is the FIRST thing you must do with this client before
starting your treatment session?
a. Ask her if she has eaten.
b. Monitor her blood pressure.
c. Ask her how she got the contracture.
d. Ask the nurse to increase her pain medication so that she is more likely to participate
in the activity. -
\B
Your patient has recently had a (L) total hip replacement following an anterior approach.
They are one-week post op and following TTWB. They are having difficulty transferring
from supine to sit and sit to stand. They are currently ambulating with a standard non-
wheeled walker. What is the proper sequencing for your client to follow when moving
from sitting to standing?
A. Place both feet firmly on the ground and lined up with your knees, have walker
placed in front of you, arms length away, place both hands on chair and press up into
standing position, grab walker and begin to walk
B. Have walker placed in front of you, move forward in your chair, place (R) leg straight
out in front of you, have (L) leg bent, press up from arms of the chair, regain balance
and begin to walk
C. Have walker placed in front of you, move forward in your chair, place (L) leg straight
out in front of you, have (R) leg bent, press up from -
\C
, Your client has had a CVA and is experiencing (L) side weakness. He wears an AFO on
his (L) foot and a GivMohr sling to prevent his (L) shoulder from subluxing. You are
introducing a hemi-walker in today's treatment session, up until now he has been using
a standard non-wheeled walker but his UE weakness makes it difficult for him to support
himself. What is the proper positioning of the therapist during the three-step sequence
of using a hemi-walker?
A. Walk in tandem with client while holding their gait belt on hemi walker side in order to
assist in proper positioning of walker.
B. Walk behind client while supporting them at their gait belt
C. Walk in tandem with client while holding their gait belt on client side in order to assist
in proper positioning and movement of client
D. Walk in tandem with client on their side offering support, no gait belt required since
they demonstrate adequate balance qualifying them -
\C
You have just started treating a patient that has had a (L) CVA a month ago. This
patient has never used a walker in the past, requiring the OT to give proper instructions
for utilizing this device. Which one of these instructions would be incorrect to tell the
patient?
A.
When walking with the walker, do not step too far ahead.
B.
When walking with the walker, step forward with your unaffected leg first.
C.
When standing up, place both of your hands on the arms of the chair and push yourself
up.
D.
When sitting down, do not reach behind for the chair with your hands until you are
standing directly in front of the chair, and both of your legs are touching the chair. -
\B
You have just started treating a patient that has been recently diagnosed with
Parkinson's disease. This patient is experiencing loss of balance and stiffness. The
patient is still able to complete ADLs but is now requiring assistance to ambulate
throughout his home. You need to fit the patient for a walker. What are the proper
instructions when fitting a walker?
A.
Have the patient step inside of the walker, have the patient bend their elbows at about
30 degrees, and keep their shoulders relaxed. The top of the walker grip should be lined
up with the patient's hips.
