NBCOT Exam: Essential Guide for
Cardiopulmonary and Driving Practice
Questions with Answers.
Which assessment would an OTR® administer to assess a client's ability to visually
scan information using central and peripheral vision and to process that information in a
timely fashion? -
\***A. Useful Field of View
B. Symbol Digit Modalities Test
IncorrectC. Trail Making Test, Parts A and B
D. Letter cancellation test
An OTR® is working on the intensive care unit of a hospital. The client has hypertension
and has an arterial line catheter inserted in the radial artery. What change in the client is
the OTR MOST likely to record during treatment? -
\A. A decrease in blood pressure when the head of the bed is elevated
B. A decrease in heart rate when client is positioned from supine to short sitting at the
edge of the bed
***C. An inaccurate blood pressure reading when the wrist is moved
D. An increase in respiration rate when the client is positioned side lying
An OTR® is working with a client who is experiencing congestive heart failure that has
developed gradually over a long period. The client is displaying limited tolerance for light
to moderate homemaking activities. Which compensatory strategy would be BEST for
the OTR® to demonstrate to the client to improve tolerance to these activities? -
\A. Pursed lip breathing
B. Sternal precautions
***C. Work simplification techniques
D. Use of adaptive devices
An OTR® is working with a client in an outpatient center who has been diagnosed with
Raynaud's syndrome affecting the fingers. What home program instruction is MOST
appropriate for a client with Raynaud's syndrome? -
\A. Wear a flexion glove at night.
B. Use a cold pack to increase finger circulation.
***C. Wear gloves when exposing the fingers to a cold environment.
D. Visually inspect the fingers daily for tumor growth.
A client 6 months post-stroke has made almost a complete recovery except for
weakness in the left leg and slight restriction with left ankle plantar flexion. The client
has not driven since the stroke. The OTR® decides to do a behind-the-wheel
assessment. Which choice is BEST for such an assessment? -
, \A. A fixed route incorporating driving in a residential area, city, and highway.
B. A two-lane road with moderate speed (45 miles per hour) during peak traffic hours
C. Only in the client's familiar environment
****D. A closed-road course in a protected environment
An OTR® is working with an acute-care client who has a ventricular assist device.
Which precaution is essential when engaging this client in occupational activities? -
\A. Do not administer an exercise stress test to this client.
B. Instruct the client in sterile dressing changes to prevent infection.
C. Educate the client to avoid yearly influenza and pneumonia vaccines.
****D. Avoid disconnecting the drive line to the power source during movement.
An entry-level OTR® working in an outpatient rehabilitation clinic is evaluating a client
who was recently hospitalized for dehydration and subsequently diagnosed with mild
cognitive impairment. The client lives alone in an independent living facility. Before
admission, the client was independent in ADLs and light homemaking and active in
community and social activities, including driving independently. The client reports no
crash record and no violations or citations but avoids night driving, highway driving, and
driving in rush-hour traffic or heavy rain. After the initial evaluation, the OTR®
determines that the client requires a complete clinical and road evaluation to determine
the client's driving skills. To whom should the OTR® refer the client? -
\A. Case manager, for discharge planning and reintegration into the independent living
facility
***B. Certified driving rehabilitation specialist, for a comprehensive driving evaluation
C. Department of Motor Vehicles, for license retesting
D. Neuropsychologist, for cognitive testing
In a pulmonary rehabilitation setting, what would an OTR® instruct a client to do to
ensure that the client is not holding his or her breath during the strenuous part of an
activity? -
\A. Hold the neck in midline
***B. Count out loud or talk
C. Prop elbows on the countertop
D. Lift both arms to 90° of flexion
An OTR® is working with a client population with severe intellectual disabilities. What
risk factor MOST predisposes this client population to pneumonia? -
\A. History of smoking
B. Antibiotic overuse
****C. Aspiration of food
D. Chest surgery
An OTR® is working with a client who has visual processing speed and divided
attention deficits. In assessing the client's fitness to drive skills, what task is likely to be
MOST DIFFICULT for the client? -
\A. Identifying a gray vehicle on a rainy day
Cardiopulmonary and Driving Practice
Questions with Answers.
Which assessment would an OTR® administer to assess a client's ability to visually
scan information using central and peripheral vision and to process that information in a
timely fashion? -
\***A. Useful Field of View
B. Symbol Digit Modalities Test
IncorrectC. Trail Making Test, Parts A and B
D. Letter cancellation test
An OTR® is working on the intensive care unit of a hospital. The client has hypertension
and has an arterial line catheter inserted in the radial artery. What change in the client is
the OTR MOST likely to record during treatment? -
\A. A decrease in blood pressure when the head of the bed is elevated
B. A decrease in heart rate when client is positioned from supine to short sitting at the
edge of the bed
***C. An inaccurate blood pressure reading when the wrist is moved
D. An increase in respiration rate when the client is positioned side lying
An OTR® is working with a client who is experiencing congestive heart failure that has
developed gradually over a long period. The client is displaying limited tolerance for light
to moderate homemaking activities. Which compensatory strategy would be BEST for
the OTR® to demonstrate to the client to improve tolerance to these activities? -
\A. Pursed lip breathing
B. Sternal precautions
***C. Work simplification techniques
D. Use of adaptive devices
An OTR® is working with a client in an outpatient center who has been diagnosed with
Raynaud's syndrome affecting the fingers. What home program instruction is MOST
appropriate for a client with Raynaud's syndrome? -
\A. Wear a flexion glove at night.
B. Use a cold pack to increase finger circulation.
***C. Wear gloves when exposing the fingers to a cold environment.
D. Visually inspect the fingers daily for tumor growth.
A client 6 months post-stroke has made almost a complete recovery except for
weakness in the left leg and slight restriction with left ankle plantar flexion. The client
has not driven since the stroke. The OTR® decides to do a behind-the-wheel
assessment. Which choice is BEST for such an assessment? -
, \A. A fixed route incorporating driving in a residential area, city, and highway.
B. A two-lane road with moderate speed (45 miles per hour) during peak traffic hours
C. Only in the client's familiar environment
****D. A closed-road course in a protected environment
An OTR® is working with an acute-care client who has a ventricular assist device.
Which precaution is essential when engaging this client in occupational activities? -
\A. Do not administer an exercise stress test to this client.
B. Instruct the client in sterile dressing changes to prevent infection.
C. Educate the client to avoid yearly influenza and pneumonia vaccines.
****D. Avoid disconnecting the drive line to the power source during movement.
An entry-level OTR® working in an outpatient rehabilitation clinic is evaluating a client
who was recently hospitalized for dehydration and subsequently diagnosed with mild
cognitive impairment. The client lives alone in an independent living facility. Before
admission, the client was independent in ADLs and light homemaking and active in
community and social activities, including driving independently. The client reports no
crash record and no violations or citations but avoids night driving, highway driving, and
driving in rush-hour traffic or heavy rain. After the initial evaluation, the OTR®
determines that the client requires a complete clinical and road evaluation to determine
the client's driving skills. To whom should the OTR® refer the client? -
\A. Case manager, for discharge planning and reintegration into the independent living
facility
***B. Certified driving rehabilitation specialist, for a comprehensive driving evaluation
C. Department of Motor Vehicles, for license retesting
D. Neuropsychologist, for cognitive testing
In a pulmonary rehabilitation setting, what would an OTR® instruct a client to do to
ensure that the client is not holding his or her breath during the strenuous part of an
activity? -
\A. Hold the neck in midline
***B. Count out loud or talk
C. Prop elbows on the countertop
D. Lift both arms to 90° of flexion
An OTR® is working with a client population with severe intellectual disabilities. What
risk factor MOST predisposes this client population to pneumonia? -
\A. History of smoking
B. Antibiotic overuse
****C. Aspiration of food
D. Chest surgery
An OTR® is working with a client who has visual processing speed and divided
attention deficits. In assessing the client's fitness to drive skills, what task is likely to be
MOST DIFFICULT for the client? -
\A. Identifying a gray vehicle on a rainy day
