NBCOT- COTA EXAM 2024-2025 LATEST
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES
A COTA is teaching a client, who has rheumatoid arthritis,
techniques for modifying activities that typically apply
lateral pinch forces against the thumb and fingers. What is
the purpose of providing this type of instruction?
A.Reduce the risk of developing MCP joint ulnar drift.
B.Minimize boutonnière posturing of the thumb and index
finger.
C.Promote dexterity and strength for fine motor control.
D.Prevent factors that cause swan-neck deformity. Correct
Answer Correct Answer: A
Rationale:
Rheumatoid arthritis is an autoimmune condition that may
result in ulnar deviation deformities. Modifying activities
that typically apply lateral pinch forces against the thumb
and fingers reduces the risk of developing MCP joint ulnar
drift.
A client has sensory-perceptual deficits secondary to a
mild CVA. Motor skills remain intact. Which task would be
BEST to ask the patient to complete when screening for
tactile agnosia?
A.Turning a water faucet on and off
B.Picking up objects from a tabletop
C.Distinguishing a key from a coin in a pocket
,D.Holding an eating utensil in the dominant hand Correct
Answer Correct Answer: C
Rationale:
Tactile gnosis is the ability to recognize familiar objects by
touch with vision occluded. A client with tactile agnosia
would not be able to find a key in a pocket since the client
would not be able to distinguish the object's characteristics
without the aid of visual cues.
An inpatient has neurobehavioral deficits secondary to a
CVA one month ago. At the time of the initial evaluation,
the patient required moderate verbal cues to complete oral
hygiene and grooming. Currently, the patient is able to
complete these tasks independently during self-care
sessions. This occurs one week earlier than the timeframe
listed in the intervention plan for achieving this goal. What
action should the COTA take prior to the NEXT scheduled
BADL session with this patient?
A.Revise the intervention plan with new short term goals.
B.Collaborate with the OTR to review the intervention
goals.
C.Administer a standardized functional assessment.
Correct Answer Correct Answer: B
Rationale:
It is the responsibility of the COTA to collaborate with the
OTR when there is a change in the patient's status and to
discuss options for modifying the intervention plan.
Which symptoms associated with a diagnosis of
schizophrenia would typically have the MOST influence on
a client's functional performance?
,A.Fluctuating mood ranging from elation to depression
B.Free floating anxiety and onset of sudden acute fear
C.Disorganized speech and loose association of ideas
Correct Answer Correct Answer: C
Rationale:
Symptoms of schizophrenia that impact functional
performance include disorganized speech and loose
association of ideas.
A client who had a nondisplaced distal radius fracture to
the right-dominant upper extremity works as a hairstylist.
The client reports persistent wrist and finger stiffness that
makes it difficult to comb and style hair at work. Which
intervention represents a biomechanical approach and
should be included as part of the client's INITIAL
intervention for maximizing long-term functional
performance?
A.Dynamic orthotic wear during hours of sleep
B.Modifications to the client's work station and work tools
C.Active-resistive ROM and strengthening exercises
Correct Answer Correct Answer: C
Rationale:
Improving strength, ROM, and muscle endurance are
typically the focus of intervention when using a
biomechanical approach
An OTR and a COTA who work in an outpatient pain
management clinic are collaborating to gather information
about an adolescent who has a history of joint pain
secondary to a connective tissue disorder. Which method
, is MOST BENEFICIAL for obtaining information about the
influence of the adolescent's pain on daily routines?
A.Obtain pain ratings using a standardized visual analog
scale.
B.Complete a motivational interview with the adolescent.
C.Review the adolescent's medication schedule and
routines. Correct Answer Correct Answer: B
Rationale:
Motivational interviewing is a client-centered method that
can help this adolescent identify personal goals and assist
the COTA in determining the client's desire to adopt a new
approach to managing chronic pain.
An inpatient had a CVA 3 weeks ago and is preparing for
discharge to live alone at home. The COTA learns that the
patient intends to resume driving short distances to the
grocery store and to church after discharge. The COTA
does not think the patient has the ability to drive at this
time. What action should the COTA take in response to
learning this information?
A.Talk with the patient about the implications of this
decision.
B.Initiate a referral to a comprehensive driver education
program.
C.Administer a screening to identify the patient's pre-
driving skills. Correct Answer Correct Answer: A
Rationale:
The COTA should gather additional information from the
client and collaborate with the OTR before taking action.
ACTUAL EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES
A COTA is teaching a client, who has rheumatoid arthritis,
techniques for modifying activities that typically apply
lateral pinch forces against the thumb and fingers. What is
the purpose of providing this type of instruction?
A.Reduce the risk of developing MCP joint ulnar drift.
B.Minimize boutonnière posturing of the thumb and index
finger.
C.Promote dexterity and strength for fine motor control.
D.Prevent factors that cause swan-neck deformity. Correct
Answer Correct Answer: A
Rationale:
Rheumatoid arthritis is an autoimmune condition that may
result in ulnar deviation deformities. Modifying activities
that typically apply lateral pinch forces against the thumb
and fingers reduces the risk of developing MCP joint ulnar
drift.
A client has sensory-perceptual deficits secondary to a
mild CVA. Motor skills remain intact. Which task would be
BEST to ask the patient to complete when screening for
tactile agnosia?
A.Turning a water faucet on and off
B.Picking up objects from a tabletop
C.Distinguishing a key from a coin in a pocket
,D.Holding an eating utensil in the dominant hand Correct
Answer Correct Answer: C
Rationale:
Tactile gnosis is the ability to recognize familiar objects by
touch with vision occluded. A client with tactile agnosia
would not be able to find a key in a pocket since the client
would not be able to distinguish the object's characteristics
without the aid of visual cues.
An inpatient has neurobehavioral deficits secondary to a
CVA one month ago. At the time of the initial evaluation,
the patient required moderate verbal cues to complete oral
hygiene and grooming. Currently, the patient is able to
complete these tasks independently during self-care
sessions. This occurs one week earlier than the timeframe
listed in the intervention plan for achieving this goal. What
action should the COTA take prior to the NEXT scheduled
BADL session with this patient?
A.Revise the intervention plan with new short term goals.
B.Collaborate with the OTR to review the intervention
goals.
C.Administer a standardized functional assessment.
Correct Answer Correct Answer: B
Rationale:
It is the responsibility of the COTA to collaborate with the
OTR when there is a change in the patient's status and to
discuss options for modifying the intervention plan.
Which symptoms associated with a diagnosis of
schizophrenia would typically have the MOST influence on
a client's functional performance?
,A.Fluctuating mood ranging from elation to depression
B.Free floating anxiety and onset of sudden acute fear
C.Disorganized speech and loose association of ideas
Correct Answer Correct Answer: C
Rationale:
Symptoms of schizophrenia that impact functional
performance include disorganized speech and loose
association of ideas.
A client who had a nondisplaced distal radius fracture to
the right-dominant upper extremity works as a hairstylist.
The client reports persistent wrist and finger stiffness that
makes it difficult to comb and style hair at work. Which
intervention represents a biomechanical approach and
should be included as part of the client's INITIAL
intervention for maximizing long-term functional
performance?
A.Dynamic orthotic wear during hours of sleep
B.Modifications to the client's work station and work tools
C.Active-resistive ROM and strengthening exercises
Correct Answer Correct Answer: C
Rationale:
Improving strength, ROM, and muscle endurance are
typically the focus of intervention when using a
biomechanical approach
An OTR and a COTA who work in an outpatient pain
management clinic are collaborating to gather information
about an adolescent who has a history of joint pain
secondary to a connective tissue disorder. Which method
, is MOST BENEFICIAL for obtaining information about the
influence of the adolescent's pain on daily routines?
A.Obtain pain ratings using a standardized visual analog
scale.
B.Complete a motivational interview with the adolescent.
C.Review the adolescent's medication schedule and
routines. Correct Answer Correct Answer: B
Rationale:
Motivational interviewing is a client-centered method that
can help this adolescent identify personal goals and assist
the COTA in determining the client's desire to adopt a new
approach to managing chronic pain.
An inpatient had a CVA 3 weeks ago and is preparing for
discharge to live alone at home. The COTA learns that the
patient intends to resume driving short distances to the
grocery store and to church after discharge. The COTA
does not think the patient has the ability to drive at this
time. What action should the COTA take in response to
learning this information?
A.Talk with the patient about the implications of this
decision.
B.Initiate a referral to a comprehensive driver education
program.
C.Administer a screening to identify the patient's pre-
driving skills. Correct Answer Correct Answer: A
Rationale:
The COTA should gather additional information from the
client and collaborate with the OTR before taking action.
