NBCOT Practice Questions Latest Update 2025-
2026 Exam 400 Questions with 100% Verified
Correct Answers Guaranteed A+
- CORRECT ANSWER:
-monoplegia
-hemiplegia
-paraplegia
-quadriplegia
-diplegia - CORRECT ANSWER: -monoplegia: one extremity
-hemiplegia: upper & lower extremity on same side
-paraplegia: lower extremities
-quadriplegia: all extremities
-diplegia: less UE involvement, greater LE involvement
-spoon use in children, what age?
-straw use - CORRECT ANSWER: -12-18 months
-18 months
-Standard narrow wheelchair measurements
-Regular w/c measurements
-Slim adult standard chair
-Junior standard chair - CORRECT ANSWER: -16" wide x 16" deep x 20" high
-18" wide x 16" deep x 20" high
-14" wide x 16" deep x 20" high
-16" wide x 16" deep x 18.5" high
,1. A school district's supervising OTR receives a phone call from an irate parent of a
middle school student whose individualized education plan (IEP) includes OT twice a
week. The student did not receive OT for 3 weeks because one of the district's OTR
was out with work-related injury. What is the OTR best option?
a. Ensure that OT services are provided to this child, because it is included in the child's
IEP
b. Put the child on a waiting list while the therapist is out
c. Reduce the frequency of OT visits to once a week while the therapist is out
d. Discharge the child from OT because the parent is difficult to deal with - CORRECT
ANSWER: a. Ensure that OT services are provided to this child, because it is included
in the child's IEP
1. An OTR in a home health setting is working with a client in the kitchen and hears a
heated argument between the client's spouse and one of the client's children in the next
room. The client begins to cry, indicating that the arguing is causing stress.
a. Confront the people in the next room
b. Call the medical social worker and report the incident
c. Drive the client to a shelter
d. Try to resolve the conflict - CORRECT ANSWER: b. Call the medical social worker
and report the incident
1. An OTR is working to establish a therapeutic relationship with a client in a skilled
nursing facility. Which consideration is the MOST important in establishing an effective
relationship?
a. The OTR has the power to determine the goals
b. The client is an informed equal in the relationship
c. The OTR is solely responsible for any positive outcomes
d. The client is expected to follow the OTR advice - CORRECT ANSWER: b. The client
is an informed equal in the relationship
1. The director of OT services for a large metropolitan home health agency is
conducting a supervisory visit and notices the OTR is writing progress notes on a
,persona electronic tablet. OT is excited about using tablet and shares with the director
that it saves a great deal of time. Most appropriate response from director?
a. Applaud the OT for using technology efficiently
b. Develop a policy prohibiting the use of personal electronic tablets for note writing
c. Ask the OT to describe the use of electronic recording to the other OT at the agency
d. Ask home health clients for their opinions regarding electronic record keeping -
CORRECT ANSWER: b. Develop a policy prohibiting the use of personal electronic
tablets for note writing
1. When an OTR or COTA completes documentation, which of the following actions is
MOST in compliance with HIPAA regulations for maintaining patient privacy and
confidentiality?
a. Positioning computer screens and patient charts out of others' view
b. Collaborating with other therapist in the OTR discipline
c. Maintaining electronic client documents
d. Keeping hard-copy record in a central area - CORRECT ANSWER: a. Positioning
computer screens and patient charts out of others' view
1. Which of the following statements about OT FW is accurate?
a. a health care professional other than an OTR can supervise OT students on Level I
FW
b. payers are not able to regulate the supervision of OT students
c. initial suggested supervision for level II OT student is indirect
d. An OT or COTA can supervise a level II OT FW student - CORRECT ANSWER: a. a
health care professional other than an OTR can supervise OT students on Level I FW
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
, C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
CORRECT ANSWER: Locating pictures of specific objects in a hidden pictures coloring
book or Playing computer based games that require scanning objects at various speeds
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
CORRECT ANSWER: Locating pictures of specific objects in a hidden pictures coloring
book or Playing computer based games that require scanning objects at various speeds
10. A generalist OTR is working with a teenage with developmental disabilityies who
hopes to acquire a driver's license. Which intervention MOST appropriately addresses
this clients' community mobility needs?
a. Training to improve the client's comprehension of travel rules tested in the licensing
process
b. Practice in driving skills in the OTR's vehicle in the school parking lot
c. Practice in handwriting skills to improve the client's communication about driving skills
d. Use of cognitive-behavioral therapy to address the client's beliefs about the ability to
drive - CORRECT ANSWER: a. Training to improve the client's comprehension of travel
rules tested in the licensing process
10. An OTR works with elderly clients with low vision. A client with macular degeneration
is referred after substantial symptom progression and loss of vision. The client's spouse
states that for the past 3 months, the client has uncharacteristically refused to
participate in social activities, is frequently irritable and uncommunicative, and is
unwilling to perform personal care or routine risks.
a. Consider exporing assisted living alternatives
2026 Exam 400 Questions with 100% Verified
Correct Answers Guaranteed A+
- CORRECT ANSWER:
-monoplegia
-hemiplegia
-paraplegia
-quadriplegia
-diplegia - CORRECT ANSWER: -monoplegia: one extremity
-hemiplegia: upper & lower extremity on same side
-paraplegia: lower extremities
-quadriplegia: all extremities
-diplegia: less UE involvement, greater LE involvement
-spoon use in children, what age?
-straw use - CORRECT ANSWER: -12-18 months
-18 months
-Standard narrow wheelchair measurements
-Regular w/c measurements
-Slim adult standard chair
-Junior standard chair - CORRECT ANSWER: -16" wide x 16" deep x 20" high
-18" wide x 16" deep x 20" high
-14" wide x 16" deep x 20" high
-16" wide x 16" deep x 18.5" high
,1. A school district's supervising OTR receives a phone call from an irate parent of a
middle school student whose individualized education plan (IEP) includes OT twice a
week. The student did not receive OT for 3 weeks because one of the district's OTR
was out with work-related injury. What is the OTR best option?
a. Ensure that OT services are provided to this child, because it is included in the child's
IEP
b. Put the child on a waiting list while the therapist is out
c. Reduce the frequency of OT visits to once a week while the therapist is out
d. Discharge the child from OT because the parent is difficult to deal with - CORRECT
ANSWER: a. Ensure that OT services are provided to this child, because it is included
in the child's IEP
1. An OTR in a home health setting is working with a client in the kitchen and hears a
heated argument between the client's spouse and one of the client's children in the next
room. The client begins to cry, indicating that the arguing is causing stress.
a. Confront the people in the next room
b. Call the medical social worker and report the incident
c. Drive the client to a shelter
d. Try to resolve the conflict - CORRECT ANSWER: b. Call the medical social worker
and report the incident
1. An OTR is working to establish a therapeutic relationship with a client in a skilled
nursing facility. Which consideration is the MOST important in establishing an effective
relationship?
a. The OTR has the power to determine the goals
b. The client is an informed equal in the relationship
c. The OTR is solely responsible for any positive outcomes
d. The client is expected to follow the OTR advice - CORRECT ANSWER: b. The client
is an informed equal in the relationship
1. The director of OT services for a large metropolitan home health agency is
conducting a supervisory visit and notices the OTR is writing progress notes on a
,persona electronic tablet. OT is excited about using tablet and shares with the director
that it saves a great deal of time. Most appropriate response from director?
a. Applaud the OT for using technology efficiently
b. Develop a policy prohibiting the use of personal electronic tablets for note writing
c. Ask the OT to describe the use of electronic recording to the other OT at the agency
d. Ask home health clients for their opinions regarding electronic record keeping -
CORRECT ANSWER: b. Develop a policy prohibiting the use of personal electronic
tablets for note writing
1. When an OTR or COTA completes documentation, which of the following actions is
MOST in compliance with HIPAA regulations for maintaining patient privacy and
confidentiality?
a. Positioning computer screens and patient charts out of others' view
b. Collaborating with other therapist in the OTR discipline
c. Maintaining electronic client documents
d. Keeping hard-copy record in a central area - CORRECT ANSWER: a. Positioning
computer screens and patient charts out of others' view
1. Which of the following statements about OT FW is accurate?
a. a health care professional other than an OTR can supervise OT students on Level I
FW
b. payers are not able to regulate the supervision of OT students
c. initial suggested supervision for level II OT student is indirect
d. An OT or COTA can supervise a level II OT FW student - CORRECT ANSWER: a. a
health care professional other than an OTR can supervise OT students on Level I FW
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
, C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
CORRECT ANSWER: Locating pictures of specific objects in a hidden pictures coloring
book or Playing computer based games that require scanning objects at various speeds
10 year old has poor directionality skills secondary to a learning disability. This results in
difficulty reading. Which activity would most effectively address this aspect of spatial
vision?
A. Follow verbal instructions to crawl through a maze while blindfolded
B. Locating pictures of specific objects in a hidden pictures coloring book
C. Participating in a timed virtual reality memory game on the computer
D. Playing computer based games that require scanning objects at various speeds -
CORRECT ANSWER: Locating pictures of specific objects in a hidden pictures coloring
book or Playing computer based games that require scanning objects at various speeds
10. A generalist OTR is working with a teenage with developmental disabilityies who
hopes to acquire a driver's license. Which intervention MOST appropriately addresses
this clients' community mobility needs?
a. Training to improve the client's comprehension of travel rules tested in the licensing
process
b. Practice in driving skills in the OTR's vehicle in the school parking lot
c. Practice in handwriting skills to improve the client's communication about driving skills
d. Use of cognitive-behavioral therapy to address the client's beliefs about the ability to
drive - CORRECT ANSWER: a. Training to improve the client's comprehension of travel
rules tested in the licensing process
10. An OTR works with elderly clients with low vision. A client with macular degeneration
is referred after substantial symptom progression and loss of vision. The client's spouse
states that for the past 3 months, the client has uncharacteristically refused to
participate in social activities, is frequently irritable and uncommunicative, and is
unwilling to perform personal care or routine risks.
a. Consider exporing assisted living alternatives
