NBCOT QUESTIONS WITH ALL CORRECT ANSWERS
An 8-year-old child with late-stage cystic fibrosis has been undergoing
treatment in an acute care pediatric hospital for the past 10 days. The child
will be transitioning home in one day with maximum assistance from a parent
and hospice care. The child's parent has remained in the hospital for the
duration of the child's inpatient stay and has been actively engaged in the
child's intervention sessions. When provided with caregiver education, the
parent reports fear and increasing levels of stress. Which action should the
COTA take as an INITIAL response to this report? correct answer -
An OTR and a COTA are recommending a wheelchair for an 8-year-old child
who has Duchenne muscular dystrophy. The child enjoys playing musical
instruments, and the parents want to support their child's interest in
participating in an after-school marching band. Which adaptations are
OPTIMAL to include in the wheelchair specifications for meeting this
objective? correct answer -
A 2-year-old child who has developmental delay secondary to fetal alcohol
syndrome is receiving early intervention home services. During a session one
week ago, the COTA gave the caregiver a switch-activated toy to incorporate
into the home program. When the COTA arrives for the weekly session, the
caregiver tells the COTA that the child does not have any interest in playing
with the toy and has not used the toy since the last visit. Which action should
the COTA take in this situation? correct answer -
An inpatient has perseverative behavior secondary to having had a subdural
hematoma. Which example represents a manifestation of these symptoms
during BADL when transitioning from completing oral hygiene to hair care?
correct answer -
A client has pain and decreased active ROM of bilateral shoulders, spine, and
knees secondary to severe osteoarthritis. Symptoms interfere with the client's
ability to independently complete lower body dressing. Which approach
should the COTA use FIRST to improve the client's ability to self-dress?
correct answer -
, When should the discharge planning process start for a patient who has been
referred to OT in an acute inpatient rehabilitation unit? correct answer -
An inpatient has upper extremity tremors, decreased motor control, and poor
fine motor coordination secondary to having had a TBI. One of the
intervention goals is to maximize the patient's independence during grooming
and hygiene. Which assistive device would support progress toward this goal?
correct answer -
A 7-year-old child has a moderate developmental delay. The child has
difficulty maintaining balance and postural control while performing gross
motor activities. Which type of activity would be MOST EFFECTIVE for
initially improving the child's postural control? correct answer -
Which task would a TYPICALLY developing 3-year-old child be expected to
complete without assistance? correct answer -
A COTA is gathering information about a patient who has receptive aphasia
secondary to a recent CVA. Which method would provide the MOST
BENEFICIAL information about the influence of the patient's current condition
on previous roles and habits? correct answer -
Which adaptations to a personal desktop computer monitor would be MOST
BENEFICIAL to recommend for a high school student who has figure-ground
deficits? correct answer -
A patient has a flaccid hemiplegia, pitting edema of the affected hand, and
unilateral neglect secondary to a CVA. Which type of positioning device would
be MOST BENEFICIAL for this patient to use when seated in a wheelchair?
correct answer -
An inpatient had a left total knee replacement 2 weeks ago and ambulates
with full weight bearing using a standard walker. The patient is learning to
transfer into a shower stall that has a 4-in (10 cm) high entry threshold and a
single grab bar mounted on the inside right wall of the shower. What
sequence of actions should the patient use when transferring into the shower?
correct answer -
An 8-year-old child with late-stage cystic fibrosis has been undergoing
treatment in an acute care pediatric hospital for the past 10 days. The child
will be transitioning home in one day with maximum assistance from a parent
and hospice care. The child's parent has remained in the hospital for the
duration of the child's inpatient stay and has been actively engaged in the
child's intervention sessions. When provided with caregiver education, the
parent reports fear and increasing levels of stress. Which action should the
COTA take as an INITIAL response to this report? correct answer -
An OTR and a COTA are recommending a wheelchair for an 8-year-old child
who has Duchenne muscular dystrophy. The child enjoys playing musical
instruments, and the parents want to support their child's interest in
participating in an after-school marching band. Which adaptations are
OPTIMAL to include in the wheelchair specifications for meeting this
objective? correct answer -
A 2-year-old child who has developmental delay secondary to fetal alcohol
syndrome is receiving early intervention home services. During a session one
week ago, the COTA gave the caregiver a switch-activated toy to incorporate
into the home program. When the COTA arrives for the weekly session, the
caregiver tells the COTA that the child does not have any interest in playing
with the toy and has not used the toy since the last visit. Which action should
the COTA take in this situation? correct answer -
An inpatient has perseverative behavior secondary to having had a subdural
hematoma. Which example represents a manifestation of these symptoms
during BADL when transitioning from completing oral hygiene to hair care?
correct answer -
A client has pain and decreased active ROM of bilateral shoulders, spine, and
knees secondary to severe osteoarthritis. Symptoms interfere with the client's
ability to independently complete lower body dressing. Which approach
should the COTA use FIRST to improve the client's ability to self-dress?
correct answer -
, When should the discharge planning process start for a patient who has been
referred to OT in an acute inpatient rehabilitation unit? correct answer -
An inpatient has upper extremity tremors, decreased motor control, and poor
fine motor coordination secondary to having had a TBI. One of the
intervention goals is to maximize the patient's independence during grooming
and hygiene. Which assistive device would support progress toward this goal?
correct answer -
A 7-year-old child has a moderate developmental delay. The child has
difficulty maintaining balance and postural control while performing gross
motor activities. Which type of activity would be MOST EFFECTIVE for
initially improving the child's postural control? correct answer -
Which task would a TYPICALLY developing 3-year-old child be expected to
complete without assistance? correct answer -
A COTA is gathering information about a patient who has receptive aphasia
secondary to a recent CVA. Which method would provide the MOST
BENEFICIAL information about the influence of the patient's current condition
on previous roles and habits? correct answer -
Which adaptations to a personal desktop computer monitor would be MOST
BENEFICIAL to recommend for a high school student who has figure-ground
deficits? correct answer -
A patient has a flaccid hemiplegia, pitting edema of the affected hand, and
unilateral neglect secondary to a CVA. Which type of positioning device would
be MOST BENEFICIAL for this patient to use when seated in a wheelchair?
correct answer -
An inpatient had a left total knee replacement 2 weeks ago and ambulates
with full weight bearing using a standard walker. The patient is learning to
transfer into a shower stall that has a 4-in (10 cm) high entry threshold and a
single grab bar mounted on the inside right wall of the shower. What
sequence of actions should the patient use when transferring into the shower?
correct answer -
