NBCOT PRACTICE- QUESTIONS WITH ALL
CORRECT ANSWERS
A 5 year old child who has mild developmental delay is learning to self-dress.
Most recently, the child has mastered putting on and taking off a coat, as well
as buttoning and unbuttoning it. From the dressing tasks listed, which should
the child learn to do next based on the typical development sequence for
dressing? correct answer -Pulling up a jacket zipper would be the next
dressing skill the child should learn.
An entry level OTR who works in a long-term care facility is screening a
resident who has ALS and uses a wheelchair. The resident's UE functional
strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The
resident wants to eat meals in the facility dining room but is embarrassed
about frequently dropping assistive eating devices and having several
incidences of coughing while eating. What care coordination task should the
OTR complete FIRST? correct answer -Coordinate with the multi-
disciplinary team to identify specific feeding and swallowing objectives.
An entry level OTR who works in a long-term care facility is screening a
resident who has ALS and uses a wheelchair. The resident's UE functional
strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The
resident wants to eat meals in the facility dining room but is embarrassed
about frequently dropping assistive eating devices and having several
incidences of coughing while eating. What symptom is the resident most at
risk for experiencing during a meal? correct answer -Variation in voice
quality or loss of voice after swallowing, which is a symptom of dysphagia.
Which factor is MOST IMPORTANT to determine when considering if the
resident would benefit from a mobile arm support? correct answer -
Amount of upper extremity passive joint mobility
At a minimum, what information should the OTR document to increase the
likelihood of additional authorized visits? correct answer -Functional
problem statements indicating the need for skilled services
,How should the OTR respond to the client's concerns about splinting?
correct answer -Encourage full participation in daily tasks by collaborating
on ways to modify typical daily activities
Your patient had a CVA several weeks ago. Which task oriented approach
would be most beneficial to include as part of the intervention plan for
maximizing the client's physical abilities? correct answer -Constraint-
induced movement therapy is a task-oriented approach to motor acquisition.
For a patient who had a CVA several weeks ago, which type of activity should
be included as part of the INITIAL intervention to REMEDIATE the client's
motor impairment? correct answer -Weight bearing through the affected
upper extremity prior to an activity
Which assessment should be included as part of the initial evaluation and can
be administered by the COTA? correct answer -COPM
What is contraindicated during phase I of cardiac rehab? correct answer -
Isometric exercises can cause a rapid and sudden increase in blood pressure
AOTA correct answer -Publishes Standards of Practice for Occupational
Therapy and the Reference Manual of official Documents of the AOTA.
NBCOT correct answer -Responsible for issues related to certification and
certification renewal
ACOTE correct answer -responsible for accreditation of OT education
standards in support of the practice standards set forth by the AOTA
Negligible Correlation correct answer -0 - .2
low correlation correct answer -.2 - .4
moderate correlation correct answer -.4 - .6
high correlation correct answer -.6 - .8
.8 - 1.0 correct answer -very high correlation
, Constructional Apraxia correct answer -have difficulty
constructing/assembling objects
A client has Poor minus (2-/5) functional strength of the dominant UE. What
is the most effective method for grading an activity to improve the client's
muscular strength? correct answer -Increasing the amount of time an
isometric contraction is held
What is the PRIMARY purpose for completing a dysphagia screening for an
inpatient who had a right CVA several days ago? correct answer -To
observe the patient's oral motor control and determine a need for further
evaluation. A screening is not used for diagnostics or treatment planning - it
allows the OTR to quickly detect the presence of a deficit and determine if an
in-depth evaluation is needed.
An OTR is preparing to interview an outpatient who has a TBI and is
functioning at Rancho Level VII. What charcteristic of an individual's cognitive
behavioral function is typically included in the description of this level?
correct answer -Consistent orientation to time and space. Patients at this
level frequently display robot-like behaviors and require minimal assistance
for routine ADL.
Cognitive Behavioral Therapy correct answer -The individual can change
their behavior by first challenging their negative assumptions (cognitions)
relating to trigger events.
If a client presents with a boutonniere type deformity, what is the most likely
cause? correct answer -Rupture or lengthening of the central slip of the
EDC
Rupture of the flexor digitorum superficialis tendon or lengthening of the
lateral slips of the EDC may result in... correct answer -swan neck
deformity
An OTR who receives a referral for a 5 yr old with PDD should first gather
background information on the child by: correct answer -discussing the
child's history with the caregiver to identify the child's present level of
performance in different occupational roles
CORRECT ANSWERS
A 5 year old child who has mild developmental delay is learning to self-dress.
Most recently, the child has mastered putting on and taking off a coat, as well
as buttoning and unbuttoning it. From the dressing tasks listed, which should
the child learn to do next based on the typical development sequence for
dressing? correct answer -Pulling up a jacket zipper would be the next
dressing skill the child should learn.
An entry level OTR who works in a long-term care facility is screening a
resident who has ALS and uses a wheelchair. The resident's UE functional
strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The
resident wants to eat meals in the facility dining room but is embarrassed
about frequently dropping assistive eating devices and having several
incidences of coughing while eating. What care coordination task should the
OTR complete FIRST? correct answer -Coordinate with the multi-
disciplinary team to identify specific feeding and swallowing objectives.
An entry level OTR who works in a long-term care facility is screening a
resident who has ALS and uses a wheelchair. The resident's UE functional
strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The
resident wants to eat meals in the facility dining room but is embarrassed
about frequently dropping assistive eating devices and having several
incidences of coughing while eating. What symptom is the resident most at
risk for experiencing during a meal? correct answer -Variation in voice
quality or loss of voice after swallowing, which is a symptom of dysphagia.
Which factor is MOST IMPORTANT to determine when considering if the
resident would benefit from a mobile arm support? correct answer -
Amount of upper extremity passive joint mobility
At a minimum, what information should the OTR document to increase the
likelihood of additional authorized visits? correct answer -Functional
problem statements indicating the need for skilled services
,How should the OTR respond to the client's concerns about splinting?
correct answer -Encourage full participation in daily tasks by collaborating
on ways to modify typical daily activities
Your patient had a CVA several weeks ago. Which task oriented approach
would be most beneficial to include as part of the intervention plan for
maximizing the client's physical abilities? correct answer -Constraint-
induced movement therapy is a task-oriented approach to motor acquisition.
For a patient who had a CVA several weeks ago, which type of activity should
be included as part of the INITIAL intervention to REMEDIATE the client's
motor impairment? correct answer -Weight bearing through the affected
upper extremity prior to an activity
Which assessment should be included as part of the initial evaluation and can
be administered by the COTA? correct answer -COPM
What is contraindicated during phase I of cardiac rehab? correct answer -
Isometric exercises can cause a rapid and sudden increase in blood pressure
AOTA correct answer -Publishes Standards of Practice for Occupational
Therapy and the Reference Manual of official Documents of the AOTA.
NBCOT correct answer -Responsible for issues related to certification and
certification renewal
ACOTE correct answer -responsible for accreditation of OT education
standards in support of the practice standards set forth by the AOTA
Negligible Correlation correct answer -0 - .2
low correlation correct answer -.2 - .4
moderate correlation correct answer -.4 - .6
high correlation correct answer -.6 - .8
.8 - 1.0 correct answer -very high correlation
, Constructional Apraxia correct answer -have difficulty
constructing/assembling objects
A client has Poor minus (2-/5) functional strength of the dominant UE. What
is the most effective method for grading an activity to improve the client's
muscular strength? correct answer -Increasing the amount of time an
isometric contraction is held
What is the PRIMARY purpose for completing a dysphagia screening for an
inpatient who had a right CVA several days ago? correct answer -To
observe the patient's oral motor control and determine a need for further
evaluation. A screening is not used for diagnostics or treatment planning - it
allows the OTR to quickly detect the presence of a deficit and determine if an
in-depth evaluation is needed.
An OTR is preparing to interview an outpatient who has a TBI and is
functioning at Rancho Level VII. What charcteristic of an individual's cognitive
behavioral function is typically included in the description of this level?
correct answer -Consistent orientation to time and space. Patients at this
level frequently display robot-like behaviors and require minimal assistance
for routine ADL.
Cognitive Behavioral Therapy correct answer -The individual can change
their behavior by first challenging their negative assumptions (cognitions)
relating to trigger events.
If a client presents with a boutonniere type deformity, what is the most likely
cause? correct answer -Rupture or lengthening of the central slip of the
EDC
Rupture of the flexor digitorum superficialis tendon or lengthening of the
lateral slips of the EDC may result in... correct answer -swan neck
deformity
An OTR who receives a referral for a 5 yr old with PDD should first gather
background information on the child by: correct answer -discussing the
child's history with the caregiver to identify the child's present level of
performance in different occupational roles
