NBCOT PRE-TEST QUESTIONS WITH ALL CORRECT
ANSWERS
An OTR is analyzing the progress monitoring graph for a student in the third
grade who has a learning disability and has been participating in OT for 3
years. Based on the data collected each week, the student has been making
steady improvements; however, the rate of progress has decreased over the
past year. What action should the OTR take based on this analysis of the
progress monitoring graph?
A. Collect data more frequently.
B. Change the intervention strategy.
C. Recommend discharge from services. correct answer -
A 3-year-old toddler, who has a developmental delay, recently learned to jump
with both feet. Based on developmental milestones, what gross motor skill
should the OTR work on NEXT?
A. Throw a 3-inch (7.62cm) ball.
B. Ride a tricycle.
C. Pull a toy while walking. correct answer -
Which of the following would be the MOST DIFFICULT activity for a client who
has mild (stage III) Alzheimer's disease to perform?
A. Following the typical steps associated with brushing teeth
B. Remembering the name of a new member of a social group
C. Navigating a familiar route throughout the neighborhood correct answer
-
An inpatient had a C6 spinal cord injury one week ago. Results of the ASIA
(American Spinal Injury Association) Impairment Scale indicate the
classification of the patient's injury is ASIA A. What do the results of this scale
suggest?
A. Complete motor and sensory impairment below the level of the lesion
B. Sensory incomplete impairment below the level of the lesion
,C. Motor incomplete impairment below the level of the lesion correct
answer -
An OTR is using the fingerbreadth palpation method to measure the shoulder
subluxation of a client with hemiplegia. Which option is the MOST EFFECTIVE
test position to place the client in to achieve reliable measurement results?
A. Supine in bed with the arm resting beside the body.
B. Upright seated position with the arm hanging down at the side.
C. Side-lying position on a firm surface with the affected arm parallel to the
torso. correct answer -
A client sustained a mild contusion of the dominant upper extremity 8 weeks
ago limiting ADL. The client has not been able to work as a receptionist and
reports fluctuating debilitating discomfort of the affected upper extremity
when trying to reach forward to pick up objects. Which condition is
TYPICALLY associated with these reported symptoms?
A. Peripheral vascular disease
B. Functional neurological symptom disorder
C. Complex regional pain syndrome correct answer -
An OTR is using the Borg's Rating of Perceived Exertion (BRPE) Scale to
determine activity progression for a client during intervention. At the start of
treatment, the client rated the level of exertion for showering as 17. Two
weeks later, the client's rating changed to 9. What does this change in BRPE
score for showering represent?
A. Exertion level is 'somewhat hard,' and the client has achieved maximum
performance.
B. Exertion level is 'very hard,' and the client perceives showering as more
difficult to perform.
C. Exertion level is 'very light,' and the client perceives showering as easier to
perform. correct answer -
Which of the following symptoms are TYPICAL of a client who has a spinal
cord injury and is experiencing autonomic dysreflexia?
, A. Bradycardia, nasal congestion, increased blood pressure, and pounding
headache
B. Significant edema in the lower extremity with a spot that is warm to the
touch
C. Tachycardia, jaw pain, decreased blood pressure, nausea, and vomiting
correct answer -
While interviewing an adult client who has schizophrenia, the OTR notices
that the client frequently uses nonsense words during verbal expression.
What is the BEST option to describe this behavior?
A. Confabulation
B. Dysarthria
C. Neologism correct answer -
Which peripheral nerve is typically associated with Guyon's canal syndrome?
A. Ulnar
B. Radial
C. Median correct answer -
An OTR administered a standardized visual perceptual test to a student in the
first grade who has a learning disability. The student scores within normal
limits on all other subtests, but performs well below the norm on the figure-
ground subtest. Based on these findings, what would be the MOST DIFFICULT
activity for the student to complete?
A. Learning grade-level sight words for reading.
B. Writing the alphabet without letter reversals.
C. Finding a writing utensil on a cluttered desk. correct answer -
An OTR is working with a client in a home health setting who has a wound on
the posterior aspect of the proximal forearm. The wound is 3 cm (1.81 inches)
in diameter and is being treated by the wound care nurse with a transparent
film dressing. The wound is dry, and the margins are pink and flat. What is the
PRIMARY reason for using a transparent film dressing on this client's wound?
A. To provide hydration to the wound while offering pain relief with a
hydrogel sheet
ANSWERS
An OTR is analyzing the progress monitoring graph for a student in the third
grade who has a learning disability and has been participating in OT for 3
years. Based on the data collected each week, the student has been making
steady improvements; however, the rate of progress has decreased over the
past year. What action should the OTR take based on this analysis of the
progress monitoring graph?
A. Collect data more frequently.
B. Change the intervention strategy.
C. Recommend discharge from services. correct answer -
A 3-year-old toddler, who has a developmental delay, recently learned to jump
with both feet. Based on developmental milestones, what gross motor skill
should the OTR work on NEXT?
A. Throw a 3-inch (7.62cm) ball.
B. Ride a tricycle.
C. Pull a toy while walking. correct answer -
Which of the following would be the MOST DIFFICULT activity for a client who
has mild (stage III) Alzheimer's disease to perform?
A. Following the typical steps associated with brushing teeth
B. Remembering the name of a new member of a social group
C. Navigating a familiar route throughout the neighborhood correct answer
-
An inpatient had a C6 spinal cord injury one week ago. Results of the ASIA
(American Spinal Injury Association) Impairment Scale indicate the
classification of the patient's injury is ASIA A. What do the results of this scale
suggest?
A. Complete motor and sensory impairment below the level of the lesion
B. Sensory incomplete impairment below the level of the lesion
,C. Motor incomplete impairment below the level of the lesion correct
answer -
An OTR is using the fingerbreadth palpation method to measure the shoulder
subluxation of a client with hemiplegia. Which option is the MOST EFFECTIVE
test position to place the client in to achieve reliable measurement results?
A. Supine in bed with the arm resting beside the body.
B. Upright seated position with the arm hanging down at the side.
C. Side-lying position on a firm surface with the affected arm parallel to the
torso. correct answer -
A client sustained a mild contusion of the dominant upper extremity 8 weeks
ago limiting ADL. The client has not been able to work as a receptionist and
reports fluctuating debilitating discomfort of the affected upper extremity
when trying to reach forward to pick up objects. Which condition is
TYPICALLY associated with these reported symptoms?
A. Peripheral vascular disease
B. Functional neurological symptom disorder
C. Complex regional pain syndrome correct answer -
An OTR is using the Borg's Rating of Perceived Exertion (BRPE) Scale to
determine activity progression for a client during intervention. At the start of
treatment, the client rated the level of exertion for showering as 17. Two
weeks later, the client's rating changed to 9. What does this change in BRPE
score for showering represent?
A. Exertion level is 'somewhat hard,' and the client has achieved maximum
performance.
B. Exertion level is 'very hard,' and the client perceives showering as more
difficult to perform.
C. Exertion level is 'very light,' and the client perceives showering as easier to
perform. correct answer -
Which of the following symptoms are TYPICAL of a client who has a spinal
cord injury and is experiencing autonomic dysreflexia?
, A. Bradycardia, nasal congestion, increased blood pressure, and pounding
headache
B. Significant edema in the lower extremity with a spot that is warm to the
touch
C. Tachycardia, jaw pain, decreased blood pressure, nausea, and vomiting
correct answer -
While interviewing an adult client who has schizophrenia, the OTR notices
that the client frequently uses nonsense words during verbal expression.
What is the BEST option to describe this behavior?
A. Confabulation
B. Dysarthria
C. Neologism correct answer -
Which peripheral nerve is typically associated with Guyon's canal syndrome?
A. Ulnar
B. Radial
C. Median correct answer -
An OTR administered a standardized visual perceptual test to a student in the
first grade who has a learning disability. The student scores within normal
limits on all other subtests, but performs well below the norm on the figure-
ground subtest. Based on these findings, what would be the MOST DIFFICULT
activity for the student to complete?
A. Learning grade-level sight words for reading.
B. Writing the alphabet without letter reversals.
C. Finding a writing utensil on a cluttered desk. correct answer -
An OTR is working with a client in a home health setting who has a wound on
the posterior aspect of the proximal forearm. The wound is 3 cm (1.81 inches)
in diameter and is being treated by the wound care nurse with a transparent
film dressing. The wound is dry, and the margins are pink and flat. What is the
PRIMARY reason for using a transparent film dressing on this client's wound?
A. To provide hydration to the wound while offering pain relief with a
hydrogel sheet
