NBCOT Neurologic Impairments Exam Prep 102 QUESTIONS AND MULTIPLE CHOICE ANSWERS

NBCOT Neurologic Impairments Exam Prep 102 QU a= a= a= a= a= a=




ESTIONS AND MULTIPLE CHOICE ANSWERS a= a= a= a=




An OTR® has received evaluation orders for a client who recently experienced traumatic brain injury. T
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he COTA® will be treating the client after the evaluation is completed. The client displays severe memo
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ry impairment and can only respond to simple commands without being distracted. What Rancho Los
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Amigos level BEST corresponds with the client's behavior?
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A. VII a=




B. III a=




C. V a=




D. II - a= a= a=




a= ** C. V a= a=




Orthostatic hypotension is a common complication of spinal cord injury (SCI). What should the COTA®
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do for the client when it occurs?
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A. Sit the client up.
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B. Lean the client back.
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C. Call the nurse.
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D. Nothing; the client is not at risk -
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a= ** B. Lean the client back.
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A client with T1 spinal cord injury exhibits headache, sweating, congestion, hypertension, and bradyca
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rdia. What is the client MOST likely experiencing?
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A. Spasticity
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B. Autonomic dysreflexia
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C. Orthostatic hypotension
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D. Hypertonia -
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a= ** B. Autonomic dysreflexia
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A COTA® is treating a client who has had a CVA. During the session, the COTA® notices the client is havi
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ng trouble communicating through speech. Which of the following disorders BEST describes what the
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COTA® is observing? a= a=




A. Apraxia a=

,B. Aphasia a=




C. Paresis a=




D. Hemiplegia -a= a= a=




a= ** B. Aphasia a= a=




An inpatient who has hemiplegia and unilateral neglect is progressing toward documented ADL goals b
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ut continues to have poor balance and requires verbal cuing during self-
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care. The case manager informs the COTA® that the insurance company has not authorized continued
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therapy and the patient will be discharged in 2 days to live at home with family. In addition to informin
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g the OTR® about the patient's discharge, which task should the COTA® complete NEXT?
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A. Determine family and caregiver training needs
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B. Provide the patient with a written home program
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C. Modify the patient goals to reflect the discharge date
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D. Schedule the patient for outpatient occupational therapy services -
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a= ** A. Determine family and caregiver training needs
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For a client with an L2 spinal cord injury, which statement BEST describes the muscle segments below t
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he injury level 1 to 2 months postinjury?
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A. Senses are elevated.
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B. Muscles are spastic.
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C. Sympathetic functions are hypoactive.
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D. Muscles are flaccid. -
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a= ** B. Muscles are spastic.
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A COTA® is working with a client in the active phase of C8 spinal cord injury. What is the BEST method o
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f preventing heterotopic ossification in the client?
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A. Low-load prolonged stretch
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B. Maintenance of joint ROM
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C. High-low limited stretch
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D. Application of leg wraps -
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a= ** B. Maintenance of joint ROM
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, An inpatient is functioning at Level IV (confused-
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agitated) on the Rancho Los Amigos scale after sustaining a TBI 2 weeks ago. What method should be u
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sed to get the patient's attention at the start of a session at bedside?
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A. Pass a strong-smelling substance back and forth under the patient's nose
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B. Firmly rub along the patient's sternum until the patient responds
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C. State the patient's name in a calm voice and establish direct eye contact
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D. Hold the patient by the chin so the patient cannot look away -
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a= ** C. State the patient's name in a calm voice and establish direct eye contact
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A COTA® is preparing to discharge a client with a complete L2 spinal cord injury who is planning to go h
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ome. Which IADLs would the client likely need assistance with?
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A. Financial management
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B. Meal preparation
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C. Use of technology
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D. Home maintenance -
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a= ** D. Home maintenance
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A COTA® is educating a client with C7 spinal cord injury to use tenodesis grasp. What is an appro
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priate explanation to the client of how tenodesis works?
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A. To hold on to an item, bring the wrist back, which opens the fingers.
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B. Drop the wrist down to activate the grasp and hold on to an item.
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C. Press one hand against the other to flex the fingers.
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D. Bring the wrist back, and the fingers will grasp to hold on to an item. -
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a= ** D. Bring the wrist back, and the fingers will grasp to hold on to an item.
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A client who has a T2 spinal cord injury is learning to independently transfer to a variety of surfaces. W
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hich type of transfer is BEST for this client to use when transferring from a wheelchair to a car?
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A. Sliding board
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B. Stand-step
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C. Stand-pivot
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D. Bent-pivot -
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a= ** A. Sliding board
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