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NBCOT practice questions EXAM 404 QUESTIONS ,ANSWERS AND Rationales 2025.

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NBCOT practice questions EXAM 404 QUESTIONS ,ANSWERS AND Rationales 2025.

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NBCOT practice questions EXAM 404 QUESTIO a= a= a= a= a=




NS ,ANSWERS AND Rationales 2025 a= a= a= a=




1. The director of OT services for a large metropolitan home health agency is conducting a supervisory
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




visit and notices the OTR is writing progress notes on a persona electronic tablet. OT is excited about u
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




sing tablet and shares with the director that it saves a great deal of time. Most appropriate response fr
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




om director? a=




a. Applaud the OT for using technology efficiently
a= a= a= a= a= a= a= a=




b. Develop a policy prohibiting the use of personal electronic tablets for note writing
a= a= a= a= a= a= a= a= a= a= a= a= a=




c. Ask the OT to describe the use of electronic recording to the other OT at the agency
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




d. Ask home health clients for their opinions regarding electronic record keeping -
a= a= a= a= a= a= a= a= a= a= a= a= a=




a= ✔️b. Develop a policy prohibiting the use of personal electronic tablets for note writing
a= a= a= a= a= a= a= a= a= a= a= a= a=




A patient in a rehabilitation facility has a complete C8-
a= a= a= a= a= a= a= a= a=




T1 spinal cord injury. The patient is learning techniques to maximize independence with dressing. Whi
a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ch technique should the OTR teach the patient to use to support progress toward this goal?
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




a. Put on undergarments and trousers in bed, then transfer to a wheelchair to complete upper body dr
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




essing

b. Use a universal cuff with a button-hook and zipper-pull to fasten front-opening clothing
a= a= a= a= a= a= a= a= a= a= a= a= a=




c. Wear a wrist-driven flexor hinge splint for pulling on and fastening clothing
a= a= a= a= a= a= a= a= a= a= a= a=




d. While supine in bed, put on socks and shoes; then put on underpants and trousers by rolling side to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




side in bed - a= a= a= a=




✔️Put on undergarments and trousers in bed, then transfer to a wheelchair to complete upper body d
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ressing



2. An OTR is reviewing hard-
a= a= a= a= a=




copy of client charts before a group session. While reviewing the charts, the OTR receives an urgent ph
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




one call and must leave the chart room. How can the OTR ensure that the charts remain protected duri
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ng the OTR's absence?
a= a= a=




a. Close the charts and stack them on the table
a= a= a= a= a= a= a= a= a=




b. Lock the door to the chart room
a= a= a= a= a= a= a=




c. Cover the charts with other documents to obscure them from view
a= a= a= a= a= a= a= a= a= a= a=




d. Close the charts and return them to their original secure location -
a= a= a= a= a= a= a= a= a= a= a= a= a=

,a= ✔️d. Close the charts and return them to their original secure location
a= a= a= a= a= a= a= a= a= a= a=




3. An OTR is working in an outpatient setting and observes a COTA setting up electrical stimulation on a
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




patient with a significant cardiac history, including a pacemaker. -
a= a= a= a= a= a= a= a= a= a= a=




✔️c. Stop the COTA from proceeding, check the eval and treatment plan and if needed review physica
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




l agent modalities and appropriate use
a= a= a= a= a=




When considering the readiness of a client for a power wheelchair, the OTR should primarily be concer
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ned with? - a= a= a=




✔️Cognitive ability, to ensure that the individual has the awareness, problem solving, and decision m
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




aking capabilities to learn how to consistently and safely operate the chair
a= a= a= a= a= a= a= a= a= a= a=




While reviewing work hardening program documentation, an OTR realizes there is no entry in the clien
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




t's medical record of a meeting conducted with the insurance case manager, client, and client's emplo
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




yer regarding light- a= a=




duty options. According to best practice guidelines, how should the OTR amend the client's medical re
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




cord to include a summary of the meeting?
a= a= a= a= a= a= a= a=




a. back-date the entry to correspong to the actial date of the meeting
a= a= a= a= a= a= a= a= a= a= a= a=




a= b. insert a summary of the meeting into the margins of the client's medical record.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




a= D. Enter the information as a late entry into the client's medical record. -
a= a= a= a= a= a= a= a= a= a= a= a= a= a=




a= ✔️D. Enter the information as a late entry into the client's medical record.
a= a= a= a= a= a= a= a= a= a= a= a=




An OTR who has passed the initial NBCOT exam has decided not to be recerified through NBCOT. Whic
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




h consequences will result from the OTR decision?
a= a= a= a= a= a= a=




a= a. the OTR will not be allowed to practice OT in the USA
a= a= a= a= a= a= a= a= a= a= a= a=




a= b. The OTR practice opportunities and credentials will remain unchanged
a= a= a= a= a= a= a= a= a=




a= c. the OTR may practice OT in the state that does not require certification, but the OTR's credential will
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




a= change

d. the OTR may practice OT in a state that does not require certification and the OTR credentials will n
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ot change - a= a= a=




✔️c. the OTR may practice OT in the state that does not require certification, but the OTR's credential
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




will change a=




6. A COTA decides that a client has returned to the previous level of function and continued OT service
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




s are no longer needed. Best way to discharge patient?
a= a= a= a= a= a= a= a= a=

,a= a. COTA sets a last tx day, provides home exercise program and review progress with the patient while
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a




= completing the discharge notes a= a= a=




b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress and re
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




sponse to intervention, and collaborates on a last tx day
a= a= a= a= a= a= a= a= a=




c. COTA notified the OTR who meets with the patient to discuss potential discharge from therapy, the
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




OTR proceeds the dischargea= a= a=




d. COTA sets a last tx day, provides a home exercise program and home safety packet, and reports fina
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




l notes on functional levels to the OTR -
a= a= a= a= a= a= a= a= a=




✔️b. COTA alerts the OTR and the OTR review the documentation discusses the patient's progress an
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




d response to intervention, and collaborates on a last tx day
a= a= a= a= a= a= a= a= a= a=




COTA working on an inpatient rehab has had 2 patients fall in last month. OTR has concerns about the
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




COTA's safety awareness during certain interventions. Which approach is the best for the OTR?
a= a= a= a= a= a= a= a= a= a= a= a= a=




a= a. speak with the rehab manager about possible disciplinary action
a= a= a= a= a= a= a= a= a=




b. review the documentation of the 2 patients who fell and discuss their cases thoroughly with the CO
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




TA to determine cause of the falls
a= a= a= a= a= a=




c. ask the COTA whether more thorough supervision is needed and then proceed to provide close sup
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ervision

d. collaborate with the COTA to determine potential causes of the falls and provide direct supervision
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




with more deliberate feedback -
a= a= a= a= a=




✔️d. collaborate with the COTA to determine potential causes of the falls and provide direct supervisi
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




on with more deliberate feedback
a= a= a= a=




An OTR is supervising an OT student for Level II FW. The OTR notices that the student did not gather co
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




mplete info. Regarding a client's Occ. History. Which comment best represents effective feedback?
a= a= a= a= a= a= a= a= a= a= a= a=




a= a. "you missed some info when you were recording the client's occ. History
a= a= a= a= a= a= a= a= a= a= a= a=




a= b. "in the future, you need to ask better questions about the client's occ. History
a= a= a= a= a= a= a= a= a= a= a= a= a= a=




c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are compr
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ehensive.

a= d. you should practice doing occ. History interviews -
a= a= a= a= a= a= a= a= a=




✔️c. "in the future, you may want to use a checklist to ensure that your occ. History interviews are co
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




mprehensive.



An adolescent referred for OT has oppositional defiant disorder. During the initial interview, the paren
a= a= a= a= a= a= a= a= a= a= a= a= a= a=




t reports that the youth never listens to requests, become angry several times a day, blames mistakes
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




on an older sibling. Which area is most related?
a= a= a= a= a= a= a= a=

, a= a. ADLs a=




a= b. Rest and Sleep
a= a= a=




a= c. Leisure
a=




a= d. Social participation -
a= a= a= a=




a= ✔️d. Social participation a= a=




An OTR is working in a school with high incidence of violence in the district with increasing numbers of
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




students diagnosed with ODD. The superintendent announces the formation of a task force to study th
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




e problem. Which response to the announcement would be best?
a= a= a= a= a= a= a= a= a=




a. document the progress of the OTR has made with students with ODD to justify continuing work wit
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




h these students
a= a=




b. increase the frequency of visits to the students on the OTR caseload with his diagnosis because the t
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ask force will scrutinize intervention with these students.
a= a= a= a= a= a= a=




c. research intervention strategies to make sure that the intervention the OTR has been providing to t
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




hese students is considered a= a= a= a=




d. contact the superintendent and request to be appointed to a seat on the task force to study violenc
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




e and incidence of ODD. -
a= a= a= a= a= a=




✔️d. contact the superintendent and request to be appointed to a seat on the task force to study viol
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




ence and incidence of ODD. a= a= a= a=




When working with a client with chorninc pain, the OTR needs to set a tone that will facilitate a therap
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




eutic relationship with the client. Which statement sets an open and appropriate tone when working
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




with a client who has chronic pain?
a= a= a= a= a= a=




a= a. your pain is all in your head. All you have to do is ignore it
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




b. I have pain when I wake up in the morning. I have arthritis. It usually takes a while before it gets any
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




better. Maybe you should try to exercise in the morning to get things moving like I do
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let me
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




know, but I would like to see you push yourself.
a= a= a= a= a= a= a= a= a=




a= d. I think we should slowly increase the time you are spending at work-related tasks -
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




✔️c. I realize that you are in pain. Lets try this activitiy and see what happens. If you need to stop, let
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=




me know, but I would like to see you push yourself.
a= a= a= a= a= a= a= a= a= a=




a= -
a=




a= ✔️

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