NBCOT Practice Exam 1 with 138 Questions and Ans a= a= a= a= a= a= a= a=
wers with Rationales Latest 2025 a= a= a= a=
An OT is preparing to evaluate a toddler who has upper extremity orthopedic concerns. How will the O
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
T MOST likely obtain the majority of initial assessment data?
a= a= a= a= a= a= a= a= a=
A. Measurement tools that assess visual-motor skills
a= a= a= a= a= a=
B. Dynamometer and pinch meter readings.
a= a= a= a= a=
C. Observation of child during activities in the child-care center.
a= a= a= a= a= a= a= a= a=
D. Functional independence measures.
a= a= a=
C. Observation of child during activities in the child-care center.
a= a= a= a= a= a= a= a= a=
Through observation of the child during child- a= a= a= a= a= a=
care center activities, the OT can collect information about the child's motor performance skills and pa
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
rticipation in activities that require upper extremity/ a= a= a= a= a= a=
hand skill. Naturalistic observation is a method of ecological assessment, which is "a primary mechanis
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
m for obtaining data relevant to the child's performance context..... Skilled observation of child perfor
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ming a functional task offers..... important information about the child's performance". Answers A, B,
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ad D are all appropriate choices after the child is old enough for these assessments.
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
During an initial evaluation, the OT suspects that a child has somatodyspraxia. In what area should the
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
OT focus the evaluation?
a= a= a=
A. Ability to print or write.
a= a= a= a= a=
B. Reading competency.
a= a=
C. Math calculations.
a= a=
D. New motor task planning.
a= a= a= a=
D. New motor task planning.
a= a= a= a=
"Somatodyspraxia is described as a deficit in learning new motor skills, planning new motor actions, an a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
d generalizing motor plans." Inability to print or write (answer A) is termed "dysgraphia." The term "dy
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
slexia" (answer B) means dysfunction in reading. Inability to perform mathematics (answer C) is known
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
as "dyscalculia"
a= a=
,An OT working in a long-term care facility needs to evaluate the long-
a= a= a= a= a= a= a= a= a= a= a= a=
term memory of a resident. Which of the following methods is BEST for evaluating memory or persona
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
lly experienced events (declarative memory)?
a= a= a= a=
A. Show the person a series of objects and ask him to recall the objects within 60 seconds.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
B. Ask the individual how he spent New Year's/
a= a= a= a= a= a= a= a=
C. Have the individual state the place, date, and time.
a= a= a= a= a= a= a= a= a=
D. Ask the client to remember to bring a specific item to the next therapy session
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
B Ask the individual how he spent New Year's
a= a= a= a= a= a= a= a=
"Declarative memory is one aspect of long term memory and includes conscious memory for events, k
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
nowledge or facts". It is commonly assessed through verbal interviews and informal testing such as ask
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ing a question about an individual's recall of personal events (answer B). Working memory refers to "t
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
he temporary storage of inforamtion while one is working with it or attending to it" (answer A). "Prosp
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ective memory involves the ability to remember intentions or activities that will be required in the futu
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
re" (answer D). Knowing the date, place, and time is indicative of orientation (answer C).
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
A child avoids playground equipment that requires her feet to be off the ground. What does this behav
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ior MOST likely indicate?
a= a= a=
A. Difficulty modulating proprioception.
a= a= a=
B. Somatodyspraxia
a=
C. Gravitational insecurity
a= a=
D. Bilateral integration/sequencing deficit.
a= a= a=
C. Gravitational insecurity.
a= a=
Gravitational insecurity is described as "fear response to movement". The child easily experiences a fe
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ar of falling and prefers to keep her feet firmly on the ground. Tactile defensiveness (answer A) is a ter
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
m used to describe discomfort with various textures and with unexpected touch. Somatodyspraxia (an
a= a= a= a= a= a= a= a= a= a= a= a= a=
swer B) has is "foundation in somatosensory (e.g. primarily tactile but also proprioceptive) discriminati
a= a= a= a= a= a= a= a= a= a= a= a= a=
on deficits, which interfere with the development of body scheme and awareness". Bilateral integratio
a= a= a= a= a= a= a= a= a= a= a= a= a=
n and sequencing deficits are related to "poor vestibular-
a= a= a= a= a= a= a= a=
propioceptive discrimination, which interferes with the ability to coordinate, sequence, and execute
a= a= a= a= a= a= a= a= a= a= a= a=
motor actions quickly and efficiently".
a= a= a= a=
,When the OT suspects tactile defensiveness as a rationale for a child's challenges, in what area of parti
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
cipation should the OT focus on FIRST? a= a= a= a= a= a=
A. Play behavior
a= a=
B. Dressing habits
a= a=
C. Social skills
a= a=
D. Leisure interests
a= a=
B. Dressing habits
a= a=
Children with tactile defensiveness are "bothered by tactile aspects of daily living activities.... specific t
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ypes of clothing.... specific textures materials". The child may be bothered by certain textures or avoid
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
wearing turtlenecks, socks, or shoes. Conversely, some children may never take off their shoes to avoi
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
d tactile stimulation. Play behavior (answer A), social skills (answer C), and the choice of hobbies (answ
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
er D) could be affected secondarily, as a result of intolerance to certain textures or human touch. Kno
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
wledge of the child's dressing habits will give the OT key information at the start of the evaluation proc
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ess.
An OT is working with an individual with schizophrenia who is in the process of preparing to move fro
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
m a state hospital to a group home. During a baking group, the client becomes agitated and leaves the
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
room when another client uses the electric hand mixer to mix the cake batter, and again when two clie
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
nts begin to argue loudly about which type of icing to use. How would the OT BEST describe the behavi
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
or?
A. Low registration
a= a=
B. Sensory avoiding
a= a=
C. Sensation seeking
a= a=
D. A hearing impairment
a= a= a=
B. Sensory avoiding
a= a=
The individual's actions are indicative of sensor avoiding behavior, characterized by a low threshold to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
stimuli perceived as noxious, followed by an active response such as leaving the room. Individuals with
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a
sensory avoiding behavior may "become distressed in situations in which they cannot control the envi
= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ronment" and "do well in low stimulus situation or settings that others find dull". An individual with lo
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
, w registration (answer A), sensory seeking behavior (answer C), or a hearing impairment (answer D) w
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ould not have difficult with the auditory stimulation caused by the roar of the mixer or loud voices.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
During a self- a= a=
care evaluation of an individual who recently sustained a brain injury, the OT instructs the individual to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
comb his hair immediately after he washes his face. The individual washes his face quickly, but then th
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
e therapist must give him several reminders to comb his hair. The OT is MOST likely to identify this as a
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
deficit in what area? a= a= a=
A. Working memory
a= a=
B. Judgmenta=
C. Hearing a=
D. Abstraction
a=
A. Working memory
a= a=
"Working memory is the temporary storage of information while one is working with it or attending to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
it. It includes the ability to recall information immediately after exposure. It allows one to focus consci
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ous attention and keeps track of information as one is performing an activity". This individual's inabilit
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
y to comb is hair without reminders suggests a deficit in working memory (answer A). Judgment (answ
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
er B), the ability to make realistic and safe decisions based on available environmental information, wo
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
uld not be needed for this task. Because the person performed the first request, hearing (answer C) wo
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
uld seem to be intact. Abstraction (answer D) is the ability to extrapolate information from an idea to g
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
eneralize to another situation and would not be needed to follow this direction.
a= a= a= a= a= a= a= a= a= a= a= a=
A supermarket employee with obsessive-
a= a= a= a=
compulsive disorder takes an hour to stock 24 soup cans on the shelf because once he has placed the c
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ans on the shelf, he removes them and starts over, stating that "all labels were not lines up exactly in t
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
he same direction." Which of the following methods would MOST effectively evaluate the individual's
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
work performance? a=
A. On-site observation of performance skills
a= a= a= a= a=
B. Formal cognitive assessment
a= a= a=
C. Verbal interview focusing on the requirements of the job
a= a= a= a= a= a= a= a= a=
D. Task evaluation using a "clean" medium such as a puzzle
a= a= a= a= a= a= a= a= a= a=
wers with Rationales Latest 2025 a= a= a= a=
An OT is preparing to evaluate a toddler who has upper extremity orthopedic concerns. How will the O
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
T MOST likely obtain the majority of initial assessment data?
a= a= a= a= a= a= a= a= a=
A. Measurement tools that assess visual-motor skills
a= a= a= a= a= a=
B. Dynamometer and pinch meter readings.
a= a= a= a= a=
C. Observation of child during activities in the child-care center.
a= a= a= a= a= a= a= a= a=
D. Functional independence measures.
a= a= a=
C. Observation of child during activities in the child-care center.
a= a= a= a= a= a= a= a= a=
Through observation of the child during child- a= a= a= a= a= a=
care center activities, the OT can collect information about the child's motor performance skills and pa
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
rticipation in activities that require upper extremity/ a= a= a= a= a= a=
hand skill. Naturalistic observation is a method of ecological assessment, which is "a primary mechanis
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
m for obtaining data relevant to the child's performance context..... Skilled observation of child perfor
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ming a functional task offers..... important information about the child's performance". Answers A, B,
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ad D are all appropriate choices after the child is old enough for these assessments.
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
During an initial evaluation, the OT suspects that a child has somatodyspraxia. In what area should the
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
OT focus the evaluation?
a= a= a=
A. Ability to print or write.
a= a= a= a= a=
B. Reading competency.
a= a=
C. Math calculations.
a= a=
D. New motor task planning.
a= a= a= a=
D. New motor task planning.
a= a= a= a=
"Somatodyspraxia is described as a deficit in learning new motor skills, planning new motor actions, an a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
d generalizing motor plans." Inability to print or write (answer A) is termed "dysgraphia." The term "dy
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
slexia" (answer B) means dysfunction in reading. Inability to perform mathematics (answer C) is known
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
as "dyscalculia"
a= a=
,An OT working in a long-term care facility needs to evaluate the long-
a= a= a= a= a= a= a= a= a= a= a= a=
term memory of a resident. Which of the following methods is BEST for evaluating memory or persona
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
lly experienced events (declarative memory)?
a= a= a= a=
A. Show the person a series of objects and ask him to recall the objects within 60 seconds.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
B. Ask the individual how he spent New Year's/
a= a= a= a= a= a= a= a=
C. Have the individual state the place, date, and time.
a= a= a= a= a= a= a= a= a=
D. Ask the client to remember to bring a specific item to the next therapy session
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
B Ask the individual how he spent New Year's
a= a= a= a= a= a= a= a=
"Declarative memory is one aspect of long term memory and includes conscious memory for events, k
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
nowledge or facts". It is commonly assessed through verbal interviews and informal testing such as ask
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ing a question about an individual's recall of personal events (answer B). Working memory refers to "t
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
he temporary storage of inforamtion while one is working with it or attending to it" (answer A). "Prosp
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ective memory involves the ability to remember intentions or activities that will be required in the futu
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
re" (answer D). Knowing the date, place, and time is indicative of orientation (answer C).
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
A child avoids playground equipment that requires her feet to be off the ground. What does this behav
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ior MOST likely indicate?
a= a= a=
A. Difficulty modulating proprioception.
a= a= a=
B. Somatodyspraxia
a=
C. Gravitational insecurity
a= a=
D. Bilateral integration/sequencing deficit.
a= a= a=
C. Gravitational insecurity.
a= a=
Gravitational insecurity is described as "fear response to movement". The child easily experiences a fe
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ar of falling and prefers to keep her feet firmly on the ground. Tactile defensiveness (answer A) is a ter
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
m used to describe discomfort with various textures and with unexpected touch. Somatodyspraxia (an
a= a= a= a= a= a= a= a= a= a= a= a= a=
swer B) has is "foundation in somatosensory (e.g. primarily tactile but also proprioceptive) discriminati
a= a= a= a= a= a= a= a= a= a= a= a= a=
on deficits, which interfere with the development of body scheme and awareness". Bilateral integratio
a= a= a= a= a= a= a= a= a= a= a= a= a=
n and sequencing deficits are related to "poor vestibular-
a= a= a= a= a= a= a= a=
propioceptive discrimination, which interferes with the ability to coordinate, sequence, and execute
a= a= a= a= a= a= a= a= a= a= a= a=
motor actions quickly and efficiently".
a= a= a= a=
,When the OT suspects tactile defensiveness as a rationale for a child's challenges, in what area of parti
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
cipation should the OT focus on FIRST? a= a= a= a= a= a=
A. Play behavior
a= a=
B. Dressing habits
a= a=
C. Social skills
a= a=
D. Leisure interests
a= a=
B. Dressing habits
a= a=
Children with tactile defensiveness are "bothered by tactile aspects of daily living activities.... specific t
a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ypes of clothing.... specific textures materials". The child may be bothered by certain textures or avoid
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
wearing turtlenecks, socks, or shoes. Conversely, some children may never take off their shoes to avoi
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
d tactile stimulation. Play behavior (answer A), social skills (answer C), and the choice of hobbies (answ
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
er D) could be affected secondarily, as a result of intolerance to certain textures or human touch. Kno
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
wledge of the child's dressing habits will give the OT key information at the start of the evaluation proc
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ess.
An OT is working with an individual with schizophrenia who is in the process of preparing to move fro
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
m a state hospital to a group home. During a baking group, the client becomes agitated and leaves the
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
room when another client uses the electric hand mixer to mix the cake batter, and again when two clie
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
nts begin to argue loudly about which type of icing to use. How would the OT BEST describe the behavi
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
or?
A. Low registration
a= a=
B. Sensory avoiding
a= a=
C. Sensation seeking
a= a=
D. A hearing impairment
a= a= a=
B. Sensory avoiding
a= a=
The individual's actions are indicative of sensor avoiding behavior, characterized by a low threshold to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
stimuli perceived as noxious, followed by an active response such as leaving the room. Individuals with
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a
sensory avoiding behavior may "become distressed in situations in which they cannot control the envi
= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ronment" and "do well in low stimulus situation or settings that others find dull". An individual with lo
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
, w registration (answer A), sensory seeking behavior (answer C), or a hearing impairment (answer D) w
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ould not have difficult with the auditory stimulation caused by the roar of the mixer or loud voices.
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
During a self- a= a=
care evaluation of an individual who recently sustained a brain injury, the OT instructs the individual to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
comb his hair immediately after he washes his face. The individual washes his face quickly, but then th
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
e therapist must give him several reminders to comb his hair. The OT is MOST likely to identify this as a
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
deficit in what area? a= a= a=
A. Working memory
a= a=
B. Judgmenta=
C. Hearing a=
D. Abstraction
a=
A. Working memory
a= a=
"Working memory is the temporary storage of information while one is working with it or attending to
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
it. It includes the ability to recall information immediately after exposure. It allows one to focus consci
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
ous attention and keeps track of information as one is performing an activity". This individual's inabilit
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
y to comb is hair without reminders suggests a deficit in working memory (answer A). Judgment (answ
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
er B), the ability to make realistic and safe decisions based on available environmental information, wo
a= a= a= a= a= a= a= a= a= a= a= a= a= a= a=
uld not be needed for this task. Because the person performed the first request, hearing (answer C) wo
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uld seem to be intact. Abstraction (answer D) is the ability to extrapolate information from an idea to g
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eneralize to another situation and would not be needed to follow this direction.
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A supermarket employee with obsessive-
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compulsive disorder takes an hour to stock 24 soup cans on the shelf because once he has placed the c
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ans on the shelf, he removes them and starts over, stating that "all labels were not lines up exactly in t
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he same direction." Which of the following methods would MOST effectively evaluate the individual's
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work performance? a=
A. On-site observation of performance skills
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B. Formal cognitive assessment
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C. Verbal interview focusing on the requirements of the job
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D. Task evaluation using a "clean" medium such as a puzzle
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