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NBCOT & OTKE Practice Exams | Verified Questions and Correct Answers for 2025–2026

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This document provides a large and detailed set of practice questions with verified answers for the 2025–2026 NBCOT (National Board for Certification in Occupational Therapy) and OTKE (Occupational Therapy Knowledge Exam). Topics include pediatric and adult interventions, neurological conditions, cognitive and perceptual disorders, spinal cord injury care, mental health, sensory integration, assistive technologies, ADL/IADL assessments, and OT models and theories. Ideal for occupational therapy students and professionals preparing for certification and board exams.

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Institution
NBCOT & OTKE
Course
NBCOT & OTKE

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NBCOT AND OTKE PRACTICE
EXAMS WITH VERIFIED
QUESTIONS AND ANSWERS




A 13-year-old female client has difficulty with sequencing steps of an
activity and has ideational apraxia. One of her goals is to be able to
independently brush her hair in all 3 zones (right side, left side, and back of
head). Which of the following is NOT an intervention the OT can use to
address the client's goal?

Select one:
a. Provide step by step instructions
b. Use hand over hand guiding techniques
c. Provide opportunities for motor planning and motor execution
d. Increase environmental stimuli
- ANSWERS-d. Increase environmental stimuli

A 20-year-old male patient had recently been involved in a car crash and
suffered a TBI. After reviewing his chart, you read that he has cortical
blindness and cannot see. What part of the brain is this most likely an injury
from?

Select one:
a. Frontal lobe
b. Occipital lobe
c. Temporal lobe
d. Parietal lobe
- ANSWERS-b. Occipital lobe

,A 3-year-old girl has been diagnosed with a pervasive developmental
disorder that deteriorates motor and social skills. The child has irregular
breathing problems and regression in cognition and praxis. Which of the
following diagnosis MOST closely relates to the child's condition?

Select one:
a. Tourette's Syndrome
b. Rett's Syndrome
c. Autism Spectrum Disorder
d. Intellectual Disorder
- ANSWERS-b. Rett's Syndrome

A 45-year-old client sustained burns to the front of her left arm, posterior
trunk, front of her left leg, and back of her left leg. Using the Rule of
Nines, calculate the total body surface area percentage that is burned.

Select one:
a. 66%
b. 45%
c. 40.5%
d. 62.5%
- ANSWERS-c. 40.5%

A 55-year-old patient has been admitted to the acute rehabilitation unit after
a CVA one week ago. She is now relearning her functional ADLs, however,
requires modifications for most of these tasks. She has chosen her most
valued ADLs to practice daily and her motor function has begun to
improve. What approach are her and her OT using during the therapy
sessions?

Select one:
a. Remedial/Restorative/Transfer of Training Approach
b.Compensatory/Adaptive/Functional Approach
c. Neurofunctional Approach
d. Dynamic Interactional Approach
- ANSWERS-b.Compensatory/Adaptive/Functional Approach

A 6-year old girl has been experiencing symptoms of frequent urination,
extreme hunger, and excessive thirst. After visiting her family physician,

,she has been diagnosed with diabetes. What type of diabetes does this client
have?

Select one:
a. Type 2, non-insulin-dependent
b. Type 1, non-insulin-dependent
c. Type 2, insulin-dependent
d. Type 1, insulin-dependent
- ANSWERS-d. Type 1, insulin-dependent

A 70-year-old male gets admitted to a SNF for rehabilitation services after
sustaining a left hip fracture due to a fall. He is required to receive
occupational therapy services for a minimum of 5 days per week. Which of
the following is his reimbursement source?

Select one:
a. Medicare Part B
b. Medicare Part A
c. Medi-Cal
d. Medicaid
- ANSWERS-b. Medicare Part A

A 75-year-old male client is complaining of ringing in both of his ears
during treatment and cannot comprehend the OT's directions when
engaging in therapy. Which type of hearing loss is the client exhibiting?

Select one:
a. Tinnitus
b. Conductive
c. Presbycusis
d. Sensorineural
- ANSWERS-c. Presbycusis

A child has recently begun to build with blocks both horizontally and
vertically but cannot yet build a tower of nine cubes, what age is this child?

Select one:
a. 24-30 months
b. 6-9 months

, c. 21-24 months
d. 12-15 months
- ANSWERS-a. 24-30 months

A client is admitted to the hospital exhibiting the following symptoms:
symmetric muscular weakness, distal sensory loss, stocking-glove
distribution (tingling from the feet and legs to the upper body), and deep
tendon reflex loss. What neurological system disorder might this client
have?

Select one:
a. Post-polio Syndrome
b. Amyotrophic Lateral Sclerosis (ALS)
c. Guillan-Barre Syndrome
d. Muscular Dystrophy
- ANSWERS-c. Guillan-Barre Syndrome

A client who recently experienced an MI has been referred to OT. To
determine the individual's current endurance level, the OT plans to monitor
the performance of self- care activities. The FIRST step is to:

Select one:
a. Take vital signs 5 minutes after the client has completed self-care activities.
b. Observe the client for signs and symptoms of fatigue and exhaustion
during self-care activities.
c. Take the client's vital signs at rest.
d. Take the client's vital signs after the performance of self-care activities.
- ANSWERS-c. Take the client's vital signs at rest.

A client with a diagnosis of trigger finger is seen in an outpatient hand
clinic for an initial occupational therapy evaluation. The client reports having a
trigger finger release surgery done 1 month prior and complains of pain and
limited ROM. Which of these treatment interventions would NOT be
appropriate?

Select one:
a. Edema control
b. Tendon gliding exercises
c. Strengthening exercises with repetitive gripping

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NBCOT & OTKE

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Uploaded on
May 2, 2025
Number of pages
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Written in
2024/2025
Type
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Contains
Questions & answers

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