6/14/25, 7:43 PM NBCOT Practice Questions
NBCOT PRACTICE EXAM 2025-2026\ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED ANSWERS ALREADY GRADED A+
A 5-year-old child with Down C. Chemotherapy is administered in Phase III - the
syndrome shows significant intensification and consolidation phase- to remove small
loss of weight, high fever, deposits of cells that remain after remission.
and paleness, and is (Occupational Therapy for Children by Case-Smith)
diagnosed with acute
lymphoid leukemia. In which
of the following phases of
leukemia will he be
administered chemotherapy
to treat small deposits of
cells that remain after
remission?
A. Phase I - Induction therapy
B. Phase II - Central
nervous system
prophylaxis
C. Phase III -
Intensification and
consolidation
D. Phase IV - Maintenance or
continuation therapy
A 5-year-old child presents A. Duchenne's muscular dystrophy is an X-linked
with difficulty climbing recessive disorder caused by the deficiency in the
stairs, rising from a sitting or production of dystrophin. Dystrophin is a component of
lying position, and the plasma membrane of the muscle fibers, the
demonstrates progressive deficiency of which causes the muscle to degenerate
1/3
4
,6/14/25, 8:34 PM
fatigue caused by muscle and malfunction. The calf muscles are enlarged because
weakness. The OT might of fibrosis and proliferation of the adipose tissue, which
suspect a problem with: causes muscle weakness. Therefore, the child's
A. Duchenne's muscular
dystrophy condition could be diagnosed as Duchenne's muscular
B. Limb-girdle muscular dystrophy. (Occupational Therapy for Children by Case-
dystrophy Smith)
C. Facioscapulohumeral
muscular dystrophy
D. A congenital muscular
dystrophy
The behavioral A. Disturbances in communication can range from mild
characteristics of autism, a (slight articulation impairment) to severe (muteness);
pervasive developmental thus, the more mild the communication deficit, the
disorder (PDD), can be more likely the child will develop sufficient
classified into four communication to function as an adult. (Occupational
subclusters of disturbances. Therapy for Children by Case-Smith)
Of these disturbances, which
is MOST closely related to
prognosis?
A. Disturbances in
communication
B. Disturbances in behaviors
C. Disturbances in social
interactions
D. Disturbances of sensory
and perceptual processing
Entry into the early A. A family is referred for an early intervention screening
intervention system begins at which a developmental therapist or OT screens the
with which of the child to determine if a full assessment is necessary.
following? (Pediatric Occupational Therapy and Early Intervention
A. Screening for
developmental delay by Case-Smith)
B. Individualized Family Service
Plan
C. Screening for family
environmental risk factors
D. Individualized Education
Plan (IEP)
/ 2/34
,6/14/25, 8:34 PM
In the assessment phase A. Daily living skills in infants refer to self-sustaining
of early intervention, an OT skills, such as feeding and sleeping. Sleep patterns can
assesses the daily living be evaluated from the parent's description of a typical
skills of an infant. In the day. Daily living skills also refer to bathing and dressing,
context of early but this is as it involves the parents. (Pediatric
intervention, the areas Occupational Therapy and Early Intervention by Case-
that are being assessed Smith)
are:
A. Feeding and sleeping
patterns
B. Play and leisure patterns
C. Motor development
patterns
D. Sensory development
patterns
An assessment team in early D. Although therapists suggest goals based on the
intervention has completed evaluation process, ultimately a child's parents decide
an evaluation of a toddler. which goals will be included and which goals are a
In compiling the priority. Goals that relate specifically to the family's
Individualized Family concerns about the care of their child are included in the
Service Plan, the goals plan. If therapists have other goals, these can be added
should be determined by with parental consent. (Pediatric Occupational Therapy
the: and Early Intervention by Case-Smith)
A. Service coordinator for the
case
B. Therapists from each
discipline
C. Reimbursing agency
D. Parents
/ 3/34
, 6/14/25, 8:34 PM
In early intervention there C. Children with known chromosomal, structural, or
are different types of risk metabolic defects are classified as having established
factors. A child with Down risk. (Pediatric Occupational Therapy and Early
syndrome is an Intervention by Case-Smith)
example of:
A. Biological risk
B. Environmental risk
C. Established risk
D. Recurring risk
The parent of a child that is A. A child experiencing sensory defensiveness has a
being treated in therapy tendency to respond negatively to sensation that is
describes how the child considered by most people to be noninvasive or
covers their ears when nonirritating. This frequently includes
riding in the car with the hyperresponsiveness to light or unexpected touches,
windows down. The parent high- frequency noises, certain visual stimulation, or
does not understand why certain smells and tastes. (Sensory Integration:
the child persists in this Theory and Practice by Bundy)
behavior. The OT explains
that this behavior could be
the result of:
A. Sensory defensiveness
B. Gravitational insecurity
C. Underresponsiveness
D. Aversion to movement
An OT is using the Peabody C. The Peabody assesses a child's abilities with gross and
Developmental Motor Scales fine motor skills. (Occupational Therapy for Children
to evaluate a child. The by Case-Smith)
therapist is assessing the
child's:
A. Performance of tasks
that support school
participation
B. Visual perception skills
in community settings
C. Gross and fine motor skills
D. Performance in everyday
tasks
/ 4/34
NBCOT PRACTICE EXAM 2025-2026\ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS \VERIFIED ANSWERS ALREADY GRADED A+
A 5-year-old child with Down C. Chemotherapy is administered in Phase III - the
syndrome shows significant intensification and consolidation phase- to remove small
loss of weight, high fever, deposits of cells that remain after remission.
and paleness, and is (Occupational Therapy for Children by Case-Smith)
diagnosed with acute
lymphoid leukemia. In which
of the following phases of
leukemia will he be
administered chemotherapy
to treat small deposits of
cells that remain after
remission?
A. Phase I - Induction therapy
B. Phase II - Central
nervous system
prophylaxis
C. Phase III -
Intensification and
consolidation
D. Phase IV - Maintenance or
continuation therapy
A 5-year-old child presents A. Duchenne's muscular dystrophy is an X-linked
with difficulty climbing recessive disorder caused by the deficiency in the
stairs, rising from a sitting or production of dystrophin. Dystrophin is a component of
lying position, and the plasma membrane of the muscle fibers, the
demonstrates progressive deficiency of which causes the muscle to degenerate
1/3
4
,6/14/25, 8:34 PM
fatigue caused by muscle and malfunction. The calf muscles are enlarged because
weakness. The OT might of fibrosis and proliferation of the adipose tissue, which
suspect a problem with: causes muscle weakness. Therefore, the child's
A. Duchenne's muscular
dystrophy condition could be diagnosed as Duchenne's muscular
B. Limb-girdle muscular dystrophy. (Occupational Therapy for Children by Case-
dystrophy Smith)
C. Facioscapulohumeral
muscular dystrophy
D. A congenital muscular
dystrophy
The behavioral A. Disturbances in communication can range from mild
characteristics of autism, a (slight articulation impairment) to severe (muteness);
pervasive developmental thus, the more mild the communication deficit, the
disorder (PDD), can be more likely the child will develop sufficient
classified into four communication to function as an adult. (Occupational
subclusters of disturbances. Therapy for Children by Case-Smith)
Of these disturbances, which
is MOST closely related to
prognosis?
A. Disturbances in
communication
B. Disturbances in behaviors
C. Disturbances in social
interactions
D. Disturbances of sensory
and perceptual processing
Entry into the early A. A family is referred for an early intervention screening
intervention system begins at which a developmental therapist or OT screens the
with which of the child to determine if a full assessment is necessary.
following? (Pediatric Occupational Therapy and Early Intervention
A. Screening for
developmental delay by Case-Smith)
B. Individualized Family Service
Plan
C. Screening for family
environmental risk factors
D. Individualized Education
Plan (IEP)
/ 2/34
,6/14/25, 8:34 PM
In the assessment phase A. Daily living skills in infants refer to self-sustaining
of early intervention, an OT skills, such as feeding and sleeping. Sleep patterns can
assesses the daily living be evaluated from the parent's description of a typical
skills of an infant. In the day. Daily living skills also refer to bathing and dressing,
context of early but this is as it involves the parents. (Pediatric
intervention, the areas Occupational Therapy and Early Intervention by Case-
that are being assessed Smith)
are:
A. Feeding and sleeping
patterns
B. Play and leisure patterns
C. Motor development
patterns
D. Sensory development
patterns
An assessment team in early D. Although therapists suggest goals based on the
intervention has completed evaluation process, ultimately a child's parents decide
an evaluation of a toddler. which goals will be included and which goals are a
In compiling the priority. Goals that relate specifically to the family's
Individualized Family concerns about the care of their child are included in the
Service Plan, the goals plan. If therapists have other goals, these can be added
should be determined by with parental consent. (Pediatric Occupational Therapy
the: and Early Intervention by Case-Smith)
A. Service coordinator for the
case
B. Therapists from each
discipline
C. Reimbursing agency
D. Parents
/ 3/34
, 6/14/25, 8:34 PM
In early intervention there C. Children with known chromosomal, structural, or
are different types of risk metabolic defects are classified as having established
factors. A child with Down risk. (Pediatric Occupational Therapy and Early
syndrome is an Intervention by Case-Smith)
example of:
A. Biological risk
B. Environmental risk
C. Established risk
D. Recurring risk
The parent of a child that is A. A child experiencing sensory defensiveness has a
being treated in therapy tendency to respond negatively to sensation that is
describes how the child considered by most people to be noninvasive or
covers their ears when nonirritating. This frequently includes
riding in the car with the hyperresponsiveness to light or unexpected touches,
windows down. The parent high- frequency noises, certain visual stimulation, or
does not understand why certain smells and tastes. (Sensory Integration:
the child persists in this Theory and Practice by Bundy)
behavior. The OT explains
that this behavior could be
the result of:
A. Sensory defensiveness
B. Gravitational insecurity
C. Underresponsiveness
D. Aversion to movement
An OT is using the Peabody C. The Peabody assesses a child's abilities with gross and
Developmental Motor Scales fine motor skills. (Occupational Therapy for Children
to evaluate a child. The by Case-Smith)
therapist is assessing the
child's:
A. Performance of tasks
that support school
participation
B. Visual perception skills
in community settings
C. Gross and fine motor skills
D. Performance in everyday
tasks
/ 4/34
