NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM
NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026
ACTUAL EXAM COMPLETE 700 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
An adult with Parkinson's disease (PD) begins OT to improve grooming and
dressing skills. The client refuses to work with a female therapist and insists on
working with a male therapist. The OT supervisor reviews the department's case
load and finds that the department's sole male therapist has limited experience
working with individuals with PD. Which action is best for the supervisor to take
next in response to this situation?
a. Assign the male therapist to work with the individual and provide supervision
for the therapist.
b. Encourage the individual to work with the female therapist currently assigned
and assure the client of the therapist's skill and competence.
c. Contract with a per diem male therapist to work with the client and provide the
needed interventions.
d. Modify the intervention plan to include activities that are more comfortable for
the client when working with a female therapist. - ANSWER-a. Assign the male
therapist to work with the individual and provide supervision for the therapist.
This is the choice that respects the person's autonomy. The client's preference for
working only with a male therapist can be due to a cultural, religious, and/or
personal reason(s), all of which should be honored. Therefore, this is a request
that should be granted. While the male therapist has little direct experience
working with persons with PD, the evaluation and intervention of personal ADL is
an area of entry-level OT practice that does not typically require specialized
training. However, it would be helpful to provide the therapist with supervision
1|Page
, NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM
regarding the application of these fundamental skills to persons with PD. The
supervisor is responsible to help the therapist develop the skills needed for best
practice. Encouraging the client to do something that is uncomfortable violates
the person's rights. Modifying the intervention plan is not appropriate. Any
modification to an established intervention plan must be based on an assessment
of the client's abilities. The established plan's foci are relevant and should be
implemented.
An occupational therapist has scheduled a discharge planning session with an
individual recovering from hip replacement surgery. In preparation for this
session, the therapist reviews the nursing reports and learns that the person has
mycobacterium tuberculosis (TB) which is currently in the dormant phase. Which
type of precautions should the therapist use when entering the patient's room?
a. standard
b. airborrne
c. droplet
d. contract - ANSWER-a. standard
Standard precautions are observed in all clinical situations. The additional use of
airborne precautions is required when working with persons known or suspected
to be infected with a serious illness transmitted by airborne nuclei that remain
suspended in the air and can be dispersed widely by air currents within a room.
When in the active phase, mycobacterium TB, measles, and chicken pox are
transmitted in this manner. Airborne precautions include the use of a respiratory
isolation room and the wearing of respiratory protection (i.e., a mask) when
entering the room. Airborne precautions are not needed when TB is dormant as is
the case in this scenario.
2|Page
, NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM
An occupational therapist works on feeding with a toddler who has a hyperactive
gag reflex. To decrease the gag reflex, which approach is best for the therapist to
use?
a. Walk a tongue depressor from the front of the tongue to its back.
b. Have the child suck through straws of progressively longer lengths.
c. Quickly ice the child's throat laterally.
d. Have the child blow bubbles.
Tags - ANSWER-a. Walk a tongue depressor from the front of the tongue to its
back.
Walking a tongue depressor from the front of the tongue to the back can
desensitize a hyperactive gag reflex. The other interventions do not address a
hyperactive gag reflex. Sipping on a straw can increase the sucking reflex. Quick
icing is a traditional Rood technique that theoretically stimulates a muscle group.
This technique has no evidence to support its use and should not be used in
current practice. Stimulating the neck muscles would not influence a gag reflex.
A client in the descending phase of Guillain-Barré syndrome has bilateral shoulder
strength of 2/5. The client fatigues easily. Which equipment should the
occupational therapist recommend to enhance the person's performance of
activities of daily living?
a. An overhead suspension sling.
b. ngled/curved-handled utensils and tools.
c. An environmental control unit. - ANSWER-a. An overhead suspension sling.
The overhead suspension sling is best suited for individuals presenting with
proximal weakness with muscle grades in the 1/5 to 3/5 range. Angled/curved
utensils and tools are useful for individuals with range of motion limitations.
Environmental control units are used for individuals who have significant motor
3|Page
, NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM
deficits, proximally and distally, and who cannot independently perform tasks such
as controlling the switches on electronic equipment.
A therapist in a rehabilitation hospital receives a physician's order to evaluate a
patient who has metastatic bone cancer with pathologic fractures of the ribs. The
physician requests information about the patient's ability to tolerate resistive
activities of the upper extremities. Which action is best for the occupational
therapist to take in response to this request?
a. Evaluate tolerance during performance of activities of daily living.
b. Complete a manual muscle test with less than full resistance.
c. Provide isometric strengthening exercises for the upper extremities.
d. Initiate TheraBand stretching exercises and report tolerance to physician. -
ANSWER-a. Evaluate tolerance during performance of activities of daily living.
A patient with metastatic bone cancer with pathological rib fractures is at high risk
for fractures. To obtain information about the client's ability to tolerate resistive
activities,the therapist should evaluate their tolerance during the performance of
activities of daily living (e.g., dressing). The therapist should not conduct manual
muscle testing, even with less than full resistance. Isometric strengthening and
TheraBand stretching exercises are contraindicated in this situation. These
exercises can also cause a new fracture to occur.
An older adult with persistent balance difficulty and a history of recent falls (two
in the last three months) receives home care OT services. When developing the
intervention plan, which client factors should the occupational therapist plan to
first address during the initial session?
a. Sensory functions and sensory organization of balance.
b. Spinal musculoskeletal changes.
4|Page
NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026
ACTUAL EXAM COMPLETE 700 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
An adult with Parkinson's disease (PD) begins OT to improve grooming and
dressing skills. The client refuses to work with a female therapist and insists on
working with a male therapist. The OT supervisor reviews the department's case
load and finds that the department's sole male therapist has limited experience
working with individuals with PD. Which action is best for the supervisor to take
next in response to this situation?
a. Assign the male therapist to work with the individual and provide supervision
for the therapist.
b. Encourage the individual to work with the female therapist currently assigned
and assure the client of the therapist's skill and competence.
c. Contract with a per diem male therapist to work with the client and provide the
needed interventions.
d. Modify the intervention plan to include activities that are more comfortable for
the client when working with a female therapist. - ANSWER-a. Assign the male
therapist to work with the individual and provide supervision for the therapist.
This is the choice that respects the person's autonomy. The client's preference for
working only with a male therapist can be due to a cultural, religious, and/or
personal reason(s), all of which should be honored. Therefore, this is a request
that should be granted. While the male therapist has little direct experience
working with persons with PD, the evaluation and intervention of personal ADL is
an area of entry-level OT practice that does not typically require specialized
training. However, it would be helpful to provide the therapist with supervision
1|Page
, NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM
regarding the application of these fundamental skills to persons with PD. The
supervisor is responsible to help the therapist develop the skills needed for best
practice. Encouraging the client to do something that is uncomfortable violates
the person's rights. Modifying the intervention plan is not appropriate. Any
modification to an established intervention plan must be based on an assessment
of the client's abilities. The established plan's foci are relevant and should be
implemented.
An occupational therapist has scheduled a discharge planning session with an
individual recovering from hip replacement surgery. In preparation for this
session, the therapist reviews the nursing reports and learns that the person has
mycobacterium tuberculosis (TB) which is currently in the dormant phase. Which
type of precautions should the therapist use when entering the patient's room?
a. standard
b. airborrne
c. droplet
d. contract - ANSWER-a. standard
Standard precautions are observed in all clinical situations. The additional use of
airborne precautions is required when working with persons known or suspected
to be infected with a serious illness transmitted by airborne nuclei that remain
suspended in the air and can be dispersed widely by air currents within a room.
When in the active phase, mycobacterium TB, measles, and chicken pox are
transmitted in this manner. Airborne precautions include the use of a respiratory
isolation room and the wearing of respiratory protection (i.e., a mask) when
entering the room. Airborne precautions are not needed when TB is dormant as is
the case in this scenario.
2|Page
, NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM
An occupational therapist works on feeding with a toddler who has a hyperactive
gag reflex. To decrease the gag reflex, which approach is best for the therapist to
use?
a. Walk a tongue depressor from the front of the tongue to its back.
b. Have the child suck through straws of progressively longer lengths.
c. Quickly ice the child's throat laterally.
d. Have the child blow bubbles.
Tags - ANSWER-a. Walk a tongue depressor from the front of the tongue to its
back.
Walking a tongue depressor from the front of the tongue to the back can
desensitize a hyperactive gag reflex. The other interventions do not address a
hyperactive gag reflex. Sipping on a straw can increase the sucking reflex. Quick
icing is a traditional Rood technique that theoretically stimulates a muscle group.
This technique has no evidence to support its use and should not be used in
current practice. Stimulating the neck muscles would not influence a gag reflex.
A client in the descending phase of Guillain-Barré syndrome has bilateral shoulder
strength of 2/5. The client fatigues easily. Which equipment should the
occupational therapist recommend to enhance the person's performance of
activities of daily living?
a. An overhead suspension sling.
b. ngled/curved-handled utensils and tools.
c. An environmental control unit. - ANSWER-a. An overhead suspension sling.
The overhead suspension sling is best suited for individuals presenting with
proximal weakness with muscle grades in the 1/5 to 3/5 range. Angled/curved
utensils and tools are useful for individuals with range of motion limitations.
Environmental control units are used for individuals who have significant motor
3|Page
, NBCOT PRACTICE FINAL EXAM NEWEST 2025/2026 ACTUAL EXAM
deficits, proximally and distally, and who cannot independently perform tasks such
as controlling the switches on electronic equipment.
A therapist in a rehabilitation hospital receives a physician's order to evaluate a
patient who has metastatic bone cancer with pathologic fractures of the ribs. The
physician requests information about the patient's ability to tolerate resistive
activities of the upper extremities. Which action is best for the occupational
therapist to take in response to this request?
a. Evaluate tolerance during performance of activities of daily living.
b. Complete a manual muscle test with less than full resistance.
c. Provide isometric strengthening exercises for the upper extremities.
d. Initiate TheraBand stretching exercises and report tolerance to physician. -
ANSWER-a. Evaluate tolerance during performance of activities of daily living.
A patient with metastatic bone cancer with pathological rib fractures is at high risk
for fractures. To obtain information about the client's ability to tolerate resistive
activities,the therapist should evaluate their tolerance during the performance of
activities of daily living (e.g., dressing). The therapist should not conduct manual
muscle testing, even with less than full resistance. Isometric strengthening and
TheraBand stretching exercises are contraindicated in this situation. These
exercises can also cause a new fracture to occur.
An older adult with persistent balance difficulty and a history of recent falls (two
in the last three months) receives home care OT services. When developing the
intervention plan, which client factors should the occupational therapist plan to
first address during the initial session?
a. Sensory functions and sensory organization of balance.
b. Spinal musculoskeletal changes.
4|Page
