NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
A COTA who works in an outpatient facility recommends that clients with
Parkinson's disease be treated in a therapeutic group. The COTA is MOST likely to
select group treatment for these clients because:
A. it is more effective in preventing motor problems associated with Parkinson's
disease
B. it provides social interaction and support, as well as activity
C. it is an effective way to present therapeutic exercise activities
D. it requires less therapist time because the therapist can leave once the group
has started - ANSWER-B. it provides social interaction and support, as well as
activity.
Parkinson's disease frequently causes social isolation because of decreased
mobility and communication, therefore group treatment is particularly valuable
for these clients. Answer A is incorrect because group treatment is not necessarily
better for addressing motor problems. Presenting exercise activities (answer C)
can be effective in groups, but it would not be the primary reason to select a
therapeutic group for clients with Parkinson's . Answer D is incorrect because the
therapist is responsible for leading a therapeutic group and would not leave until
the group session has concluded.
A COTA is planning a meal preparation activity for an adult client with attentional
and organizational deficits secondary to alcohol abuse. The treatment goals
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, NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
address the client's difficulties in properly sequencing tasks. The most appropriate
activity to use FIRST is:
A. setting the table
B. planning an entire meal
C. baking cookies using a recipe
D. preparing a shopping list - ANSWER-C. Baking cookies using a recipe.
This is a well delineated meal preparation activity that provides structure with a
specific sequence of tasks.
Setting a table or preparing a shopping list (answers A and D) do not necessarily
require sequencing of tasks.
Planning a meal (answer B) involves a great deal of organizational ability, and
would not be an appropriate choice for an initial activity to address goals relating
to sequencing tasks.
A COTA is working with a child whose poor visual attention is affecting his ability
to perform school work. An adaption of the sensory environment that would BEST
improve attention during a visual task is to have the child:
A. work with lively background music to increase competing sensory input
B. work against a patterned background to increase competing visual input
C. use headphones during work to reduce competing sensory input
D. use dim lighting to reduce the visual input - ANSWER-C. use headphones during
work to reduce competing sensory input.
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, NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
Reducing competing sensory input is helpful in increasing visual attention.
Increasing competing input (answers A and B), or reducing the amount of visual
input (answer D), may reduce the ability to attend to visual stimuli.
A COTA is treating a client with Parkinson's disease whose primary functional
problems are caused by a shuffling gait. The MOST relevant environmental
recommendation the COTA could make to address a potential safety hazard in the
home is to:
A. increase illumination in hallways
B. screen out distracting stimuli in the environment
C. place door locks higher or lower than eye level
D. remove scatter rugs throughout the house - ANSWER-C. Remove scatter rugs
throughout the house.
The greatest safety hazard would be from the presence of scatter rugs in the
house, which could cause the client with a shuffling gait to trip and fall.
Individuals with Parkinson's disease are at high risk for falls.
Answer A, increasing illumination in hallways, would be more important if the
client had low vision.
Answer B, screening out distracting stimuli, and answer C, placing door locks
higher or lower than eye level, are safety adaptations made for individuals with
cognitive deficits, rather than motor deficits.
A sixth grader with a diagnosis of cerebral palsy needs an adapted computer for
communication. Her upper extremity control is poor because of fluctuating
muscle tone. The COTA suggests that the BEST way for her to operate her
computer is to use a:
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, NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
A. single pressure switch, firmly mounted within easy reach.
B. lightweight keyboard placed at midline.
C. low-resistance mouse and pad.
D. mercury switch headband set to respond to minimal movement. - ANSWER-A.
single pressure switch, firmly mounted within easy reach.
A child with fluctuating muscle tone lacks stability and demonstrates extraneous
movement, therefore, deliberate motor action is most effectively executed on a
securely mounted device using simple movement patterns.
Answers B, C, and D involve devices that would respond to slight touch, and would
therefore not be effective for a person with extraneous movement and difficulty
grading motor action.
A patient who had a CVA has difficulty using his left upper extremity for reaching
activities because of fluctuating muscle tone. According to the
Neurodevelopmental Treatment approach, one of the MOST effective ways to
teach a person to normalize high muscle tone in affected extremities prior to
functional activities is by:
A. placing a weighted cuff on the extremity
B. weight bearing through the upper extremity in sitting or standing
C. using the unaffected arm for all reaching activities
D. "forced use" of the affected extremity - ANSWER-B. weight bearing through the
upper extremity in sitting or standing.
Weight bearing is the most effective way of normalizing tone, according to the
NDT approach for adult hemiplegia.
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NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
A COTA who works in an outpatient facility recommends that clients with
Parkinson's disease be treated in a therapeutic group. The COTA is MOST likely to
select group treatment for these clients because:
A. it is more effective in preventing motor problems associated with Parkinson's
disease
B. it provides social interaction and support, as well as activity
C. it is an effective way to present therapeutic exercise activities
D. it requires less therapist time because the therapist can leave once the group
has started - ANSWER-B. it provides social interaction and support, as well as
activity.
Parkinson's disease frequently causes social isolation because of decreased
mobility and communication, therefore group treatment is particularly valuable
for these clients. Answer A is incorrect because group treatment is not necessarily
better for addressing motor problems. Presenting exercise activities (answer C)
can be effective in groups, but it would not be the primary reason to select a
therapeutic group for clients with Parkinson's . Answer D is incorrect because the
therapist is responsible for leading a therapeutic group and would not leave until
the group session has concluded.
A COTA is planning a meal preparation activity for an adult client with attentional
and organizational deficits secondary to alcohol abuse. The treatment goals
1|Page
, NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
address the client's difficulties in properly sequencing tasks. The most appropriate
activity to use FIRST is:
A. setting the table
B. planning an entire meal
C. baking cookies using a recipe
D. preparing a shopping list - ANSWER-C. Baking cookies using a recipe.
This is a well delineated meal preparation activity that provides structure with a
specific sequence of tasks.
Setting a table or preparing a shopping list (answers A and D) do not necessarily
require sequencing of tasks.
Planning a meal (answer B) involves a great deal of organizational ability, and
would not be an appropriate choice for an initial activity to address goals relating
to sequencing tasks.
A COTA is working with a child whose poor visual attention is affecting his ability
to perform school work. An adaption of the sensory environment that would BEST
improve attention during a visual task is to have the child:
A. work with lively background music to increase competing sensory input
B. work against a patterned background to increase competing visual input
C. use headphones during work to reduce competing sensory input
D. use dim lighting to reduce the visual input - ANSWER-C. use headphones during
work to reduce competing sensory input.
2|Page
, NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
Reducing competing sensory input is helpful in increasing visual attention.
Increasing competing input (answers A and B), or reducing the amount of visual
input (answer D), may reduce the ability to attend to visual stimuli.
A COTA is treating a client with Parkinson's disease whose primary functional
problems are caused by a shuffling gait. The MOST relevant environmental
recommendation the COTA could make to address a potential safety hazard in the
home is to:
A. increase illumination in hallways
B. screen out distracting stimuli in the environment
C. place door locks higher or lower than eye level
D. remove scatter rugs throughout the house - ANSWER-C. Remove scatter rugs
throughout the house.
The greatest safety hazard would be from the presence of scatter rugs in the
house, which could cause the client with a shuffling gait to trip and fall.
Individuals with Parkinson's disease are at high risk for falls.
Answer A, increasing illumination in hallways, would be more important if the
client had low vision.
Answer B, screening out distracting stimuli, and answer C, placing door locks
higher or lower than eye level, are safety adaptations made for individuals with
cognitive deficits, rather than motor deficits.
A sixth grader with a diagnosis of cerebral palsy needs an adapted computer for
communication. Her upper extremity control is poor because of fluctuating
muscle tone. The COTA suggests that the BEST way for her to operate her
computer is to use a:
3|Page
, NBCOT PRACTICE EXAM 3 NEWEST 2025/2026 ACTUAL EXAM
A. single pressure switch, firmly mounted within easy reach.
B. lightweight keyboard placed at midline.
C. low-resistance mouse and pad.
D. mercury switch headband set to respond to minimal movement. - ANSWER-A.
single pressure switch, firmly mounted within easy reach.
A child with fluctuating muscle tone lacks stability and demonstrates extraneous
movement, therefore, deliberate motor action is most effectively executed on a
securely mounted device using simple movement patterns.
Answers B, C, and D involve devices that would respond to slight touch, and would
therefore not be effective for a person with extraneous movement and difficulty
grading motor action.
A patient who had a CVA has difficulty using his left upper extremity for reaching
activities because of fluctuating muscle tone. According to the
Neurodevelopmental Treatment approach, one of the MOST effective ways to
teach a person to normalize high muscle tone in affected extremities prior to
functional activities is by:
A. placing a weighted cuff on the extremity
B. weight bearing through the upper extremity in sitting or standing
C. using the unaffected arm for all reaching activities
D. "forced use" of the affected extremity - ANSWER-B. weight bearing through the
upper extremity in sitting or standing.
Weight bearing is the most effective way of normalizing tone, according to the
NDT approach for adult hemiplegia.
4|Page
