NBCOT Practice Exam 1 Newest 2025/2026 Actual Exam
NBCOT PRACTICE EXAM 1 NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
The mother of a 3-year-old with spastic quadriplegia wants her son to walk
independently around the house. The child is not yet ready to achieve this goal;
however, his mobility would be helpful to the mother who is finding her child
difficult to lift. What is the BEST way to assist in the development of family-
centered intervention?
A. support and work on the parent's goal ass she has stated it
B. suggest an alternate goal of improving sitting balance for playing
C. propose a modified goal that still meets the parent's needs
D. include the child in the goal-setting process
C. propose a modified goal that still meets the parent's needs
Following radiation therapy for breast cancer, an individual develops lymphedema
in the right (dominant) upper extremity. She is experiencing functional deficits and
is referred to occupational therapy. Treatment to reduce the swelling will begin
with:
A. change of dominance training
B. RUE exercise using isometric contractions
C. fitting of compression garments
D. A heat modality, such as warm compresses
C. fitting of compression garments
An OT is planning intervention with a young teenage following second-degree skin
burns on her hands and face. What other tool would add important information to
what the therapist has already learned from the medical record, evaluation of
child's physical, and sensory function and ADL performance?
1|Page
, NBCOT Practice Exam 1 Newest 2025/2026 Actual Exam
A. school record, including past grades and extracurricular activities
B. Canadian Occupational Performance Measure (COPM)
C. Jacob's Prevocational Assessment (JPVA)
D. Ranchos Los Amigos Levels of Cognitive Functioning
B. Canadian Occupational Performance Measure (COPM)
An OT practitioner is designing a stress management series using a cognitive-
behavioral treatment approach fro individuals who have chronic fatigue
syndrome. What should the FIRST module in the series include?
A. Teaching time management techniques
B. identifying thoughts and beliefs that contribute to negative feelings
C. providing aerobic exercise
D. teaching how to perform progressive resistive exercise
B. identifying thoughts and beliefs that contribute to negative feelings
An OT is designing a series of group sessions for adolescents with eating disorders.
What is the long-term goal for the group?
A. Develop healthy eating behaviors and meal preparation skills
B. Improve school performance
C. Develop independence in menu planning and awareness of portion size
D. Promote communication skills and assertiveness
A. Develop healthy eating behaviors and meal preparation skills
An individual with a complete high-level tetraplegia spinal cord injury is returning
home. Which type of adaptive technology would the individual MOST likely
require to ensure safety in the home?
A. a simple electronic aid to daily living (EADL)
B. a second generation EADL device with speakerphone
2|Page
, NBCOT Practice Exam 1 Newest 2025/2026 Actual Exam
C. a remote control power door opener
D. an electric page turner
B. a second generation EADL device with speakerphone
What should an OT do to promote playfulness and self-expression in a young child
with mild intellectual disability?
A. model imagination, and use playful expressions and voice
B. ask child to demonstrate his favorite things to do during playtime
C. provide child with toys that are familiar and played with frequently
D. provide activities with a means of release, such as leather tooling
A. model imagination, and use playful expressions and voice
As the OT plans intervention for a parent with a mild intellectual disability who
has returned home from the NICU with her daughter who was born 6 weeks
prematurely, the therapist considers ways o help this mother develop positive
parenting skills during feeding and dressing activities. Which is MOST likely going
to help this parent?
A. provide handouts that picture the sequence of steps required to prepare the
baby's formula and launder clothes in the washing machine
B. encourage problem-solving about how she will respond when the baby is fussy
during feeding a diaper changes
C. consult with the service coordinator to ensure that caretaking supports are
available for the mother
D. practice preparing formula and washing clothes and include multiple
opportunities for repetition
B. encourage problem-solving about how she will respond when the baby is fussy
during feeding a diaper changes
An OT is working with an individual with Alzheimer's disease who demonstrates
mild to moderate decline. She lives with her husband, who works during the day.
The OT should initially focus intervention on which one of the following areas?
3|Page
, NBCOT Practice Exam 1 Newest 2025/2026 Actual Exam
A. ability to chew and swallow
B. kitchen safety
C. anger management
D. recognition of family members
B. kitchen safety
When providing caregiver training to the spouse of an individual diagnosed with
early-stage dementia, the OT will MOST likely need to instruct the caregiver in
strategies to compensate for what deficits?
A. short-term memory
B. fine and gross motor skills
C. social skills
D. dressing skills
A. short-term memory
To develop the MOST relevant goals for a student's school-based occupational
therapy program, what should the OT focus on?
A. teacher's perspective about why the student struggles in the classroom
B. student's ability to access and participate in the curriculum
C. family's priorities for their child
D. areas of delay identified in the occupational therapy evaluation
B. student's ability to access and participate in the curriculum
An OT practitioner is planning a meal preparation activity for an individual with
cognitive deficits in the areas of attentional and organizational skills. What is the
most appropriate activity to use FIRST in addressing sequencing skills?
A. setting the table
B. planning a meal
4|Page
NBCOT PRACTICE EXAM 1 NEWEST 2025/2026 ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
The mother of a 3-year-old with spastic quadriplegia wants her son to walk
independently around the house. The child is not yet ready to achieve this goal;
however, his mobility would be helpful to the mother who is finding her child
difficult to lift. What is the BEST way to assist in the development of family-
centered intervention?
A. support and work on the parent's goal ass she has stated it
B. suggest an alternate goal of improving sitting balance for playing
C. propose a modified goal that still meets the parent's needs
D. include the child in the goal-setting process
C. propose a modified goal that still meets the parent's needs
Following radiation therapy for breast cancer, an individual develops lymphedema
in the right (dominant) upper extremity. She is experiencing functional deficits and
is referred to occupational therapy. Treatment to reduce the swelling will begin
with:
A. change of dominance training
B. RUE exercise using isometric contractions
C. fitting of compression garments
D. A heat modality, such as warm compresses
C. fitting of compression garments
An OT is planning intervention with a young teenage following second-degree skin
burns on her hands and face. What other tool would add important information to
what the therapist has already learned from the medical record, evaluation of
child's physical, and sensory function and ADL performance?
1|Page
, NBCOT Practice Exam 1 Newest 2025/2026 Actual Exam
A. school record, including past grades and extracurricular activities
B. Canadian Occupational Performance Measure (COPM)
C. Jacob's Prevocational Assessment (JPVA)
D. Ranchos Los Amigos Levels of Cognitive Functioning
B. Canadian Occupational Performance Measure (COPM)
An OT practitioner is designing a stress management series using a cognitive-
behavioral treatment approach fro individuals who have chronic fatigue
syndrome. What should the FIRST module in the series include?
A. Teaching time management techniques
B. identifying thoughts and beliefs that contribute to negative feelings
C. providing aerobic exercise
D. teaching how to perform progressive resistive exercise
B. identifying thoughts and beliefs that contribute to negative feelings
An OT is designing a series of group sessions for adolescents with eating disorders.
What is the long-term goal for the group?
A. Develop healthy eating behaviors and meal preparation skills
B. Improve school performance
C. Develop independence in menu planning and awareness of portion size
D. Promote communication skills and assertiveness
A. Develop healthy eating behaviors and meal preparation skills
An individual with a complete high-level tetraplegia spinal cord injury is returning
home. Which type of adaptive technology would the individual MOST likely
require to ensure safety in the home?
A. a simple electronic aid to daily living (EADL)
B. a second generation EADL device with speakerphone
2|Page
, NBCOT Practice Exam 1 Newest 2025/2026 Actual Exam
C. a remote control power door opener
D. an electric page turner
B. a second generation EADL device with speakerphone
What should an OT do to promote playfulness and self-expression in a young child
with mild intellectual disability?
A. model imagination, and use playful expressions and voice
B. ask child to demonstrate his favorite things to do during playtime
C. provide child with toys that are familiar and played with frequently
D. provide activities with a means of release, such as leather tooling
A. model imagination, and use playful expressions and voice
As the OT plans intervention for a parent with a mild intellectual disability who
has returned home from the NICU with her daughter who was born 6 weeks
prematurely, the therapist considers ways o help this mother develop positive
parenting skills during feeding and dressing activities. Which is MOST likely going
to help this parent?
A. provide handouts that picture the sequence of steps required to prepare the
baby's formula and launder clothes in the washing machine
B. encourage problem-solving about how she will respond when the baby is fussy
during feeding a diaper changes
C. consult with the service coordinator to ensure that caretaking supports are
available for the mother
D. practice preparing formula and washing clothes and include multiple
opportunities for repetition
B. encourage problem-solving about how she will respond when the baby is fussy
during feeding a diaper changes
An OT is working with an individual with Alzheimer's disease who demonstrates
mild to moderate decline. She lives with her husband, who works during the day.
The OT should initially focus intervention on which one of the following areas?
3|Page
, NBCOT Practice Exam 1 Newest 2025/2026 Actual Exam
A. ability to chew and swallow
B. kitchen safety
C. anger management
D. recognition of family members
B. kitchen safety
When providing caregiver training to the spouse of an individual diagnosed with
early-stage dementia, the OT will MOST likely need to instruct the caregiver in
strategies to compensate for what deficits?
A. short-term memory
B. fine and gross motor skills
C. social skills
D. dressing skills
A. short-term memory
To develop the MOST relevant goals for a student's school-based occupational
therapy program, what should the OT focus on?
A. teacher's perspective about why the student struggles in the classroom
B. student's ability to access and participate in the curriculum
C. family's priorities for their child
D. areas of delay identified in the occupational therapy evaluation
B. student's ability to access and participate in the curriculum
An OT practitioner is planning a meal preparation activity for an individual with
cognitive deficits in the areas of attentional and organizational skills. What is the
most appropriate activity to use FIRST in addressing sequencing skills?
A. setting the table
B. planning a meal
4|Page
