New York Occupational Therapy
Assistant Licensure Examination
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales
2025|2026 Q&A | Instant Download Pdf
1. Which setting requires an occupational therapy assistant (OTA) to
have direct supervision by an occupational therapist (OT)?
A. Skilled nursing facility
B. Home health care
C. School system
D. Outpatient clinic
Rationale: In the school system, New York requires direct supervision
due to educational regulations and IDEA mandates.
2. An OTA is providing therapy to a child with autism who is sensitive to
sound. Which strategy is most appropriate?
, A. Use bright flashing lights
B. Provide noise-canceling headphones
C. Increase verbal instructions
D. Place child in crowded areas
Rationale: Noise-canceling headphones reduce auditory
overstimulation, promoting participation.
3. Which principle of ethics directs OTAs to act in the best interest of
clients?
A. Justice
B. Veracity
C. Beneficence
D. Fidelity
Rationale: Beneficence requires practitioners to promote the well-
being of clients.
4. When documenting in SOAP format, where should an OTA record
measurable data?
A. Subjective
B. Objective
C. Assessment
D. Plan
Rationale: Objective section contains measurable and observable
information such as ROM, strength, and time.
,5. A client recovering from a stroke demonstrates difficulty using one
hand to tie shoes. What type of intervention should the OTA
implement?
A. Restorative
B. Compensatory
C. Preventive
D. Palliative
Rationale: Compensatory training provides adaptive strategies, such
as elastic laces or one-handed techniques.
6. A child with cerebral palsy demonstrates increased muscle tone.
Which technique reduces spasticity during activity?
A. Quick stretch
B. Fast brushing
C. Slow rhythmic rocking
D. Rapid tapping
Rationale: Slow rhythmic rocking helps inhibit spasticity and relax
muscle tone.
7. Medicare Part A typically covers which service?
A. Inpatient hospital stay
B. Physician office visits
C. Outpatient therapy
D. Prescription drugs
, Rationale: Medicare Part A covers inpatient hospital, skilled nursing
facility, hospice, and some home health.
8. Which activity represents a basic activity of daily living (ADL)?
A. Grocery shopping
B. Writing a check
C. Dressing
D. Driving a car
Rationale: Dressing is a fundamental self-care task, classified as an
ADL.
9. Which outcome is most realistic for a client with late-stage dementia?
A. Return to independent living
B. Learn new memory strategies
C. Maintain comfort and safety
D. Manage personal finances
Rationale: Late-stage dementia interventions focus on comfort,
safety, and maintaining residual function.
10. Which principle of motor learning emphasizes practice in varied
contexts?
A. Blocked practice
B. Random practice
C. Distributed practice
D. Massed practice
Assistant Licensure Examination
Practice Questions And Correct Answers
(Verified Answers) Plus Rationales
2025|2026 Q&A | Instant Download Pdf
1. Which setting requires an occupational therapy assistant (OTA) to
have direct supervision by an occupational therapist (OT)?
A. Skilled nursing facility
B. Home health care
C. School system
D. Outpatient clinic
Rationale: In the school system, New York requires direct supervision
due to educational regulations and IDEA mandates.
2. An OTA is providing therapy to a child with autism who is sensitive to
sound. Which strategy is most appropriate?
, A. Use bright flashing lights
B. Provide noise-canceling headphones
C. Increase verbal instructions
D. Place child in crowded areas
Rationale: Noise-canceling headphones reduce auditory
overstimulation, promoting participation.
3. Which principle of ethics directs OTAs to act in the best interest of
clients?
A. Justice
B. Veracity
C. Beneficence
D. Fidelity
Rationale: Beneficence requires practitioners to promote the well-
being of clients.
4. When documenting in SOAP format, where should an OTA record
measurable data?
A. Subjective
B. Objective
C. Assessment
D. Plan
Rationale: Objective section contains measurable and observable
information such as ROM, strength, and time.
,5. A client recovering from a stroke demonstrates difficulty using one
hand to tie shoes. What type of intervention should the OTA
implement?
A. Restorative
B. Compensatory
C. Preventive
D. Palliative
Rationale: Compensatory training provides adaptive strategies, such
as elastic laces or one-handed techniques.
6. A child with cerebral palsy demonstrates increased muscle tone.
Which technique reduces spasticity during activity?
A. Quick stretch
B. Fast brushing
C. Slow rhythmic rocking
D. Rapid tapping
Rationale: Slow rhythmic rocking helps inhibit spasticity and relax
muscle tone.
7. Medicare Part A typically covers which service?
A. Inpatient hospital stay
B. Physician office visits
C. Outpatient therapy
D. Prescription drugs
, Rationale: Medicare Part A covers inpatient hospital, skilled nursing
facility, hospice, and some home health.
8. Which activity represents a basic activity of daily living (ADL)?
A. Grocery shopping
B. Writing a check
C. Dressing
D. Driving a car
Rationale: Dressing is a fundamental self-care task, classified as an
ADL.
9. Which outcome is most realistic for a client with late-stage dementia?
A. Return to independent living
B. Learn new memory strategies
C. Maintain comfort and safety
D. Manage personal finances
Rationale: Late-stage dementia interventions focus on comfort,
safety, and maintaining residual function.
10. Which principle of motor learning emphasizes practice in varied
contexts?
A. Blocked practice
B. Random practice
C. Distributed practice
D. Massed practice
