NBCOT PEDIATRIC ASSESSMENT AND
INTERVENTION EXAM PREP QUESTIONS WITH
VERIFIED SOLUTIONS NEW MODIFIED TESTED
AND APPROVED GRADED A+ 2026 NEW UPGRADE
A 7-year-old child presents with amelia. The OTR® recommends the use of a
myoelectric hand. What type of terminal device would be appropriate?
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis --CORRECT ANSWER--A. Externally powered prosthesis
A COTA® is working with a child in second grade during handwriting
assignments to remediate the child's pencil grip. Which pencil grips require the
most remediation because they are the least developmentally appropriate for a
second grader? Select the 3 BEST choices.
A. Dynamic tripod grip
B. Lateral tripod grip
C. Palmar grip
D. Quadrupod grip
E. Power grip
F. Supinated grip --CORRECT ANSWER--C. Palmar grip
Page 1 of 62
,E. Power grip
F. Supinated grip
A COTA® is working with a high school student with juvenile rheumatoid
arthritis (JRA). The COTA®suggests that the student stop using the arms and
hands to carry heavy textbooks to class and instead use a backpack. What type
of strategy did the COTA® recommend?
A. Energy conservation
B. Joint protection
C. Work simplification
D. Pacing --CORRECT ANSWER--B. Joint protection
A COTA® is working on sequencing a bedtime routine with a child with
autism. Which activities would be supportive of this outcome?
A. Providing the child with pictures of the different tasks involved in the routine
so that the child may perform them in order.
B. Encouraging the child to complete the last task in a series of tasks so that the
child is more inclined to want to complete the routine.
C. Allowing the child to select which activities to eliminate from the routine.
D. Introducing the child to adaptive equipment (e.g., an electric toothbrush) so
that the routine takes less time. --CORRECT ANSWER--A. Providing the child
with pictures of the different tasks involved in the routine so that the child may
perform them in order.
Page 2 of 62
,A COTA® in a school setting is working with a child with autism spectrum
disorder (ASD). Which situations would likely create difficulty for this child?
Select the 3 BEST choices.
A. Giving a speech on a preferred topic
B. Remembering a parent's work telephone number
C. Being able to pick up on a peer's nonverbal cues during a conversation
D. Switching topics during a group discussion
E. Attending an impromptu assembly during the school day
F. Copying homework assignments into a daily planner --CORRECT
ANSWER--C. Being able to pick up on a peer's nonverbal cues during a
conversation
D. Switching topics during a group discussion
E. Attending an impromptu assembly during the school day
A COTA® is working with a child with sickle cell anemia. Which intervention
strategy would be appropriate when working with this child?
A. Joint protection
B. PROM
C. Pursed-lip breathing
D. Pain management --CORRECT ANSWER--D. Pain management
A COTA® is working with a 4-year-old who was recently diagnosed with
Duchenne's muscular dystrophy (DMD). The client's parents are concerned and
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, want to understand how this condition will progress and affect the child's
participation in daily life. Which statement describes the progression of DMD?
A. The condition progresses slowly, and children often experience difficulty
with muscles around their pelvis and shoulder girdle.
B. The condition progresses so that the facial muscles have decreased mobility;
children eventually have a masklike appearance.
C. The condition usually has an onset before adolescence, and it progresses until
children cannot raise their arms above their heads.
D. The condition progresses quickly, and children often need to use a
wheelchair by age 9. --CORRECT ANSWER--D. The condition progresses
quickly, and children often need to use a wheelchair by age 9.
A COTA® is working on the playground with a child who has sensory
integration dysfunction. The COTA® is trying to foster an adaptive response,
which is best described by which statement?
A. The behavioral manifestation of optimal sensory organization that results in
an efficient goal-directed action
B. Engagement in rough-and-tumble play and other activities that provide the
child with muscle resistance
C. A reflection on primitive neural functions in children with sensory
processing problems
D. An individualized plan that provides a specific child with optimal sensory
experiences --CORRECT ANSWER--A. The behavioral manifestation of
optimal sensory organization that results in an efficient goal-directed action
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INTERVENTION EXAM PREP QUESTIONS WITH
VERIFIED SOLUTIONS NEW MODIFIED TESTED
AND APPROVED GRADED A+ 2026 NEW UPGRADE
A 7-year-old child presents with amelia. The OTR® recommends the use of a
myoelectric hand. What type of terminal device would be appropriate?
A. Externally powered prosthesis
B. Body-powered prosthesis
C. Passive prosthesis
D. Hook prosthesis --CORRECT ANSWER--A. Externally powered prosthesis
A COTA® is working with a child in second grade during handwriting
assignments to remediate the child's pencil grip. Which pencil grips require the
most remediation because they are the least developmentally appropriate for a
second grader? Select the 3 BEST choices.
A. Dynamic tripod grip
B. Lateral tripod grip
C. Palmar grip
D. Quadrupod grip
E. Power grip
F. Supinated grip --CORRECT ANSWER--C. Palmar grip
Page 1 of 62
,E. Power grip
F. Supinated grip
A COTA® is working with a high school student with juvenile rheumatoid
arthritis (JRA). The COTA®suggests that the student stop using the arms and
hands to carry heavy textbooks to class and instead use a backpack. What type
of strategy did the COTA® recommend?
A. Energy conservation
B. Joint protection
C. Work simplification
D. Pacing --CORRECT ANSWER--B. Joint protection
A COTA® is working on sequencing a bedtime routine with a child with
autism. Which activities would be supportive of this outcome?
A. Providing the child with pictures of the different tasks involved in the routine
so that the child may perform them in order.
B. Encouraging the child to complete the last task in a series of tasks so that the
child is more inclined to want to complete the routine.
C. Allowing the child to select which activities to eliminate from the routine.
D. Introducing the child to adaptive equipment (e.g., an electric toothbrush) so
that the routine takes less time. --CORRECT ANSWER--A. Providing the child
with pictures of the different tasks involved in the routine so that the child may
perform them in order.
Page 2 of 62
,A COTA® in a school setting is working with a child with autism spectrum
disorder (ASD). Which situations would likely create difficulty for this child?
Select the 3 BEST choices.
A. Giving a speech on a preferred topic
B. Remembering a parent's work telephone number
C. Being able to pick up on a peer's nonverbal cues during a conversation
D. Switching topics during a group discussion
E. Attending an impromptu assembly during the school day
F. Copying homework assignments into a daily planner --CORRECT
ANSWER--C. Being able to pick up on a peer's nonverbal cues during a
conversation
D. Switching topics during a group discussion
E. Attending an impromptu assembly during the school day
A COTA® is working with a child with sickle cell anemia. Which intervention
strategy would be appropriate when working with this child?
A. Joint protection
B. PROM
C. Pursed-lip breathing
D. Pain management --CORRECT ANSWER--D. Pain management
A COTA® is working with a 4-year-old who was recently diagnosed with
Duchenne's muscular dystrophy (DMD). The client's parents are concerned and
Page 3 of 62
, want to understand how this condition will progress and affect the child's
participation in daily life. Which statement describes the progression of DMD?
A. The condition progresses slowly, and children often experience difficulty
with muscles around their pelvis and shoulder girdle.
B. The condition progresses so that the facial muscles have decreased mobility;
children eventually have a masklike appearance.
C. The condition usually has an onset before adolescence, and it progresses until
children cannot raise their arms above their heads.
D. The condition progresses quickly, and children often need to use a
wheelchair by age 9. --CORRECT ANSWER--D. The condition progresses
quickly, and children often need to use a wheelchair by age 9.
A COTA® is working on the playground with a child who has sensory
integration dysfunction. The COTA® is trying to foster an adaptive response,
which is best described by which statement?
A. The behavioral manifestation of optimal sensory organization that results in
an efficient goal-directed action
B. Engagement in rough-and-tumble play and other activities that provide the
child with muscle resistance
C. A reflection on primitive neural functions in children with sensory
processing problems
D. An individualized plan that provides a specific child with optimal sensory
experiences --CORRECT ANSWER--A. The behavioral manifestation of
optimal sensory organization that results in an efficient goal-directed action
Page 4 of 62
