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NBCOT Practice Exam 1 – Actual Questions and Answers with Complete Solutions Verified – Graded A+ – Latest Updated Study Material 2025/2026 – Instant Download

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This document provides a fully verified NBCOT Practice Exam 1 featuring actual exam-style questions with complete A+ solutions and explanations. It covers key pediatric evaluation strategies, somatodyspraxia identification, naturalistic observation, motor-planning assessment, and declarative-memory evaluation approaches used in adult and long-term care settings. Designed to reflect authentic NBCOT testing standards, this resource delivers clear rationales to strengthen clinical reasoning and exam readiness. Updated for 2025/2026, it is ideal for OT students seeking accurate, high-yield practice material.

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11/18/25, 7:41
AM




NBCOT PRACTICE EXAM 1 ACTUAL QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
GRADED A+


An OT is preparing to C. Observation of child during activities in the child-care
evaluate a toddler who center.
has upper extremity
orthopedic concerns. Through observation of the child during child-care
How will the OT MOST center activities, the OT can
likely obtain the
collect information about the child's motor
majority of initial
performance skills and participation in
assessment data?
activities that require upper extremity/hand skill.
Naturalistic observation is a method of
A. Measurement tools ecological assessment, which is "a primary
that assess visual- mechanism for obtaining data relevant to the
motor skills child's performance context Skilled
B. Dynamometer and pinch observation of child performing a
meter readings. functional task offers. important information about
C. Observation of child the child's performance".
during activities in the Answers A, B, ad D are all appropriate choices
child-care center. after the child is old enough for these
D. Functional assessments.
independence
measures.



During an initial D. New motor task planning.
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evaluation, the OT
suspects that a child "Somatodyspraxia is described as a deficit in
has somatodyspraxia. learning new motor skills, planning new motor
In what actions, and generalizing motor plans." Inability
area should the OT focus to print or write (answer A) is termed
the evaluation? "dysgraphia." The term "dyslexia" (answer B)
means dysfunction in reading.
A. Ability to print or write. Inability to perform mathematics (answer C) is known as

B. Reading competency. "dyscalculia"

C. Math calculations.
D. New motor task
planning.
An OT working in a B Ask the individual how he spent New Year's
long-term care facility
needs to evaluate the "Declarative memory is one aspect of long term
long-term memory of memory and includes conscious memory for
a resident. Which of events, knowledge or facts". It is commonly
the following methods assessed through verbal
is BEST for evaluating interviews and informal testing such as asking a
memory or personally question about an individual's recall of personal
experienced events events (answer B). Working memory refers to
(declarative memory)? "the temporary storage of inforamtion while
one is working with it or attending to it"
A. Show the person a (answer A). "Prospective memory involves the
series of objects and ability to remember intentions or activities that
ask him to recall the will be required in the future" (answer D).
objects within 60 Knowing the date, place, and time is indicative
seconds. of
B. Ask the orientation (answer C).
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individual how he
spent New Year's/
C. Have the individual
state the place, date,
and time.
D. Ask the client to
remember to bring a
specific item to the
next therapy session
C. Gravitational insecurity.
A child avoids
playground equipment Gravitational insecurity is described as "fear
that requires her feet response to movement". The child easily
to be off the ground. experiences a fear of falling and prefers to keep
What does this behavior her feet firmly on the ground. Tactile
MOST likely indicate? defensiveness (answer A) is a term used to
describe discomfort with various textures and
A. Difficulty modulating with unexpected touch. Somatodyspraxia
proprioception. (answer B) has is "foundation in
B. Somatodyspraxia somatosensory (e.g. primarily tactile but also

C. Gravitational insecurity proprioceptive) discrimination deficits, which
interfere with the development of body scheme
D. Bilateral
and awareness". Bilateral
integration/sequencing
integration and sequencing deficits are related to "poor
deficit.
vestibular-propioceptive
discrimination, which interferes with the ability
to coordinate, sequence, and execute motor
actions quickly and efficiently".

When the OT suspects B. Dressing habits

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tactile defensiveness as
a rationale for a child's Children with tactile defensiveness are
challenges, in "bothered by tactile aspects of daily living
what area of activities.... specific types of clothing.
participation should the ........................................specific textures
OT focus on FIRST? materials". The child may be
bothered by certain textures or avoid wearing

A. Play behavior turtlenecks, socks, or shoes.

B. Dressing habits Conversely, some children may never take off
their shoes to avoid tactile stimulation. Play
C. Social skills
behavior (answer A), social skills (answer C),
D. Leisure interests
and the choice of hobbies (answer D) could be
affected secondarily, as a result of
intolerance to certain textures or human
touch. Knowledge of the child's dressing
habits will give the OT key
information at the start of the evaluation process.
An OT is working with B. Sensory avoiding
an individual with
schizophrenia who is The individual's actions are indicative of sensor
in the process of avoiding behavior, characterized by a low
preparing to move from threshold to stimuli perceived as noxious,
a state hospital to a followed by an active response such as
group home. During a leaving the room. Individuals with sensory
baking group, the client avoiding behavior may "become
becomes agitated and distressed in situations in which they cannot
leaves the room when control the environment" and "do well in low
another client uses the stimulus situation or settings that others find
electric hand mixer to dull". An individual with low

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