NBCOT and OTKE Top quality Exam Review guide Questions
and Answers 2025/2026
An occupational therapist was working with a 74-year-old client for a
community re-integration activity. The client tells the OT that she feels
nauseas and has a headache. The OT notices that the client has a rapid
pulse, and her skin is cool and pallid. The OT determines that the client most
likely has heat exhaustion. What should the OT's immediate response be?
Select one:
a. Loosen her clothing, have her lie down a in cool spot, and give her a fruit
juice or Gatorade (electrolyte drink)
b. Continue with treatment in the community
c. Call 911 - it is a medical emergency
d. Give her a hot pack, hot tea, and tell her to lie down - correct answer a.
Loosen her clothing, have her lie down a in cool spot, and give her a fruit juice
or Gatorade (electrolyte drink)
You receive a referral for a client with scleroderma. The client has poor
circulation and contractures, which causes joint pain and exaggerated
responses to cold weather. As an occupational therapist, how would you
address contractures?
Select one:
a. Dynamic splinting to improve range of motion
b. Use of non-silicone gel in palms of the hand
c. Splinting at optimal resting length for hands/wrists to attempt to slow
progressive development of contractures
,d. Static progressive splinting - correct answer c. Splinting at optimal resting
length for hands/wrists to attempt to slow progressive development of
contractures
An OT receives an order to evaluate a client for feeding. Upon initial
inspection, the OT notices that residual food from the client's breakfast several
hours ago is pocketed on the sides of the client's mouth. As the OT presents
applesauce to the client, the client demonstrates difficulty timing the oral
manipulation and swallowing of the bolus. The applesauce prematurely spills
into the client's airway, causing the client to aspirate. What is the most likely
cause of the client's swallowing difficulty?
Select one:
a. Vocal cord paralysis
b. Sensory impairment of the oral cavity
c. Weakness of the tongue/base of tongue structures
d. Praxis/motor planning deficits - correct answer b. Sensory impairment of
the oral cavity
An OT reads a new client's chart at a psychiatric facility. The OT sees that the
client is diagnosed with catatonic type schizophrenia. What symptoms will the
client most likely present with?
Select one:
a. Primitive, disinhibited, and disorganized behavior
b. Delusions of persecution or grandeur and auditory hallucinations
c. Severe disturbances in motor behavior involving stupor or rigidity
d. Evidence of schizophrenic behavior in the absence of a complete set of
diagnostic criteria - correct answer c. Severe disturbances in motor
behavior involving stupor or rigidity
,You are a school-based occupational therapist. A teacher just asked you to
screen a child who has been evaluated by the school psychologist and
labeled as having ADHD. Which of the following areas would you address in
the school-based setting that would qualify the children for occupational
therapy services?
Select one:
a. Auditory-perceptual
b. Language
c. Visual-perceptual
d. Cognitive problems - correct answer c. Visual-perceptual
A 3-year-old girl has been diagnosed with a pervasive developmental disorder
that deteriorates motor and social skills. The child has irregular breathing
problems and regression in cognition and praxis. Which of the following
diagnosis MOST closely relates to the child's condition?
Select one:
a. Tourette's Syndrome
b. Rett's Syndrome
c. Autism Spectrum Disorder
d. Intellectual Disorder - correct answer b. Rett's Syndrome
An OT is evaluating a 73-year-old client with a diagnosis of dementia in the
home setting. The client lives with her daughter who helps with IADLs. The
OT observes that the client can still perform her hygiene and grooming routine
but is increasingly forgetful and experiences difficulty with word finding.
According to Reisberg's Stages of Dementia, what stage is this client in?
, Select one:
a. Stage 5
b. Stage 3
c. Stage 4
d. Stage 6 - correct answer c. Stage 4
An OT is performing an initial evaluation for a client diagnosed with
schizophrenia. As the OT is interviewing the client, the therapist notices
affective flattening, anhedonia, and alogia. In addition, the client seems to
have an inability to relate to the feelings of others. What type of symptoms is
the client displaying?
Select one:
a. Residual type symptoms
b. Positive symptoms
c. Catatonic type symptoms
d. Negative symptoms - correct answer d. Negative symptoms
An occupational therapist is working with a 5-year-old boy in the school for
delayed milestones in childhood. During the session, the OT notices that the
client fidgeting with the eraser on the pencil during writing tasks, constantly
trying to stand up from his chair, and only completing some of the
expectations presented to him. The child's IEP is coming up and the OT wants
to find out if these behaviors are being witnessed by anyone else on his team.
What disorder might the child might have and need to be evaluated for?
Select one:
a. Intellectual disability
b. Autism
and Answers 2025/2026
An occupational therapist was working with a 74-year-old client for a
community re-integration activity. The client tells the OT that she feels
nauseas and has a headache. The OT notices that the client has a rapid
pulse, and her skin is cool and pallid. The OT determines that the client most
likely has heat exhaustion. What should the OT's immediate response be?
Select one:
a. Loosen her clothing, have her lie down a in cool spot, and give her a fruit
juice or Gatorade (electrolyte drink)
b. Continue with treatment in the community
c. Call 911 - it is a medical emergency
d. Give her a hot pack, hot tea, and tell her to lie down - correct answer a.
Loosen her clothing, have her lie down a in cool spot, and give her a fruit juice
or Gatorade (electrolyte drink)
You receive a referral for a client with scleroderma. The client has poor
circulation and contractures, which causes joint pain and exaggerated
responses to cold weather. As an occupational therapist, how would you
address contractures?
Select one:
a. Dynamic splinting to improve range of motion
b. Use of non-silicone gel in palms of the hand
c. Splinting at optimal resting length for hands/wrists to attempt to slow
progressive development of contractures
,d. Static progressive splinting - correct answer c. Splinting at optimal resting
length for hands/wrists to attempt to slow progressive development of
contractures
An OT receives an order to evaluate a client for feeding. Upon initial
inspection, the OT notices that residual food from the client's breakfast several
hours ago is pocketed on the sides of the client's mouth. As the OT presents
applesauce to the client, the client demonstrates difficulty timing the oral
manipulation and swallowing of the bolus. The applesauce prematurely spills
into the client's airway, causing the client to aspirate. What is the most likely
cause of the client's swallowing difficulty?
Select one:
a. Vocal cord paralysis
b. Sensory impairment of the oral cavity
c. Weakness of the tongue/base of tongue structures
d. Praxis/motor planning deficits - correct answer b. Sensory impairment of
the oral cavity
An OT reads a new client's chart at a psychiatric facility. The OT sees that the
client is diagnosed with catatonic type schizophrenia. What symptoms will the
client most likely present with?
Select one:
a. Primitive, disinhibited, and disorganized behavior
b. Delusions of persecution or grandeur and auditory hallucinations
c. Severe disturbances in motor behavior involving stupor or rigidity
d. Evidence of schizophrenic behavior in the absence of a complete set of
diagnostic criteria - correct answer c. Severe disturbances in motor
behavior involving stupor or rigidity
,You are a school-based occupational therapist. A teacher just asked you to
screen a child who has been evaluated by the school psychologist and
labeled as having ADHD. Which of the following areas would you address in
the school-based setting that would qualify the children for occupational
therapy services?
Select one:
a. Auditory-perceptual
b. Language
c. Visual-perceptual
d. Cognitive problems - correct answer c. Visual-perceptual
A 3-year-old girl has been diagnosed with a pervasive developmental disorder
that deteriorates motor and social skills. The child has irregular breathing
problems and regression in cognition and praxis. Which of the following
diagnosis MOST closely relates to the child's condition?
Select one:
a. Tourette's Syndrome
b. Rett's Syndrome
c. Autism Spectrum Disorder
d. Intellectual Disorder - correct answer b. Rett's Syndrome
An OT is evaluating a 73-year-old client with a diagnosis of dementia in the
home setting. The client lives with her daughter who helps with IADLs. The
OT observes that the client can still perform her hygiene and grooming routine
but is increasingly forgetful and experiences difficulty with word finding.
According to Reisberg's Stages of Dementia, what stage is this client in?
, Select one:
a. Stage 5
b. Stage 3
c. Stage 4
d. Stage 6 - correct answer c. Stage 4
An OT is performing an initial evaluation for a client diagnosed with
schizophrenia. As the OT is interviewing the client, the therapist notices
affective flattening, anhedonia, and alogia. In addition, the client seems to
have an inability to relate to the feelings of others. What type of symptoms is
the client displaying?
Select one:
a. Residual type symptoms
b. Positive symptoms
c. Catatonic type symptoms
d. Negative symptoms - correct answer d. Negative symptoms
An occupational therapist is working with a 5-year-old boy in the school for
delayed milestones in childhood. During the session, the OT notices that the
client fidgeting with the eraser on the pencil during writing tasks, constantly
trying to stand up from his chair, and only completing some of the
expectations presented to him. The child's IEP is coming up and the OT wants
to find out if these behaviors are being witnessed by anyone else on his team.
What disorder might the child might have and need to be evaluated for?
Select one:
a. Intellectual disability
b. Autism
