NBCOT Review Exam Questions with 100%
satisfaction guarantee Answers 2025/2026
A COTA is treating a restaurant worker with carpal tunnel syndrome. The
MOST important instruction for the COTA to give the client is to avoid or
modify activities that encourage:
A. increased wrist extension, such as carrying dishes
B. prolonged wrist flexion, such as scrubbing pots and pans
C. tasks that increase ulnar deviation, such as wiping tables
D. increase radial deviation, such as screwing and unscrewing and filling
sugar, salt, and pepper containers. - correct answer B. prolonged wrist
flexion, such as scrubbing pots and pans.
Flexion at the wrist, especially while grasping or pinching (as in scrubbing
pots), should be avoided or modified with a soft splint..
Answer A, wrist extension, answer C, ulnar deviation, and answer D, radial
deviation, do not tend to cause inflammation to the area surrounding the
median nerve by repetitive compression or a static hold to that area of the
wrist.
The BEST way to instruct an individual with hemiparesis to button a shirt is to:
A. button all the buttons before putting the shirt on
B. get the shirt all the way on, then line up the buttons and holes, and begin
buttoning from the top.
C. get the shirt all the way on, then line up the buttons and holes, and begin
buttoning from the bottom
D. use a buttonhook with a built-up handle - correct answer C. get the shirt
all the way on, then line up the buttons as holes, and begin buttoning from the
bottom.
,It is easier to see the buttons and button holes at the bo^to m of the shirt
(answer C) than at the top (answer B). Therefore beginning to button from the
bottom is more likely to result 8n success for the individual with motor or
visual-perceptual deficits.
Buttoning first (answer A) may result in ripping off the buttons as the shirt is
pulled over th e head.
A buttonhook with a built-up handle (answer D) would be more helpful for an
individual with finger weakness or incoordination (e.g. quadriplegia).
An individual has demonstrated competence in heating canned soup. The
COTA recommends modifying the treatment plan and upgrading the cooking
activity to:
A. baking brownies
B. making an apple pie
C. making toast
D. making a fresh fruit salad. - correct answer A. baking brownies
A correctly sequenced progression of difficulty in meal preparation is access a
prepared meal; prepare a cold meal; prepare a hot beverage, soup, or
prepared dish; prepare a hot one dish meal; and prepare a hot multidish meal.
Making a fresh fruit salad (answer D) is a less challenging activity, because no
cooking is involved.
Although both involve heating an item, preparing toast (answer C) is simpler
than heating soup because opening a plastic bag is a less complex task than
opening a can.
Baking brownies (answer A) is slightly more complex, because of the
progression from stove top to oven, and the addition of several ingredients
that need to be mixed. Therefore this would be the appropriate upgrade.
Making an apple pie (answer B) requires a higher level of task performance
and complexity than brownies, and would be an appropriate task after the
individual demonstrates competence in the less comp,ex task of baking
brownies.
, An individual with Guillain-Barre syndrome demonstrates poor to fair strength
throughout the upper extremities. Which is the most appropriate approach for
the COTA to use in the EARLY stages?
A. gentle, nonresistive activities
B. progressive, resistive exercise
C. fine motor activities
D. active range of motion against moderate resistancearated - correct
answer A. Gentle, nonresistive activities.
The initial phase of treatment for the individual with Guillain-Barre syndrome
includes PROM and splinting, and positioning to protect weak muscles and
prevent contractures. This should be followed by gentle, nonresistive activities
and light ADL, as tolerated.
Resistive exercises and activities (answers B and D) should be implemented
after strength begins to improve.
Activities with(answer Ain later treatment sessions should alternate between
gross and fine motor (unlike answer C), and resistive and nonresistive types,
to avoid fatigue.
A child with CP demonstrates poor head control, high LE extensor tone, and
high UE flexor tone. The COTA should recommend which of the following to
BEST position the child for feeding?
A. A prone stander with lateral trunk supports
B. A corner chair with head support and padded abductor post
C. A wedge that positions the hips in 115 degrees of flexion when the child is
supine
D. A bolster chair with back support - correct answer B. A corner chair with
head support and padded abductor post.
satisfaction guarantee Answers 2025/2026
A COTA is treating a restaurant worker with carpal tunnel syndrome. The
MOST important instruction for the COTA to give the client is to avoid or
modify activities that encourage:
A. increased wrist extension, such as carrying dishes
B. prolonged wrist flexion, such as scrubbing pots and pans
C. tasks that increase ulnar deviation, such as wiping tables
D. increase radial deviation, such as screwing and unscrewing and filling
sugar, salt, and pepper containers. - correct answer B. prolonged wrist
flexion, such as scrubbing pots and pans.
Flexion at the wrist, especially while grasping or pinching (as in scrubbing
pots), should be avoided or modified with a soft splint..
Answer A, wrist extension, answer C, ulnar deviation, and answer D, radial
deviation, do not tend to cause inflammation to the area surrounding the
median nerve by repetitive compression or a static hold to that area of the
wrist.
The BEST way to instruct an individual with hemiparesis to button a shirt is to:
A. button all the buttons before putting the shirt on
B. get the shirt all the way on, then line up the buttons and holes, and begin
buttoning from the top.
C. get the shirt all the way on, then line up the buttons and holes, and begin
buttoning from the bottom
D. use a buttonhook with a built-up handle - correct answer C. get the shirt
all the way on, then line up the buttons as holes, and begin buttoning from the
bottom.
,It is easier to see the buttons and button holes at the bo^to m of the shirt
(answer C) than at the top (answer B). Therefore beginning to button from the
bottom is more likely to result 8n success for the individual with motor or
visual-perceptual deficits.
Buttoning first (answer A) may result in ripping off the buttons as the shirt is
pulled over th e head.
A buttonhook with a built-up handle (answer D) would be more helpful for an
individual with finger weakness or incoordination (e.g. quadriplegia).
An individual has demonstrated competence in heating canned soup. The
COTA recommends modifying the treatment plan and upgrading the cooking
activity to:
A. baking brownies
B. making an apple pie
C. making toast
D. making a fresh fruit salad. - correct answer A. baking brownies
A correctly sequenced progression of difficulty in meal preparation is access a
prepared meal; prepare a cold meal; prepare a hot beverage, soup, or
prepared dish; prepare a hot one dish meal; and prepare a hot multidish meal.
Making a fresh fruit salad (answer D) is a less challenging activity, because no
cooking is involved.
Although both involve heating an item, preparing toast (answer C) is simpler
than heating soup because opening a plastic bag is a less complex task than
opening a can.
Baking brownies (answer A) is slightly more complex, because of the
progression from stove top to oven, and the addition of several ingredients
that need to be mixed. Therefore this would be the appropriate upgrade.
Making an apple pie (answer B) requires a higher level of task performance
and complexity than brownies, and would be an appropriate task after the
individual demonstrates competence in the less comp,ex task of baking
brownies.
, An individual with Guillain-Barre syndrome demonstrates poor to fair strength
throughout the upper extremities. Which is the most appropriate approach for
the COTA to use in the EARLY stages?
A. gentle, nonresistive activities
B. progressive, resistive exercise
C. fine motor activities
D. active range of motion against moderate resistancearated - correct
answer A. Gentle, nonresistive activities.
The initial phase of treatment for the individual with Guillain-Barre syndrome
includes PROM and splinting, and positioning to protect weak muscles and
prevent contractures. This should be followed by gentle, nonresistive activities
and light ADL, as tolerated.
Resistive exercises and activities (answers B and D) should be implemented
after strength begins to improve.
Activities with(answer Ain later treatment sessions should alternate between
gross and fine motor (unlike answer C), and resistive and nonresistive types,
to avoid fatigue.
A child with CP demonstrates poor head control, high LE extensor tone, and
high UE flexor tone. The COTA should recommend which of the following to
BEST position the child for feeding?
A. A prone stander with lateral trunk supports
B. A corner chair with head support and padded abductor post
C. A wedge that positions the hips in 115 degrees of flexion when the child is
supine
D. A bolster chair with back support - correct answer B. A corner chair with
head support and padded abductor post.
