NBCOT Study guide Exam Questions with Key
Marking Scheme Updated 2025/2026
Based on a child's performance, a school-based OTR believes that
program modifications in the IEP are needed. The first course of action the
OT should take should be to: - correct answer Prepare a summary of the
additional needs for the multidisciplinary team
Based upon the initial evaluation results of a patient with a brain tumor,
independence in upper body dressing is established as a short-term goal.
After 2 weeks of treatment the patient is not progressing as quickly as
expected. The FIRST thing the OTR should do is: - correct answer contact
the physician to discuss the patient's progress. It may be appropriate to
modify the patient's plan but the OTR should FIRST discuss this with the
physician
An OTR emplyed by a multi-state entertainment theme park corporation
can FIRST enhance the corporation's awareness of their role in assuring
parks accessibility and ADA compliance by: - correct answer identifying
barriers which inhibit customer use. Determine occupational needs of the
organization. The first step of the process would be to identify the needs
and issues surrounding parks accessibility and ADA compliance.
An OTR working in a long-term care facility is asked to recommend seating
approaches for the residents in the dining program. The BEST approach to
meet the needs of the entire group would be to: - correct answer assess
the resident's needs and strengths. Determine occupational needs of the
program.
When does Asymmetric Tonic Neck Reflex disappear? - correct answer 4
months
,When does the stepping reflex disappear? - correct answer 2 months
When does palmar grasp reflex (spontaneous grasp of adult fingers)
disappear? - correct answer 3-4 months
When can a child lift self by arms when prone? - correct answer 2 months
When can child sit alone? - correct answer 6-7 months
When can child crawl? - correct answer 7 months
When can child pull to stand? - correct answer 8 months
WHen can child stand alone? - correct answer 11 months
When can child build a tower of 2 cubes? - correct answer 13 months
Reaching at 3 months - correct answer Voluntary reaching gradually
improves in accuracy. It does not require visual guidance of arms and
hands, but rather a sense of movement and location.
Reaching at 9 months - correct answer Infant can redirect reaching to
obtain a moving object that changes direction.
When can a baby roll from tummy to back and back to tummy? - correct
answer 4-5 months
, What is the primary purpose of the chin tuck? - correct answer To prevent
food secretion from entering the larynx below the level of the vocal chords
A client who has motor deficits secondary to the onset of
Huntington's disease is participating in OT. One of the client's
goals is to be independent with dressing. Which intervention
activity is BEST to include as part of the initial intervention
plan? - correct answer Educate the client and caregivers about methods
for adapting the fasteners on the client's clothing. HD is a progressive
neurodegenerative disorder. Symptoms
include choreo-athetoid movements and alterations in behavior and
cognitive functions. A client in the early stages would benefit most from
learning techniques to compensate for motor deficits.
A 5-year-old child who has mild developmental delay is learning to self-
dress. Most recently, the child has mastered putting on and taking off a
coat, as well as buttoning and unbuttoning it. From the dressing tasks
listed, which should a child learn to do NEXT based on the typical
developmental sequence for dressing? - correct answer Pulling up a
jacket zipper
Minimum width of a hall for a wheelchair - correct answer 36 in
Minimum clear width for a wheelchair is _____ inches for a door. - correct
answer 32
If wheel chair ramp changes direction the minimum size of the landing is: -
correct answer 5' by 5'
Marking Scheme Updated 2025/2026
Based on a child's performance, a school-based OTR believes that
program modifications in the IEP are needed. The first course of action the
OT should take should be to: - correct answer Prepare a summary of the
additional needs for the multidisciplinary team
Based upon the initial evaluation results of a patient with a brain tumor,
independence in upper body dressing is established as a short-term goal.
After 2 weeks of treatment the patient is not progressing as quickly as
expected. The FIRST thing the OTR should do is: - correct answer contact
the physician to discuss the patient's progress. It may be appropriate to
modify the patient's plan but the OTR should FIRST discuss this with the
physician
An OTR emplyed by a multi-state entertainment theme park corporation
can FIRST enhance the corporation's awareness of their role in assuring
parks accessibility and ADA compliance by: - correct answer identifying
barriers which inhibit customer use. Determine occupational needs of the
organization. The first step of the process would be to identify the needs
and issues surrounding parks accessibility and ADA compliance.
An OTR working in a long-term care facility is asked to recommend seating
approaches for the residents in the dining program. The BEST approach to
meet the needs of the entire group would be to: - correct answer assess
the resident's needs and strengths. Determine occupational needs of the
program.
When does Asymmetric Tonic Neck Reflex disappear? - correct answer 4
months
,When does the stepping reflex disappear? - correct answer 2 months
When does palmar grasp reflex (spontaneous grasp of adult fingers)
disappear? - correct answer 3-4 months
When can a child lift self by arms when prone? - correct answer 2 months
When can child sit alone? - correct answer 6-7 months
When can child crawl? - correct answer 7 months
When can child pull to stand? - correct answer 8 months
WHen can child stand alone? - correct answer 11 months
When can child build a tower of 2 cubes? - correct answer 13 months
Reaching at 3 months - correct answer Voluntary reaching gradually
improves in accuracy. It does not require visual guidance of arms and
hands, but rather a sense of movement and location.
Reaching at 9 months - correct answer Infant can redirect reaching to
obtain a moving object that changes direction.
When can a baby roll from tummy to back and back to tummy? - correct
answer 4-5 months
, What is the primary purpose of the chin tuck? - correct answer To prevent
food secretion from entering the larynx below the level of the vocal chords
A client who has motor deficits secondary to the onset of
Huntington's disease is participating in OT. One of the client's
goals is to be independent with dressing. Which intervention
activity is BEST to include as part of the initial intervention
plan? - correct answer Educate the client and caregivers about methods
for adapting the fasteners on the client's clothing. HD is a progressive
neurodegenerative disorder. Symptoms
include choreo-athetoid movements and alterations in behavior and
cognitive functions. A client in the early stages would benefit most from
learning techniques to compensate for motor deficits.
A 5-year-old child who has mild developmental delay is learning to self-
dress. Most recently, the child has mastered putting on and taking off a
coat, as well as buttoning and unbuttoning it. From the dressing tasks
listed, which should a child learn to do NEXT based on the typical
developmental sequence for dressing? - correct answer Pulling up a
jacket zipper
Minimum width of a hall for a wheelchair - correct answer 36 in
Minimum clear width for a wheelchair is _____ inches for a door. - correct
answer 32
If wheel chair ramp changes direction the minimum size of the landing is: -
correct answer 5' by 5'
