NBCOT Final Competency Certification Study Guide
Exam Questions with Certified for Accuracy Answers
2025/2026
In Acute rehab stay is short and role of OT is to make recommendations for
future. Nursing staff staff can't screen ppl for OT, although they can refer
ppl to OT.
An adolescent student with Duchenne muscular dystrophy and depression
is being evaluated for a power wheelchair. Which is the most important
area to be considered during the occupational therapy evaluation of the
student to determine the student's readiness for the wheelchair?
A. Level of interest
B. Fine motor skills
C. Cognitive skills
D. Postural control - correct answer C. Cognitive skills
cognitive skills include alertness, spatial operations, judgment, decision
making, and problem solving, which can be affected by depression. These
are all needed to safely operate a power wheelchair.
Upon evaluating a client for a wheelchair, the OT determines that a
standard narrow adult chair would be suitable for the individual. Which
dimensions most accurately identify this chair?
A. 18" wide x 18" deep x 20" high
B. 16" wide x 16" deep x 20" high
,C. 16" wide x 16" deep x 18.5" high
D. 14" wide x 16" deep x 18.5" high - correct answer B. 16" wide x 16"
deep x 20" high
standard adult chair = 18" wide x 16" deep x 20" high
slim adult chair = 14" wide x 16" deep x 20" high
junior standard chair = 14" wide x 16" deep x 18.5" high
An individual recently lost significant functional abilities due to post-polio
syndrome. The OT is working with him to develop compensatory strategies.
During a meal prep session the individual throws his AE onto the floor. This
is an example of...
A. Acting out
B. Passive aggressive behavior
C. Reaction formation
D. Displacement - correct answer D. Displacement
Displacement occurs when a person redirects an emotion from one "object"
(anger over disease) to another "object" (AE). Acting out describes
behaviors that violate societal norms (alcoholism). Reaction formation is
the switching of an unacceptable impulse into its opposite (hugging
someone when you want to hit them)
An OT is working with a patient with diabetes and a below-knee (BK)
amputation to learn how to do home management tasks. When taking
laundry from a front loading washer and placing it into a top loading dryer,
the pt reports feeling week, dizzy, and somewhat nauseous. The OT
notices the patient is sweating profusely and is unsteady when standing,
what should the OT do?
, A. Return the person to the unit of care due to an insulin reaction
B. Administer OJ for developing hypoglycemia
C. Call a nurse to administer an insulin injection for developing
hyperglycemia
D. Have the patient sit down until the orthostatic hypotension resolves -
correct answer B. Administer OJ for developing hypoglycemia
Hypoglycemia, abnormally low blood glucose, results from too much insulin
(insulin reaction). Have the patient sit and ingest sugar. Once the pt is
stabilized the Dr should be noted. Profuse sweating and nausea don't
usually accompany orthostatic hypotension.
An OT provides services to a homeless shelter which includes residents
who are HIV positive. The therapist conducts several activity groups. Which
should the therapist do while working with this population?
A. Wash hands before and after each group
B. Always wear latex gloves during groups
C. Wear latex gloves when handling food
D. Implement transmission-based precautions - correct answer A. Wash
hands
Washing hands is standard precaution and should be completed at all
times. HIV is transmitted only through the exchange of body fluids. Wearing
gloves while handling food is a health department regulation but it only
addresses sessions involving food. One must still wash hands before and
after glove use. Additionally, healthcare environments must be latex free
due to allergies.
Exam Questions with Certified for Accuracy Answers
2025/2026
In Acute rehab stay is short and role of OT is to make recommendations for
future. Nursing staff staff can't screen ppl for OT, although they can refer
ppl to OT.
An adolescent student with Duchenne muscular dystrophy and depression
is being evaluated for a power wheelchair. Which is the most important
area to be considered during the occupational therapy evaluation of the
student to determine the student's readiness for the wheelchair?
A. Level of interest
B. Fine motor skills
C. Cognitive skills
D. Postural control - correct answer C. Cognitive skills
cognitive skills include alertness, spatial operations, judgment, decision
making, and problem solving, which can be affected by depression. These
are all needed to safely operate a power wheelchair.
Upon evaluating a client for a wheelchair, the OT determines that a
standard narrow adult chair would be suitable for the individual. Which
dimensions most accurately identify this chair?
A. 18" wide x 18" deep x 20" high
B. 16" wide x 16" deep x 20" high
,C. 16" wide x 16" deep x 18.5" high
D. 14" wide x 16" deep x 18.5" high - correct answer B. 16" wide x 16"
deep x 20" high
standard adult chair = 18" wide x 16" deep x 20" high
slim adult chair = 14" wide x 16" deep x 20" high
junior standard chair = 14" wide x 16" deep x 18.5" high
An individual recently lost significant functional abilities due to post-polio
syndrome. The OT is working with him to develop compensatory strategies.
During a meal prep session the individual throws his AE onto the floor. This
is an example of...
A. Acting out
B. Passive aggressive behavior
C. Reaction formation
D. Displacement - correct answer D. Displacement
Displacement occurs when a person redirects an emotion from one "object"
(anger over disease) to another "object" (AE). Acting out describes
behaviors that violate societal norms (alcoholism). Reaction formation is
the switching of an unacceptable impulse into its opposite (hugging
someone when you want to hit them)
An OT is working with a patient with diabetes and a below-knee (BK)
amputation to learn how to do home management tasks. When taking
laundry from a front loading washer and placing it into a top loading dryer,
the pt reports feeling week, dizzy, and somewhat nauseous. The OT
notices the patient is sweating profusely and is unsteady when standing,
what should the OT do?
, A. Return the person to the unit of care due to an insulin reaction
B. Administer OJ for developing hypoglycemia
C. Call a nurse to administer an insulin injection for developing
hyperglycemia
D. Have the patient sit down until the orthostatic hypotension resolves -
correct answer B. Administer OJ for developing hypoglycemia
Hypoglycemia, abnormally low blood glucose, results from too much insulin
(insulin reaction). Have the patient sit and ingest sugar. Once the pt is
stabilized the Dr should be noted. Profuse sweating and nausea don't
usually accompany orthostatic hypotension.
An OT provides services to a homeless shelter which includes residents
who are HIV positive. The therapist conducts several activity groups. Which
should the therapist do while working with this population?
A. Wash hands before and after each group
B. Always wear latex gloves during groups
C. Wear latex gloves when handling food
D. Implement transmission-based precautions - correct answer A. Wash
hands
Washing hands is standard precaution and should be completed at all
times. HIV is transmitted only through the exchange of body fluids. Wearing
gloves while handling food is a health department regulation but it only
addresses sessions involving food. One must still wash hands before and
after glove use. Additionally, healthcare environments must be latex free
due to allergies.
