1
NBCOT Practice Questions, NBCOT,
NBCOT Questions and Answers (100%
Correct Answers) Already Graded A+
Entry into the early intervention system begins with which of
the following?
A. Screening for developmental delay
© 2026 Assignment
B. Individualized Family Service Plan
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C. Screening for family environmental risk factors
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D. Individualized Education Plan (IEP) Ans: A. A family is
referred for an early intervention screening at which a
developmental therapist or OT screens the child to determine
if a full assessment is necessary. (Pediatric Occupational
Therapy and Early Intervention by Case-Smith)
In the assessment phase of early intervention, an OT assesses
the daily living skills of an infant. In the context of early
intervention, the areas that are being assessed are:
A. Feeding and sleeping patterns
B. Play and leisure patterns
C. Motor development patterns
D. Sensory development patterns Ans: A. Daily living skills in
infants refer to self-sustaining skills, such as feeding and
sleeping. Sleep patterns can be evaluated from the parent's
description of a typical day. Daily living skills also refer to
, 2
bathing and dressing, but this is as it involves the parents.
(Pediatric Occupational Therapy and Early Intervention by
Case-Smith)
An assessment team in early intervention has completed an
evaluation of a toddler. In compiling the Individualized Family
Service Plan, the goals should be determined by the:
A. Service coordinator for the case
© 2026 Assignment
B. Therapists from each discipline
C. Reimbursing agency
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Expert
D. Parents Ans: D. Although therapists suggest goals based on
the evaluation process, ultimately a child's parents decide
which goals will be included and which goals are a priority.
Goals that relate specifically to the family's concerns about the
care of their child are included in the plan. If therapists have
other goals, these can be added with parental consent.
(Pediatric Occupational Therapy and Early Intervention by
Case-Smith)
In early intervention there are different types of risk factors. A
child with Down syndrome is an example of:
A. Biological risk
B. Environmental risk
C. Established risk
D. Recurring risk Ans: C. Children with known chromosomal,
structural, or metabolic defects are classified as having
, 3
established risk. (Pediatric Occupational Therapy and Early
Intervention by Case-Smith)
The parent of a child that is being treated in therapy describes
how the child covers their ears when riding in the car with the
windows down. The parent does not understand why the child
persists in this behavior. The OT explains that this behavior
could be the result of:
A. Sensory defensiveness
© 2026 Assignment
B. Gravitational insecurity
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C. Underresponsiveness
Expert
D. Aversion to movement Ans: A. A child experiencing sensory
defensiveness has a tendency to respond negatively to
sensation that is considered by most people to be noninvasive
or nonirritating. This frequently includes hyperresponsiveness
to light or unexpected touches, high-frequency noises, certain
visual stimulation, or certain smells and tastes. (Sensory
Integration: Theory and Practice by Bundy)
An OT is using the Peabody Developmental Motor Scales to
evaluate a child. The therapist is assessing the child's:
A. Performance of tasks that support school participation
B. Visual perception skills in community settings
C. Gross and fine motor skills
D. Performance in everyday tasks Ans: C. The Peabody
assesses a child's abilities with gross and fine motor skills.
(Occupational Therapy for Children by Case-Smith)
, 4
A patient diagnosed with insulin dependent diabetes mellitus
is referred to occupational therapy for splinting. A primary
area that must be assessed before prescribing a splint is:
A. Edema
B. Sensation
C. Pain
© 2026 Assignment
D. Fine motor manipulation Ans: B. Persons with long-standing
diabetes frequently have increased incidences of other
conditions, such as peripheral neuropathies. Therefore, a
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sensory evaluation is necessary to determine if sensation is
Expert
diminished. A person with diminished sensation secondary to
peripheral neuropathy may not be able to perceive or gauge
pressure when wearing a splint. This can lead to skin
breakdown. (Introduction to Splinting: A Clinical Reasoning &
Problem Solving Process by Coppard and Lohman)
An OT is asked to administer a test to a child and compare the
assessment results or scores to the sample population of
children that have similar characteristics as this child. The
BEST type of evaluation to administer would be:
A. Criterion-referenced test
B. Norm-referenced test
C. Skilled observation
D. Checklist Ans: B. A norm-referenced test is developed by
giving the test in question to a large number of children,
usually several hundred or more. This group is the more
normative group and norms or averages are derived from this
NBCOT Practice Questions, NBCOT,
NBCOT Questions and Answers (100%
Correct Answers) Already Graded A+
Entry into the early intervention system begins with which of
the following?
A. Screening for developmental delay
© 2026 Assignment
B. Individualized Family Service Plan
Guru01 - Stuvia
C. Screening for family environmental risk factors
Expert
D. Individualized Education Plan (IEP) Ans: A. A family is
referred for an early intervention screening at which a
developmental therapist or OT screens the child to determine
if a full assessment is necessary. (Pediatric Occupational
Therapy and Early Intervention by Case-Smith)
In the assessment phase of early intervention, an OT assesses
the daily living skills of an infant. In the context of early
intervention, the areas that are being assessed are:
A. Feeding and sleeping patterns
B. Play and leisure patterns
C. Motor development patterns
D. Sensory development patterns Ans: A. Daily living skills in
infants refer to self-sustaining skills, such as feeding and
sleeping. Sleep patterns can be evaluated from the parent's
description of a typical day. Daily living skills also refer to
, 2
bathing and dressing, but this is as it involves the parents.
(Pediatric Occupational Therapy and Early Intervention by
Case-Smith)
An assessment team in early intervention has completed an
evaluation of a toddler. In compiling the Individualized Family
Service Plan, the goals should be determined by the:
A. Service coordinator for the case
© 2026 Assignment
B. Therapists from each discipline
C. Reimbursing agency
Guru01 - Stuvia
Expert
D. Parents Ans: D. Although therapists suggest goals based on
the evaluation process, ultimately a child's parents decide
which goals will be included and which goals are a priority.
Goals that relate specifically to the family's concerns about the
care of their child are included in the plan. If therapists have
other goals, these can be added with parental consent.
(Pediatric Occupational Therapy and Early Intervention by
Case-Smith)
In early intervention there are different types of risk factors. A
child with Down syndrome is an example of:
A. Biological risk
B. Environmental risk
C. Established risk
D. Recurring risk Ans: C. Children with known chromosomal,
structural, or metabolic defects are classified as having
, 3
established risk. (Pediatric Occupational Therapy and Early
Intervention by Case-Smith)
The parent of a child that is being treated in therapy describes
how the child covers their ears when riding in the car with the
windows down. The parent does not understand why the child
persists in this behavior. The OT explains that this behavior
could be the result of:
A. Sensory defensiveness
© 2026 Assignment
B. Gravitational insecurity
Guru01 - Stuvia
C. Underresponsiveness
Expert
D. Aversion to movement Ans: A. A child experiencing sensory
defensiveness has a tendency to respond negatively to
sensation that is considered by most people to be noninvasive
or nonirritating. This frequently includes hyperresponsiveness
to light or unexpected touches, high-frequency noises, certain
visual stimulation, or certain smells and tastes. (Sensory
Integration: Theory and Practice by Bundy)
An OT is using the Peabody Developmental Motor Scales to
evaluate a child. The therapist is assessing the child's:
A. Performance of tasks that support school participation
B. Visual perception skills in community settings
C. Gross and fine motor skills
D. Performance in everyday tasks Ans: C. The Peabody
assesses a child's abilities with gross and fine motor skills.
(Occupational Therapy for Children by Case-Smith)
, 4
A patient diagnosed with insulin dependent diabetes mellitus
is referred to occupational therapy for splinting. A primary
area that must be assessed before prescribing a splint is:
A. Edema
B. Sensation
C. Pain
© 2026 Assignment
D. Fine motor manipulation Ans: B. Persons with long-standing
diabetes frequently have increased incidences of other
conditions, such as peripheral neuropathies. Therefore, a
Guru01 - Stuvia
sensory evaluation is necessary to determine if sensation is
Expert
diminished. A person with diminished sensation secondary to
peripheral neuropathy may not be able to perceive or gauge
pressure when wearing a splint. This can lead to skin
breakdown. (Introduction to Splinting: A Clinical Reasoning &
Problem Solving Process by Coppard and Lohman)
An OT is asked to administer a test to a child and compare the
assessment results or scores to the sample population of
children that have similar characteristics as this child. The
BEST type of evaluation to administer would be:
A. Criterion-referenced test
B. Norm-referenced test
C. Skilled observation
D. Checklist Ans: B. A norm-referenced test is developed by
giving the test in question to a large number of children,
usually several hundred or more. This group is the more
normative group and norms or averages are derived from this
