Studying Material from AOTA NBCOT Objective
Assessment Guide Exam Questions and Already
graded Solutions and Assured Satisfactions
2025/2026
A C bar splint can correct answer Maintain or improve the first web
space affected by a median nerve injury
A knee extension splint can correct answer Decrease the knee flexion
contracture for a ct with a below-the-knee amputation
(Tends to flex the knee when sitting in a wheelchair)
A boney block can only be removed correct answer Surgically
What strategy might an OTR appropriately recommend to caregivers of a
client with Alzheimer's disease to assist with fall prevention? - correct
answer Engagement in activity-based interventions & daily structure
(Documented to assist in fall prevention)
The Modified Ashworth Scale is a measure of correct answer Spasticity
Trigger point evaluation is a measure of correct answer Localized soft-
tissue pain
The FIM is a measure of correct answer ADL independence
,A client with Huntington's disease presents with decreased motor planning.
What is the most effective intervention for an OTR to implement with this
cognitive impairment? - correct answer Mental imagery
(Effective strategy to improve motor abilities for clients with decreased
motor planning)
Healing of the heart muscle takes "?" weeks
MET limitations during this time? - correct answer 4 to 8 weeks
• During this time, activities are limited to the 2 to 4 MET range
• Carrying groceries upstairs requires 6 to 10 METs
Which test assesses a client's ability to visually select features that
differentiate objects? - correct answer Selective attention
• A.K.A. focal attention
• Ability to disregard irrelevant information or stimuli and attend to what is
relevant
The OTR is treating a client who presents with hemiplegia from a CVA. The
client's hand is flaccid. To fabricate a custom resting hand orthosis, in what
position should the OTR place the wrist and MCPs? - correct answer A
resting hand orthosis keeps soft tissue positioned in optimal mobility -->
Flexion of the MCPs at 45° to 60°
,25° of slight extension would maintain the wrist in a position that would not
compromise the median nerve
• MCPs at 0° of flexion would shorten the collateral ligaments and increase
potential for flexion stiffness
• Wrist positioned in flexion would compromise the median nerve
This condition can lead to heart failure and inadequate oxygenation of the
brain - correct answer Patent ductus arteriosus (PDA)
• Heart defect that is common in premature children and people with Down
syndrome
• A defect of the ductus arteriosus results in a lack of constriction --> heart
failure and inadequate oxygenation of the brain
This condition can lead to increased blood pressure and rapid heart rate -
correct answer Tachycardia
This condition can lead to difficulties with feeding and shortness of breath -
correct answer Supraventricular tachycardia
Job coaching provides correct answer Vocational evaluation to identify a
client's vocational interests and abilities along with physical and mental
tolerances for general job activities
, Functional capacity evaluation provides correct answer Information
about a client's physical abilities to complete a specific job activity
Job site evaluations assess correct answer The physical demands and
layout of a specific job setting
Prework screening is done when correct answer A client has been
offered a job
Desensitization begins with correct answer The least irritating texture in
the least sensitive area to be treated
Desensitization is best used for "?" periods of time - correct answer
Short periods (3 to 5 minutes five or six times per day
If desensitization is poorly tolerated correct answer The activity can be
combined with use of a TENS unit initially to decrease the client's
perception of pain
An OTR has been working with a client diagnosed with carpal tunnel
syndrome. The client's symptoms have diminished, but now the client
reports more pain at the elbow in the median nerve area. When a client
reports dual sites of impingement of a single nerve without a history of
trauma, what condition is MOST likely the cause? - correct answer
Double crush syndrome -->
Over time, diminished blood flow to a peripheral nerve can result in serial
impingements
Thoracic outlet syndrome involves the correct answer Shoulder region
Assessment Guide Exam Questions and Already
graded Solutions and Assured Satisfactions
2025/2026
A C bar splint can correct answer Maintain or improve the first web
space affected by a median nerve injury
A knee extension splint can correct answer Decrease the knee flexion
contracture for a ct with a below-the-knee amputation
(Tends to flex the knee when sitting in a wheelchair)
A boney block can only be removed correct answer Surgically
What strategy might an OTR appropriately recommend to caregivers of a
client with Alzheimer's disease to assist with fall prevention? - correct
answer Engagement in activity-based interventions & daily structure
(Documented to assist in fall prevention)
The Modified Ashworth Scale is a measure of correct answer Spasticity
Trigger point evaluation is a measure of correct answer Localized soft-
tissue pain
The FIM is a measure of correct answer ADL independence
,A client with Huntington's disease presents with decreased motor planning.
What is the most effective intervention for an OTR to implement with this
cognitive impairment? - correct answer Mental imagery
(Effective strategy to improve motor abilities for clients with decreased
motor planning)
Healing of the heart muscle takes "?" weeks
MET limitations during this time? - correct answer 4 to 8 weeks
• During this time, activities are limited to the 2 to 4 MET range
• Carrying groceries upstairs requires 6 to 10 METs
Which test assesses a client's ability to visually select features that
differentiate objects? - correct answer Selective attention
• A.K.A. focal attention
• Ability to disregard irrelevant information or stimuli and attend to what is
relevant
The OTR is treating a client who presents with hemiplegia from a CVA. The
client's hand is flaccid. To fabricate a custom resting hand orthosis, in what
position should the OTR place the wrist and MCPs? - correct answer A
resting hand orthosis keeps soft tissue positioned in optimal mobility -->
Flexion of the MCPs at 45° to 60°
,25° of slight extension would maintain the wrist in a position that would not
compromise the median nerve
• MCPs at 0° of flexion would shorten the collateral ligaments and increase
potential for flexion stiffness
• Wrist positioned in flexion would compromise the median nerve
This condition can lead to heart failure and inadequate oxygenation of the
brain - correct answer Patent ductus arteriosus (PDA)
• Heart defect that is common in premature children and people with Down
syndrome
• A defect of the ductus arteriosus results in a lack of constriction --> heart
failure and inadequate oxygenation of the brain
This condition can lead to increased blood pressure and rapid heart rate -
correct answer Tachycardia
This condition can lead to difficulties with feeding and shortness of breath -
correct answer Supraventricular tachycardia
Job coaching provides correct answer Vocational evaluation to identify a
client's vocational interests and abilities along with physical and mental
tolerances for general job activities
, Functional capacity evaluation provides correct answer Information
about a client's physical abilities to complete a specific job activity
Job site evaluations assess correct answer The physical demands and
layout of a specific job setting
Prework screening is done when correct answer A client has been
offered a job
Desensitization begins with correct answer The least irritating texture in
the least sensitive area to be treated
Desensitization is best used for "?" periods of time - correct answer
Short periods (3 to 5 minutes five or six times per day
If desensitization is poorly tolerated correct answer The activity can be
combined with use of a TENS unit initially to decrease the client's
perception of pain
An OTR has been working with a client diagnosed with carpal tunnel
syndrome. The client's symptoms have diminished, but now the client
reports more pain at the elbow in the median nerve area. When a client
reports dual sites of impingement of a single nerve without a history of
trauma, what condition is MOST likely the cause? - correct answer
Double crush syndrome -->
Over time, diminished blood flow to a peripheral nerve can result in serial
impingements
Thoracic outlet syndrome involves the correct answer Shoulder region
