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NBCOT Practice Questions

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NBCOT Practice Questions With All Correct Answers 2023 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 ...

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  • March 28, 2023
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  • 2022/2023
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NBCOT Practice Questions With All
Correct Answers 2023
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 the child learn to do next based on the typical development sequence
for dressing? Ans- Pulling up a jacket zipper would be the next dressing skill the child should learn.



An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a
wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the
right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently
dropping assistive eating devices and having several incidences of coughing while eating. What care
coordination task should the OTR complete FIRST? Ans- Coordinate with the multi-disciplinary team to
identify specific feeding and swallowing objectives.



An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a
wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the
right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently
dropping assistive eating devices and having several incidences of coughing while eating. What symptom
is the resident most at risk for experiencing during a meal? Ans- Variation in voice quality or loss of voice
after swallowing, which is a symptom of dysphagia.



Which factor is MOST IMPORTANT to determine when considering if the resident would benefit from a
mobile arm support? Ans- Amount of upper extremity passive joint mobility



At a minimum, what information should the OTR document to increase the likelihood of additional
authorized visits? Ans- Functional problem statements indicating the need for skilled services



How should the OTR respond to the client's concerns about splinting? Ans- Encourage full participation
in daily tasks by collaborating on ways to modify typical daily activities



Your patient had a CVA several weeks ago. Which task oriented approach would be most beneficial to
include as part of the intervention plan for maximizing the client's physical abilities? Ans- Constraint-
induced movement therapy is a task-oriented approach to motor acquisition.

,For a patient who had a CVA several weeks ago, which type of activity should be included as part of the
INITIAL intervention to REMEDIATE the client's motor impairment? Ans- Weight bearing through the
affected upper extremity prior to an activity



Which assessment should be included as part of the initial evaluation and can be administered by the
COTA? Ans- COPM



What is contraindicated during phase I of cardiac rehab? Ans- Isometric exercises can cause a rapid and
sudden increase in blood pressure



AOTA Ans- Publishes Standards of Practice for Occupational Therapy and the Reference Manual of
official Documents of the AOTA.



NBCOT Ans- Responsible for issues related to certification and certification renewal



ACOTE Ans- responsible for accreditation of OT education standards in support of the practice standards
set forth by the AOTA



Negligible Correlation Ans- 0 - .2



low correlation Ans- .2 - .4



moderate correlation Ans- .4 - .6



high correlation Ans- .6 - .8



.8 - 1.0 Ans- very high correlation



Constructional Apraxia Ans- have difficulty constructing/assembling objects

, A client has Poor minus (2-/5) functional strength of the dominant UE. What is the most effective
method for grading an activity to improve the client's muscular strength? Ans- Increasing the amount of
time an isometric contraction is held



What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a right
CVA several days ago? Ans- To observe the patient's oral motor control and determine a need for
further evaluation. A screening is not used for diagnostics or treatment planning - it allows the OTR to
quickly detect the presence of a deficit and determine if an in-depth evaluation is needed.



An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho Level VII.
What charcteristic of an individual's cognitive behavioral function is typically included in the description
of this level? Ans- Consistent orientation to time and space. Patients at this level frequently display
robot-like behaviors and require minimal assistance for routine ADL.



Cognitive Behavioral Therapy Ans- The individual can change their behavior by first challenging their
negative assumptions (cognitions) relating to trigger events.



If a client presents with a boutonniere type deformity, what is the most likely cause? Ans- Rupture or
lengthening of the central slip of the EDC



Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips of the EDC may
result in... Ans- swan neck deformity



An OTR who receives a referral for a 5 yr old with PDD should first gather background information on
the child by: Ans- discussing the child's history with the caregiver to identify the child's present level of
performance in different occupational roles



When considering the readiness of a client for a power wheelchair, the OTR should primarily be
concerned with Ans- Cognitive ability, to ensure that the individual has the awareness, problem solving,
and decision making capabilities to learn how to consistently and safely operate the chair



agoraphobia Ans- a morbid fear of open spaces (as fear of being caught alone in some public place)

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