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Final Exam Prep NBCOT OTR Questions and Answers.
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Final Exam Prep NBCOT OTR Questionsand Answers.
An OTR is working with a pediatric client that demonstrates delays in hand skills when
engaged in various play-based and community tasks. The OTR observes that the child
is unable to hold a cup in his hand with grasp control during a feeding task. Which one
BEST describes the grasping pattern that may be delayed?
A. Disk grasp
B. Pincer grasp
C. Cylindrical grasp
D. Spherical grasp -
\C
The cylindrical grasping pattern is used to hold a glass or cup
Answer A: The disk grasp is used to hold a disk shape like a lid.
Answer B: The pincer grasp used to hold and manipulate small objects.
Answer D: The spherical grasp is used to hold a ball.
An OTR is transferring a client to a wheelchair. In order to prepare the equipment
required for the transfer, which is the BEST action for the OTR to take?
A. Lock armrests in place on the wheelchair
B. Unlock brakes on the wheelchair and bed
C. Place wheelchair at an appropriate angle
]D. Install the lumbar supports prior to transfer -
\C
When transferring a client to a wheelchair, the wheelchair is placed at approximately a
0° to 30° angle to the surface the client is transferring from. The specific angle of the
wheelchair is based on the type of transfer and the ability of the client to assist in the
transfer.
A client with rheumatoid arthritis is practicing meal preparation in an outpatient OT
clinic. The client complains of pain in the hands with meal preparation. Which action is
MOST appropriate for the OT to address?
A. Use of built-up handles for stirring
B. Use of heavy bowls to prevent sliding
C. Use of thin-handled knives for chopping
D. Use of large jars with more quantities -
\A
An older adult with age-related macular degeneration has been admitted to inpatient
rehabilitation following total hip replacement. The OTR completes an evaluation and
,determines that the client has reduced contrast sensitivity. Which action is BEST for the
therapist to take?
A. Add high-contrast markers to adaptive equipment for dressing
B. Utilize low, calm lighting to decrease stress while learning dressing
C. Ensure all adaptive equipment is white to promote cleanliness -
\A
An OTR provided home-based services to a client in the recovery phase of Guillain-
Barre syndrome. The OTR encourages the client to sit during grooming tasks and also
encourages the client to maintain needed items on the counter in order to avoid bending
and reaching. Which intervention BEST describes what the therapist is using?
A. Range-of-motion and strengthening programming[ 0.0%]B. Introduction of strategies
that decrease anxiety[100.0%]C. Energy conservation and fatigue
management[ 0.0%]D. Positioning trunk and head strategies for comfort -
\C
An OTR has been working with a 7-year-old child with high-functioning autism spectrum
disorder in an outpatient clinic setting for 3 months. The child continues to have a
difficult time transitioning into the therapy gym from the waiting room. He would rather
play with the toys in the waiting room and disregards the therapist and mother's
requests to transition. What intervention is MOST effective for the therapist to use to
promote successful transitions?
A. Re-arrange seating in the waiting areas
B. Use a timer to allow the child to play with the toys for a certain amount of time and
then transition after the timer goes off
C. Work with SLP to ID and implement effective communication strategies
D. Manage the stimuli present in the clinic to prevent "flight, flight or fright" response -
\B
Timers are the most effective intervention for the therapist to use to promote successful
transitions because they provide an objective signal that something is about to occur.
Timers also operate independently of an adult once set and the occupational therapist
shows it to the child and informs him about what will happen and what will need to occur
after the timer sounds in order to make the transition happen
An OTR is working with a child in the foster system who was born prematurely. The
OTR observes that the child easily over reacts to touch, sounds, odors, and tastes. The
child also has emotional outbursts of anxiety when climbing on the playground
equipment or unpredictable surfaces. Which sensory integration problems BEST
describe what this child appears to be experiencing?
A. Under-responsiveness and poor visual perception
B. over-responsiveness and dyspraxia
C. Over-responsiveness and gravitational insecurity
D. Under-responsiveness and vestibular-bilateral problems -
\C
,After a few months of OT services in the schools, Michael can finally flip his pencil to
erase his misspelled words without dropping his pencil while writing, allowing him to
finish his work in a timely manner. What hand manipulation skill pattern does this BEST
represent?
A. Complex rotation
B. Simple rotations
C. Shifting
D. Palm-to-finger translation -
\A. Complex rotation
The hand manipulation skill of complex rotation involves rotating an object 180 to 360
degrees while the thumb and fingers alternate positions; therefore, turning the pencil
over to use the eraser is an example of complex rotation.
Answer B: Simple rotation involves rotating or turning an object held in the fingertips 90
degrees or less while the thumb is in opposition (e.g., orienting a puzzle piece in space).
Answer C: Shift is a linear movement of the object on the finger surface; the thumb
remains on the radial side of the hand, and involves moving objects across the pads of
the finger tips (e.g., spreading cards out in the hands or separating two pieces of
paper).
Answer D: Palm-to-finger translation involves moving an object from the palm to the
finger tips (e.g., putting coins in a soda machine or piggy bank).
The OTR works with a 19-month-old child with significant visual and motor impairments
in an early intervention playgroup. Which activity is MOST BENEFICIAL to increase the
child's participation in the playgroup?
A. Learning to Play an instrument
B. Playing in a sand/water table
C. Listening to stories at circle time
D. Participation in a puppet theater -
\B.
Playing in a sand/water table is the most beneficial activity to increase the child's
participation in the early intervention playgroup. Children with visual and motor
impairments benefit from a variety of movement experiences to develop body
awareness and directionality (e.g., playing with peers at the sand/water table feeling
toys). Activities involving tactile (touch) discrimination will also help children with visual
and motor impairments learn about the properties of objects needed to manipulate toys
and tools. Feeling real-life objects like sand or water also builds perceptual knowledge
needed for later communication
A OTR is working with a child with autism spectrum disorder on improving play and
ideational praxis. Which intervention is the LEAST APPROPRIATE to use with this
child?
A. Have the child help the OTR build an obstacle course
B. Take turns b/t imitating the child and child imitating you
C. Use movie characters and stories to begin to introduce pretend play
D. Provide choice boards to aid in understanding what is to be don. -
, \D.
Providing choice cards to aid in understanding of what is to be done is the least
appropriate intervention to use to improve play skills and ideational praxis for children
with autism spectrum disorder. This intervention will decrease a child's ability to play
and use ideation because it provides the answers already so that the child does not
have to generate or initiate a new response or play in a different or creative way.
An OTR is working with a 12-year-old boy who will not play on the swings or slides at
school. He also has difficulty climbing up the second-floor staircase at school and
cannot sit in the bleachers. Which choice BEST depicts this child's area of concern?
A. Tactile defensiveness
B. Gravitational insecurity
C. Dyspraxia (clumsy, difficulty sequencing complex movements)
D. Auditory processing problems -
\B.
An OTR is working in an outpatient therapy clinic with a 6-year-old child with a short
attention span who has difficulty sitting still and following directions to complete tasks in
a timely manner at home and at school. Which activity is MOST BENEFICIAL to
promote attention and task completion?
A. Picking up beans and receptively and dropping them a cap
B. Building an airport with towers, roads and planes from legos and blocks
C. Doing the wheelbarrow and walking from one room to another
D. jumping on a trampoline in a circular pattern with a peer -
\C
Wheelbarrow walking is a beneficial activity where children walk on their hands while an
adult, therapist, or peer holds their legs. This type of activity involves heavy work and
joint compression strategies through the upper extremity that can combat inattention
and provides calming sensation through the body so that a child can lower his high
arousal level to pay better attention, sit still, and follow directions more effectively after
the input is provided to the body. The other activity choices do not include this type of
strategy
An OTR is working with a school-aged child with autism spectrum disorder in his
second-grade classroom. The teacher reports that the child is continually off task, not
finishing his assignments in a timely manner, and roams the classroom frequently not
knowing what task to do next. What intervention is MOST BENEFICIAL to use to
improve behavior and task completion in this child with autism spectrum disorder?
A. Provide choices and visual schedules to ai din knowing classroom expectations
B. provide movement breaks in the classroom during the off-task behavior times
C. Alter the lighting, noise, and smells in the classroom
D. Discuss ways to use objects based on their properties -
\A.
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