NBCOT Practice Test / Revised Questions and Answers / Sure A+
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Course
NBCOT
Institution
NBCOT
A 15 month old child with motor delays is able to get into a sitting postition, but does not pull up to
standing. Which developemental milestone is the OTR MOST LIKELY to emphasize next? -
Creeping - The Developmental Frame of Reference suggests that once a child has achieved the
developmental s...
NBCOT Practice Test / Revised
Questions and Answers / Sure A+
A 15 month old child with motor delays is able to get into a sitting postition, but does not pull up to
standing. Which developemental milestone is the OTR MOST LIKELY to emphasize next? -
Creeping - The Developmental Frame of Reference suggests that once a child has achieved the
developmental skill of sitting, the next skill to achieve is creeping.
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? - Pulling up a jacket zipper would be the next dressing skill the child should learn.
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 a child learn to do NEXT based on the typical developmental sequence for dressing?
- Pulling up a jacket zipper
A child with ADHD also exhibits perceptual deficits. What activity would be MOST effective intervention
to train visual attention? - Blowing cotton balls at a target because child with ADHD have
difficulty with sustained attention and effort and blowing cottons balls at a target is a short-term activity
with immediate reward for successful completion rather than delayed gratification
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? - Increasing the amount
of time an isometric contraction is held
A client uses a wheelchair and is independent in transfers and basic ADL. With continued OT
intervention he is expected to function independently in the community. The MOST appropriate
community living option for him, at this time, would be a: - transitional living center
A client who has motor deficits secondary to the onset of
Huntington's disease is participating in OT. One of the client's
,goals is to be independent with dressing. Which intervention
activity is BEST to include as part of the initial intervention
plan? - Educate the client and caregivers about methods for adapting the fasteners on the client's
clothing. HD is a progressive neurodegenerative disorder. Symptoms
include choreo-athetoid movements and alterations in behavior and cognitive functions. A client in the
early stages would benefit most from learning techniques to compensate for motor deficits.
A COTA and OTR have worked together the past 5 years. What is the supervisory process at this level? -
A mutual process
A preschool child with spastic cerebral palsy uses "bunny hopping" for functional mobility during an OT
evaluation. This indicates that a primitive reflex pattern is being used for mobility. What reflex is most
likely being used? - Symmetric Tonic Neck Reflex: Because it assists the child in a quadruped
position. It provides bilateral arm extension and hip flexion with the head raised (and bilateral arm
flexion and hip extension when the head is lowered), which can be used to move forward.
A preschooler with a dx of developmental delay is very withdrawn and passive. While working on toilet
skills, the child reaches out for a toothbrush and starts to brush her hair with it. The OT recognizes the
primary importance of this behavior as: - indicating initiative and beginning task-directed
behavior. Because the child is so withdrawn, any spontaneous action should be seen as a positive sign. It
is very important to encourage the child in independent exploratory behavior in order to develop task
competence and become less withdrawn.
A pt has been referred to OT after open heart surgery and a period of prolonged bedrest. After the pt is
able to tolerate sitting at the edge of the bed unsupported, the NEXT activity to OT should introduce is: -
walking at 1mph (based on MET levels)
A pt with Guillain Barre is expected to stay in hospital 3-4 weeks. When should the OT practitioner order
adaptive equipment? - Just before discharge to accurately determine the pt's needs
A resident in a long-term care facility has severe attention span deficits that impair the ability to
participate in self-feeding. The OT is most likely to recommend what method? - hand-over-hand
assistance
, A toddler has feeding difficulties because of deficient oral-motor control and oral defensiveness but the
parents want him to be able to eat cut up meats and veggies. The OT tells the parents the child can start
eating these foods when their child is able to tolerate what? - Dry cereals with milk.
According to SI frame of reference, tx is most effective when: - a child directs his or her actions
within an environment structured by an OTR that provides the just-right challenge. The child's skills and
abilities are facilitated in an environment where the child is directing their participation in activities
ACMRDD - Accredation Council for services for the Mentally Retarded and other Developmentally
Disabled Persons
ACOTE - responsible for accreditation of OT education standards in support of the practice
standards set forth by the AOTA
Adult Day Programs - rehab oriented day programs in the community. Not residential.
After a total hip replacement how does the pt perform a passenger side car transfer? - Back up
the body to the passenger seat, hold onto a stable section of the car, extend the involved leg, and slowly
sit in the car.
agoraphobia - a morbid fear of open spaces (as fear of being caught alone in some public place)
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? - 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? - Variation in voice quality or loss of
voice after swallowing, which is a symptom of dysphagia.
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