NBCOT Practice Questions, NBCOT,
NBCOT Exam 2023-2024 ACTUAL EXAM
AND CORRECT DETAILED ANSWERS WITH
RATIONALES
Entry into the early intervention system begins with which of the following?
A. Screening for developmental delay
B. Individualized Family Service Plan
C. Screening for family environmental risk factors
D. Individualized Education Plan (IEP) - ✔✔ANSWER✔✔->>>>>>>>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 - ✔✔ANSWER✔✔->>>>>>>>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 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
B. Therapists from each discipline
C. Reimbursing agency
D. Parents - ✔✔ANSWER✔✔->>>>>>>>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 - ✔✔ANSWER✔✔->>>>>>>>C. Children with known
chromosomal, structural, or metabolic defects are classified as having 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
B. Gravitational insecurity
C. Underresponsiveness
D. Aversion to movement - ✔✔ANSWER✔✔->>>>>>>>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 - ✔✔ANSWER✔✔->>>>>>>>C. The Peabody
assesses a child's abilities with gross and fine motor skills. (Occupational Therapy
for Children by Case-Smith)
, 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
D. Fine motor manipulation - ✔✔ANSWER✔✔->>>>>>>>B. Persons with long-
standing diabetes frequently have increased incidences of other conditions, such
as peripheral neuropathies. Therefore, a sensory evaluation is necessary to
determine if sensation is 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 - ✔✔ANSWER✔✔->>>>>>>>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 sample. When a norm-referenced test is administered, the
performance of the child being tested is compared to the normative sample.
(Occupational Therapy for Children by Case-Smith)
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