NBCOT NEWEST EXAM ACTUAL EXAM
AND PRACTICE EXAM 2025 QUESTIONS
AND DETAILED CORREC ANSWERS
WITH RATIONALES
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 Correct 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.
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 Correct 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.
During an evaluation, the OT must determine a child's
exact chronological age. The child was born on March 6,
2003 and the testing date is July 12, 2006. The child's
chronological age is:
A. 4 years, 6 months, 5 days
B. 3 years, 2 months, 6 days
C. 4 years, 5 months, 6 days
D. 3 years, 4 months, 6 days Correct Answer D. The day,
month, and year of the child's birth date is subtracted from
the date of testing. (Occupational Therapy for Children by
Case-Smith)
An OT has to calculate the corrected age for a child that
was born prematurely. The child had a due date of
September 20, 2005 and their birth date was June 12,
2005. The child was born 3 months, 8 days premature and
is currently 1 year, 1 month, 25 days old. The therapist
determines the corrected age is:
A. 10 months, 17 days
B. 12 months, 2 days
C. 9 months, 8 days
D. 7 months, 10 days Correct Answer A. Corrected age is
used for children who were born prematurely to "correct"
,for the number of weeks they were born before the due
date. Generally the age is corrected until the child turns 2
years old. Many practitioners consider 36 to 37 weeks and
above to be full-term gestation. Children with a gestation
period of 36 weeks and above do not receive a corrected
age. Subtract the birth date from the due date to yield the
exact measurement of prematurity, and to calculate the
corrected age, subtract the amount of prematurity from the
chronological age.
A 3-year-old child has been referred for early intervention.
In the discussion about intervention with the family, the
team should be sure to:
A. Use lay terminology to describe the early intervention
process
B. Explain conditions in detailed technical and medical
terms
C. Discourage parents asking questions
D. Ignore parents' feedback and ideas on intervention
Correct Answer A. The team dealing with the case should
use lay terminology to describe the early intervention
process and repeat information to make sure that the
parents understand. They should also welcome parental
feedback and incorporate the parents' ideas into a
suggested activity. Professionals should encourage
parents to ask questions and repeat information when
necessary. Because the language used by health care
professionals is often technical and medically related,
families can easily misunderstand its meaning. OTs and
other team members must make a concerted effort to use
, lay terminology to describe function, rather than
neurophysiologic components.
A 6-year-old is interested in learning to roller skate.
However, after the initial few minutes of practice the child
does not continue with it and appears to lack the will to
follow up what was started. This behavior is typical of Erik
Eriksson's psychosocial development stage that deals
with:
A. Basic trust versus mistrust stage
B. Autonomy versus doubt and shame stage
C. Self-identity versus role diffusion stage
D. Security versus instability Correct Answer B. This stage
is characterized by holding on and letting go and is
exemplified by the crisis that occurs through the toilet-
training process. This stage brings independent movement
away from the parents, enabling the child to explore the
environment. Parents must provide opportunities for the
child to make choices and develop a sense of self-
controlled will.
Which one of the four components of the adaptation
process pertains to reception of sensory stimuli from
internal and external environments?
A. Assimilation
B. Accommodation
C. Association
D. Differentiation Correct Answer A. Assimilation is the
reception of sensory stimuli from internal and external
environments. Accommodation is the motor response to
these stimuli. Association is the organized process of
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