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NBCOT PRACTICE 2026 PRACTICE QUESTION
SET ONE
โ A client who has had a CVA is preparing for discharge from an inpatient rehabilitation facility to home. The client is independent with BADL, and the OTR has completed a visit to the client's home. Which of the following constructs represents the ecology of human performance approach and should be reflected in the client's discharge summary? A. Recommendations for home modifications to maximize accessibility and task performance B. Exercise protocols for maintaining physical strength and cardiovascular endurance C. Current functional status and anticipated occupational performance upon return home. Answer: A. Recommendations for home modifications to maximize accessibility and task performance Quiz # โ An OTR is developing a program for clients who are scheduled to have bariatric surgery. Which of the following topics represents the effective use of an occupational science perspective for this program? A. Self-Actualization
B. Stress management C. Lifestyle redesign D. Coping with change. Answer: C. Lifestyle redesign Quiz # โ Which of the following environmental adaptations will improve safety during meal preparation for a client who has low vision? A. Installing a microwave that has reprogrammed cooking options B. Placing tactile markings on the operating knobs of all appliances C. Use large sized bowls and pots for mixing and stove top cooking. Answer: B. Placing tactile markings on the operating knobs of all appliances Quiz # โ An individual who has had a TBI and is functioning at level VII (automatic appropriate) on the Rancho Los Amigos scale is participating in OT. The individual currently has a maximum attention span of 15 minutes and is able to follow two-step commands. The individual plans to return home to resume homemaking roles. One of the individual's short-term goals is to bake cookies for a family member's upcoming birthday. How should the activity be graded to promote the successful accomplishment of this goal?
but sores on figure-ground subtests are well below the norm. Problems associated with this perceptual skill would be MOST EVIDENT during which of the following activities? A. Selecting a round bead from a bag of multi-shaped beads to complete a necklace B. Using plastic templates to trace basic geometric shapes on colored paper C. Placing tiles of the same color and shape in a straight line when making a trivet. Answer: A. Selecting a round bead from a bag of multi-shaped beads to complete a necklace Quiz # โ An OTR working in an acute rehabilitation center is asked to plan follow-up home-based services for a young adult with a complete lesion of the spinal cord at the C6 level In the transition plan, what ability is the MOST IMPORTANT for the OTR to recommend developing? A. Type independently after attendant set-up B. Groom with minimal assistance C. Dress lower extremities. Answer: C. Dress lower extremities Quiz #
โ An OTR uses a motor learning intervention approach to develop prehension patterns with a 10-year-old recovering from a brain tumor. The OTR places small toys on a table and asks the child to pick up the toys and put them into a storage box that is also on the table. The OTR uses random practice during this activity. What are the MOST APPROPRIATE types and arrangement of toys for the OTR to provide according to the motor learning approach? A. Toys of different shapes, sizes, and weights in a mixed arrangement on the table B. Toys that are exactly the same shape, size, and weight in a mixed arrangement of the table C. Toys that are exactly the same shape, size, and weight placed in a straight line on the table. Answer: A. Toys of different shapes, sizes, and weights in a mixed arrangement on the table Quiz # โ A 7-year-old with moderate cerebral palsy, athetoid type, receives OT to improve functional upper extremity use. The child sits on a bench and works on grasp and release with the left hand on the table at waist height. The child stabilizes the right arm with interval rotation, elbow locked in extension, upward rotation of the scapula, and hyperextension of the MPs. What should the therapists provide the child to facilitate effective grasp and release? A. Resistive exercises for the right shoulder strengthening B. Joint movements of the right arm in total flexion or total extension
Quiz # โ A 15-year-ol with a complete myelomenigocele at the T9 level is diagnosed with diabetes. What is the MOST LIKELY home exercise program the OTR will focus on? A. Consumer-initiated pressure relief B. Regular skin inspection performed by parent C. Upper extremity strengthening D. Bowl and bladder care. Answer: C. Upper extremity strengthening Quiz # โ An inpatient that has had a TBI is functioning at level V (confused- inappropriate) on the Rancho Los Amigos scale. Which of the following approaches would an OTR use to facilitate the patient's success during a grooming task? A. Provide repeated verbal instructions until the patient completes the task B. Use forward chaining techniques if the patient is distracted from the task C. Demonstrate a portion of the activity then ask the patient to return the demonstration
D. Give one-step instructions and hand-over-hand cueing throughout the task. Answer: D. Give one-step instructions and hand-over-hand cueing throughout the task Quiz # โ A person is diagnosed with COPD. The OTR instructs the individual on breathing exercises to use to control his respiration rate during activities. The OTR instructs the individual to inhale as if smelling roses. What is the BEST example the OTR should give when instructing the individual on how to exhale? A. As if flickering a lit candle B. As if blowing out 20 lit candles on a birthday cake C. As if blowing forcibly to relight a dying campfire D. In quick short, multiple breaths. Answer: A. As if flickering a lit candle Quiz # โ A patient is recovering from partial and full thickness burns on the dominant upper extremity has recently developed heterotypic ossification (HO) at the elbow. Prior to the onset of the HO, the patient was independent with self-feeding. now, the patient tends to use only the non-dominant hand due to symptoms associated with
โ An OTR is asked, "What is the primary emphasis of occupational therapy services?" by another health professional. What is the MOST accurate response for the OTR to give? A. An emphasis on skill acquisition B. An emphasis on compensation for deficits C. An emphasis on environmental adaptation D. An emphasis on reinforcement and enhancement of performance. Answer: D. An emphasis on reinforcement and enhancement of performance Quiz # โ A young adolescent with right hemiplegic cereal palsy demonstrates a strong flexor synergy of the hand. The child does not use the hand for grasp, pinch, or release and often maintains the thumb flexed in the palm. The orthopedic hand surgeon recommends a flexor tendon release followed by several weeks of hand therapy and splinting. The family is very anxious about surgery and they ask the OTR what to do. What is the BEST response for the therapist to make? A. Advise the family to review all the information to make an educated decision B. Recommend that the child follow the surgery presented by the doctor.
C. Suggest a pre-operative course of intensive and static and dynamic splinting. D. Encourage the family to get a second opinion.. Answer: A. Advise the family to review all the information to make an educated decision. Quiz # 2 โ A 17 year old client with a diagnosis of borderline personality disorder and a history of self-abusive behaviors attends a transitional school-to-work program conducted a COTA and an OTR. During a vocational skills group, she expresses feelings of hopelessness about her future and questions the point of participating in this program. She states she has trouble sleeping, is too tired to concentrate, and asks if she can leave the group. What is the MOST APPROPRIATE intervention for the group leaders in this case? A. Allow the client to leave the group, reminding her to relay her concerns to her psychiatrist. B. Support the validity of the client's feelings and encourage her to remain in the group. C. Pull the client aside from the group and ask her if she is feeling self-destructive .. Answer: C. Pull the client aside from the group and ask her if she is feeling self-destructive. Quiz #
โ An OT assesses a retired carpenter and war veteran who was newly admitted to an acute psychiatric unit due to an exacerbation of post-traumatic stress disorder. The individual is observed to initiate interactions with others during structured tasks but is withdrawn when not engaged in a task. What would be the BEST RECOMMENDATION for the OT to make? A. Write in a daily journal his thoughts and feelings B. Write about his experiences in unit's newspaper C. Assist another patient with a woodworking project.. Answer: C. Assist another patient with a woodworking project. Quiz # โ A patient who has flaccid hemiplegia secondary to a CVA is developing edema in the affected hand. Which method should the OTR include as part of intervention plan for INITIALLY hanging the hand edema? A. Compression wrapping B. Positional elevation C. Retrograde massage D. PROM exercises. Answer: B. Positional elevation Quiz #
โ An OTR designs a qualitative study to examine the efficacy of an after school play-based program for the development of social interaction skills. What is the MOST APPROPRIATE method of data collection for the therapist to use in this study? A. A social skills Likert-scale questionnaire completed by the parents B. The therapists' observation of the children in the classroom and during recess C. Pre- and post- intervention administration of a social skills evaluation.. Answer: B. The therapists' observation of the children in the classroom and during recess Quiz # โ A home-care OTR plans intervention for an individual with agoraphobia with panic attacks. The OTR plans to use a cognitive- behavioral approach. What is the MOST APPROPRIATE method for the therapist to use? A. Systematic desensitization B. A token reward system C. Behavioral extinction. Answer: A. Systematic desensitization Quiz #
planned activity and file an occurrence report upon return to the group home. Quiz # โ An individual with a C6 spinal cord injury has been referred to OT 2 days post-injury. Immobilized with a halo brace, the individual demonstrates fair plus wrist extension and poor minus finger flexion. Which of the following interventions should be implemented FIRST? A. Wrist support with universal cuff to promote independence. B. Wrist splints to promote development of tenodesis C. Instruction in bed mobility techniques to prevent decubiti. Answer: B. Wrist splints to promote development of tenodesis. Quiz # โ An OTR provides caregiver education to a wife of an 86 year old with Alzheimer's disease and a secondary diagnosis of left CVA. Her husband is dependent upon a wheelchair for mobility and has been deemed cognitively incompetent. The wife reports that her husband becomes restless at meal times. He consistently undoes his lap belt and tries to get up from his wheelchair. She reports feeling overwhelmed and exhausted by constantly having to tell him to sit down. Her reminders often increase his agitation and frequently
neither one eats dinner. What is the MOST APPROPRIATE recommendation for the OTR to make to advise the wife? A. Allow the husband to get up when he is restless and provide dinner at a later time. B. Use a wheelchair lap tray to serve several smaller meals at intervals throughout the day C. Use a wheelchair lap tray to serve breakfast, lunch, and dinner.. Answer: B. Use a wheelchair lap tray to serve several smaller meals at intervals throughout the day. Quiz # โ An individual is 5' 11" and is of average weight for his height. Following a recent traumatic brain injury he has flaccid hemiparesis and demonstrates poor righting and equilibrium responses in standing. What would be the MOST APPROPRIATE wheelchair for the OTR to recommend to this individual? A. Power wheelchair B. Reclining, semi-height wheelchair C. Light weight, standard size wheelchair. Answer: C. Light weight, standard size wheelchair Quiz #
โ The manager of a large OT department is planning to expand the inpatient cardiopulmonary rehabilitation program to include outpatient services. What is the MOST RELEVANT information to include in the proposal to the hospital's administrative board? A. Data on the inpatient rehabilitation program's outcomes B. Statistics on physicians referrals to the acute unit and the average inpatient length of stay C. Literature on cardiopulmonary rehabilitation across the continuum of care.. Answer: A. Data on the inpatient rehabilitation program's outcomes Quiz # โ An OTR is teaching stand-pivot transfers to a client who has Stage 2 Parkinson's disease and uses a wheelchair for mobility. After instructing the client to properly position the chair in relation to the transfer surface, and asking the client to lock the wheelchair brakes, what should the OTR ask the client to do NEXT? A. Come to standing by pushing up on the wheelchair arm rests B. Position both feet perpendicular to the transfer surface C. Scoot the hips forward to the edge of the wheelchair.. Answer: C. Scoot the hips forward to the edge of the wheelchair. Quiz #
โ A child with juvenile rheumatoid arthritis wears bilateral night resting splints with wrists in 0 degrees of extension, MPs, and IPs flexed ulnar deviation of 10 degrees, and thumbs in opposition. The child complains of pain in the wrist upon awakening. No redness is noted upon removing splints, ROM measurements how ulnar deviation of 5 degrees. What is the MOST APPROPRIATE action for the OTR to take? A. Discontinue the splints to observe the status of pain for two weeks B. Modify the night splints at the wrist C. Use volar cock-up splints during the day.. Answer: B. Modify the night splints at the wrist. โ An individual with bilateral lower extremity amputations and cataracts is newly admitted to a skilled nursing facility. The individual retains some residual vision. During the initial evaluation, how should the OTR present evaluation materials? A. To the side of the person, with no direct lighting B. Directly in front of the person, at eye level C. Directly in front of the person, at table top level. Answer: A. To the side of the person, with no direct lighting Quiz #
