COTA Purple Book Simulation Exam 1:
1-50
A)age appropriate. -
\1. In assessing the dressing skills of a 5-year-old child, the COTA observes that the
child is able to put on a jacket, zip the zipper, and tie a knot in the draw string, but
needs verbal cueing to tie a bow. The COTA would MOST likely determine that the
child's dressing skills are: A)age appropriate. B)delayed. C)advanced. D)limited.
A)Thumb against the tip of the index finger -
\2. In administering an assessment of fingertip pinch strength, the OT practitioner would
instruct the individual being tested to place their fingers in which position? A)Thumb
against the tip of the index finger B)Thumb against the side of the index finger C)Thumb
against the tips of the index and middle fingers D)Thumb against the tips of all the
fingers at once
A)assist with skill development in the areas of leisure, self-expression, and ADLs. -
\3. The OT treatment approach that will MOST likely meet the overall needs
experienced by individuals with substance abuse problems is to: A)assist with skill
development in the areas of leisure, self-expression, and ADLs. B)educate the family
members about making safety modifications to the kitchen area. C)encourage
Alcoholics Anonymous (AA) involvement, address personal appearance, and issues of
loss. D)make aftercare arrangements for vocational counseling and AA; provide time
management education for self-care activities.
A)a developmental delay -
\4. A COTA observes that a 10-month-old child is able to sit alone by propping himself
forward on his arms, but consistently loses his balance when reaching for a toy. This
behavior MOST likely indicates: A)a developmental delay. B)unintegrated primitive
reflexes. C)normal development. D)advanced development.
C)Tip -
\5.An individual demonstrates the ability to pick up a penny from a flat surface. This
represents which of the following prehension patterns? A)Lateral B)Palmar C)Tip
D)Three-jaw chuck
C) ask the questions as they are stated on the interview sheet. -
\6.When conducting a structured interview, it is MOST important for the OT practitioner
to: A)rephrase the interview questions in his or her own words. B)ask questions that he
or she thinks are pertinent to this patient. C)ask the questions as they are stated on the
interview sheet. D)ask additional questions (other than those listed) to gain further
insight into the patient.
, C)At age level -
\7. A 3-year-old child demonstrates the ability to use the toilet independently except for
wiping and readjusting clothing afterward. This behavior indicates the child is performing
at which of the following levels? A)Significantly below age level B)Slightly below age
level C)At age level D)Above age level
D)endurance. -
\8.The COTA is observing dressing skills in an individual with COPD. While putting on
his shirt, the individual becomes short of breath and stops to rest before finishing with
the shirt and going on to his trousers. This behavior MOST likely indicates a deficit in:
A)postural control. B)muscle tone. C)strength. D)endurance.
D)distractibility. -
\9.An individual with the goal of increasing attention span is frequently observed
watching the person next to her instead of performing her assigned task. This behavior
MOST likely indicates a problem with: A)memory. B)spatial operations. C)generalization
of learning. D)distractibility.
D)determine the need for further evaluation. -
\10.In screening a child who has been referred to occupational therapy, the PRIMARY
goal of the OT practitioner is to: A)obtain necessary information for an occupational
therapy consultation with teachers or parents. B)test a wide variety of developmental
behaviors. C)establish an information base for the occupational therapy treatment plan.
D)determine the need for further evaluation.
C)visual agnosia. -
\11. A COTA is working with an individual who is unable to name or demonstrate the
use of common household objects. This behavior MOST likely indicates: A)apraxia.
B)stereognosis. C)visual agnosia. D)alexia.
C)provide a summary of observations of the patient's behavior, including what the
patient said and did during the interview. -
\12.When reporting data collected to the OTR, it is MOST important for the COTA to:
A)observe everything the patient said and did during the interview and provide
extensive notes for the OTR to read. B)provide the OTR with a comprehensive
treatment plan based on the results of the evaluation. C)provide a summary of
observations of the patient's behavior, including what the patient said and did during the
interview. D)provide an interpretation of how the patient behaved during the interview.
A)ADHD. -
\13.A child is observed grabbing toys from others, becoming easily frustrated, and
unable to sit still. This behavior MOST likely indicates: A)ADHD. B)mood disorder,
manic episode. C)conduct disorder. D)anxiety disorder.
B)left unilateral neglect. -
1-50
A)age appropriate. -
\1. In assessing the dressing skills of a 5-year-old child, the COTA observes that the
child is able to put on a jacket, zip the zipper, and tie a knot in the draw string, but
needs verbal cueing to tie a bow. The COTA would MOST likely determine that the
child's dressing skills are: A)age appropriate. B)delayed. C)advanced. D)limited.
A)Thumb against the tip of the index finger -
\2. In administering an assessment of fingertip pinch strength, the OT practitioner would
instruct the individual being tested to place their fingers in which position? A)Thumb
against the tip of the index finger B)Thumb against the side of the index finger C)Thumb
against the tips of the index and middle fingers D)Thumb against the tips of all the
fingers at once
A)assist with skill development in the areas of leisure, self-expression, and ADLs. -
\3. The OT treatment approach that will MOST likely meet the overall needs
experienced by individuals with substance abuse problems is to: A)assist with skill
development in the areas of leisure, self-expression, and ADLs. B)educate the family
members about making safety modifications to the kitchen area. C)encourage
Alcoholics Anonymous (AA) involvement, address personal appearance, and issues of
loss. D)make aftercare arrangements for vocational counseling and AA; provide time
management education for self-care activities.
A)a developmental delay -
\4. A COTA observes that a 10-month-old child is able to sit alone by propping himself
forward on his arms, but consistently loses his balance when reaching for a toy. This
behavior MOST likely indicates: A)a developmental delay. B)unintegrated primitive
reflexes. C)normal development. D)advanced development.
C)Tip -
\5.An individual demonstrates the ability to pick up a penny from a flat surface. This
represents which of the following prehension patterns? A)Lateral B)Palmar C)Tip
D)Three-jaw chuck
C) ask the questions as they are stated on the interview sheet. -
\6.When conducting a structured interview, it is MOST important for the OT practitioner
to: A)rephrase the interview questions in his or her own words. B)ask questions that he
or she thinks are pertinent to this patient. C)ask the questions as they are stated on the
interview sheet. D)ask additional questions (other than those listed) to gain further
insight into the patient.
, C)At age level -
\7. A 3-year-old child demonstrates the ability to use the toilet independently except for
wiping and readjusting clothing afterward. This behavior indicates the child is performing
at which of the following levels? A)Significantly below age level B)Slightly below age
level C)At age level D)Above age level
D)endurance. -
\8.The COTA is observing dressing skills in an individual with COPD. While putting on
his shirt, the individual becomes short of breath and stops to rest before finishing with
the shirt and going on to his trousers. This behavior MOST likely indicates a deficit in:
A)postural control. B)muscle tone. C)strength. D)endurance.
D)distractibility. -
\9.An individual with the goal of increasing attention span is frequently observed
watching the person next to her instead of performing her assigned task. This behavior
MOST likely indicates a problem with: A)memory. B)spatial operations. C)generalization
of learning. D)distractibility.
D)determine the need for further evaluation. -
\10.In screening a child who has been referred to occupational therapy, the PRIMARY
goal of the OT practitioner is to: A)obtain necessary information for an occupational
therapy consultation with teachers or parents. B)test a wide variety of developmental
behaviors. C)establish an information base for the occupational therapy treatment plan.
D)determine the need for further evaluation.
C)visual agnosia. -
\11. A COTA is working with an individual who is unable to name or demonstrate the
use of common household objects. This behavior MOST likely indicates: A)apraxia.
B)stereognosis. C)visual agnosia. D)alexia.
C)provide a summary of observations of the patient's behavior, including what the
patient said and did during the interview. -
\12.When reporting data collected to the OTR, it is MOST important for the COTA to:
A)observe everything the patient said and did during the interview and provide
extensive notes for the OTR to read. B)provide the OTR with a comprehensive
treatment plan based on the results of the evaluation. C)provide a summary of
observations of the patient's behavior, including what the patient said and did during the
interview. D)provide an interpretation of how the patient behaved during the interview.
A)ADHD. -
\13.A child is observed grabbing toys from others, becoming easily frustrated, and
unable to sit still. This behavior MOST likely indicates: A)ADHD. B)mood disorder,
manic episode. C)conduct disorder. D)anxiety disorder.
B)left unilateral neglect. -
