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PRACTICE COTA NBCOT QUESTIONS & ANSWERS
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PRACTICE COTA NBCOT QUESTIONS & ANSWERS
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PRACTICE COTA NBCOT QUESTIONS & ANSWERSUpon evaluation, the occupational therapist determined that a person has hypesthesia
in the mid-palmar region and the terminal phalanges of the thumb, index, and middle
fingers and decreased strength in thumb opposition. Which is the best INITIAL
intervention for the OTA to use to prepare the client for engagement in occupational
tasks? - answer- A. hot packs
B. Passive ROM
C. Immobilization with a resting splint
D. Nerve and tendon gliding exercises
A client with a CVA and resulting right homonymous hemianopsia is admitted to an
outpatient facility. Which is the best initial arrangement for the call button and telephone
in the clients home? - answer- A.Bedside table to the clients right
B.Bedside table to the clients left
C.Tray table placed at the foot of the bed
D. Shelf to the right of the client at eye level
A client is performing a meal preparation activity in standing.The client complains of
severe pain in the left calf. The therapist observes that the calf is swollen and cyanotic.
Which should the therapist do first? - answer- A.Apply moist heat and wrap the
extremity with an elastic wrap.
B. Have the client complete the activity while sitting
C.Have the client sit for a few minutes, stand again, and then call the physician to report
the clients response.
D. Return the client to a seated position and notify the physician immediately.
An individual experiences a tonic-clonic seizure during a treatment session in a crowded
clinic. What should the OTA do FIRST? - answer- A. Remove nearby objects that might
injure the individual.
B. Call the physician immediately
C. Place a soft object between the individuals teeth.
D. Place the individual in the side-lying position.
An individual recieving services in an outpatient rehab program discloses to the OTA
being recently diagnosed as HIV positive. What is the OTA's best response to this
situation? - answer- A.Inform rehab staff of the new diagnosis
B. Initiate standard precautions
C.Continue treatment according to the intervention plan
D. Reassign pregnant staff members.
An OTA provides intervention for a 5 year old with incomplete spina bifida at the T10
level. The focus of this intervention should be to develop which functional skill? -
answer- A.Donning a button front shirt
B. Communicating via an electronic device
C. Playing age appropriate activities
, D.Self feeding finger foods
An OTA treats a child with severe spastic cerebral palsy and cleft palate to improve
feeding and swallowing slow. The Childs positioning includes hips flexed at 90 degrees.
To facilitate normal swallowing and prevent aspiration. How should the OTA set up the
tray table & position the Childs head? - answer- A.Table at elbow height & head slightly
tipped up
B.Table at elbow height and chin tucked downward
C. Table at chest height & chin tucked downward
D. Table at chest height and head slightly tipped up
A child has excessive tone of the back extensors. The OTA provides intervention to
decrease tone and increase co-contraction. How should the OTA be positioned and
what action should the OTA take when working with the child on a therapy ball? -
answer- A.Stand behind the child who is prone on the ball, and roll the ball away from
the OTA.
B. Stand behind the child who is supine on the ball and roll the ball away from OTA.
C. Face the child who is sitting on the ball and roll the ball away from the OTA.
D. Face the child who is sitting on the ball and roll the ball towards the OTA.
An OTA contributes to the evaluation of a child with mild spastic hemiplegia. The child
uses a palmar grasp to pick small objects and is unable to oppose the pads of the
thumb and index finger. What grasp should be established for the child to achieve as a
short term goal? - answer- A.Radial palmar grasp
B. Inferior pincer grasp
C. Ulnar palmar grasp
D. Lateral pinch
A 3 year old who fell from a window and sustained a TBI has left spastic hemiplegia and
is dependent in all self-care skills. Prior to discharge from the hospital, what should the
OTA focus on teaching the family? - answer- A. Proper body mechanics for lifting the
child
B. Proper positioning of the child
C. Ways to encourage the child to turn to the left
D. How to access community support groups
A child with autism and self abusive behavior is a student in a classroom for children
with behavioral problems. What should the school based OTA include in the intervention
program for this student? - answer- A.Activities of daily living training
B. Cooperative games with peers
C. Self-regulation activities
An adult with Amyotrophic lateral sclerosis shows increased muscle weakness and
decreased fine motor coordination. What should OT intervention emphasize? - answer-
A.Energy conservation, adaptation, and work simplification,
B. Progressive resistive exercises, sanding on a level surface, and energy conservation.
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