Exam (elaborations)
NBCOT EXAM PRACTICE TEST (ALEXIA) QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
NBCOT EXAM PRACTICE TEST (ALEXIA) QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NBCOT EXAM PRACTICE TEST
(ALEXIA) QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
AnCOTRCisCdevelopingCanCinterventionCplanCforCaC4-year-
oldCchildCwithCautismCspectrumCdisorder.CTheCchildCdemonstratesCecholaliaCandChasCfrequentCbehavioralCo
utburstsCwhenCtransitioningCfromConeCactivityCtoCanother.CACprimaryCgoalCisCforCtheCchildCtoCsuccessfullyCn
avigateCtransitions.CWhichCstrategyCwouldCbeCMOSTCBENEFICIALCtoCincludeCinCtheCinterventionCplanCtoCsup
portCprogressCtowardCthisCgoal?
a.CAnCillustratedCcommunicationCboardCtoCvisuallyCsupportCeffectiveCcomprehension
b.CACwrittenCscheduleCplacedCinCtheCchild'sCbedroomCwithCpredictableCeventsCandCroutines
C
c.CACbehaviorCmanagementCplanCwithCbuilt-inCrewardsCandCnaturalCconsequencesC-CANSWERCA
ACpatientCinCanCacuteCcareChospitalCwhoChasCrenalCdisease,Cdiabetes,CandCatrialCfibrillationCisCscheduledCtoC
participateCinCOT.CBeforeCbeginningCtheCsession,CtheCOTRCreviewsCtheCmedicalCrecordCandCfindsCtheCpatien
t'sCINRCisC2.5,CbloodCglucoseClevelCisC100Cmg/dL,CandCsodiumClevelsCareCbelowCtheCnormalCrange.CWhatCact
ionCshouldCtheCOTRCtakeCbasedConCtheseClabCvalues?
a.CAskCnursingCstaffCifCitCisCnecessaryCtoCprovideCtheCpatientCwithCaCsnackCpriorCtoCtheCstartCofCtheCtreatmen
tCsession.
b.CMonitorCtheCpatientCforCfluctuationsCinCcognitionCduringCtheCplannedCtreatmentCsession.
c.CEncourageCtheCpatientCtoCdrinkCwaterCatCregularCintervalsCthroughoutCtheCsession.
d.CMeasureCtheCpatient'sCbloodCpressureCatCrestCinCsupineCandCrepeatCafterCtheCpatientCmovesCtoCsittingCo
nCtheCedgeCofCtheCbed.C-CANSWERCb
,AC10-year-
oldCchildChasCendCstageCmetastaticCdiseaseCandCresidesCatChomeCwithCaCsingleCparentCasCtheCprimaryCcareg
iver.CAlthoughChospiceCcareCprovidersCareCenablingCtheCchildCtoCremainCatChome,
theCparentCisCconcernedCaboutCtheCchallengesCassociatedCwithCcaringCforCtheCchildCasCtheCdiseaseCprogress
es.CAfterCacknowledgingCtheCparent'sCconcern,CwhatCactionCshouldCtheCOTRCtakeCINITIALLYCinCresponseCtoC
theCparent'sCconcern?
a.CProvideCtheCparentCwithCaClistCofCprivate-payCcertifiedChomecareCagenciesCniCtheCarea.
b.CDiscussCtheCbenefitsCofCrelocatingCtheCchildCtoCaChospiceChomeCnearCtheCcurrentCresidence.
c.CTeCaCcChCrCeClCeCvCaCnCtCcCaCrCeCgCiCvCeCrCtCeCcChCnCiCqCuCeCsCaCnCdCcCoCpCiCnCgCsCtCrCaCtCeCgCiCeCsCbCaCsCeCdCoCnCtChCeC
pCaCrCeCnCtC'CsClCeCaCrCnCiCnCgCsCtCyClCeC.C-CANSWERCC
AnCOTRCisCassessingCtheCcurrentCwheelchairCseatingCsystemCofCanCadultCclientCwithCcongenitalCmuscularCdy
strophy.CTheCOTRCobservesCthatCtheCwheelchairChasCaC95°Cseat-to-backCangleCwithCaC3°-5°Cangle-in-
spaceCrecline.CWhatCisCtheCPRIMARYCeffectCofCthisCseatingCpositionConCtheCclient?
•CPelvicCinstabilityCwithCinternalCrotationCofCtheChips
•CImprovedCposturalCcontrolCwithCdecreasedCsacralCpressure
•CInefficientCwheelchairCpropulsionCwithCdecreasedClumbarCsupportC-CANSWERCB
6-year-old-
childChasCbeenCundergoingCtreatmentCforCleukemiaCforCtheCpastC2years.CTheCmostCrecentCmedicalCtestsCind
icateCtheCchildCisCnowCniCremission.CCurrently,CtheCchildCisCindependentCwith
ADLCbutCpersistentCfatigueCandCpoorCenduranceCinterfereCwithCtheCchild'sCabilityCtoCreturnCtoCschoolCforCaCf
ulCday.CWhichCtypeCofCactivityCwouldCMOSTCEFFECTIVELYCincreaseCtheCchild'sCphysicalCenduranceCforCretur
nCtoCschool?
a.CIsometricCexercisesCinvolvingClightCweightsCorCresistanceCbands
,•b.CGradedCaerobicCexercisesCsuchCasCswimmingCorCrunning
c.CAnaerobicCexercisesCsuchCasCrepetitiveCcalisthenicsCorCfunCdrillsC-CANSWERCb
AstudentCniCsecondCgradeCwhoChasCADHDCoftenCwandersCaroundCtheCroomCduringCindividualCworkCtime.CT
heCstudentCisCworkingConCstayingCseatedCthroughoutCtheCscheduledCworkCperiod.CWhichCsensory-
basedCstrategyCwouldCbeCMOSTCBENEFICIALCforCtheCOTRCtoCrecommendCtoCsupportCprogressCtowardCthisCg
oal?
•
a.CProvideChteCstudentCwithCaCdeskCchairCwithCarmrestsCandCwheels.
•
b.CPlaceCanCinflatableCdiscCcushionConCtheCstudent'sCdeskCchair.
•
c.CAllowCtheCstudentCtoCselectCaCpreferredCseatingCoptionCfromCalistCofCchoices.C-CANSWERCb
**CnotCC,CbcCtheyCmayCnotCchooseCanCappropriateCsensoryCone,CandCbCisCdirectlyCsensory
AnColderCadultCclientChadCaCCVAConeCmonthCago.CResultsCofCtheCBehavioralCInattentionCTestCindicateCtheCcli
entCscoredCbelowCstandardConCtheClineCbisectionCandCletterCcancellationCtasks.CWhatCdoCtheCresultsCofCthis
CassessmentCsuggest?
a.CBehaviorsCareCconsistentCwithCunilateralCvisualCneglect
b.CFurtherCcognitiveCperceptualCtestingCisCindicated.C
c.CInattentionCtoCdetailCwilCinfluenceCcompletionCofCdailyCtasks.C-CANSWERCa
AnCOTRCisCrecommendingCadaptiveCdressingCtechniquesCforCaC12-year-
oldCchildCwhoCwilCbeCwearingCaCMilwaukeeCcervico-thoraco-lumbo-
sacralCorthosisCforCtheCtreatmentCofCscoliosis.CTheCchildCisCambulatoryCandCwilCbeCwearingCtheCorthosisC23C
, hoursCperCday.CWhichCclothingCadaptationCwouldCbeCMOSTCBENEFICIALCtoCincludeCasCpartCofCtheCrecomme
ndation?
•
a.CReplaceCshirtCbutonsCandCzippersCwithChokCandCloopCclosures.
•
b.CPutConCaCcottonCcrewCneckCteeCshirtCbeforeCdonningCtheCorthosis.
•
c.CWearCbackCopeningCtunicCtopsCtoCprovideCasCmuchCcoverageCoverCtheCorthosisCasCpossible.C-CANSWERCb
AnColderCadultCclientChadCaCCVAConeCmonthCago.CResultsCofCtheCBehavioralCInattentionCTestCindicateCtheCcli
entCscoredCbelowCstandardConCtheClineCbisectionCandCletterCcancellationCtasks.CWhatCdoCtheCresultsCofCthis
CassessmentCsuggest?
a.CBehaviorsCareCconsistentCwithCunilateralCvisualCneglect.
b.CFurtherCcognitiveCperceptualCtestingCisCindicated.C
c.CInattentionCtoCdetailCwilCinfluenceCcompletionCofCdailyCtasks.C-CANSWERCa
ACyoungCadultCpatientCwhoCisCinCanCacuteCrehabilitationCfacilityCrecentlyCsustainedCaCfrontalClobeCTBICandCs
ubarachnoidChemorrhage.CTheCpatientCsiCcurrentlyCfunctioningCatCLevelCVIC(Confused,CAppropriate)ConCthe
CrevisedCRanchoCLosCAmigosCscaleCofCcognitiveCfunctioning.CTheCpatientCisCaCfull-
timeCcollegeCstudentCandClivesCinCanCapartmentCwithCfriends.CTheCdischargeCplanCisCforCtheCpatientCtoCretur
nChomeCtoCliveCwithCbothCparents,CwhoCwillCprovideCcaregiverCassistance.
ScenarioCitemC1ofC4
WhichCperformance-
basedCactivitiesCwouldCbeCbeneficialCforCtheCOTRCtoCaskCtheCpatientCtoCcompleteCtoCprovideCinformationCa
boutCtheCpatient'sCprocessCskills?
a.CPreparingCaCfavoriteCcoldCsnackCandCbeverage
b.CMakingCaCgroceryClistCtoCbuyCingredientsCforCaCcookieCrecipe