NCTRC NEWEST ACTUAL EXAM AND
PRACTICE EXAM QUESTIONS AND
DETAILED CORRECT ANSWERS
(VERIFIED ANSWERS) 2025
STUDYGUIDE | A+ GRADE
A 67 year old client was admitted to a rehabilitation center
with a diagnosis of cerebrovascular accident (CVA) that
affected her right side and speech. The client is a retired
executive who had played golf and bridge several times a
week. She is now able to walk 200 feet with a cane. She
also has good receptive skills. Which of the following are
the MOST appropriate factors to assess prior to the
client's resumption of golf?
a. balance, coordination, and endurance
b. auditory deficits, upper extremity range of motion, and
health history
c. grip strength, forearm strength, and verbal expression
d. attention span, verbal expression, and cognitive
sequencing Correct Answer a. balance, coordination, and
endurance
A CTRS asks a client to remember three items (dog,
pencil, book). The CTRS states the three items and asks
the client to repeat them. After a 5-minute conversation
with the client, the CTRS asks the client to repeat the
three items. Which of the following domains is the CTRS
assessing?
,a. affective
b. social
c. cultural
d. cognitive Correct Answer d. cognitive
Which of the following is a functional skills assessment
that is used to determine the social skills of clients with
development disabilities?
a. leisurescope plus
b. FOX
c. leisure attitude measurement
d. state technical institute's leisure assessment process
Correct Answer b. FOX
unlike special recreation, therapeutic recreation is
characterized by
a. qualified recreation staff
b. variety in programming
c. individualized treatment planning
d. program evaluation Correct Answer c. individualized
treatment planning
Which of the following would be an effective way to
change someone's negative attitude about people with
disabilities?
a. encourage the person to positively interact with and
build relationships with people with disabilities
b. assist the person in a role-play scenario, such as using
a wheelchair for an hour to experience what it is like to
have a disability
,c. encourage the person to do research on common
disabilities in order to understand people with disabilities
d. refer the person to media examples of people with
disabilities in books, movies or television shows Correct
Answer a. encourage the person to positively interact and
build relationships with people with disabilities
Which of the following professional activities can a CTRS
earn continuing education fours for recertification with
NCTRC?
a. presenting an orientatin session to new employees at
the certificant's agency
b. attending first aid, CPR and AED training in classes
c. writing a newsletter article for a professional therapeutic
recreation publication
d. presenting a session seven years ago for a professional
therapeutic recreation conference Correct Answer c.
writing a newsletter article for a professional therapeutic
recreation publication
Injury to which of the following areas of the spinal cord
would MOST likely result in quadriplegia?
a. cervical
b. throacic
c. lumbar
d. sacral Correct Answer a. cervical
All of the following are behavioral approaches used within
therapeutic recreation EXCEPT
a. assertiveness training
b. progressive relaxation
, c. reminiscence therapy
d. social skills training Correct Answer c. reminiscence
therapy
If a client has difficulty communicating expressively during
an assessment, a CTRS can use all of the following ways
to gather information EXCEPT
a. structured interview
b. survey
c. observation
d. chart review Correct Answer a. structured interview
In order to improve overall competence in providing
treatment, which of the following is imortant for a
supervisor to focus on when providing clinical supervision
to a CTRS?
a. skills and knowledge in providing interventions
b. articulation of treatment strategies in term meetings
c. consistency in following policies and procedures
d. client's reports of satisfaction with interventions Correct
Answer a. skills and knowledge in providing interventions
An assessment of a client with developmental disabilities
reveals that the client has a flat affect and periodic crying
episodes. In which domain should the CTRS develop
treatment goals?
a. social
b. physical
c. affective
d. cognitive Correct Answer c. affective
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