NBCOT Exam Practice Test (ALEXIA) Exam Questions and Answers.
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NBCOTExam Practice Test(ALEXIA) Exam Questions
and Answers.
An OTR is developing an intervention plan for a 4-year-old child with autism spectrum
disorder. The child demonstrates echolalia and has frequent behavioral outbursts when
transitioning from one activity to another. A primary goal is f...
NBCOT Exam Practice Test (ALEXIA) Exam Questions
and Answers.
An OTR is developing an intervention plan for a 4-year-old child with autism spectrum
disorder. The child demonstrates echolalia and has frequent behavioral outbursts when
transitioning from one activity to another. A primary goal is for the child to successfully
navigate transitions. Which strategy would be MOST BENEFICIAL to include in the
intervention plan to support progress toward this goal?
a. An illustrated communication board to visually support effective comprehension
b. A written schedule placed in the child's bedroom with predictable events and routines
c. A behavior management plan with built-in rewards and natural consequences - Correct
Answer A
A patient in an acute care hospital who has renal disease, diabetes, and atrial fibrillation
is scheduled to participate in OT. Before beginning the session, the OTR reviews the
medical record and finds the patient's INR is 2.5, blood glucose level is 100 mg/dL, and
sodium levels are below the normal range. What action should the OTR take based on
these lab values?
a. Ask nursing staff if it is necessary to provide the patient with a snack prior to the start of
the treatment session.
b. Monitor the patient for fluctuations in cognition during the planned treatment session.
c. Encourage the patient to drink water at regular intervals throughout the session.
d. Measure the patient's blood pressure at rest in supine and repeat after the patient
moves to sitting on the edge of the bed. - Correct Answer b
A 10-year-old child has end stage metastatic disease and resides at home with a single
parent as the primary caregiver. Although hospice care providers are enabling the child to
remain at home,
,the parent is concerned about the challenges associated with caring for the child as the
disease progresses. After acknowledging the parent's concern, what action should the
OTR take INITIALLY in response to the parent's concern?
a. Provide the parent with a list of private-pay certified homecare agencies ni the area.
b. Discuss the benefits of relocating the child to a hospice home near the current
residence.
c. Te a c h r e l e v a n t c a r e g i v e r t e c h n i q u e s a n d c o p i n g s t r a t e g i e s b a s
e d o n t h e p a r e n t ' s l e a r n i n g s t y l e . - Correct Answer C
An OTR is assessing the current wheelchair seating system of an adult client with
congenital muscular dystrophy. The OTR observes that the wheelchair has a 95° seat-to-
back angle with a 3°-5° angle-in-space recline. What is the PRIMARY effect of this
seating position on the client?
• Pelvic instability with internal rotation of the hips
• Improved postural control with decreased sacral pressure
• Inefficient wheelchair propulsion with decreased lumbar support - Correct Answer B
6-year-old-child has been undergoing treatment for leukemia for the past 2years. The
most recent medical tests indicate the child is now ni remission. Currently, the child is
independent with
ADL but persistent fatigue and poor endurance interfere with the child's ability to return to
school for a ful day. Which type of activity would MOST EFFECTIVELY increase the
child's physical endurance for return to school?
a. Isometric exercises involving light weights or resistance bands
•b. Graded aerobic exercises such as swimming or running
c. Anaerobic exercises such as repetitive calisthenics or fun drills - Correct Answer b
,Astudent ni second grade who has ADHD often wanders around the room during
individual work time. The student is working on staying seated throughout the scheduled
work period. Which sensory-based strategy would be MOST BENEFICIAL for the OTR to
recommend to support progress toward this goal?
•
a. Provide hte student with a desk chair with armrests and wheels.
•
b. Place an inflatable disc cushion on the student's desk chair.
•
c. Allow the student to select a preferred seating option from alist of choices. - Correct
Answer b
** not C, bc they may not choose an appropriate sensory one, and b is directly sensory
An older adult client had a CVA one month ago. Results of the Behavioral Inattention Test
indicate the client scored below standard on the line bisection and letter cancellation
tasks. What do the results of this assessment suggest?
a. Behaviors are consistent with unilateral visual neglect
b. Further cognitive perceptual testing is indicated.
c. Inattention to detail wil influence completion of daily tasks. - Correct Answer a
An OTR is recommending adaptive dressing techniques for a 12-year-old child who wil
be wearing a Milwaukee cervico-thoraco-lumbo-sacral orthosis for the treatment of
scoliosis. The child is ambulatory and wil be wearing the orthosis 23 hours per day.
Which clothing adaptation would be MOST BENEFICIAL to include as part of the
recommendation?
•
a. Replace shirt butons and zippers with hok and loop closures.
•
b. Put on a cotton crew neck tee shirt before donning the orthosis.
•
c. Wear back opening tunic tops to provide as much coverage over the orthosis as
possible. - Correct Answer b
, An older adult client had a CVA one month ago. Results of the Behavioral Inattention Test
indicate the client scored below standard on the line bisection and letter cancellation
tasks. What do the results of this assessment suggest?
a. Behaviors are consistent with unilateral visual neglect.
b. Further cognitive perceptual testing is indicated.
c. Inattention to detail wil influence completion of daily tasks. - Correct Answer a
A young adult patient who is in an acute rehabilitation facility recently sustained a frontal
lobe TBI and subarachnoid hemorrhage. The patient si currently functioning at Level VI
(Confused, Appropriate) on the revised Rancho Los Amigos scale of cognitive
functioning. The patient is a full-time college student and lives in an apartment with
friends. The discharge plan is for the patient to return home to live with both parents, who
will provide caregiver assistance.
Scenario item 1of 4
Which performance-based activities would be beneficial for the OTR to ask the patient to
complete to provide information about the patient's process skills?
a. Preparing a favorite cold snack and beverage
b. Making a grocery list to buy ingredients for a cookie recipe
c. Squeezing toothpaste onto the bristles of a toothbrush
d. Gathering toiletries and items needed for showering - Correct Answer a, b, d
A young adult patient who is in an acute rehabilitation facility recently sustained a frontal
lobe BI and subarachnoid hemorrhage. The patient is currently functioning at Level VI
(Confused, Appropriate) on the revised Rancho Los Amigos scale of cognitive
functioning. The patient is a full-time college student and lives in an apartment with
friends. The discharge plan is for the patient to return home to live with both parents, who
will provide caregiver assistance.
What information would be beneficial for the OTR ot consider when developing the
patient's short-term goals?
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