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NBCOT 2024 (WITH RATIONALES) VERIFIED QUESTIONS AND ANSWERS
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A patient in the early stages of amyotrophic lateral sclerosis (ALS) presents with weakness in the thenar eminence. During which ADL task would the evaluating OTR® MOST LIKELY observe the effect on function? A. Transferring from the bed to the bedside commode B. Taking a sip from a glass of wa...

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  • August 4, 2024
  • 81
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nbcot 2024
  • nbcot
  • nbcot 2024 with rationales verified questions an
  • nbcot 2024 with rationales verified questions an

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  • NBCOT
  • NBCOT

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NBCOT 2024 (WITH RATIONALES) VERIFIED
QUESTIONS AND ANSWERS
A patient in the early stages of amyotrophic lateral sclerosis (ALS) presents
with weakness in the thenar eminence. During which ADL task would the
evaluating OTR® MOST LIKELY observe the effect on function?



A. Transferring from the bed to the bedside commode

B. Taking a sip from a glass of water

C. Reaching overhead to don a T-shirt

D. Squeezing toothpaste onto a toothbrush - CORRECT ANSWER D



Typical early signs of ALS are distal, with weakness of the small muscles of
the hand being the most typical initial symptom. The muscles that make up
the thenar eminence are responsible for opposition of the thumb. Squeezing
toothpaste and holding a toothbrush require grasp-and-pinch patterns that
involve thumb opposition.



Neurological: Which of the following methods is INCORRECT when working
with a TBI patient with a Rancho Level IV?



A. Work in a quiet environment with minimal distracters

B. Maintain a predictable daily structure and routine

,NBCOT 2024 (WITH RATIONALES) VERIFIED
QUESTIONS AND ANSWERS
C. Be calm and confident in your approach with the patient

D. Maintain the activity despite agitation from patient - CORRECT
ANSWER D



During this stage of recovery, we want to decrease the pt's agitation by
attempting to normalize the environrment and providing consistency and
predicability that counters their confusion. If a pt becomes agitated or
restless during an activity, change the activity or move to another
environment.



Pediatrics: Prone is often the position of choice for which of following:



A. Infant with contractures

B. Agitated, arching infant

C. Infant with newly repaired abdominal defect

D. To promote midline orientation - CORRECT ANSWER



Neurological: What does a score of 9 mean on the Glasgow Coma Scale?



A. Minor brain injury

,NBCOT 2024 (WITH RATIONALES) VERIFIED
QUESTIONS AND ANSWERS
B. Moderate brain injury

C. Severe brain injury

D. Fully conscious - CORRECT ANSWER



Management & Evidence: When arriving to an elderly patient's home who
lives with her daughter and son-in-law for a treatment session, the OTL/R
notices that the patient's glasses are broken and the patient has new bruises
on her forearms around her wrists. The OTL/R asks the patient once the son-
in-law leaves the room what happened and the patient reports that the son-
in-law has been physically abusing her for the past two weeks. What is the
most appropriate action the OTL/R should take?



A. Contact supervisor to report suspicious elderly abuse and suggest that
Adult Protective Services get involved

B. Continue with treatment session and see if abuse continued until next
session

C. Call the local police station to report suspicious elderly abuse

D. Explain to the son-in-law the allegations and get his side of the story
before doing anything - CORRECT ANSWER

, NBCOT 2024 (WITH RATIONALES) VERIFIED
QUESTIONS AND ANSWERS
General Rehab: When completing a home evaluation, what would be the most
important suggestion to the patient to prevent falls:



A. Teach energy conservation techniques

B. Order appropriate adaptive devices and train safe us

C. Remove throw rugs from floors

D. Arrange furniture for easy maneuverability - CORRECT ANSWER



An OTR® completes a work tolerance screening with a worker at a
manufacturing plant. What should be included in the documentation?



A. Weight limits for various job tasks

B. Worker's reported desire to remain in the job

C. Worker's ability to perform ADLs

D. Financial issues the worker experiences - CORRECT ANSWER A



Work tolerance screenings identify limitations in the worker's ability to meet
the activity demands of essential job functions, such as weights, distances,
forces, angles, repetitions, and tools.

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