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Essential NBCOT Practice Questions: Your Key To Exam Success.
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Essential NBCOT Practice Questions:Your Key To Exam Success.
A COTA® is working with a second-grade student on handwriting. The student is unable
to make firm strokes on the paper when writing, which makes the writing difficult to read.
Which intervention would be appropriate to increase this student's legibility?
A. Position the student's paper on a vertical surface
B. Provide the student with markers that have built-up shafts
C. Provide the student with a mechanical pencil
D. Allow the student to dictate answers -
\A mechanical pencil will help the student make a firmer mark on the paper without
exerting more pressure. (C)
An inpatient who had a CVA 4 weeks ago is participating in a self-care session. The
COTA® observes that the patient's shoes are very tight due to a significant increase in
lower extremity edema. The patient reports discomfort in both legs. What INITIAL action
should the COTA® take based on this information?
A. Contact the charge nurse to report the findings
B. Elevate the patient's legs for the duration of the session
C. Have the patient rotate the ankles to pump the fluid from the legs
D. Provide the patient with anti-embolism hosiery to wear -
\Increased edema in the lower extremities following a CVA may indicate a
cardiovascular complication, such as deep vein thrombosis. This medical situation
requires immediate attention from the nurse. (A)
A COTA® is explaining the purposes of therapeutic exercise and therapeutic activity to
a physician. What are the PRIMARY reasons that these interventions are used for
musculoskeletal conditions?
A. To improve function, increase strength, and prevent muscle imbalances
B. To improve function, maintain joint range of motion, and maintain strength
C. To improve coordination, maintain joint range of motion, and increase billable time in
therapy
D. To maintain strength and teach compensatory movement patterns for weak muscle
groups -
\Therapeutic exercise and activity assist the client with improving strength and function
while preventing further complications, including muscle imbalances.(A)
A COTA® is working with a client with glaucoma. Which activities might be difficult for
this client to complete? Select the 3 BEST choices.
A. Seeing at night
B. Locating an item on a shelf
C. Sorting colors
, D. Engaging in mobility
E. Reading labels
F. Searching for items -
\B, D, F: Glaucoma results in loss of peripheral vision, or visual field. When visual field
deficit occurs, the person tends to narrow the scope of visual scanning secondary to
perceptual completion, a process in which the central nervous system samples a visual
array and completes the scene on the basis of expectations of what should be in the
visual array. With peripheral vision loss and reduced visual scanning, clients with
glaucoma perceive that they are seeing everything in the visual array but may be
missing a large portion of it. A client therefore may not see or identify all the objects in
the environment but may perceive the visual array as complete. Objects that are not
initially seen in the visual scene may seem to be appearing, disappearing, and
reappearing.
An OTR®; is working in a school system with a client who has chronic behavioral
challenges that include heightened anxiety, aggression during stressful situations, and
sudden bouts of anger. The OTR decides to use affective education as a primary
intervention strategy for this client. Which approach BEST reflects affective education
training?
A. Gradually introducing stressful or feared events with role-playing before the actual
event
B. Teaching and identifying somatic clues related to uncomfortable and aggressive
emotions
C. Generating and writing down coping strategies and training in articulating these
strategies during stressful events
D. Educating the family and child about the behavioral disorder, course of treatment,
and major intervention strategies -
\Affective education includes helping children recognize their own feelings to help them
respond appropriately to stressors.(B)
A COTA® is positioning a child with quadriplegic cerebral palsy in a wheelchair. Which
device would MOST increase neck stability?
A. Lap belt
B. Abduction wedge
C. Molded head rest
D. Lateral supports -
\Some children with quadriplegic cerebral palsy have poor head control. A molded head
rest helps promote neck stability and improve head control.
(C)
A COTA® is working with a client experiencing a cumulative trauma disorder of the right
upper extremity. To document client improvement as a result of therapy, which
occupation-based statement would the COTA® be MOST likely to write?
A. Client's pain-free AROM of right elbow is now 15° to 110°.
B. Client can perform 30 repetitions of elbow flexion-extension using a 1-lb weight.
C. Client can brush teeth using the involved upper extremity without pain.
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