COTA NBCOT Questions and Answers
As the result of an industrial accident, an individual incurred a right transradial amputation. The client is right-hand dominant. They underwent surgical revisions to their residual limb two weeks ago and now wear a limb shrinker. The occupational therapist and th...
COTA NBCOT Questions and Answers
As the result of an industrial accident, an individual incurred a right transradial
amputation. The client is right-hand dominant. They underwent surgical revisions to
their residual limb two weeks ago and now wear a limb shrinker. The occupational
therapist and the OTA collaborate to discuss the focus of the client's initial occupational
therapy evaluation. Which is best for the OTA to do during the evaluation session? -
answer Measure the client's right upper extremity residual limb length,
circumference, and sensitivity.
During an initial ADL evaluation, the OTA notes that a patient consistently spills food
due to an inability to adjust movements while cutting food and moving the food from the
plate to the mouth. When describing this behavior, which deficit should the OTA report
the patient is most likely exhibiting? - answer Motor apraxia
During a wheelchair evaluation, the client expresses concern about their ability to
continue volunteer work at a local church. The church's doorways are 31 inches wide.
The client knows (from a recent home remodeling project) that 32 inches is the
minimum width recommended for wheelchair access. After the evaluation, the OTA
reviews the client's concerns with the occupational therapist. Based on this review,
which action is the best for them to take to address the client's concerns and functional
mobility needs? - answer Order a wheelchair with wrap-around armrests for the
client
An OTA works with an adolescent with Duchenne's muscular dystrophy. The adolescent
expresses concern that they can no longer close snaps or zip zippers on jeans. Which
recommendation is best for the OTA to make to this client in response to these
expressed concerns? - answer Replace snaps and zippers with Velcro
A patient is recovering from a right total hip replacement (posterolateral incision,
cementless fixation). Which is the best type of bed-to-wheelchair transfer for the OTA to
teach the patient to use? - answer Stand-pivot transfer to the non-surgical side
An occupational therapist has been working with an older adult with Parkinson's disease
to attain and maintain their independence in desired occupations. During the last two
intervention sessions, the person has been very passive and difficult to engage. After
reviewing the client's intervention goals with them, which approach is most effective for
the therapist to use? - answer Integrate previously learned strategies into new
intervention activities related to the client's personal goals
An OTA works with a person who is recovering from the removal of a brain tumor from
the parietal lobe. The client has established a goal to resume the role of home
maintainer. Which is the most important focus for the OTA to include during intervention
,sessions focused on the development of home management skills? - answer Safety
precautions to observe when cooking and ironing
A child with attention deficit with hyperactivity disorder (ADHD) and conduct disorder
attends an after-school program that utilizes behavioral management approaches to
achieve intervention goals. Snacks are provided and occasionally used as rewards. A
parent insists that a child not be given any foods containing sugar. Which is the OTA's
best response to this request? - answer Comply with the parent's request and
discontinue providing sugary snacks
An OTA provides services for a client with a C4 spinal cord injury in a home health
setting. The client expresses concern about their skin integrity due to a recent pressure
ulcer resulting in hospitalization. Which should the OTA teach the client to do.to
preserve their skin integrity? - answer Implement an hourly schedule for pressure
relief using their tilt-in-space wheelchair.
A middle school-aged child with right upper extremity amelia attends occupational
therapy to learn how to dress independently. Which of the following is most beneficial
for the OTA to focus on during intervention? - answer Donning and doffing a variety
of shirt types of personal preference
An OTA works in a subacute rehabilitation facility. A newly admitted patient has right
hemiplegia and a right shoulder subluxation. The OTA meets with the nursing staff that
will be providing primary care to the patient. The OTA recommends that the direct care
staff position the patient in left side-lying. Which is the best bed position for the OTA to
recommend for placement of the patient's right arm? - answer Protracted, with arm
forward on a pillow and the elbow extended or slightly flexed
A person with a diagnosis of major depressive disorder is receiving acute psychiatric
treatment on an inpatient unit. The patient was recently placed on suicide precautions.
The OTA has scheduled 30-minute individual sessions in the patient's room to begin
intervention. Which is the most beneficial activity for the first intervention session? -
answer Decorating cookies to contribute to the patients' lounge
A mental health facility provides inpatient and outpatient services for a catchment area
that encompasses five counties. The occupational therapy department meets to design
a quality improvement (QI) project. The OTA will contribute to this project. Which is the
best focus for this QI project? - answer Discharge planning and the post-discharge
follow-up process
An individual is recovering from deep partial thickness burns on both upper extremities,
chest, and lower neck. The OTA provides equipment to prevent positions that can result
in contractures. Which are the most important positions for the OTA to prevent? -
answer Positions of comfort
, An individual recovering from a traumatic brain injury is assessed to be at Level VI of
the Rancho Level of Cognitive Functioning Scale. Which of the following should the
OTA use to implement intervention? - answer Simple meal preparation tasks such as
making a sandwich
An adolescent incurred a C4 spinal cord injury. During the initial session, they refuse to
speak to the OTA. The OTA supportively acknowledges the client's response. Which
action should the OTA take next? - answer Set up a chin-operated bedside
environmental control unit
An OTA works with members of a psychosocial clubhouse who have decided to
participate in the annual mental health awareness and fundraiser walk organized by the
National Alliance for Mental Illness (NAMI). The NAMI walk is 5K long and circles
around an urban park. Many clubhouse members express interest in training for the
walk by taking extended walks four times per week. Which recommendation is most
important for the OTA to make to these clients? - answer Apply sunscreen to all
exposed body
A child with mild spastic diplegia wants to participate in neighborhood activities with
peers. The family's main goal for the child is to ride a bicycle. Which bicycle is best for
the OTA to recommend? - answer A foot-propelled bicycle with hand brakes
An OTA working in an outpatient cardiac rehabilitation center collaborates with the
supervising occupational therapist to develop an intervention plan for an individual who
has entered Phase 2 of cardiac recovery. Which activity would be best for them to
include in the intervention plan? - answer Weeding a garden
A 7-year-old with complete spina bifida at the T10 level attends outpatient OT weekly.
The child's parent reports that the child is losing bladder control. The OTA notes that the
child shows a minimal decrease in strength of bilateral lower and upper extremities and
an increase in the equinovarus position of the feet. The OTA contacts the supervising
occupational therapist to report that the child's change in status may indicate which of
the following? - answer Tethered cord
An individual with mild cognitive deficits takes medications for multiple medical
conditions. The OTA works with the individual to develop the ability to safely self-
administer medications. Which equipment and/or strategy should the OTA train the
client to use? - answer Daily pill holder with time-labeled slots for each dosage
An OTA advises a parent of an 18-month-old with developmental delays on techniques
to facilitate feeding. The child has a reflexive bite. Which utensil is most beneficial for
the OTA to recommend the parent use when feeding the child? - answer Narrow,
shallow-coated spoon
An OTA collaborates with an occupational therapist to implement a program in a
domestic violence shelter. Which of the following is the most important for the OTA and
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