NBCOT Exam Study Questions and Answers Graded A 2024
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Iontophoresis - the process by which medications are induced through the skin into the body by means of continuous direct current
An OTR is removing electrodes from a client who has just received iontophoresis. Within several minutes of removing the electrodes, what should the OTR do to the skin...
NBCOT Exam Study Questions and Answers Graded A 2024 Iontophoresis - the process by which medications are induced through the skin into the body by means of continuous direct current An OTR is removing electrodes from a client who has just received iontophoresis. Within several minutes of removing the electrodes, what should the OTR do to the skin surface that came in contact with the electrodes? - Wipe the area with an alcohol pad. Brachial plexus posterior cord injury - gives rise to the radial nerve.... SOAP Note - SUBJECTIVE OBJECTIVE ASSESSMENT PLAN How to determine premature baby's adjusted age - Subtract the number of weeks premature from the chronological age A wrist extension splint with a low -profile dynamic MCP joint extension outrigger would be MOST BENEFICIAL for a patient with which of the following conditions? - High radial nerve axonotmesis * Low: wrist extension is maintained * High: loss of wrist extension Grading of peripheral nerve damage - 1)Neurapraxia (mildest): no structural loss, temporary paralysis 2) Axonotmesis: axons disrupted, neves likely ot recover 3) Neurotmesis (most severe): neural tube severed, permanent injuries without repair An inpatient who has an L1 spinal cord injury is preparing for discharge from a rehabilitation unit to home. The patient's home has a wheelchair -accessible bathroom with a bathtub that has a wall -mounted showerhead and shower curtains. Which home modificat ion should the OTR recommend for this patient? - Use a tub -transfer bench for getting into and out of the bathtub. During a feeding evaluation, an OTR notes that a 4 -year-old child who has a developmental delay spits out most food, has a hyperactive gag reflex, and prefers foods that have a soft texture. To improve feeding skills, what should be the INITIAL focus of th e intervention program? - (X) Reducing the gag reflex A 6-year-old child who has Down syndrome has been participating in OT to promote visual -motor integration. Standardized tests of visual attention indicate the child scored - 1.0 standard deviations from the norm. Based on the hierarchy of visual -skills development, which client factors should be addressed NEXT? - Visual discrimination A client had a tendon repair of the flexor pollicis longus in the dominant hand 12 weeks ago. Which of the following activities would be MOST BENEFICIAL for maximizing pull -
through of the involved tendon during this phase of recovery? - Pressing buttons on a handheld game controller An inpatient with a T8 spinal cord injury uses a wheelchair for mobility and lives in a federally subsidized housing community apartment. After completing a home health evaluation, the OTR reports that several minor modifications are needed to ensure the individual's functional independence. According to ADA, who is legally responsible to ensure completion of the required modifications? - Federal housing authorities An OTR is working with a student in high school who has cerebral palsy with mild spastic hemiplegia, moderate dysarthria, and age -appropriate cognition. The student reports that the teacher typically erases notes from the blackboard before the student is able to copy critical information for tests and quizzes. Which type of assistive technology is MOST EFFECTIVE for promoting the student's success with this task? - (X) Electronic notebook with voice recognition software and a tracking ball mouse A client who is recovering from a radial head fracture is participating in OT. During an intervention session, the OTR applied ice to the injured area for 20 minutes. How long does the client continue to benefit from the analgesic effect of the ice when en gaging in functional intervention activities? - Approximately 30 minutes after removal of the ic An OTR is designing a research study to evaluate the effects of a leisure -time management group on the life satisfaction of individuals who have Parkinson's disease. What is the BEST way to obtain quantifiable data? - Administering activity checklists pre- and post -group A client who had a distal radius fracture 8 weeks ago continues to have moderate edema and generalized hand stiffness. The client is a homemaker and wants to resume homemaking tasks as soon as possible. Which of the following activities would be MOST BENEF ICIAL for the client to do at home prior to beginning daily ROM exercises? - (X) Wash dishes by hand in water that is approximately 100°F (37.8°C) An OTR working in a large rehabilitation facility plans to have an OT student accompany the OTR on a client home assessment. The OT student has a full scheduled caseload. What action should be taken to cover the OT student's caseload at the facility while attending the home visit? - Reschedule client sessions to occur before or after the home assessment An individual who has macular degeneration is participating in OT. During a home evaluation in the individual's kitchen, the OTR observes that the individual rummages through kitchen drawers looking for utensils, turns on cabinet -mounted lights to see
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