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NBCOT 2025/2026 EXAM With Questions and Answers with Certified Solutions, Exams of Occupational therapy

Pensacola School of Massage Therapy & Health CareersOccupational therapy

A 5-year-old child who has mild developmental delay is learning to self-dress. Most recently, the child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From the dressing tasks listed, which should the child learn to do next based on the typical development sequence for dressing? - Pulling up a jacket zipper would be the next dressing skill the child should learn. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What care coordination task should the OTR complete FIRST? - Coordinate with the multi-disciplinary team to identify specific feeding and swallowing objectives.

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NBCOT 2025/2026 EXAM With Questions and
Answers with Certified Solutions
A 5-year-old child who has mild developmental delay is learning to self-dress. Most
recently, the child has mastered putting on and taking off a coat, as well as buttoning
and unbuttoning it. From the dressing tasks listed, which should the child learn to do
next based on the typical development sequence for dressing?
- Pulling up a jacket zipper would be the next dressing skill the child should learn.
An entry level OTR who works in a long-term care facility is screening a resident
who has ALS and uses a wheelchair. The resident's UE functional strength is Trace
(1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in
the facility dining room but is embarrassed about frequently dropping assistive eating
devices and having several incidences of coughing while eating. What care
coordination task should the OTR complete FIRST?
- Coordinate with the multi-disciplinary team to identify specific feeding and
swallowing objectives.
An entry level OTR who works in a long-term care facility is screening a resident
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Partial preview of the text

Download NBCOT 2025/2026 EXAM With Questions and Answers with Certified Solutions and more Exams Occupational therapy in PDF only on Docsity!

NBCOT 2025/2026 EXAM With Questions and

Answers with Certified Solutions

A 5-year-old child who has mild developmental delay is learning to self-dress. Most recently, the child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From the dressing tasks listed, which should the child learn to do next based on the typical development sequence for dressing?

  • Pulling up a jacket zipper would be the next dressing skill the child should learn. An entry level OTR who works in a long-term care facility is screening a resident who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What care coordination task should the OTR complete FIRST?
  • Coordinate with the multi-disciplinary team to identify specific feeding and swallowing objectives. An entry level OTR who works in a long-term care facility is screening a resident

who has ALS and uses a wheelchair. The resident's UE functional strength is Trace (1/5) on the left and Poor Minus (2-/5) on the right. The resident wants to eat meals in the facility dining room but is embarrassed about frequently dropping assistive eating devices and having several incidences of coughing while eating. What symptom is the resident most at risk for experiencing during a meal?

  • Variation in voice quality or loss of voice after swallowing, which is a symptom of dysphagia. Which factor is MOST IMPORTANT to determine when considering if the resident would benefit from a mobile arm support?
  • Amount of upper extremity passive joint mobility At a minimum, what information should the OTR document to increase the likelihood of additional authorized visits?
  • Functional problem statements indicating the need for skilled services How should the OTR respond to the client's concerns about splinting?
  • Encourage full participation in daily tasks by collaborating on ways to modify typical daily activities

Manual of official Documents of the AOTA. NBCOT

  • Responsible for issues related to certification and certification renewal ACOTE
  • responsible for accreditation of OT education standards in support of the practice standards set forth by the AOTA Negligible Correlation
  • 0 -. low correlation
  • .2 -. moderate correlation
  • .4 -. high correlation
  • .6 -. .8 - 1.0 - very high correlation Constructional Apraxia
  • have difficulty constructing/assembling objects A client has Poor minus (2-/5) functional strength of the dominant UE. What is the most effective method for grading an activity to improve the client's muscular

strength?

  • Increasing the amount of time an isometric contraction is held What is the PRIMARY purpose for completing a dysphagia screening for an inpatient who had a right CVA several days ago?
  • To observe the patient's oral motor control and determine a need for further evaluation. A screening is not used for diagnostics or treatment planning - it allows the OTR to quickly detect the presence of a deficit and determine if an in-depth evaluation is needed. An OTR is preparing to interview an outpatient who has a TBI and is functioning at Rancho Level VII. What charcteristic of an individual's cognitive behavioral function is typically included in the description of this level?
  • Consistent orientation to time and space. Patients at this level frequently display robot-like behaviors and require minimal assistance for routine ADL. Cognitive Behavioral Therapy
  • The individual can change their behavior by first challenging their negative assumptions (cognitions) relating to trigger events. If a client presents with a boutonniere type deformity, what is the most likely cause?
  • Rupture or lengthening of the central slip of the EDC Rupture of the flexor digitorum superficialis tendon or lengthening of the lateral slips

accusation. Therapists are required by law to report any situation where abuse is suspected. Documentation occurs after all information is obtained from the individual. More information is needed before any action is taken. According to SI frame of reference, tx is most effective when:

  • a child directs his or her actions within an environment structured by an OTR that provides the just-right challenge. The child's skills and abilities are facilitated in an environment where the child is directing their participation in activities An individual who is referred to OT to increase socialization and develop leisure skills sits alone, despite the active involvement of the other group members. To increase the individual's involvement in the group, the OTR's MOST APPROPRIATE FIRST action would be to
  • review the goals and purpose of the group with the individual. In order for the individual to become involved in a group process, the group norms and expectations must first be explained to the client. The BEST position in which to feed an 8 - month old with severe hypotonia is
  • semireclined with the neck in neutral and head at midline. This will promote correct alignment of body parts during feeding and requires minimal active muscular control An individual has difficulty conceptualizing and organizing future events, and is experiencing decreased feelings of competence. The BEST treatment intervention is

to have the individual:

  • prioritize short term goals with a high chance of success. Feelings of competence are enhanced by successful progression toward achievable goals A 15 month old child with motor delays is able to get into a sitting postition, but does not pull up to standing. Which developemental milestone is the OTR MOST LIKELY to emphasize next?
  • Creeping - The Developmental Frame of Reference suggests that once a child has achieved the developmental skill of sitting, the next skill to achieve is creeping. Before recommending purchase of adapted switches for a 3 year old with severe cerebral palsy, the OTR must FIRST:
  • determine goals - considering how a new piece of equipment will fit into a person's occupational roles should be the first consideration for identifying equipment needs When positioning an individual with flaccid hemiparesis in a wheelchair, an OTR using NDT would place the affected arm in:
  • a supported position, with the scapula protracted and the arm forward to inhibit abnormal patterns of movement and inhibit synergistic posturing and help to maintain scapular mobility for normal movement patterns An OTR is working on pencil grasp with an 8 yr old. The child consistently uses a palmer grasp. The MOST EFFECTIVE activity to facilitate the development of a
  • will have the following movements: elbow flexion, forearm supination, shoulder external rotation, should abduction to 90 degrees. What technique helps to normalize tone and prevent sensory feedback in a pt who had a CVA with resulting hypertonicity?
  • weight bearing/joint compression is an inhibitory technique described in both Rood's and Bobath's theories The parents of a 6 month old who has mild spasticity have been instructed in a positioning program for home. The BEST way to assess the effectiveness of the intervention program is to:
  • have the parents demonstrate correct positioning Based on a child's performance, a school-based OTR believes that program modifications in the IEP are needed. The first course of action the OT should take should be to:
  • Prepare a summary of the additional needs for the multidisciplinary team Based upon the initial evaluation results of a patient with a brain tumor, independence in upper body dressing is established as a short-term goal. After 2 weeks of treatment the patient is not progressing as quickly as expected. The FIRST thing the OTR should do is:
  • contact the physician to discuss the patient's progress. It may be appropriate to

modify the patient's plan but the OTR should FIRST discuss this with the physician An OTR emplyed by a multi-state entertainment theme park corporation can FIRST enhance the corporation's awareness of their role in assuring parks accessibility and ADA compliance by:

  • identifying barriers which inhibit customer use. Determine occupational needs of the organization. The first step of the process would be to identify the needs and issues surrounding parks accessibility and ADA compliance. An OTR working in a long-term care facility is asked to recommend seating approaches for the residents in the dining program. The BEST approach to meet the needs of the entire group would be to:
  • assess the resident's needs and strengths. Determine occupational needs of the program. When does Asymmetric Tonic Neck Reflex disappear?
  • 4 months When does the stepping reflex disappear?
  • 2 months When does palmar grasp reflex (spontaneous grasp of adult fingers) disappear?
  • 3 - 4 months When can a child lift self by arms when prone?
  • To prevent food secretion from entering the larynx below the level of the vocal chords A client who has motor deficits secondary to the onset of Huntington's disease is participating in OT. One of the client's goals is to be independent with dressing. Which intervention activity is BEST to include as part of the initial intervention plan?
  • Educate the client and caregivers about methods for adapting the fasteners on the client's clothing. HD is a progressive neurodegenerative disorder. Symptoms include choreo-athetoid movements and alterations in behavior and cognitive functions. A client in the early stages would benefit most from learning techniques to compensate for motor deficits. A 5-year-old child who has mild developmental delay is learning to self-dress. Most recently, the child has mastered putting on and taking off a coat, as well as buttoning and unbuttoning it. From the dressing tasks listed, which should a child learn to do NEXT based on the typical developmental sequence for dressing?
  • Pulling up a jacket zipper Minimum width of a hall for a wheelchair - 36 in Minimum clear width for a wheelchair is ______ nches for a door. - 32 If wheel chair ramp changes direction the minimum size of the landing is: - 5' by 5' Wheel chair hand rail height - 33" to 36"

Standard wheelchair width - 24 - 27" Phase I Cardiac Rehab - Acute care

  • 3 - 5 day hospital stay for uncomplicated MI
  • initiate activity once stable for 24hrs
  • low intensity (2-3 METs) progressing to 3-5 METs by discharge
  • lifting restricted for 6 wks
  • monitored low level physical activity
  • self-care
  • reinforcement of cardiac & post-surgical precautions
  • energy conservation education
  • graded activity Phase II Cardiac Rehab
  • Pt. is out of the hospital and goes to a rehab center. Target HR during rehab is 10bpm below the rate of ischemic change. Subacute (outpatient) rehab; most payers allow 36 visits (3x/wk for 12 wks); for pts at risk for arrhythmias or angina that benefit from ECG monitoring; 30-60 min session with warm up and cool down; gradually weaned to self-monitoring; exit point is 9 METS (5 METS for most daily activities); strength training after 3 wks of rehab, 5 wks post-MI, or 8wks postCABG; elastic bands or 1-3 lb weights, to mod loads of 12-15 reps