NBCOT Occupational Therapy Exam Review Questions and Answers, Exams of Occupational therapy

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NBCOT National Board for Certification

of Occupational Therapy Exam Review

Questions and Answers 100% Pass |

Graded A+

David Mungai [Date] [Course title]

NBCOT National Board for

Certification of Occupational Therapy

Exam Review Questions and

Answers 100% Pass | Graded A+

The National Board of Certification in Occupational Therapy (NBCOT) has established a Code of a professional Conduct that guides the practice of occupational therapy. Which statement is consistent with the Code of Professional Conduct? - Answer>> A COTA must disclose any criminal, legal, or disciplinary matters to NBCOT within 60 days of occurence A patient has been referred to OT with a diagnosis of secondary rotator cuff impingement. The OT POC indicated that the patient should be instructed in a HEP to address the associated muscle weakness. Which muscles would MOST appropriate to address in the initial HEP? - Answer>> Supraspinatus, infraspinatus, teres major Which areas are the MOST high risk for pressure injuries for a wheelchair-bound patient who is seated in a standard manual wheelchair with footrests and cannot perform pressure-relieving techniques? - Answer>> Lateral malleolus, olecranon process, vertebral spinous process A COTA is treating a pt who is on isolation precautions due to MRSA infection in a right forearm wound. The COTA is scheduled to performed bilateral upper extremity ROM exercises with the pt at bedside. Which protective equipment is required to be worn by the COTA? - Answer>> Gloves and gown

tech isn't would be most appropriate for this client? - Answer>> Stoop A 60 y/o female with an acute exacerbation of COPD is being discharged home from the acute care hospital. Her home setup includes a combination tub shower. Her goal is to be able to shower with supervision from her husband. Which AD will she most likely require for bathing? - Answer>> Tub seat Which best describes evidence based practice in OT? - Answer>> - Tx is guided by up to date research and scientific information

• The client is actively involved in the intervention process
• The first step in implementing evidence based practice is to formulate a clinical question What type of research study provides the best source for evidence based practice? - Answer>> Systematic review Which muscles are most likely to develop contractures after a transfer oral amputation? - Answer>> Hip flexors and hip abductors The OT evaluation states that a child tested positive for gravitational insecurity. Which clinical observation most accurately describes gravitational insecurity? - Answer>> The child has difficulty lying supine on a large therapy ball while the OT tips the ball backward unexpectedly During normal development, which oral motor reflex diminishes at 2 years of age? - Answer>> Biting

Which feeding skill typically develops around 12 months of age? - Answer>> The jaw remains stable for tongue and lip movements and for control of chewing An interdisciplinary oral motor/feeding group is being planned for children with refusal-to-eat feeding issues. The COTA is planning activities for the children for the first week of the feeding group. Which tx approach WOULD NOT BE LIKELY to be successful for the children in this group during the first week? - Answer>> Encouraging the children to share their food Which self-feeding strategy would be most effective for a pt with macular degeneration? - Answer>> Turning the head to compensate for visual deficits Which condition would be a contraindication for cryotherapy? - Answer>> Raynaud's phenomenon Which condition is most likely to be treated with serial casting to address restricted ROM? - Answer>> Neurological spasticity The OT POC for a pt with cardiac precautions indicates that OT activities should not exceed the light MET level. Which therapeutic activities would this pt be allowed to perform? - Answer>> Washing dishes, knitting, putting away groceries A COTA is performing a therapeutic exercise with a pt with a complete T6 SCI in an inpatient rehabilitation setting. The patient suddenly complains of a severe headache. He is also noted to have goosebumps on his arms, and his face is flushed. What are the correct actions for the COTA to take in this situation? - Answer>> - Call for immediate medical assistance

• Look for any noxious stimulation that may be the cause of his distress

address this concern? - Answer>> Bring the concern to the quality improvement committee, brainstorm possible solutions, devise a plan for change, and monitor the outcome A pt with cognitive difficulties is participating in OT. The POC includes cognitive retraining. The OT has instructed the COTA to grade the cognitive retraining activities according to the patients progress. Which modification would be appropriate as the patients cognitive status improves? - Answer>> Alter the social demands by placing the patient in a group setting A patient has been referred to OT with a diagnosis of impaired cognitive functioning due to a recent stroke. The desired outcome of the cognitive restraining session is to promote effective reasoning and problem solving. They are working on the task of toilet transfers in a confined space. The patient performs the transfer by propelling the w/c through the bathroom door, locking the w/c brakes, and then ambulatory 5 feet to the toilet. Which step of problem solving does this scenario BEST describe? - Answer>> Executing the solution Which equipment is most appropriate for a patient with a complete C4 SCI? - Answer>> Head control devices, mouth stick, postural support devices What splint would be utilized by a client who is status post flexor tendon repair surgery? - Answer>> A flexor tendon repair splint At the time of the initial OT evaluation, a client displayed poor R shoulder extensor strength. At the reassessment, R shoulder extensor strength improved to fair +. What is the proper progression of exercise in this scenario with regard to. Liner positioning? - Answer>> Initially, exercise should be initiated in the L side-lying position then progressed to the prone side

A 60 y/o construction worker with diabetes was injured 1 month ago in a work related accident, resulting in bilateral transfemoral amputation. He has not worked since the accident and is concerned about his ability to financially support his family. Which assessment would be most appropriate to facilitate return to gainful employment for this client? - Answer>> Vocational evaluation A person automatically places his car keys in the same location everyday. Which performance pattern best describes this activity?

• Answer>> Habits Which diagnoses would most likely benefit from a thumb spica orthosis? - Answer>> Median nerve injury, rheumatoid arthritis, De Quervains tendinitis An occupational POC focuses on a clients occupation and associated performance skills.which practice approach is being utilized? - Answer>> Rehabilitation Which type of exercise is most likely to cause a sudden increase in blood pressure? - Answer>> Isometric A pt with cognitive impairments is being taught to button a shirt. The COTA initially has the patient practice on a button board then advances the patient to buttoning his own shirt. Which remedial tx approach is being utilized in this scenario? - Answer>> Transfer of learning What signs and symptoms are associated with an insulin reaction? - Answer>> Moist tongue, hunger, pale skin

Which type of w/c features rear wheel axles that are positioned two inches posterior to their normal position? - Answer>> Amputee What diagnosis would be most appropriately treated with constraint-induced movement therapy to improve upper body extremity function? - Answer>> Cerebral palsy An OTs daily note indicated that the patient is able to move and stack cones with smooth and fluid movement of the upper extremity, this is best described as an ex of what motor skill? - Answer>> Flows What skill is both motor and process skill? - Answer>> Pacing Which intervention would be contraindicated for a patient with trigger finger? - Answer>> Repetitive gripping activities A patient with deformities of the hands due to rheumatoid arthritis is being seen for OT services in the outpatient setting. Which joint protective techniques should be taught to this patient? - Answer>> - turn doorknobs by turning in the direction of the thumb

• lift plates with the palms of both hands
• move objects in the kitchen by sliding them on the countertop A patient is in an acute inpatient rehab setting due to a recent cerebrovascular accident. The COTA is having the patient push a ball on a table with both hands clasped on top of the ball. What intervention is best described by this treatment technique? - Answer>> Bilateral upper extremity integration An early intervention OT evaluated a 12-month old infant with development delay. She noted in the evaluation that the infant

currently demonstrated the developmental milestones of a 6 month old infant. Which developmental milestones would the infant most likely be able to perform? - Answer>> Voluntary suck, babbling sounds, munching pattern The COTA is teaching a parent how to facilitate in hand manipulation skills with her 9 month old infant. What prehension skill is most appropriate for this infant? - Answer>> Inferior pincer grasp The OT evaluation of a 6 y/o child indicates that the child's pencil gripping technique is consistent with the developmental age of a 3 y/o. Which pencil grip is the child most likely to display? - Answer>> Paste pieces of paper, sort by size or color, match circles triangles and squares Proper set up of a computer workstation involves which postural considerations? - Answer>> Elbows should be flexed to 90- degrees What task progression is the best example of grading of endurance? - Answer>> Progress from standing at the kitchen sink to wash the breakfast dishes to standing at the kitchen counter to prepare a complete meal Pressure areas during wrist splint fabrication can be avoided by following which guidelines? - Answer>> Proximal and distal edges of the splint should be flared Which fine motor milestone should be achieved by 3 years of age? - Answer>> Hold up fingers to tell age

Answer>> Provide the child with seamless clothes with the tags removed An adult who is participating in an OT group is being difficult and disrupting the group activity. Which re-direction techniques are most appropriate in this situation? - Answer>> - use the persons name, and ask him or her a question related to the activity

• enlist the persons help by giving him or her a responsibility
• use proximity by standing or sitting near the person What combined shoulder motions are most likely to cause an anterior dislocation of the shoulder in a patient with a Bankart lesion? - Answer>> Shoulder external rotation and abduction A patient with a diagnosis of paraplegia was noted by the OT to have a good UE strength as well as good sitting balance. The COTA is tasked with instructing the pt to dress in a seated position. What is the order for donning clothes from first to last? - Answer>> Socks, undergarments, pants, shoes, shirts A COTA is scheduled is scheduled to perform transfer training with a pt who weighs 300 lbs and is 1-day s/p R TKA with WBAT on the R LE. What intervention is most appropriate? - Answer>> Transfer training w assist of 2 people to a bariatric w/c w elevating leg rests The OT evaluation for a pt with Gillian-Barré Syndrome indicated that the pt requires total assistance for transfers. Which device should they use to transfer this pt from a bed to a w/c? - Answer>> Mechanical lift

A pt with which level of SCI and associated ASIA impairment grade is most likely to require total assistance w transfers? - Answer>> C5 ASIA A A surgeon has included continuous passive motion with a COM machine as part of the postoperative protocol for a rotator cuff repair. During the maximum protection phase of rehabilitation, which two shoulder motions should be addressed with the CPM?

• Answer>> Elevation and external rotation in the plane of the scapula What best describes the purpose of clinical documentation? - Answer>> - Continuity of care among rehab professionals
• chronological record of care
• reimbursement requirement An IEP was written for Marisa, a seventh grade student who has decreased fine and gross motor skills, impaired visual motor skills, distractibility issues, and impaired receptive and written language skills. As a result, she has difficulty completing assignments on time. What is the best IEP goal for Marissa? - Answer>> Use identified accommodations and adaptations and/or assistive technology to complete her assignments within the classroom setting in the same amount of time as her classmates at least 75% of the time. Which handling techniques should be utilized when working with a pt who exhibits UE flexor hypertonicity? - Answer>> - place your hand over the triceps on the affected UE
• perform PROM to the 1st or 5th digits of the affected UE
• place your hand in the patients affected hand from the ulnar side A COTA noted that members of an OT group worked on activities side by side with an awareness of the other group members, but

A COTA is using estim to promote wound healing on a patient, utilizing a saline-soaked gauze direct,y in the wound covered by a single use disposition electrode. Which statement is true with regard to the setup for this type of treatment? - Answer>> A large dispersive pad of the opposite polarity should be placed several inches away from the wound Which technique is most appropriate to promote swallowing in a 4 year old child? - Answer>> Encourage the child to suck on an ice pop Which activity is an example of relational play? - Answer>> Stacking blocks A COTA is working with a child who has UE strength and minimal hand movement. Which assistive technology switch would be most appropriate for this child to use? - Answer>> Plate switch Which so,isn't is most appropriate for a patient with an ulnar nerve injury? - Answer>> Anti-claw Which mental function is most challenged during meal preparation tasks? - Answer>> Attentjon Which ADL is most likely to require adaptations for a patient with a recent posterolateral THR who is on hip precautions? - Answer>> Donning socks and shoes A school administrative team has requested input from the OT and COTA regarding the purchase of new playground equipment that would be appropriate for children with physical disabilities. This is an example of which intervention approach? - Answer>> Consultation

Which hand position is characterized by flexion of the MCP joints, full extension of the IP joints, and 10-30 degrees of wrist extension? - Answer>> Safe The OT evaluation indicated that a patient displays uncontrolled, purposeless, jerking movements. Which movement pattern best describes the patients movement disorder? - Answer>> Choreiform A patient is being instructed in the concept of neutral position during simulated lifting activities. Which UE positions are a characteristic of the neutral position? - Answer>> - shoulders are positioned at ones sides

• elbows are flexed 90 degrees
• forearms are in neutral position Which action is appropriate for the treating COTA to perform for a patient who is having a seizure? - Answer>> Clear the immediate area of objects that could cause further injury Which intervention is appropriate as part of a desensitization program after a partial finger amputation? - Answer>> Stimulation of the fingertip with a variety of textures Injury to which nerve would result in the inability to flex the thumb tip and index finger tip to the palm of the hand? - Answer>> Median