- CORRECT ANSWER: - 2026 Exam 400 Questions with 100% Verified Corr...

NBCOT Practice Questions Latest Update 2025- 2026 Exam 400 Questions with 100% Verified Correct Answers Guaranteed A+

- CORRECT ANSWER:

-monoplegia -hemiplegia -paraplegia -quadriplegia -diplegia - CORRECT ANSWER: -monoplegia: one extremity

-hemiplegia: upper & lower extremity on same side

-paraplegia: lower extremities

-quadriplegia: all extremities

-diplegia: less UE involvement, greater LE involvement

-spoon use in children, what age?

-straw use - CORRECT ANSWER: -12-18 months

-18 months

-Standard narrow wheelchair measurements -Regular w/c measurements -Slim adult standard chair -Junior standard chair - CORRECT ANSWER: -16" wide x 16" deep x 20" high -18" wide x 16" deep x 20" high -14" wide x 16" deep x 20" high -16" wide x 16" deep x 18.5" high

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• A school district's supervising OTR receives a phone call from an irate parent of a

middle school student whose individualized education plan (IEP) includes OT twice a week. The student did not receive OT for 3 weeks because one of the district's OTR was out with work-related injury. What is the OTR best option?

• Ensure that OT services are provided to this child, because it is included in the child's

IEP

• Put the child on a waiting list while the therapist is out
• Reduce the frequency of OT visits to once a week while the therapist is out
• Discharge the child from OT because the parent is difficult to deal with - CORRECT

ANSWER: a. Ensure that OT services are provided to this child, because it is included in the child's IEP

• An OTR in a home health setting is working with a client in the kitchen and hears a

heated argument between the client's spouse and one of the client's children in the next room. The client begins to cry, indicating that the arguing is causing stress.

• Confront the people in the next room
• Call the medical social worker and report the incident
• Drive the client to a shelter
• Try to resolve the conflict - CORRECT ANSWER: b. Call the medical social worker

and report the incident

• An OTR is working to establish a therapeutic relationship with a client in a skilled

nursing facility. Which consideration is the MOST important in establishing an effective relationship?

• The OTR has the power to determine the goals
• The client is an informed equal in the relationship
• The OTR is solely responsible for any positive outcomes
• The client is expected to follow the OTR advice - CORRECT ANSWER: b. The client

is an informed equal in the relationship

• The director of OT services for a large metropolitan home health agency is

conducting a supervisory visit and notices the OTR is writing progress notes on a 2 / 4

persona electronic tablet. OT is excited about using tablet and shares with the director that it saves a great deal of time. Most appropriate response from director?

• Applaud the OT for using technology efficiently
• Develop a policy prohibiting the use of personal electronic tablets for note writing
• Ask the OT to describe the use of electronic recording to the other OT at the agency
• Ask home health clients for their opinions regarding electronic record keeping -

CORRECT ANSWER: b. Develop a policy prohibiting the use of personal electronic

tablets for note writing

• When an OTR or COTA completes documentation, which of the following actions is

MOST in compliance with HIPAA regulations for maintaining patient privacy and confidentiality?

• Positioning computer screens and patient charts out of others' view
• Collaborating with other therapist in the OTR discipline
• Maintaining electronic client documents

d. Keeping hard-copy record in a central area - CORRECT ANSWER: a. Positioning

computer screens and patient charts out of others' view

• Which of the following statements about OT FW is accurate?
• a health care professional other than an OTR can supervise OT students on Level I

FW

• payers are not able to regulate the supervision of OT students
• initial suggested supervision for level II OT student is indirect

d. An OT or COTA can supervise a level II OT FW student - CORRECT ANSWER: a. a

health care professional other than an OTR can supervise OT students on Level I FW

10 year old has poor directionality skills secondary to a learning disability. This results in difficulty reading. Which activity would most effectively address this aspect of spatial vision?

• Follow verbal instructions to crawl through a maze while blindfolded
• Locating pictures of specific objects in a hidden pictures coloring book 3 / 4

• Participating in a timed virtual reality memory game on the computer
• Playing computer based games that require scanning objects at various speeds -

CORRECT ANSWER: Locating pictures of specific objects in a hidden pictures coloring book or Playing computer based games that require scanning objects at various speeds

10 year old has poor directionality skills secondary to a learning disability. This results in difficulty reading. Which activity would most effectively address this aspect of spatial vision?

• Follow verbal instructions to crawl through a maze while blindfolded
• Locating pictures of specific objects in a hidden pictures coloring book
• Participating in a timed virtual reality memory game on the computer
• Playing computer based games that require scanning objects at various speeds -

CORRECT ANSWER: Locating pictures of specific objects in a hidden pictures coloring book or Playing computer based games that require scanning objects at various speeds

• A generalist OTR is working with a teenage with developmental disabilityies who

hopes to acquire a driver's license. Which intervention MOST appropriately addresses this clients' community mobility needs?

• Training to improve the client's comprehension of travel rules tested in the licensing

process

• Practice in driving skills in the OTR's vehicle in the school parking lot
• Practice in handwriting skills to improve the client's communication about driving skills
• Use of cognitive-behavioral therapy to address the client's beliefs about the ability to

drive - CORRECT ANSWER: a. Training to improve the client's comprehension of travel rules tested in the licensing process

• An OTR works with elderly clients with low vision. A client with macular degeneration

is referred after substantial symptom progression and loss of vision. The client's spouse states that for the past 3 months, the client has uncharacteristically refused to participate in social activities, is frequently irritable and uncommunicative, and is unwilling to perform personal care or routine risks.

• Consider exporing assisted living alternatives
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