NBCOT Weekly Prep Questions

An OTR who works in home health setting is evaluating a client who has cirrhosis of the liver and substance use disorder. The client requires moderate assistance for ADL due to generalized weakness and fatigue. The client has ascites, lower extremity edema, and multiple hematomas on the body in various stages of healing. Which intervention is CONTRAINDICATED for this client?

An OTR who works in hospital setting walks into a patients room and notices the patient lying on the floor face down near the bed with a portable urinal nearby. The OTR immediately calls for assistance and attends to the patient. After the patient is brought to safety and the physician has been informed, the OTR prepares to complete an incident report. Which option presents the information the OTR should include when completing the incident report for the patient?

An OTR is selection a cognitive strategy for a client who has mild Alzheimer's disease and has difficulty sorting laundry into dark- and light-colored clothing piles. One of the client's goals is to independently complete laundry. Which intervention strategy would be most beneficial for the OTR to teach the client to support progress toward this goal?

An OTR is evaluating a preschool student who has cerebral palsy. During free play time, the OTR observes that when the student is placed on an incline wedge in a prone position, the student reflexively has an overall increase in flexor tone. Which persistent primitive reflex is interfering with the student's participation in play time when placed into a prone position?

An OTR is evaluating an adult client who has schizophrenia, depression, and generalized anxiety disorder. the client lives with parents and several members of the extended family who assist the client with decision-making due to the client's impulsive behavior and poor insight. Which assessment method is MOST EFFECTIVE for the OTR to initially include the information gathering process when completing a comprehensive evaluation with this client?

An OTR plans to collect data from an initial evaluation to measure the progress of an inpatient who recently had a severe traumatic brain injury. The patient is disoriented, has poor metacognition, frequently yells obscenities, and is focused on basic bodily needs. Which of the following options contains the BEST set of assessments the OTR should administer to the patient at this stage of recovery?

An OTR is using a top-down approach to select interventions for a 3-year-old-child who has cerebral palsy, low vision, and a developmental delay. One of the intervention goals is for the child to self-feed using a spoon. Which action is MOST BENEFICIAL for the OTR to take as part of the child’s intervention plan when using this approach?

An inpatient who is recovering from open heart surgery is following sternal precautions and is preparing for discharge from the hospital to home. The patient is above average in height and tells the OTR that the bathroom at home has a standard-height toilet. Currently, the patient is independent in functional mobility, but lower extremity weakness makes it difficult to squat down to sit on a toilet and return to a standing position. Which adaptive equipment should the OTR recommend for this patient?

Which symptoms associated with a diagnosis of histrionic personality disorder would typically have the MOST influence on a client's functional performance?

A patient had a myocardial infarction 2 days ago and is participating in Phase I of cardiac rehabilitation. Which of the following activities is CONTRAINDICATED for a patient to do during this phase of rehabilitation?

An inpatient in an acute care hospital had a small bowel resection 4 days ago. The patient has an in-dwelling catheter, several intravenous lines, and a nasogastric tube. During an ADL session, the patient washes the upper body in a sitting position on the edge of the bed. The OTR measures the patient’s vital signs and notes the oxygen saturation level is 89%, blood pressure is 86/55 mmHg, and heart rate is 90 bpm. Based on this information, what is the NEXT action the OTR should take?

An entry-level OTR works in a long-term care facility and is screening a new resident who has amyotrophic lateral sclerosis and uses a wheelchair. The resident’s upper extremity functional strength is Trace (1/5) on the left and Poor (2/5) on the right. The resident wants to eat meals in the facility dining room but frequently drops assistive eating devices and has several incidences of coughing while eating. What care coordination task should the OTR complete FIRST based on the results of the screening?

An OTR is selecting a wheelchair seating system for a child who has scoliosis secondary to spina bifida. Which feature should be considered FIRST for achieving optimal functional seating?

An OTR has completed an initial evaluation of an 18-month-old child who has hypotonicity. The child’s mother reports the child does not crawl and resists being placed in a hands and knees crawling position. During the evaluation, the child is able to maintain head control, roll, and sit unsupported for several minutes. After the OTR places the child in a crawling position, the child is able to maintain the position for about 30 seconds. The child does not spontaneously initiate locomotion. What statement accurately reflects the child’s current motor skills?

A Level II fieldwork OT student and a supervising OTR are meeting a client for the first time. The OT student greets the client by stating, "I am the occupational therapist who will be working with you." The supervising OTR immediately informs the client that the student is completing a fieldwork rotation and has not yet graduated from an OT program. After the session, the OTR meets with the student to review the professional code of ethics. Which ethical principle directly relates to this situation?