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NBCOT Weekly Prep Questions
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Questions in this quiz (15)
1An 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?
- AProgressive resistive exercise to increase strength and activity tolerance
- BDynamic sitting and standing balance techniques when shifting the center of gravity
- CDyspnea relief postures in a sitting position during bathing and grooming
2An 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?
- AA Patient lost balance and fell forward when standing to use a urinal at the bedside.
- BUpon walking into a room, it appeared to me that the patient had fallen on the floor.
- CThe patient was lying prone on the floor near the bed with a portable urinal close by.
3An 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?
- ACollaborate with the client to create an easy-to-remember mnemonic.
- BModify the activity and teach the client how to divide the task into several steps.
- CPost a color-coded sheet with picture examples for each category.
4An 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?
- AMoro
- BTonic labyrinthine
- CLandau
5An 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?
- AFacilitate a conversation with the client in a quiet therapy space to ensure that the client feels secure and comfortable.
- BConduct a structured interview to understand the client's participation in household and community activities
- CUse a proxy strategy to determine the client's current level of function and limitation throughout a typical day
6An 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?
- ACanadian Occupational Performance Measure (COMP) and Beck Anxiety Index (BAI)
- BThe Routine Task Inventory (RTI) and Executive Function Performance Test (EFPT)
- CRancho Lost Amigos Scale of Cognitive Functioning and the Agitated Behavior Scale (ABS)
7An 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?
- ARecommend the child sit in an adapted high chair with postural supports and ensure there is adequate task lighting.
- BFacilitate elbow flexion by tapping on the belly of the biceps and provide instructions to bend the arm.
- CGive the child an adapted eating utensil and provide hand-over-hand assistance during snack time.
8An 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?
- ACommode chair with armrests placed over the toilet during the day and near the bed at nighttime.
- BWall-mounted grab bars installed adjacent to the toilet in the bathroom.
- CRemovable, slip-resistant, raised toilet seat fastened to the bowl of the toilet.
9Which symptoms associated with a diagnosis of histrionic personality disorder would typically have the MOST influence on a client's functional performance?
- AUnusual behaviors and indifference to social interaction
- BFluctuating moods and persistent fear of rejection
- COverly dramatic reactions and attention-seeking behavior
- DIdeas of grandiosity and preoccupation with a need for success
10A 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?
- AComplete isometrics and stretching prior to lower body dressing.
- BAmbulate from the bed to the bathroom for BADL.
- CMeasure perceived exertion during personal hygiene activities.
11An 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?
- AHave the patient take 2-3 deep breaths and assist the patient to return to a supine position with the head of the bed raised to 45°.
- BActivate the emergency response team and plan to document the details of the situation in the medical record.
- CAdvise the patient to put on a nasal cannula and elevate the lower extremity on a chair for the duration of the session.
- DProceed with the intervention activity and plan to measure the patient’s vital signs at the end of the session.
12An 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?
- AAdvise the dietary staff to provide the resident with a room temperature clear liquid at every meal.
- BInform the dining staff to cut the resident’s food into small pieces and provide built-up utensils.
- CAsk the physician to write an order for an immediate video fluoroscopy and a pureed diet.
- DCollaborate with the interprofessional team to identify specific feeding and swallowing objectives.
13An 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?
- AWidth and placement of lateral trunk supports
- BType and contour of the chair seat cushion
- CPosition and stability of the pelvis in the chair
- DConfiguration and attachment of chest harness
14An 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?
- AThe child exhibits tactile hypersensitivity that impacts the child's ability to maintain postural stability.
- BThe child has decreased postural stability for completing developmentally appropriate gross motor tasks.
- CThe child has the ability to initiate transitional movement patterns and achieve developmentally appropriate locomotion.
- DThe child has the potential to develop skills for engagement in age-appropriate childhood occupations.
15A 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?
- ABeneficence
- BFidelity
- CVeracity
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- I get this from the NBCOT facebook page and record the answers that people comment, I hope this helps:)
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- Jacqui Randall
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