- | P a g e
pg. 1
NBCOT COTA EXAM NEWEST 2025 TEST BANK| COMP LETE
650 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
GRADED A+| NBCOT COTA EXAM PREP 2025|| BRAND NEW!!
A COTA is teaching a client, who has rheumatoid arthritis, techniques for modifying activities that typically apply lateral pinch forces against the thumb and fingers. What is the purpose of providing this type of instruction?A.Reduce the risk of developing MCP joint ulnar drift.B.Minimize boutonnière posturing of the thumb and index finger.C.Promote dexterity and strength for fine motor control.
D.Prevent factors that cause swan-neck deformity. - Correct Answer: A
Rationale:
Rheumatoid arthritis is an autoimmune condition that may result in ulnar deviation deformities. Modifying activities that typically apply lateral pinch forces against the thumb and fingers reduces the risk of developing MCP joint ulnar drift.
A client has sensory-perceptual deficits secondary to a mild CVA. Motor skills remain intact. Which task would be BEST to ask the patient to complete when screening for tactile agnosia?A.Turning a water faucet on and off B.Picking up objects from a tabletop C.Distinguishing a key from a coin in a pocket D.Holding an eating utensil in the dominant hand - Correct Answer: C 1 / 4
- | P a g e
pg. 2
Rationale:
Tactile gnosis is the ability to recognize familiar objects by touch with vision occluded. A client with tactile agnosia would not be able to find a key in a pocket since the client would not be able to distinguish the object's characteristics without the aid of visual cues.
A young adult client has mild cognitive impairment, poor attention span, and limited frustration tolerance secondary to a TBI. One of the client's goals is to resume work in a restaurant. The COTA is gathering information to contribute to the client's initial work readiness evaluation.Which data gathering method would be BEST for the COTA to use for this purpose?A.Assess cognitive-perceptual skills using simulated job tasks.B.Administer a standardized vocational interest inventory.C.Determine the client's physical capacity for work.D.Interview the employer about the client's previous work habits. -
Correct Answer: B
Rationale:
Information gathered about the client's vocational interests should be included in the initial work readiness evaluation and used as the basis for further evaluation and intervention planning.
A patient was admitted to a rehabilitation facility due to a recent decline in function secondary to amyotrophic lateral sclerosis. One of the patient's goals is to live at home as long as possible. The COTA is gathering information about the patient to contribute to the initial discharge planning meeting. Which information would be MOST IMPORTANT to gather for this purpose? 2 / 4
- | P a g e
pg. 3 A.Current ROM and strength measurements B.Patient's vocational and leisure history C.Durable medical equipment needs for ADL
D.Assisted living option for the patient to consider - Correct Answer: C
Rationale:
Amyotrophic lateral sclerosis is a progressive degenerative neuromuscular disease. Disease progression is rapid, resulting in significant mobility deficits and eventual paralysis. Information about durable medical equipment (DME) needs for the home environment is MOST IMPORTANT given the patient's goal to live at home as long as possible.
A client who had a CVA several months ago is baking cookies during an OT session. The client uses the correct amount of dough for each cookie but places the dough only on the right side of the cookie sheet before stating the pan is ready to be placed in the oven. Which sensory processing deficit could be attributed to this behavior?A.Homonymous hemianopsia B.Diminished depth perception C.Figure-ground neglect
D.Right-left disorientation - Correct Answer: A
Rationale:
Homonymous hemianopsia is a visual field impairment involving both eyes where the client only sees either to the right or left of midline.
- / 4
- | P a g e
pg. 4 Which of the following options represent a social risk factor that is associated with a high rate of patient readmission to an acute care hospital within 30 days of discharge?Select the three BEST responses.A.Preference for solitary activities B.Limited leisure interests C.Low socioeconomic status D.Inadequate support network E.Living alone
F.Scattered work history - Correct Answers: C,D,E
Rationale:
These risk factors are associated with readmission to the hospital and should be considered discharge planning to influence the patient's overall outcome from occupational therapy intervention.
The risk of which medical complications can be reduced through early mobilization of patients who have a spinal cord injury?Select the three BEST responses.A.Deep vein thrombosis B.Urinary retention C.Autonomic dysreflexia D.Skin breakdown E.Joint contractures
F.Lower extremity hypertrophy - Correct Answers: A,D,E
Rationale:
- / 4