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NBCOT EXAM REVIEW NEWE ST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 350 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| NBCOT EXAM
2025 (BRAND NEW!!)
Which one of the four components of the adaptation process pertains to reception of sensory stimuli from internal and external environments?
- Assimilation
- Accommodation
- Association
- Differentiation - Correct Answer - A. Assimilation is the reception of
sensory stimuli from internal and external environments.Accommodation is the motor response to these stimuli. Association is the organized process of relating current sensory information with the current motor response and then relating this relationship to past responses. Differentiation is the process of identifying the specific elements in a situation that are useful and relevant to another situation to refine the responsive pattern. (Occupational Therapy for Children by Case-Smith)
A 4-year-old has been diagnosed with mental retardation. A
characteristic that is likely to occur with impaired intellectual ability is:
- Acceptable social skills
- Impairment of occupational performance areas
- Development of bizarre attachment to unusual objects 1 / 4
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- Poor eye contact - Correct Answer - B. A child diagnosed with mental
retardation will show significantly impaired intellectual ability, behavioral deficits, and impairmnet of the skills required for independence in occupational performance areas (i.e., age-appropriate play, dressing, and communication). (Occupational Therapy for Children by Case-Smith)
A 3-year-old has accidentally ingested lead while playing near ceramic tiles that the family bought to renovate their house. A system that an OT working in pediatric acute care would note to be affected by lead
poisoning would be:
- Vocal
- Circulatory
- Digestive
- Cardiac - Correct Answer - B. In lead poisoning, lead affects the
circulatory system by severely limiting the body's ability to synthesize heme, leading to the accumulation of alternate metabolites in the body and, ultimately, anemia. The most significant and irreversible damage occurs in the nervous system. Fluid builds up in the brain, and intracranial pressure can reach life-threatening levels. Cortical atrophy and lead encephalitis can lead to mental retardation, paralysis, blindness, and deafness. (Occupational Therapy for Children by Case-Smith)
A child with cerebral palsy shows significant impairment in the function of the lower extremities with mild involvement of the upper extremities.
The classification of cerebral palsy for this child would be:
- Hemiplegia
- Tetraplegia 2 / 4
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- Choreoathetosis
- Diplegia - Correct Answer - D. In diplegia, the lower extremities are
impaired significantly, with only mild involvement of the upper extremities. Hemiplegia involves the impairment of upper and lower limbs on one side of the body, and tetraplegia or quadriplegia means that all four extremities are affected. Therefore, diplegia is the possible classification of the child's condition. (Occupational Therapy for Children by Case-Smith)
A 7-year-old child is diagnosed with attention deficit hyperactivity
disorder (ADHD). An etiology for ADHD would be:
- Environmental factors
- Visual and auditory stimulation
- Food allergies and food additives
- Neurochemical imbalances - Correct Answer - D. Although
researchers are still struggling to find conclusive evidence for the etiology of ADHD, studies have demonstrated that ADHD runs in families and three genes have been found to be related to ADHD implicating genetic factors. Imaging in individuals with ADHD has shown decreased activity in the frontal parietal lobes, which inhibit impulsiveness, pointing to neurologic factors. Medications that influence neurotransmitter function are effective in treatment of ADHD, indicating neurochemical imbalances. (Occupational Therapy for Children by Case-Smith)
A 5-year-old child has been diagnosed with a pervasive disorder that affects both the neurologic and motor behavioral functions. The diagnosis that MOST closely relates to the child's condition is: 3 / 4
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- Respiratory distress syndrome
- Tourette's syndrome
- Asperger's syndrome
- Learning disabilities - Correct Answer - B. Tourette's syndrome is a
pervasive disorder that affects neurologic and motor behavioral function, especially motor tics and vocalizations. Therefore, it is likely that the child has Tourette's syndrome. (Occupational Therapy for Children by Case-Smith)
A 5-year-old child with Down syndrome shows significant loss of weight, high fever, and paleness, and is diagnosed with acute lymphoid leukemia. In which of the following phases of leukemia will he be administered chemotherapy to treat small deposits of cells that remain after remission?
- Phase I - Induction therapy
- Phase II - Central nervous system prophylaxis
- Phase III - Intensification and consolidation
- Phase IV - Maintenance or continuation therapy - Correct Answer -
- Chemotherapy is administered in Phase III - the intensification and
consolidation phase- to remove small deposits of cells that remain after remission. (Occupational Therapy for Children by Case-Smith)
A 5-year-old child presents with difficulty climbing stairs, rising from a sitting or lying position, and demonstrates progressive fatigue caused by
muscle weakness. The OT might suspect a problem with:
- Duchenne's muscular dystrophy
- Limb-girdle muscular dystrophy
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