NBCOT QUESTIONS WITH ALL

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NBCOT QUESTIONS WITH ALL

CORRECT ANSWER S, GRADED A+

Question : 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?

• Proceed with the intervention activity and plan to

measure the patient's vital signs at the end of the session.

• Have 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°.

• Advise the patient to put on a nasal cannula and

elevate the lower extremity on a chair for the duration of the session.

• Activate the emergency response team and plan to

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CORRECT ANSWER : B. Have 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°.

Question : A school-based OTR is providing

transportation recommendations for a student in middle school who has autism spectrum disorder and gravitational insecurity. The student frequently makes loud noises and repetitively rocks forward in the seat when the bus is in motion. Which recommendation is MOST BENEFICIAL for the OTR to provide for this student?

• Ensure that a three-point seatbelt is available on the

bus for the student and cover the belt buckle with the student's outer clothing.

• Have the student sit next to the window with a peer

seated on the aisle side and encourage the student to place both feet on the floor of the bus.

• Provide the student with a social story highlighting the

daily bus routine and ask the student to wear noise- canceling headphones.

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CORRECT ANSWER : B Rationale: The least restrictive recommendations to maintain safety are to place the student near the window and to have a peer provide a natural barrier. For a student with gravitational insecurity, using a grounding technique, such as ensuring the student's feet are firmly on the floor of the bus, can help orient the student and decrease feelings of anxiety when the bus is in motion. Incorrect Responses:A: Although the student is demonstrating repetitive behaviors while seated on the bus, there is no identified concerns about the student's immediate safety that would warrant the use of

this level of restraint.C: These interventions do not align

with the student that is presented in this question but are better suited for a student who has difficulty with following the daily bus routine and exhibits behaviors associated with auditory hyper-responsiveness.

Question : 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

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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?

• Advise the dietary staff to provide the resident with a

room temperature clear liquid at every meal.

• Inform the dining staff to cut the resident's food into

small pieces and provide built-up utensils.C.Ask the physician to write an order for an immediate video fluoroscopy and a pureed diet.

• Collaborate with the interprofessional team to identify

specific feeding and swallowing objectives.

CORRECT ANSWER : D. Collaborate with the

interprofessional team to identify specific feeding and

swallowing objectives.Rationale: Screening results

indicate the resident's functional status may be declining.Care coordination with the interprofessional team meets best practice standards.Incorrect Responses:A, B, C: These options should not be considered until after the team has established feeding and swallowing objectives.Independent evaluation and intervention of the resident's