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NBCOT OTRFree Occupational Therapist Registered practice test
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10 real NBCOT OTR practice questions with instant answers and explanations — no account, no credit card, no email. Score yourself, then unlock the full bank of 1,000 questions whenever you’re ready. The NBCOT OTR passing score is Scaled score of 450 (on a 300-600 scale).
A client with C6 tetraplegia is being fitted for a wrist-driven device to enable a tenodesis grasp. What is the primary purpose of this orthosis?
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Q1. A client with C6 tetraplegia is being fitted for a wrist-driven device to enable a tenodesis grasp. What is the primary purpose of this orthosis?
Correct answer: A. To use wrist extension to passively close the fingers for functional grasp
A wrist-driven flexor hinge (tenodesis) orthosis uses active wrist extension to produce passive finger flexion, enabling grasp in clients lacking finger flexor control.
Q2. Which adaptive equipment is most appropriate for a client with hip flexion precautions following posterior hip replacement who needs to don socks independently?
Correct answer: B. Sock aid with long handles
A long-handled sock aid allows the client to don socks without bending forward past hip precautions.
Q3. An OT is selecting a therapeutic activity to address decreased shoulder AROM in a client recovering from a rotator cuff repair at 6 weeks post-op, cleared for AROM. Which activity best matches this goal?
Correct answer: C. Overhead pulley exercises within pain-free range
At 6 weeks with AROM clearance, pain-free active-assisted activities like pulleys progress motion without overloading the healing repair; resistive or heavy loading is premature.
Q4. A child with sensory processing difficulties is hyper-responsive to tactile input and avoids messy play. Which intervention approach is most appropriate initially?
Correct answer: D. Gradually introduce tactile input using a hierarchy from least to most aversive textures
Graded exposure using a sensory hierarchy allows systematic desensitization without overwhelming the child, consistent with sensory integration principles.
Q5. A client with moderate cognitive impairment following traumatic brain injury is learning to prepare a simple meal safely. Which teaching strategy best supports skill acquisition and carryover?
Correct answer: A. Errorless learning with consistent step-by-step repetition in the actual environment
Errorless learning minimizes mistakes during encoding, which is especially effective for clients with memory and cognitive impairments, and practicing in the natural context supports carryover.
Q6. An OT is fabricating a resting hand splint for a client with a radial nerve injury. What position should the splint maintain?
Correct answer: B. Wrist extension 20 to 30 degrees, MCP slight flexion
A radial nerve palsy splint positions the wrist in slight extension with MCPs in slight flexion to substitute for lost wrist and finger extension, allowing functional grasp.
Q7. A client with low vision is being trained to use adaptive strategies for reading medication labels. Which intervention is most appropriate?
Correct answer: C. High-contrast large print labels and a handheld magnifier
High-contrast, enlarged text combined with optical magnification aids are standard low-vision compensatory strategies that promote independence.
Q8. A client 3 days post-stroke with left hemiparesis and mild shoulder subluxation is beginning functional mobility training. Which intervention best addresses shoulder integrity while progressing function?
Correct answer: D. Proper positioning, supportive slings during transfers, and gentle scapular mobilization before functional activity
Early post-stroke shoulder management emphasizes proper positioning and support during activity along with gentle proximal mobilization to prevent worsening subluxation while still engaging the client in function; aggressive overhead work risks impingement.
Q9. A client with C5 quadriplegia wants to increase independence in feeding. Given available innervated muscles, which equipment combination is most appropriate?
Correct answer: A. Mobile arm support with a universal cuff and built-up utensil handles
C5 level preserves shoulder and elbow flexion but lacks the wrist extension needed for tenodesis, which requires at least C6; a mobile arm support combined with a universal cuff compensates for weak grasp and proximal control to enable self-feeding.
Q10. Which of the following is an example of a compensatory intervention strategy rather than a remediation strategy?
Correct answer: B. Using a one-handed shoe-tying technique after amputation
Compensatory strategies adapt the task or method, such as a one-handed technique, rather than aiming to restore the underlying impaired function, which is the goal of remediation approaches.
Exam facts and objectives sourced from the official NBCOT certification page. Last reviewed June 2026.
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