NBCOT OT Exam Prep 2026 practice questions and answers. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q1An OTR completes a low vision evaluation for a client with diabetic retinopathy and determines that the client has reduced visual acuity for reading and difficulty tolerating bright light and glare. Which of the following intervention approaches would be MOST APPROPRIATE for the OTR to implement based on this client’s diagnosis?
✓ Correct answer: D. Modify, adapt, compensate
The OTR would use the modify, adapt, compensate approach for this client to address the reduced visual acuity for reading and difficulty tolerating bright light and glare. This approach focuses on modifying the environment, activity demands, or the client's performance patterns to support their health and participation. The maintain performance approach is not appropriate as it assumes a degenerative disorder, which is not mentioned in the scenario. The create or promote approach aims to enhance and enrich occupational pursuits, and the establish or restore approach aims to improve client skills or abilities. These approaches do not directly address the specific visual challenges mentioned in the scenario.
Q2A client with a neurological condition is participating in occupational therapy. What is the primary goal of neurological rehabilitation in occupational therapy?
✓ Correct answer: B. To improve functional independence and quality of life
The primary goal of neurological rehabilitation in occupational therapy is to improve functional independence and quality of life. This involves helping the client regain or compensate for lost skills and abilities in order to engage in meaningful and purposeful activities.
Q3An OTR is evaluating a client with a long history of arthritis. The client often struggles with reaching objects on high shelves because of shoulder pain. What is the most suitable therapeutic intervention?
✓ Correct answer: A. Encourage use of a reaching aid to reduce overuse of the shoulder.
In this case, the most appropriate intervention would be to advise the client to use a reaching aid. It helps in accomplishing tasks without straining or overusing the affected shoulder. Teaching the client to avoid overhead activities altogether can limit their functional independence. Regular use of the unaffected shoulder might lead to overuse and secondary complications. Encouraging the client to push through the pain isn't effective or practical as it doesn't offer pain relief, and might further deteriorate the condition by really overusing the affected shoulder.
Q4A client with respiratory failure is participating in a pulmonary rehabilitation program. They experience difficulty with completing their activities of daily living (ADLs) due to muscle weakness and fatigue. Which training should the OTR prioritize for this client?
✓ Correct answer: D. Energy conservation strategies
For a client with respiratory failure who is experiencing muscle weakness and fatigue, the most important training would be energy conservation strategies. Energy conservation strategies help the client reduce the energy demands of their ADLs by modifying their technique and using adaptive equipment. This will allow them to conserve energy and manage their fatigue more effectively, enabling them to perform their ADLs independently and with less effort.
Q5An occupational therapy practitioner is working with an adolescent diagnosed with Down syndrome in a school-based setting. Over the course of the intervention sessions, the adolescent has stopped showing up to sessions and has been observed to be spending time at the park with other adolescents. Which is MOST important for the occupational therapy practitioner to address with this adolescent?
✓ Correct answer: B. Set expectations for attendance and participation for intervention sessions
Developing appropriate expectations is a significant determinant of an adolescent's choice of activities and success. Developing boundaries and expectations that include realistic and fair rules with consequences promotes healthy occupational engagement for adolescents. In this case, for occupational engagement, it is essential to set school and occupational therapy boundaries and expectations that monitor and support positive behavior.
Q6What is an effective approach when working with a client with obsessive–compulsive disorder?
✓ Correct answer: A. Focus on feelings and provide opportunities for spontaneity
Clients with obsessive–compulsive disorder benefit from interventions that focus on feelings and provide opportunities for spontaneity. Often clients with obsessive–compulsive disorder experience compulsive or ritualistic behaviors to manage urges or maladaptive thoughts. Encouraging the client to explore feelings associated with the urges or maladaptive thoughts may reduce the compulsive behaviors.
Q7A client with visual field loss has difficulty with functional mobility and has experienced multiple falls due to bumping and tripping over objects. The client has reduced participation outside of the home and demonstrates increased social isolation. Which intervention strategy is BEST for the OTR to utilize when working with this client?
✓ Correct answer: D. Scanning training
Visual scanning is the most common intervention for clients with visual field loss. Scanning training requires the client to utilize an organized visual search pattern in order to fully see the environment and the items that may be hazardous including low-lying steps, stairs, signs, or other people. Scanning training for clients with visual field loss is essential in order to promote safety and reduce falls.
Q8What is the typical hand position observed with a radial nerve injury?
✓ Correct answer: B. Wrist drop
Injury to the radial nerve results in weakness or loss of strength in the extensor muscles of the wrist. This leads to a characteristic hand position known as wrist drop, where the wrist is flexed and fingers are extended.
Q9A 5-year-old child with spina bifida needs a wheelchair for mobility. Which type of wheelchair would be most appropriate for this child?
✓ Correct answer: A. Pediatric wheelchair
Since the child is 5 years old and has spina bifida, a pediatric wheelchair would be the most appropriate option. It is specially designed for children and can accommodate their size and developmental needs. A tilt-in-space wheelchair is suitable for individuals who need frequent repositioning, which may not be necessary for this child. A sports wheelchair is meant for individuals engaging in sports activities. A one-arm-drive wheelchair is designed for individuals who can manually propel the wheelchair, which may not be suitable for this child.
Q10An OTR is working with a client who has Parkinson's disease and is experiencing bradykinesia. Which activity would be MOST EFFECTIVE in addressing this client's movement disorder?
✓ Correct answer: D. Therapeutic exercises to improve strength and coordination
Bradykinesia is a common symptom of Parkinson's disease, characterized by slow movement and poor coordination. Therapeutic exercises focused on improving strength and coordination can help address this movement disorder by targeting the client's physical abilities. Playing a musical instrument, drawing and coloring, and completing puzzles are not specifically designed to address bradykinesia and may not provide the same level of improvement in movement and coordination.
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