OTR Occupational Therapy Prep practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q21At what age does a child typically begin to show preference for using a spoon during meal times?
✓ Correct answer: A. 18 months
Answer: 18 months At 18 months of age, a child typically begins to show preference for using a spoon during meal times. At 1 year of age, the child may start to use a spoon but with limited success. By 2 years of age, the child improves their utensil use. At 3 years of age, the child should be able to use a spoon with minimal spilling.
Q22Which condition related to hearing loss is associated with damage to the inner ear and an initial decrease in the ability to hear high-frequency sounds?
✓ Correct answer: D. Presbycusis
Answer: Presbycusis Presbycusis is characterized by an initial decrease in the ability to hear high-frequency sounds and is caused by damage to the hair cells in the inner ear. This condition is often age-related. Tinnitus is characterized by ringing or buzzing in the ears and is not necessarily associated with high-frequency hearing loss. Otosclerosis is characterized by abnormal bone growth in the middle ear, which can affect hearing but typically starts with low-frequency sounds. Meniere's disease is characterized by episodes of vertigo, hearing loss, and tinnitus, with fluctuations in hearing rather than a consistent loss of high-frequency sounds.
Q23When working with a client in a geriatric setting, the occupational therapist must consider the role of family support. Which is an INCORRECT statement in regard to family support?
✓ Correct answer: C. Support should be provided uniformly without considering the individual needs of the client
Answer: Support should be provided uniformly without considering the individual needs of the client. Family support in a geriatric setting must be tailored to the individual needs of the client. It involves personalized education and modifications that respect the client's unique circumstances and preferences. The other options are essential aspects of providing effective occupational therapy in a geriatric setting.
Q24Which type of lower extremity amputation is described when the amputation includes the entire hip joint as well as part of the pelvis?
✓ Correct answer: A. Hemipelvectomy
Answer: Hemipelvectomy A hemipelvectomy involves the removal of the entire hip joint and part of the pelvis. A hip disarticulation is an amputation that occurs at the hip joint but does not involve the pelvis. An above-knee amputation is an amputation that occurs above the knee. A knee disarticulation involves amputation at the knee joint.
Q25Which type of knee amputation is described when a patient has an amputation through the mid-shaft of the femur?
✓ Correct answer: D. Above-knee amputation
Answer: Above-knee amputation An above-knee amputation involves the removal of the leg at the femur. A hip disarticulation is an amputation through the hip joint. A knee disarticulation is an amputation through the knee joint. A Gritti-Stokes amputation is done just above the knee, preserving the patella.
Q26A patient presents with a radial nerve injury, affecting the motor function of their arm. Which motion would likely be impaired with this injury?
✓ Correct answer: B. Wrist extension
Answer: Wrist extension The extensor carpi radialis longus and extensor carpi radialis brevis are responsible for wrist extension and are innervated by the radial nerve. Injury to the radial nerve would result in potential impairment of this motion. The remaining motions are produced by muscles innervated by other nerves: flexor carpi ulnaris (wrist flexion) is innervated by the ulnar nerve, flexor digitorum profundus (finger flexion at DIPs) is innervated by both the ulnar and median nerves, and pronator teres (forearm pronation) is innervated by the median nerve.
Q27Carlos is a 45-year-old man who has been referred to occupational therapy due to difficulties with daily activities following a stroke. His family speaks Spanish at home, while Carlos speaks both Spanish and English. He excels in his current rehabilitation exercises but struggles with complex tasks like meal preparation or managing household chores. He is particularly challenged by activities requiring fine motor skills. Carlos enjoys reading and wants to regain his ability to write by hand. The occupational therapist has completed the evaluation and is ready to discuss the findings and recommendations with Carlos and his family. To ensure Carlos and his family understand the evaluation and can support Carlos' recovery, which actions would enhance health literacy? Select all options that are appropriate at this time.
✓ Correct answer: A. Avoiding jargon
Medical jargon and analogies can complicate the translation process and should be avoided. Using visuals can aid communication. The teach-back method will help the therapist identify areas that need clarification. An interpreter can facilitate real-time translation, ensuring the family and therapist can effectively communicate. It is better to provide fewer strategies by highlighting a few key take-home ideas.
Q28According to Erik Erikson's psychosocial stages of development, what is the primary developmental challenge faced by children between the ages of 3 and 5 years?
✓ Correct answer: C. Initiative versus Guilt
Answer: Initiative versus Guilt Children between the ages of 3 and 5 years face the developmental challenge of initiative versus guilt. During this stage, children begin to assert power and control over their world through directing play and other social interactions. Trust versus Mistrust (0-1 year): The child learns to trust the environment when needs are met. Autonomy versus Shame and Doubt (1-3 years): The child develops a greater sense of personal control. Industry versus Inferiority (6-11 years): The child focuses on learning new skills and gaining approval.
Q29According to Erik Erikson, which stage of psychosocial development involves developing a sense of personal identity?
✓ Correct answer: B. Identity vs. Role Confusion
Answer: Identity vs. Role Confusion Erik Erikson's stages of psychosocial development: Stage Age Range Key Challenge Trust vs. Mistrust 0-1 years Developing trust in caregivers Autonomy vs. Shame/Doubt 1-3 years Gaining a sense of independence Initiative vs. Guilt 3-6 years Initiating activities Industry vs. Inferiority 6-12 years Mastering academic/social skills Identity vs. Role Confusion 12-18 years Developing a personal identity Intimacy vs. Isolation 18-40 years Forming intimate relationships Generativity vs. Stagnation 40-65 years Contributing to society Integrity vs. Despair 65+ years Reflecting on life
Q30John, a 40-year-old man, was recently diagnosed with multiple sclerosis. He is experiencing significant fatigue, some motor control issues, and mild cognitive challenges. His healthcare team is developing a discharge plan. John currently needs minimal to moderate assistance for ADL engagement. Which of the following placements would be appropriate for recommendation? Select all options that are appropriate at this time.
✓ Correct answer: A. Transitional living
An outpatient rehabilitation program may be considered for the future once John can manage more independently. However, since he currently needs assistance with ADLs, it would be more suitable for him to be in a rehabilitation hospital or a transitional living setting where he can receive the necessary support. A long-term care facility would provide more support than needed at this stage.
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