Pediatric- NBCOT Practice Test Questions

An OT is preparing to evaluate a toddler who has upper extremity orthopedic concerns. How will the OT MOST likely obtain the majority of initial assessment data?

Observation of child during activities in the child-care center

2 multiple choice options

During an initial evaluation, the OT suspects that a child has somatodyspraxia. In what area should the OT focus the evaluation?

New motor task planning

2 multiple choice options

A toddler with spina bifida has been referred for assessment. When collecting the initial data during interview with the child's parent, what should the OT focus on PRIMARILY?

A parent's concerns and goals for the child

3 multiple choice options

In preparation for an annual Individualized Family Service Plan (IFSP) meeting, the OT is developing ideas for intervention to develop a child's fine motor performance for independent play participation. To match the principles of Part C Early Intervention programs. What would be the OT's BEST recommendation?

Home visit, during which OT will identify and encourage opportunities for fine motor practice within the family's preferred routines

3 multiple choice options

A child has considerable difficulty with problem-solving when playing with interlocking blocks, becomes frustrated, and gives up easily. An OT would MOST likely suspect a problem in what area?

Constructional play

2 multiple choice options

The OT is making recommendations to a community living site for a 13-year-old child with moderate intellectual disabilities. Which statement MOST accurately describes the functional ability of this child?

The child can usually handle routine daily functions in a supervised home

2 multiple choice options

A preteen with spastic cerebral palsy wants to use a computer. Prior to evaluating computer needs, what should the OT learn about FIRST?

The student's and family's goals for the device use

2 multiple choice options

A child demonstrates aggressive and disruptive behavior in school as result of a low sensory threshold. Which suggestions would be MOST useful to discuss with the teacher regarding an upcoming class bus trip to the zoo?

Seat the child at the from of the bus and use earmuffs to dampen noise

2 multiple choice options

A preschooler is having difficulty performing tasks requiring eye-hand coordination as a result of poor visual tracking skills. What activity should the OT use FIRST to promote visual tracking skills?

Catching and bursting soap bubbles

2 multiple choice options

A child with learning disabilities resulting in low frustration tolerance and poor self-esteem is learning how to tie shoelaces. Which method is the MOST appropriate for the OT to introduce to this child?

Backward chaining

2 multiple choice options

An 18-year-old with Duchenne muscular dystrophy is completing the last year of high school. The student uses a power wheelchair for functional mobility. During the student's Individualized Education Program (IEP) meeting, which is best for the therapist to recommend to help the student attain post-secondary goals?

The development of self-direction skills and the ability to use energy conservation techniques

3 multiple choice options

During an OT evaluation, a six-year-old child demonstrates deficits in form and space perception, visual memory, and sequencing. Which is the best activity for the OTR to include in the first intervention session?

String one-inch, colored beads to match a color picture

3 multiple choice options

An OTR administered a standardized assessment to a kindergarten student with developmental delay. Results indicate that the student has average fine motor skills, but test scores in the area of visual motor skills are below average. Which of the following activities would be the MOST CHALLENGING for the student based on this information?

Drawing a self-portrait

2 multiple choice options

An OTR has completed an initial neuromotor assessment of a 4-year-old child who has moderate athetoid cerebral palsy. Results indicate persistent primitive reflexes and decreased oral motor control interfere with feeding and functional communication. The parents want the child to be able to self-feed, eat family meals and communicate with others. What additional information is MOST IMPORTANT for the OTR to collect prior to developing the intervention plan?

Contextual features that support the child's typical participation in occupation

2 multiple choice options

A high-school student with autism spectrum disorder excels academically but has difficulty organizing assignments and homework. The OTR plans to evaluate the student’s relative strengths and weaknesses to guide intervention planning. One of the student’s goals is to learn an organization system. Which of the following is the BEST assessment for this purpose?

Behavior Rating Inventory of Executive Function (BRIEF)

2 multiple choice options

A kindergarten student has mild ataxic cerebral palsy. Social and cognitive skills are intact. Which task would be BEST to ask the student to complete when screening fine motor skills?

Place school supplies into a backpack

2 multiple choice options

A 2-year-old child has developmental delay due to mild spastic cerebral palsy. The child has mastered four-point positioning. Which movement component should the OTR plan to facilitate NEXT?

Rocking on hands and knees

3 multiple choice options

An OTR is interpreting the results of a standardized test administered to a student in the third grade to assess visual motor skills. The student's T-score for manual control is 50, and the T-score for motor coordination is 30. What conclusion can the OTR make about the student's visual motor skills based on these results?

Average manual control skills and below average motor coordination skills

2 multiple choice options

An 8-year-old student who has an autism spectrum disorder shows signs of distress during routine planned fire drills conducted at the school. This interferes with the teacher's ability to evacuate the students from the classroom. Which approach should the OTR recommend to the teacher for reducing the student's stress level during these fire drills?

Provide the student with a picture board illustrating the sequence of steps the class will use during the fire drill

2 multiple choice options