A COTA is gathering information for an occupational profile. Which of the following is the MOST important factor to consider when identifying the client's priorities?
Cota Collaborate Gather Info
Question · Easy
NBCOT COTA Exam Guide 2026: Intervention-First OTA Prep
Prepare for the 2026 NBCOT COTA exam with a role-specific strategy for OTA intervention implementation, multi-select items, 190-item format, fees, scoring, and retakes.
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During an initial assessment of a 5-year-old child with developmental delays, which assessment approach would be MOST appropriate for the COTA to use?
Clinician who evaluates a client, plans interventions, completes discharge papers and supervises an assistant.
Roles and supervision
Guess the Term
Chapter 1: Introduction & NBCOT COTA Exam Overview
1.1 About the NBCOT COTA Examination & 2026 Logistics
Study guide
A COTA is working with an adult client who has had a stroke. The client's spouse reports that the client was very active in gardening before the stroke but now seems uninterested. What is the BEST initial response by the COTA?
Question · Medium
Read the clue and guess the term in 6 tries.
Game
Which of the following BEST describes the primary role of a COTA when collaborating with an occupational therapist during the evaluation process?
Client-rated tool that scores both ability and contentment in self-care, productivity and leisure.
Test selection
A COTA is assessing a client with dementia. Which body function would be MOST relevant to assess when determining the client's ability to perform self-care tasks?
When working with a client from a cultural background different from their own, a COTA should FIRST:
Framework that codes body structures, activity limits, participation restrictions and environmental barriers.
Frameworks and models
1.2 OTPF-4 Foundations & Professional Terminology
A COTA is gathering information about a pediatric client's typical daily routines. Which information source would provide the MOST valuable insight into the child's natural performance?
Swap tiles to line up three of the same term.
Term Match
During an assessment of an older adult client, the COTA observes that the client has difficulty reaching behind their back. Which body structure is MOST likely contributing to this limitation?
Written statement for a child with a disability that a school team develops, reviews and revises under federal rules.
School-based practice
A COTA is working with an adolescent client who uses a wheelchair. The client expresses interest in learning to transfer independently. According to developmental theories, this interest reflects which stage of development?
Which of the following would be the MOST appropriate method for a COTA to gather information about a client's sensory processing patterns in a school setting?
18-item rating scale that records how much help a person needs with self-care, mobility and thinking tasks.
1.3 COTA Scope of Practice & OTR Supervision Models
A COTA is conducting an initial interview with an adult client who recently experienced a traumatic brain injury. The client is having difficulty answering open-ended questions. What is the BEST modification for the COTA to make?
Flip two cards at a time to find matching terms.
Term Pairs
Which of the following is a key component of normal aging that a COTA should consider when working with older adult clients?
Brief screening tool reported to have 90% sensitivity for mild impairment, with a version adapted for low schooling.
A COTA is part of an interdisciplinary team meeting for a client with complex medical needs. The COTA's primary contribution to the team should focus on:
When reviewing a client's medical chart, a COTA notes that the client has hemiparesis affecting the right side. Which body structures would be MOST relevant to review?
Basic self-care tasks such as bathing, dressing, toileting, eating and moving from bed to chair.
Self-care and community
Chapter 2: Client Information Gathering & Occupational Profile
2.1 Building the Occupational Profile & Interviewing Techniques
A COTA is working with a client who has limited fine motor coordination. The client needs to practice buttoning shirts. Which activity would be the BEST to start with?
Cota Select Implement Interventions
Find five hidden terms in a grid of letters.
Term Search
A COTA is implementing a standing program for a client with spinal cord injury. Which safety precaution is MOST important?
Tasks for independent community participation such as shopping, managing money, cooking and doing housework.
A COTA is working with a child with autism who is sensitive to tactile input. The child needs to practice handwriting. Which intervention strategy would be MOST appropriate initially?
Which of the following is an example of an IADL (Instrumental Activity of Daily Living) intervention?
Medicare Part B category of reusable items, such as walkers, hospital beds and wheelchairs, prescribed for use in the home.
Assistive technology
2.2 Chart Review, Interprofessional Collaboration & Precautions
A COTA is training a client with low vision to cook safely. Which adaptive equipment would be MOST helpful?
Nursing & Healthcare Exam Prep Podcast
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Podcast
A COTA is working with a client who has hemiplegia following a stroke. The client is learning to don a sock on the affected side. Which technique is MOST appropriate?
Methods that help a person who has trouble speaking, from gestures and picture boards to speech-generating apps.
A COTA is implementing an energy conservation program for a client with chronic obstructive pulmonary disease (COPD). Which strategy would be MOST effective?
A COTA is working with a client in an outpatient hand therapy clinic. The client is recovering from a flexor tendon repair. Which activity would be MOST appropriate during the early protection phase?
Question · Hard
Damage caused by an outside force such as a blow, fall or object entering the skull.
Neurological conditions
2.3 Cultural Competence, Health Literacy & Family Systems
A COTA is implementing an intervention to improve a client's dynamic standing balance. Which activity would be MOST appropriate?
A COTA is working with a group of clients with mental health conditions in a community setting. Which type of group would be MOST appropriate for building social skills?
Damage to the bundle of nerves that carries signals between the body and the brain, often causing loss of movement or feeling below the site.
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