10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
These 10 free OTR questions are organized by exam domain, so you can see how each part of the Occupational Therapist Registered blueprint is tested. Reveal the answer and explanation under each question.
A 9-month-old is observed picking up a small cube by holding it between the thumb and the pads of the index and middle fingers, with the cube held away from the palm. This grasp pattern is BEST described as:
Correct answer: C - Radial-digital grasp
During grooming, a client who sustained a right CVA repeatedly leaves the left side of the face unshaven. When this is pointed out, the client states the task is finished and does not turn the head to look left. Confrontation visual field testing is within normal limits. These findings MOST strongly indicate:
Correct answer: A - Left unilateral neglect
An OTR wants an assessment in which the client identifies the occupational problems that matter most to them and then rates their own performance and satisfaction with each. Which assessment is MOST appropriate?
Correct answer: C - Canadian Occupational Performance Measure (COPM)
A pediatric OTR administers a norm-referenced standardized motor assessment. To help the child sit upright, the OTR uses an adapted chair with lateral trunk supports, which the test manual does not permit. What is the MOST accurate interpretation of the results?
Correct answer: B - The standard scores are invalid and the results should be reported descriptively
A client who is 6 weeks post right rotator cuff repair reaches for a cup on an overhead shelf by hiking the right shoulder and leaning the trunk to the left. This observation MOST likely indicates:
Correct answer: A - Compensation for limited glenohumeral motion
Which long-term goal is written in a measurable, occupation-based format?
Correct answer: B - Within 4 weeks, client will don a pullover shirt with setup assistance
A school-based OTR evaluates a second-grade student referred for slow, poorly formed handwriting. The student completes all written assignments within the allotted time, earns grades at benchmark, and participates fully in classroom activities. What is the MOST appropriate recommendation?
Correct answer: B - Determine that the student does not require OT as a related service
An OTA has provided intervention for three weeks and reports that the client has met all goals and appears ready for discharge. Which responsibility belongs to the OTR?
Correct answer: C - Making the discontinuation decision and completing the discharge summary
During a dressing session, a client with a T4 spinal cord injury reports a sudden pounding headache. The client is flushed and sweating above the level of injury, and blood pressure is markedly elevated. What should the OTR do FIRST?
Correct answer: C - Sit the client upright and check for a kinked catheter
An OTR plans to apply a hot pack to a client's forearm before a hand-strengthening activity. Which finding is a CONTRAINDICATION to this intervention?
Correct answer: A - Absent protective sensation in the treatment area
The OTR exam also covers these domains. Drill them in the full free practice test:
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