OTA Ultimate Occupational Therapy Assistant 3

Question 1

An OTA is reviewing a client's chart and notices a wound on the client's sacrum during a dressing session. What is the FIRST action the OTA should take?

Accepted Answer

Notify the supervising OT and appropriate medical staff

Answer

Treat the wound immediately using available supplies

Answer

Document the wound and continue with the session without telling anyone

Answer

Discharge the client and reschedule

Question 2

Which splint design is MOST appropriate to prevent a boutonniere deformity from worsening in a client with rheumatoid arthritis?

Accepted Answer

PIP joint extension splint

Answer

Resting hand splint in functional position

Answer

Wrist cock-up splint

Answer

Dynamic finger flexion splint

Question 3

A client with Parkinson's disease is having difficulty with micrographia. Which intervention BEST addresses this occupational performance issue?

Accepted Answer

Provide a thicker-barreled pen and practice with larger letter templates

Answer

Restrict all handwriting activities to reduce fatigue

Answer

Switch entirely to typing on a keyboard

Answer

Use fine motor putty exercises without any writing practice

Question 4

When using a gait belt to assist a client with transfers, where should the OTA position themselves?

Accepted Answer

On the client's weaker or affected side

Answer

Behind the client

Answer

Directly in front of the client

Answer

On the client's stronger or unaffected side

Question 5

Which assessment is specifically designed to measure an older adult's ability to perform instrumental activities of daily living (IADLs)?

Accepted Answer

Lawton Instrumental Activities of Daily Living Scale

Answer

Functional Independence Measure (FIM)

Answer

Barthel Index

Answer

Glasgow Coma Scale

Question 6

A pediatric client with autism spectrum disorder frequently elopes during therapy. Which environmental modification BEST addresses safety?

Accepted Answer

Use visual schedules and structured predictable routines in the therapy space

Answer

Increase the number of therapists in the room

Answer

Remove all toys to decrease stimulation

Answer

Conduct therapy only in hallways with open space

Question 7

An OTA notices a client's performance has plateaued and goals are no longer being met. What is the MOST appropriate next step?

Accepted Answer

Communicate findings to the supervising OT for re-evaluation and plan modification

Answer

Continue the current plan and wait for spontaneous improvement

Answer

Independently revise the treatment goals

Answer

Discharge the client due to lack of progress