It's multiple choice questions, all you have to do is not be blatant about it. The helper only needs to add a bit of side movement as the test taker brings the mouse down the list of possible answers.
Otherwise the test taker is in control 99% of the time. The helper doesn't even need to ever click or meaningfully move the mouse.
You could go another level and do a single earbud. Maybe the check for those now that AirPods are super popular, but they sure never needed to see my whole head when we I took remote proctored exams five years ago.
I've had time to think about this, just never bothered to act because the exams I was taking were a joke anyways and I was just looking to get my degree and move on, not make a point on how easy it would be to beat the system.