COTA Domain 1 Practice Questions: Collaborate and Gather Information
Domain 1 of 3 in the NBCOT content outline · 27% of the exam, about 51 of 190 items
190 items across all three domains in 4 hours, with a score for Collaborate and Gather Information so you know where you stand.
Free Collaborate and Gather Information drillWhich finding is a typical early sign of Alzheimer disease?
Domain 1 on the COTA exam
Domain 1, Collaborate and Gather Information, is 27% of the NBCOT COTA exam, about 51 of 190 items. It covers how the COTA, under the supervision of the OTR, gathers information about a client, analyzes activities, works with the client, family and team, and monitors the intervention plan and the client’s response.
- Share of the exam
- 27% in the 2022 content outline, about 51 of the 190 items
- Our drill
- 10 questions from 113 Domain 1 questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass

What the Domain 1 tasks cover
- Task 1: typical development and aging, the course of common conditions such as stroke, spinal cord injury, Parkinson disease and arthritis, body functions, and how lived experience, trauma and socioeconomic status affect occupation
- Task 2: the occupational profile, standardized and nonstandardized assessments, the COTA’s role once service competency is established, and factors such as roles, routines, supports and medication side effects
- Task 3: activity analysis: activity demands, sequencing, required actions, compensation patterns and how the context helps or hinders a task
- Task 4: interprofessional roles, IEPs, IFSPs, transition and hospice plans, therapeutic use of self, prioritizing goals with the client and teaching for health literacy
- Task 5: monitoring progress and reporting to the OTR, which changes the COTA may make within a session, and precautions: vital signs, hip and sternal precautions, weight-bearing orders, lab values, hypoglycemia and suicidal ideation
Sit the full exam under the real clock
190 items across all three domains in 4 hours, with a score for Collaborate and Gather Information so you know where you stand.
Free Collaborate and Gather Information drillHow to study it
- Learn the line between the COTA and OTR roles: the COTA gathers data, administers delegated assessments and reports; the OTR evaluates, interprets and changes the plan.
- Memorize the precautions that come up in daily sessions: posterior hip precautions, sternal precautions, weight-bearing orders and when to stop for vital signs.
- For collaboration questions, choose the answer that respects the client’s priorities and uses the right team member.
- Take the Domain 1 drill until you score 80% or better, then mix it with the other domains.
Common questions
How many Domain 1 questions are on the COTA exam?
The 2022 content outline weights Domain 1 at 27%, about 51 of the 190 items.
Can a COTA administer assessments?
Under OTR supervision, a COTA who has established service competency may administer delegated assessments and report the results. The OTR directs the evaluation and interprets the results.
190 items across all three domains in 4 hours, with a score for Collaborate and Gather Information so you know where you stand.
Free Collaborate and Gather Information drillThe other COTA domains
Sources
- NBCOT: Foundations of the OTR and COTA certification exams (item types, 190 items, 4 hours, scoring, field-test items)
- NBCOT: 2022 COTA Examination Content Outline
- NBCOT: 2022 Practice Analysis of the COTA (domain weights for exams from 2024)
- NBCOT: 2024 exam FAQs (content outline from January 2, 2024; Pearson VUE)
- NBCOT: Fees
- NBCOT: Certification Examination Handbook (eligibility, breaks, results, retakes)
- NBCOT: Renewal Handbook (36 units every three years)
Original practice questions for exam preparation, written to the NBCOT 2022 COTA Examination Content Outline, not NBCOT exam questions. Independent practice, not affiliated with or endorsed by NBCOT (the National Board for Certification in Occupational Therapy) or Pearson VUE. COTA is a certification mark of NBCOT.