Part of the COTA pass
COTA practice exam: 190 questions in 4 hours
190 questions · 4 hours · Multi-select items · Flag for review
The real format: 190 items in 4 hours, including six-option multi-select items. The result shows your percentage and a score for every domain.

Before you start
- Most questions have one best answer among three or four options. Multi-select questions have six options with three correct: select three, and you earn a point for each correct one. Each explanation says why the answer is right and why the tempting wrong answers are wrong.
- Items are drawn in the outline’s share for each domain (51 from Domain 1, 105 from Domain 2, 34 from Domain 3). Most are single-answer questions; some are six-option multi-select items where you choose three. NBCOT reports a scaled score (450 passes on a 300 to 600 scale) and does not publish how many questions that takes, so the result shows your percentage rather than a pass line, plus a review of every question with its explanation.
- As on the real exam, you can skip questions, go back, change answers and flag questions for review. The clock keeps running in background tabs and reloads; when time runs out, your answers are submitted.
Original practice questions 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.