COTA Domain 2 Practice Questions: Select and Implement Interventions
Domain 2 of 3 in the NBCOT content outline · 55% of the exam, about 105 of 190 items
190 items across all three domains in 4 hours, with a score for Interventions so you know where you stand.
Free Interventions drillWhat is the purpose of active-assisted range of motion?
Domain 2 on the COTA exam
Domain 2, Select and Implement Interventions, is 55% of the NBCOT COTA exam, about 105 of 190 items and more than the other two domains together. It covers the interventions a COTA carries out under the supervision of the OTR, from preparatory methods to occupation-based training, orthoses, equipment and environmental changes.
- Share of the exam
- 55% in the 2022 content outline, about 105 of the 190 items
- Our drill
- 10 questions from 227 Domain 2 questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass

What the Domain 2 tasks cover
- Task 1: preparatory methods: superficial and deep thermal agents, electrical stimulation and biofeedback with their contraindications, pressure injury staging and wound healing, and preparing a safe environment, including lines and telehealth
- Task 2: occupation-based strategies for ADL, IADL, rest and sleep, work, play, leisure and social participation: grading, groups, cognitive and visual strategies, sensory input, feeding and swallowing, transfers and mental health
- Task 3: therapeutic exercise graded to muscle strength, edema reduction, scar management, sensory reeducation, desensitization, constraint-induced movement, balance, tone and breathing techniques
- Task 4: immobilization, mobilization and restriction orthoses for specific conditions, fabrication and fit checks, and prosthetic training
- Task 5: wheelchair measurement and seating, pressure relief, high- and low-tech assistive technology, switches and access methods, and community mobility
- Task 6: home, workplace and public-space modifications, ADA dimensions, ergonomics and universal design
Sit the full exam under the real clock
190 items across all three domains in 4 hours, with a score for Interventions so you know where you stand.
Free Interventions drillHow to study it
- Work by drill: modalities and wound care, ADL and cognition, exercise and neuro rehab, orthotics and prosthetics, and assistive technology each have a ten-question drill.
- Learn contraindication lists as sets: heat, cold, ultrasound and electrical stimulation each have a short list that questions test directly.
- Know the numbers that do not change: ADA ramp slope 1:12, 32-inch doors, 60-inch turning circle, 33 to 36 inch grab bars; wheelchair seat width hips plus 2 inches.
- Take the Domain 2 drill, then the topic drill for your weakest area, until you score 80% or better.
Common questions
How many intervention questions are on the COTA exam?
Domain 2 is 55% of the exam, about 105 of the 190 items, the largest domain by far.
Are physical agent modalities on the COTA exam?
Yes. Domain 2, Task 1 lists superficial thermal agents, deep thermal, mechanical and electrotherapeutic modalities, and wound care.
190 items across all three domains in 4 hours, with a score for Interventions so you know where you stand.
Free Interventions 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.