NBCOT OTR Domain 2 Practice Questions: Analysis, Interpretation, and Planning
Domain 2 of 4 in the NBCOT OTR content outline · 23% of the exam, about 41 of 180 items
180 items across all four domains in 4 hours, with a score for Analysis and Planning so you know where you stand.
Free Analysis and Planning drillA client recovering from coronary artery bypass graft surgery wants to push up from the chair with both arms. Which precaution applies?
Domain 2 on the NBCOT OTR exam
Domain 2, Analysis, Interpretation, and Planning, is 23% of the NBCOT OTR exam, about 41 of 180 items. It covers how the occupational therapist turns evaluation results into a client-centered plan, works with the client, family and team, and monitors and changes the plan, including when to stop for a precaution or a change in the client’s condition.
- Share of the exam
- 23% in the 2022 content outline, about 41 of the 180 items
- Our drill
- 10 questions from 101 Domain 2 questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass

What the Domain 2 tasks cover
- Task 1: interpreting standardized scores (standard deviations, standard scores, reliability, sensitivity, measurement error), qualitative findings and the occupational profile, eligibility, and measurable goals
- Task 2: interprofessional roles and referral, IEPs, IFSPs, discharge, transition and hospice plans, therapeutic use of self, advocacy, frequency and level of service, prioritizing goals with the client and family, and health literacy
- Task 3: monitoring progress and changing the plan, the response to intervention, and precautions and contraindications: postsurgical precautions, vital signs, lab values, signs of DVT or stroke, and suicidal ideation
Sit the full exam under the real clock
180 items across all four domains in 4 hours, with a score for Analysis and Planning so you know where you stand.
Free Analysis and Planning drillHow to study it
- Learn the score scale once: a standard score of 85 is one standard deviation below a mean of 100, and 70 is two below; 1.5 SD below the mean is near the 7th percentile.
- Memorize the stop signs: chest pain, a fall in systolic pressure with activity, oxygen saturation under the team’s target, new stroke signs, calf pain and swelling, and a disclosed plan for suicide.
- For planning questions, choose the goal or plan that ties the client’s priority to a measurable, occupation-based outcome.
- Take the Domain 2 drill until you score 80% or better.
Common questions
How many Domain 2 questions are on the NBCOT OTR exam?
The 2022 content outline weights Domain 2 at 23%, about 41 of the 180 items.
Are lab values on the NBCOT exam?
Yes. Domain 2, Task 3 lists precautions and contraindications associated with a client’s condition, with vital signs and laboratory values as examples.
180 items across all four domains in 4 hours, with a score for Analysis and Planning so you know where you stand.
Free Analysis and Planning drillThe other NBCOT OTR domains
Sources
- NBCOT: Foundations of the OTR and COTA certification exams (OTR item types, 180 items, 4 hours, scoring, field-test items)
- NBCOT: 2022 OTR Examination Content Outline
- NBCOT: 2022 Practice Analysis of the OTR (domain weights for exams from 2024)
- NBCOT: 2024 exam FAQs (scenario sets replace CST items from January 2, 2024)
- NBCOT: Fees
- NBCOT: Certification Examination Handbook (eligibility, breaks, results, retakes, StudyPack)
- NBCOT: Certification activities (2025 exams given and new-graduate pass rates)
- NBCOT: Practice tests (OTR practice tests and the scenario item practice test)
- NBCOT: Renewal Handbook (36 units every three years)
Original practice questions for exam preparation, written to the NBCOT 2022 OTR 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. OTR is a certification mark of NBCOT.