NBCOT OTR Domain 1 Practice Questions: Evaluation and Assessment
Domain 1 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 Evaluation and Assessment so you know where you stand.
Free Evaluation and Assessment drillA 70-year-old client lives alone. Which change is expected with typical aging?
Domain 1 on the NBCOT OTR exam
Domain 1, Evaluation and Assessment, is 23% of the NBCOT OTR exam, about 41 of 180 items. It covers how the occupational therapist gathers information about a client throughout the occupational therapy process: the conditions and life experiences that shape performance, the occupational profile, choosing and giving assessments, and analyzing the demands of an activity.
- Share of the exam
- 23% in the 2022 content outline, about 41 of the 180 items
- Our drill
- 10 questions from 99 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 and prognosis of conditions such as stroke, spinal cord injury, MS, Parkinson disease, ALS, cerebral palsy and burns, body functions and structures, and how trauma, socioeconomic status, culture and identity affect occupation
- Task 2: the occupational profile, referrals and records, choosing norm-referenced and criterion-referenced tools, interviews and observation, and factors such as roles, routines, supports, medication side effects and mental health
- Task 3: activity analysis: task steps and demands across settings, compensation patterns, and how the context and current conditions help or hinder a task
Sit the full exam under the real clock
180 items across all four domains in 4 hours, with a score for Evaluation and Assessment so you know where you stand.
Free Evaluation and Assessment drillHow to study it
- Learn which assessment fits which question: the COPM for self-perceived performance, the AMPS for ADL quality, the MoCA as a cognitive screen, the Berg for balance, the Sensory Profile 2 for sensory processing, the Jamar and Semmes-Weinstein for the hand.
- Know the spinal cord injury levels by key muscle (C5 elbow flexion, C6 wrist extension and tenodesis, C7 triceps) and what each allows in daily tasks.
- For activity analysis questions, find the one demand that the client’s impairment makes hardest, then pick the option that addresses it.
- 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 NBCOT OTR exam?
The 2022 content outline weights Domain 1 at 23%, about 41 of the 180 items.
Does the OTR exam test specific assessments?
Yes. Domain 1, Task 2 lists the administration, purpose, indications, advantages and limitations of standardized and nonstandardized screening and assessment tools, including criterion-referenced and norm-referenced tests, interviews and observation.
180 items across all four domains in 4 hours, with a score for Evaluation and Assessment so you know where you stand.
Free Evaluation and Assessment 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.