The Ultimate OT/OTA Exam Prep & Practice Exam Questions (Free Download) (2024)

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So, you are already freaking out about the NBCOT exam planning your prep materials for the NBCOT exam? 😛

Then you are probably searching questions about the exam, tips for how to prepare, and most importantly – for the best OT/OTA practice exams and questions to study.

Well, this guide will help you prep for the NBCOT exam. A team of Occupational Therapy professionals got together with professors and students to create this article and downloadable study guide to help you ace the NBCOT exam on your first attempt.

Specifically, this article and free download will:

• Give you over 500 free practice exam questions curated by professors from accredited programs (500+ for COTA, 600+ for OTR)
• Show you a blueprint of the OTR and COTA exam so you know which subject areas to dedicate your study time towards
• Guide you through the NBCOT application, preparation, and test-taking processes
• Answer all the frequently asked questions about the NBCOT exam
• Save you time selecting your study materials
• Give you a 6 week study schedule
• Share the best tips from real students who’ve passed

We spent a lot of time putting everything you will need to prepare for the NBCOT exam, in one place. This should save you a ton of time researching questions, looking for study material, and wondering whether you are studying the right material.

With our guide the only thing that you’ll need to do, is study, until you are consistently passing the practice tests with some room for error. So just stick to the study calendar we provide and remember that passing this exam is what will make the 5 figure investment in your education worthwhile.

By the time you’re done reading this article and downloading our complete study guide you will be equipped with everything you need for your OT exam preparation plan. You will be able to fill in your study schedule and start on the practice questions right away.

But really quick, please help us continue creating awesome free resources for the OT community by giving us a “tweet”, “like”, or a “+1” and then you can instantly access your free & complete Occupational Therapy exam prep guide prepared by Occupational Therapy Professionals, Professors, and Students!

Preparing for the NBCOT Exam

For those in an OTA program to become a COTA or anOTR, even if you study online, the NBCOT exam is your final test before you can go out and pursue your career. We recommend applying for the NBCOT exam and scheduling it ASAP after graduation so that everything you’ve learned is fresh and you have good momentum going into the exam.

With so much hinging on one exam, preparing can be an extremely stressful experience. We get it. And we are here to help ease the stress by providing a step by step guide to passing the NBCOT exam.

Here is our framework for successful OT/OTA exam prep:

• Understand the NBCOT exam blue print and which OT domains will be tested
• Utilize the self assessment tools to identify essential study topics for your weaknesses
• Practice exam tutorials to gain experience with the exam format and questions
• Study terminology, flashcards, and practice questions for 2 weeks improving on and identifying weak areas
• Create a 6 week study calendar focusing on your weak areas and choose the best OT exam prep course for your needs
• Complete your 6 week study calendar and continue taking practice exams until you consistently pass with some margin for error

Then you go ace the NBCOT Exam!

See, you can stop stressing, you got this. Now let’s get started with the NBCOT exam blueprints.

The NBCOT Exam Blueprints

Before you dive right into studying for the NBCOT exam, it is good to learn the structure and format of the exam. The NBCOT provides an exam blueprint for the OTR and COTA exam. The blueprints provide the percentages of the exam that will be dedicated to each occupational therapy domain. This can be used as an outline for your study efforts.

These blueprints will help guide your study efforts by showing you how much of your time to focus on different subject areas. For example, 8% of the COTA Exam is dedicated to upholding professional standards – this means that about 8% of your study time should be spent studying OT ethics and professional standards.

The NBCOT Exam Self Assessment Tool

The best starting point when studying for the NBCOT exam is the NBCOT self-assessment tool. There are both COTA and OTR tools.

The purpose of the tool is to assess the user’s knowledge, experience, and skills across each of the domains or practice areas of occupational therapy that makeup the exam (from the blueprints above). You can save a PDF report of your assessment, which will provide a summary of your strengths and weaknesses to help you tailor your study efforts.

Once you’re equipped with your exam blueprint and your self assessment you can not only see how much of the test is created for each OT domain, but also how strong/weak you are in each domain. This information is essential so that you know which material you already understand and which material you need to study the most.

When you are ready to start preparing for the NBCOT exam, the NBCOT Exam self assessment tool should be your starting point.

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NBCOT’s OTR & COTAExam Tutorials

Now that you know your strengths and weaknesses, it is time to get familiar with the NBCOT Exam’s format and style of questions. The NBCOT provides free OTR and COTA exam tutorials to introduce the exam’s format and style of questions.

When you access the tutorial, you will get experience with sample multiple choice questions like you’ll see on the real exam. And for OTRs specifically, the tutorial will include some clinical simulation problem examples.

Go ahead and complete the tutorial, it won’t take long and it will be the best introduction to real NBCOT exam questions. After you see and make an attempt at the practice questions in the tutorial, you will have great insight into how you should study.

How to Study for theNBCOT Exam

There are a lot of practice exams and questions out there, both free and paid, making it easy to get lost when studying. In this section we want to help you avoid getting lost and tell you exactly how to and how long to study for the NBCOT exam.

We wouldn’t recommend spending most of your time on the free exam prep resources. That said, they do offer value and can be used as a starting point of study material for the NBCOT.

As a general recommendation, keep in mind everyone is different, we would suggest spending 2 weeks studying these free resources and our study guide. Then spend 6 weeks studying one of the 3 exam prep courses for purchase below focusing mostly on your weak areas.

Download our free OT/OTA exam prep package now. This package includes a study schedule and package of NBCOT practice exam questions. As you practice the questions and learn your weaknesses you can fill out your study schedule with the most important topics and weak areas to focus on.

Studying the free material will give you some idea of the exam format and your strong/weak areas. Knowing this will help you plan your study schedule efficiently and choose the best NBCOT practice exam or study guide that costs money. Then the purchased guide will provide even more detailed scores and feedback on your practice tests helping you improve your weaknesses.

So, although you will most likely end up purchasing an OT exam prep course, our free exam prep download and this list of free resources is your best starting point. Back to Top

Free OT/OTA Exam Flashcards for COTA & OTR Exams

Ever heard of StudyStack? It is an awesome free study resource for students to share their study guides, flash cards, practice exams etc.. It has a strong community of occupational therapist and occupational therapy assistant students who are studying for the NBCOT exam and sharing their practice tests, questions, and flashcards. Check it out.

The Occupational Therapy page at StudyStack is updated frequently by students who upload their flash cards they make studying for the OT/OTA exams. You can click through the flash cards to study any OT topic. It is a really great tool that even works on your phone, you can flip through stacks of flashcards on various occupational therapy topics whenever it is convenient for you.

Flashcard Examples
SCI LEVELS & ADLs (11 cards)
Flashcards (66 cards)
OT Terminology (170 cards)

And there are literally hundreds if not thousands more flashcards over at the StudyStack.

Free NBCOT Exam Study Guides on Quizlet

Ever heard of Quizlet? It is an online quiz platform where teachers and students can instantly create and share quizzes by uploading questions and study material to the website. You can create groups and you and your peers can upload material for a test and study together, all your study scores from quizzes and tests will be tracked.

There are hundreds of OT programs, students, and teachers using Quizlet to study for the NBCOT exam every year. You can search by college name, exam name, and more.

The content is different than what you will find on StudyStack, users can upload images and more and Quizlet will format the uploads into different types of learning modules such as flash cards or quizzes. Users can then consume the content in the form of their choice, they can simply view the content, view it as flash cards, view it in a multiple choice test form, etc.

So in addition to flashcards, you can find practice exams and sheets of OT terminology. One nice feature of Quizlet is that you can play audio of the material if you want to listen in the car or while you do something else.

One tip on Quizlet is to look for users marked as “Teachers” as they typically share the best NBCOT study material. Here is one of my favorite OT professors on Quizlet who shares great study material for the NBCOT exam.

So go ahead and create a study group with your friends, or join one of the hundreds that are already full of NBCOT practice exams, on Quizlet. Back to Top

Practice Questions & Study Guides on Social Media

Social media is a great place to connect with other students and teachers to share and discuss NBCOT practice questions and study material. If you don’t have a group of peers to collaborate with on social media then you should consider following these social pages for great NBCOT study resources and student/teacher discussions.

Follow Our Pinterest Board of the Best Free Exam Preparation Pins

Checkout our Pinterest Board for the best pins to help you prepare for the NBCOT exam. Nearly every day we are finding new pins that are great for COTA and OTR exams. We pin everything from NBCOT practice tests, flashcards, and exam FAQs to tips from licensed occupational therapy professionalson how to pass the NBCOT exam.

Choosing a Prep Course for the NBCOT Exam

Whether you are taking the OTR exam or the COTA exam, if you have some budget then you can afford to purchase an exam prep course. Considering what you have already spent on your degree you will probably feel that purchasing an exam prep package is worth the $85 – $140 cost.

First use our free exam prep package and the free resources in this article to study, we generally recommend doing this for about 2 weeks to learn your weak areas. Then we recommend spending 6 weeks using one of the study course options below where you can create your own practice exams focusing on your weakest topics. This is the most efficient and effective way to improve on your weakest subjects.

The reason we recommend purchasing a course, is to test your knowledge in real exam format and receive more in-depth score and feedback reports. This will give you exposure to NBCOT practice tests full of sample multiple choice and clinical simulation NBCOT practice exam questions with detailed feedback on each question that you miss.

We selected these options based on user feedback from students who used these study guides and passed the exam. We think all of these options are great and hope this info helps you choose the best study material for your needs.

Below is more information with links to learn more about each program on the best exam prep courses full of practice exams and questions.

AOTA’s Online Exam Prep for COTA & OTR Exams

This prep product for the NBCOT exam is a popular option provided from a credible organization, the American Occupational Therapy Association (AOTA). There is a version for both OTR and COAT examsboth of which are offered completely online.

These NBCOT exam study guides by the AOTA are a bit pricier than some of the other options but they are unique in providing item level feedback. You can also create your own exams from 1,000+ questions which is a very valuable feature because you need to take many practice tests to prepare for the NBCOT. Below are the highlights of this program.

• Study online anytime anywhere
• Receive feedback on your answers
• Create practice tests from over 1,000 multiple choice & clinical simulation questions spanning all of the occupational therapy domains
• Check your progress by domain & topic while comparing with other users
• Subscriptions include 1 year of access

Online Exam Prep for COTA & OTR Exams by NBCOT

NBCOT sells online COTA & OTR practice exams that reflect the structure and format of the timed exam. These practice tests consist of 100 current items that are consistent with the actual certification exam. The exams are for purchase online and can be accessed online 24 hours per day.

The exams can be taken with a 2 hour (real simulation) or 4 hour time limit (practice simulation). Upon completing an exam the student will receive a report showing their overall results as well as domain level results. However, unlike the AOTA’s practice exams, item level feedback is not provided for each question.

You will need a MyNBCOT account in order to purchase these practice exams. Learn more and register using the links below

TherapyEd’s NBCOT Exam Review & Study Guide

A lot of students choose TherapyEd exam prep materials. They are quite a bit cheaper than the AOTA options while still providing a lot of valuable study material. Plus some schools will chip in and pay for part of the study package (check with your professor). Users can select between participating in a study course or purchasing the study material or they can do both at a discount.

The current editions for OTR and COTA exams come in full color with 3 practice exams and the ability to create your own exam using software. Users will also receive feedback on their practice tests to help them with their strengths and weaknesses. The program also provides guidance on the exam as well as test taking strategies and tips.

Based on feedback from test takers, this is a helpful all in one exam prep package that will prepare you for the exam as long as you diligently study the material.

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The Best Tips for Occupational Therapy Exam Prep

We compiled the best tips we’ve heard from occupational therapy professionalsin regards to preparing for, studying for, and passing the NBCOT exam. Everything from study tips to dressing comfortable for the exam will be covered here.

1) Pick your resources

As soon as possible you want to start gathering your study resources for the NBCOT exam. There are tons of paid and free options for study materials and you don’t want to get bogged down with trying to study too many.

Start with our free OT exam prep package to get a feel for the study material and to learn specifically which weak areas you need to focus on so you can schedule the right amount of study time for each of these topics and purchase the right prep course for your needs.

3) Create a study schedule (6 weeks minimum)

Included in our download of practice questions is a study calendar for you to take note of your weak areas and to schedule ample time for studying those topics.

Everyone is different but we surveyed some occupational therapy professionalsto see what they recommended for studying and everyone said at least 6-8 weeks of studying was necessary with at least 2 – 4 hours of studying per day. Of course these metrics will vary, but this should provide a good starting point.

We recommend studying our free NBCOT questions for about 2 weeks to get a feel for the content and to learn your weaknesses. Make notes along the way of your weak areas and use our free study calendar to schedule ample study time for each topic. Download our practice questions and free study calendar here.

5) Essential Topics

We surveyed occupational therapy professionalsto see what topics appeared most often on the NBCOT exam. We put together this short list of the most common testing topics that you should definitely be well versed on before taking the NBCOT:

• Glascow Coma Scale
• Types of reflexes
• Ranchos Los Amigos scale
• Developmental milestones
• SCI levels (specifically know which motor function is available at each sci level)
• AOTA ethical standards (For example, you should be familiar with non-maleficence, beneficence, and social justice etc.)
• Types of groups for mental health
• Medical conditions (most of the conditions you see in the study guides will be on the exam)

7) Exam Day Tips

The best advice for exam day is pretty simple. Keep in mind that the clinical simulation questions will come first and then you will take the multiple choice section. Here are some helpful tips for exam day.

• Dress comfortable
• Eat a healthy breakfast
• Don’t drink too much fluid before the exam (or you will waste time scanning in and out to go pee)
• Save time by using the 10 minute break in between clinical simulation and multiple choice to use the restroom
• Try spending about 1 minute on each multiple choice question, then you should have about 30 minutes to review your answers

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FAQs on the NBCOT Exam

We’ve compiled the most frequently asked questions regarding the NBCOT Exam. We answered the administrative questions and we then surveyed a sample of COTA and OTRto get answers from a group of students who passed the exam about the exam prep questions. Hopefully we’ve got your question covered here, but feel free to drop a comment if you have additional questions.

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Congratulations, you just finished reading the ultimate 5,000+ word guide to OT Exam Prep! Now all you have to do is download our free study guide and start studying!

So, now you can stop freaking out about the NBCOT exam searching for OT/OTA practice exams and questions online and you can spend your time more wisely. By studying!

Follow these practice exams and study tips and you’re on your way to success. Good luck to all you future occupational therapy professionals. We know you are gonna crush it! 🙂

After you pass your NBCOT exam try our free OTA Salary comparison tool to help you to find the highest paying occupational therapy jobs.

Drop a comment below if you know of any good OT Exam prep tips or resources that we left off our list.

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