COTA Practice Test 2026 — Free COTA Exam Prep Questions
The NBCOT COTA exam is the national certification exam for entry-level occupational therapy assistants, and most states require it for licensure. Our original client scenarios follow the three domains of the 2022 COTA Examination Content Outline and focus on what the COTA does under OTR supervision: gathering information, carrying out interventions, and upholding professional standards.
A COTA is writing a SOAP note after a session. In which section does the client's statement 'My shoulder pain is 6 out of 10 when I reach for the shelf' belong?
COTA format, scoring & key facts
Facts last verified Oct 5, 2026. Source: www.nbcot.org/-/media/PDFs/2022_COTA_Content_Outline.pdf. Always confirm details with NBCOT before your exam.
When can you take the COTA?
Plan backwards from your exam date
What the COTA covers
Every PrepBanq COTA test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
Collaborate and Gather InformationUnder OTR supervision, gather ongoing information about development, conditions, client factors, task demands, team roles and precautions. | 27% | ~51 | 7 questions → |
Select and Implement InterventionsCarry out the intervention plan: preparatory methods, occupation-based and sensorimotor interventions, orthoses and prostheses, assistive technology and environmental modification. | 55% | ~105 | 14 questions → |
Uphold Professional Standards and ResponsibilitiesEvidence-based practice, quality improvement, risk management, regulations and reimbursement, service competency and ethics. | 18% | ~34 | 4 questions → |
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COTA FAQ
How many questions are on the COTA?
The COTA has 190 questions and you have 4 hours to finish. Question types: Three- and four-option single-response multiple choice plus six-option multi-select items.
How long is the COTA exam?
Testing time for the COTA is 4 hours.
What is the passing score for the COTA?
COTA passing standard: Scaled score of 450. Score range: 300–600.
What is on the COTA?
The COTA covers Collaborate and Gather Information (about 27%), Select and Implement Interventions (about 55%), Uphold Professional Standards and Responsibilities (about 18%).
Who administers the COTA?
The NBCOT Certified Occupational Therapy Assistant (COTA) Exam is administered by NBCOT.
Is there a free COTA practice test?
Yes. PrepBanq has 3 free COTA practice tests with 25 exam-style questions in the real COTA formats, and every answer is explained. No credit card is needed.
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