NBCOT Occupational Therapist Registered (OTR) Exam Prep
Our catalog now includes full practice for the Occupational Therapist Registered (OTR) Certification Examination (administered by NBCOT): 1,500 original practice questions built to NBCOT’s 2022 OTR Examination Content Outline at its published domain weights — evaluation and assessment; analysis, interpretation, and planning; selecting and managing interventions; and competency and practice management. The bank covers the outline’s tasks across the life span and across practice settings: standardized and nonstandardized assessment, activity analysis, frames of reference, preparatory methods and modalities, occupation-based intervention, orthoses and prostheses, assistive technology and seating, environmental modification, evidence-based practice, safety, supervision, documentation, and reimbursement.
What’s included
- 1,500 original practice questions covering every domain and task of the official content outline, with scenario-rich application questions set in clinics, schools, homes, hospitals, and community settings — with explanations on every question
- Four portion practice drills (10 questions each) — one per domain, so you can target your weakest area
- A full 180-question timed simulation (240 minutes) — the same number of questions and testing time as the real examination, drawn at the published domain weights
- Detailed explanations for every question, including the computation on the bank’s numeric items (score interpretation, dosage and time arithmetic, timed units, and outcome percentages)
- Free sample questions (12 questions) — no account needed to try them
Price: $59 for 6 months of access.
Practice by portion
| Portion | Practice questions | In the simulation |
|---|---|---|
| Evaluation and Assessment | 345 | 41 |
| Analysis, Interpretation, and Planning | 345 | 41 |
| Select and Manage Interventions | 570 | 69 |
| Competency and Practice Management | 240 | 29 |
About the real OTR examination
The Occupational Therapist Registered (OTR) Certification Examination (administered by NBCOT) has 180 items in 4 hours (240 minutes), taken in person at a Pearson VUE test center. The real examination combines single-response multiple-choice items with multi-select scenario sets, and it includes unscored field-test items. Eligibility requires graduation from an ACOTE-accredited occupational therapy program; candidates educated outside the United States complete NBCOT’s eligibility determination process first. Passing the examination earns the national OTR credential — it is not a state license, and practicing also requires meeting your state’s licensing requirements.
How passing works: the examination is criterion-referenced. Scores are reported as scaled scores from 300 to 600, and a total scaled score of at least 450 is required to pass. The standard was set using a modified Angoff method. A scaled score is not a percentage, and there is no separate passing score for any single domain.
Fees: the online initial application fee is $540 and the online retake application fee is $430 — confirm the current fees with NBCOT before you apply. Your Authorization to Test letter is active for 90 days. PassProfessor is a study provider only: we do not certify occupational therapists and we do not register candidates for the official examination — you apply through NBCOT and sit the examination at Pearson VUE.
How our practice format works
Our practice is single-best-answer practice: every question has four options and one best answer. Our questions are original practice questions written to the published content outline — they are not NBCOT questions, and our format does not reproduce the real examination’s multi-select scenario sets. Our simulation presents 180 questions in 240 minutes drawn across the four domains at the published weights (41 evaluation and assessment, 41 analysis, interpretation, and planning, 69 select and manage interventions, 29 competency and practice management). Because the real passing standard is a scaled score, our simulation is scored against a 70% practice benchmark only — a study target, not the real passing standard. The real standard is the scaled score of 450 described above. Use the portion drills to find weak areas and the simulation to build timing and judgment.
PassProfessor is an independent study provider and is not affiliated with or endorsed by NBCOT or Pearson. All practice questions in this course are original works written for this course; they are not NBCOT questions, and no official test content is reproduced.