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How Our Practice Exam Works?

Study wherever, whenever with these quiz practice questions for Occupational Therapy Assistant:

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You can choose Study Mode for course preparation and Exam Mode (timed 90-minute) for simulation.

Realistic Mix

Realistic Mix

Occupational Therapy Assistant exam questions reflect both multiple-choice and scenario/performance-style prompts aligned to exam objectives.

Detailed Explanations

Detailed Explanations

Every question includes a clear explanation, so you know why an answer is correct.

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Domain Analytics

See strengths/weaknesses by the domains & sub-topics to focus your revision.

Reattempts

Reattempts

Retake Occupational Therapy Assistant practice exam to improve your speed and accuracy; watch your score trend toward the benchmark.

Exam Simulator

Exam Simulator

Get a feel for the real exam with our National Board for Certification in Occupational Therapy (NBCOT) practice test.

Why Choose PrepHOW for Occupational Therapy Assistant Practice Questions

Train the way you'll be tested. With the most clinically accurate, expertly written question bank, you’ll build the speed, accuracy, and confidence needed to pass the Occupational Therapy Assistant on your first attempt.

  • 1. Practice & Exam modes to switch between learning and testing
  • 2. Detailed answer explanations for every question
  • 3. Instant scoring & feedback to show what you missed and why
  • 4. Smart dashboard to track strengths, weaknesses, and progress
  • 5. Study anywhere with mobile-friendly design
  • 6. Updated Occupational Therapy Assistant questions bank to match the latest exam changes
  • 7. Free practice test to start - no credit card required

Real Exam Feel

Mock Exam/Study modes, question flagging, and instant or end-of-exam feedback.

Smarter Analytics, Faster Improvement

Trend charts so you can see when you're consistently above the passing scrore.

Quality You Can Trust

Clear, teach-back explanations with why the correct answer is right and why others aren't.

Frequently Asked Questions

What is the COTA exam and why do I need to take it?

The COTA (Certified Occupational Therapy Assistant) exam is administered by the National Board for Certification in Occupational Therapy (NBCOT) for individuals who want to become certified occupational therapy assistants in the United States. Passing this exam is required by many employers and can lead to increased job opportunities, and ten states currently accept NBCOT certification for fulfilling state licensure requirements.

Who is eligible to take the NBCOT COTA exam?

To be eligible to take the COTA exam, you must have successfully completed the academic and fieldwork requirements of a two-year Occupational Therapy Assistant (OTA) program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE).

What is the format and structure of the OTA exam?

The exam is taken on a computer and consists of 200 multiple-choice questions. However, only 170 of these are scored; the remaining 30 are unscored pretest questions. The test is presented in three timed sections, and you have 4 hours to complete it.

How do I apply and register to take the COTA exam?

You must apply directly to NBCOT through their MyNBCOT online system. Once your application is approved and your academic institution confirms your graduation, NBCOT will issue you an Authorization to Test (ATT) letter. You then use the information in the ATT letter to schedule your exam appointment with the testing vendor, Pearson VUE.

What content areas does the exam cover?

The exam covers three main areas:

  • Collaborating and Gathering Information
  • Selecting and Implementing Interventions
  • Upholding Professional Standards and Responsibilities

More than half of the exam focuses on selecting and implementing interventions, so that's where you should spend the most study time.

How should I prepare for the OTA exam?

Successful candidates typically use a combination of:

  • Thoroughly reviewing content from their OTA program.
  • Using dedicated NBCOT/COTA exam prep resources and study guides.
  • Taking Prephow Occupational Therapy Assistant practice tests and sample questions to simulate the exam experience and identify weak areas.
  • Creating a structured study schedule over several weeks or months.

Are there special accommodations or differences for internationally-educated applicants?

Yes, If your education was completed in a country outside of the U.S. and your programme is not automatically recognised as meeting domestic accreditation standards, you may need to go through a process like the OTED (Occupational Therapy Educational / Credentialing Review) to verify substantial equivalency before being eligible to apply.

Trusted By 1.2K+ Peoples

Discover how our Occupational Therapy Assistant practice tests have empowered countless students to pass their exams with ease.

Treasure Warren

Treasure Warren

Prephow’s Occupational Therapy Assistant practice test honestly wasn’t worth it for me. It didn’t feel very close to the real NBCOT COTA exam or cover key areas like activity analysis, therapeutic exercise, and mental health in a helpful way. For the price, there are better OTA prep resources that match the actual exam content and format more closely.