OTR Study Guide 2026

Everything you need to pass the OTR exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 OTR Exam Format at a Glance

170
Questions
240 min
Time Limit
450%
Passing Score

📚 OTR Topics to Study (21)

✍️ Sample OTR Questions & Answers

1. Which technique uses purposeful activity to promote motor skills?
Activity-based interventions

Occupational therapy uniquely uses purposeful and meaningful activities as therapeutic tools to achieve specific goals. Activity-based interventions involve engaging clients in tasks that are relevant to their daily lives, which helps to improve motor skills, coordination, strength, and endurance in a functional context. This approach makes therapy more engaging and transferable to real-world situations.

2. Which standardized assessment is MOST appropriate to evaluate functional daily living skills in a child aged 6 months to 7.5 years?
Pediatric Evaluation of Disability Inventory (PEDI)

The PEDI assesses functional capabilities and caregiver assistance in self-care, mobility, and social function for children from 6 months to 7.5 years.

3. Why are ethical standards important in OT?
Maintain integrity and protect clients

Ethical standards in occupational therapy are essential for guiding professional conduct, ensuring high-quality care, and protecting the rights and welfare of clients. They provide a framework for decision-making, promote professional integrity, and build public trust in the profession. Adhering to these standards helps OTs navigate complex situations responsibly and uphold their commitment to client-centered practice.

4. Which augmentative and alternative communication (AAC) device feature is MOST critical for a client with ALS who retains only eye movement?
Eye-gaze technology

Eye-gaze technology allows individuals who retain only volitional eye movement, as in late-stage ALS, to select messages by directing their gaze.

5. Which type of wheelchair cushion is most appropriate for a client with Stage II pressure injuries and limited repositioning ability?
Air-flotation cushion

Air-flotation cushions provide dynamic pressure redistribution and are indicated for clients with existing pressure injuries who cannot reposition frequently.

6. How frequently should ongoing assessments be conducted in Certified Occupational Therapist Registered practice?
At regular intervals and as conditions change

Ongoing assessments should follow established protocols and also respond to changing conditions.

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OTR Study Guide 2026 — Exam Format, Topics & Practice Questions