100+ Free NOTCE Practice Questions

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In a family meeting involving a adult client, a candidate is managing documentation in an entry-to-practice occupational therapy scenario. What is the best next action?

Use a generic plan for documentation without client-specific reasoning

Delay documentation decisions until a non-clinical administrator reviews the file

Meet legal, ethical and regulatory duties when managing documentation

Document documentation only after services have ended

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2026 Statistics

Key Facts: NOTCE Exam

The NOTCE is a CAOT-administered Canadian OT certification exam and a registration requirement for most provinces except Quebec. Current 2026 sittings include September 2-3 and December 2-3. The exam has two 100-question multiple-choice parts, two hours per part, CAD 755 plus taxes, three attempts, and results approximately 6-8 weeks after the written date.

Sample NOTCE Practice Questions

Try these sample questions to test your NOTCE exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1In a acute-care referral involving a adult client, a candidate is managing occupational profile in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for occupational profile based on client priorities and safety

B.Delay occupational profile decisions until a non-clinical administrator reviews the file

C.Use a generic plan for occupational profile without client-specific reasoning

D.Document occupational profile only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for occupational profile based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

2In a community follow-up involving a older adult, a candidate is managing ADL assessment in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for ADL assessment based on client priorities and safety

B.Delay adl assessment decisions until a non-clinical administrator reviews the file

C.Use a generic plan for adl assessment without client-specific reasoning

D.Document adl assessment only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for ADL assessment based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

3In a school or workplace consultation involving a paediatric client, a candidate is managing IADL assessment in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for IADL assessment based on client priorities and safety

B.Delay iadl assessment decisions until a non-clinical administrator reviews the file

C.Use a generic plan for iadl assessment without client-specific reasoning

D.Document iadl assessment only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for IADL assessment based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

4In a virtual visit involving a family caregiver, a candidate is managing cognitive screening in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for cognitive screening based on client priorities and safety

B.Delay cognitive screening decisions until a non-clinical administrator reviews the file

C.Use a generic plan for cognitive screening without client-specific reasoning

D.Document cognitive screening only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for cognitive screening based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

5In a rural access scenario involving a new graduate practitioner, a candidate is managing home safety in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for home safety based on client priorities and safety

B.Delay home safety decisions until a non-clinical administrator reviews the file

C.Use a generic plan for home safety without client-specific reasoning

D.Document home safety only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for home safety based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

6In a interprofessional case conference involving a internationally educated applicant, a candidate is managing wheelchair seating in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for wheelchair seating based on client priorities and safety

B.Delay wheelchair seating decisions until a non-clinical administrator reviews the file

C.Use a generic plan for wheelchair seating without client-specific reasoning

D.Document wheelchair seating only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for wheelchair seating based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

7In a new-client assessment involving a team member, a candidate is managing upper-limb rehabilitation in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for upper-limb rehabilitation based on client priorities and safety

B.Delay upper limb rehabilitation decisions until a non-clinical administrator reviews the file

C.Use a generic plan for upper limb rehabilitation without client-specific reasoning

D.Document upper limb rehabilitation only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for upper-limb rehabilitation based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

8In a post-discharge review involving a client with access barriers, a candidate is managing splint precautions in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for splint precautions based on client priorities and safety

B.Delay splint precautions decisions until a non-clinical administrator reviews the file

C.Use a generic plan for splint precautions without client-specific reasoning

D.Document splint precautions only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for splint precautions based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

9In a family meeting involving a community program lead, a candidate is managing energy conservation in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for energy conservation based on client priorities and safety

B.Delay energy conservation decisions until a non-clinical administrator reviews the file

C.Use a generic plan for energy conservation without client-specific reasoning

D.Document energy conservation only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for energy conservation based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

10In a quality-review scenario involving a regulated professional, a candidate is managing sensory processing in an entry-to-practice occupational therapy scenario. What is the best next action?

A.Use occupation-focused assessment and intervention planning for sensory processing based on client priorities and safety

B.Delay sensory processing decisions until a non-clinical administrator reviews the file

C.Use a generic plan for sensory processing without client-specific reasoning

D.Document sensory processing only after services have ended

Explanation: Use occupation-focused assessment and intervention planning for sensory processing based on client priorities and safety is the safest choice because entry-to-practice exams emphasize competent application, client context, risk management and professional accountability.

About the NOTCE Exam

Practice questions for the current Canadian NOTCE. The source row used an older or imprecise occupational therapy registration exam label; current official sources identify the NOTCE as the national CAOT examination required by most provincial regulators outside Quebec.

Assessment

The NOTCE assesses written application of academic knowledge and professional behaviour for entry to occupational therapy practice in Canada. Starting September 2026, it uses the updated competency blueprint based on the Competencies for Occupational Therapists in Canada.

Time Limit

Two 2-hour parts; 4 hours total

Passing Score

Approximately 70%, criterion-referenced and not bell-curved

Exam Fee

CAD 755 plus applicable taxes (Canadian Association of Occupational Therapists)

NOTCE Exam Content Outline

20-25%

OT Expertise

Occupational therapy assessment, intervention and reasoning.

19-21%

Communication and Collaboration

Communication, partnership and team-based service.

20-25%

Culture, Equity and Justice

Culturally safer, equitable and accessible occupational therapy.

11-14%

Excellence in Practice

Evidence, reflection, safety and quality improvement.

13-15%

Professional Responsibility

Ethics, consent, confidentiality, competence and regulation.

5-8%

Engagement with the Profession

Learning, leadership and professional contribution.

How to Pass the NOTCE Exam

What You Need to Know

Passing score: Approximately 70%, criterion-referenced and not bell-curved
Assessment: The NOTCE assesses written application of academic knowledge and professional behaviour for entry to occupational therapy practice in Canada. Starting September 2026, it uses the updated competency blueprint based on the Competencies for Occupational Therapists in Canada.
Time limit: Two 2-hour parts; 4 hours total
Exam fee: CAD 755 plus applicable taxes

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

NOTCE Study Tips from Top Performers

1Practise case-based occupational therapy reasoning.

2Map revision to the updated competency domains.

3Review ethics, consent, documentation and cultural safety.

4Use functional goals and occupation-focused scenarios.

Frequently Asked Questions

Is ca-ot-osce an OSCE?

The current official national OT exam is the NOTCE, a written multiple-choice certification exam, not an OSCE.

Who administers the NOTCE?

The Canadian Association of Occupational Therapists administers the NOTCE.

How many questions are on the NOTCE?

There are two 100-question parts, for 200 questions total.

Is Quebec included?

Successful NOTCE completion is a registration requirement for regulatory organizations excluding Quebec.

Can passing NOTCE alone authorize practice?

No. Candidates still need registration with the relevant provincial regulator.