Alabama OTPS Exam • Alabama State Board of Occupational Therapy • 2026/2027
UPDATED FOR 2026/2027 • ABOT BLUEPRINT
ALABAMA OTPS EXAM
OCCUPATIONAL THERAPY PRACTICE STANDARDS
EXAM • 2026/2027 • 200+ QUESTIONS
Realistic Practice Questions & Answers with Verified Regulatory Citations,
Full Rationales, and Distractor Analysis for Every Item
200+ VERIFIED Q&As Randomized Choice Order Updated for 2026/2027 Full Rationales
Overview
This comprehensive study guide provides 200 unique practice questions built for candidates
preparing for Alabama occupational therapy practice standards examination and jurisprudence
review for 2026/2027. Every item is aligned to the Alabama State Board of Occupational Therapy
rules at Alabama Administrative Code Chapter 625-X, the Alabama Occupational Therapy Practice
Act at Code of Alabama 1975, Section 34-39, and current AOTA standards of practice and ethics.
Each question includes a regulatory citation, a written rationale, and a full distractor analysis
explaining why every incorrect option fails.
✓ KEY FEATURES
• 200 unique, verified questions with zero duplicate stems
• Randomized correct-answer placement across all four letters, verified by distribution audit
• Citations to Alabama Administrative Code Chapter 625-X and Code of Alabama 1975, Section
34-39
• AOTA Code of Ethics and Occupational Therapy Practice Framework, 4th Edition alignment
• One-line rationale plus per-option distractor analysis for every item
• Master Quick Answer Key with compact grid layout and duplicate-check confirmation
▣ CORE CONTENT AREAS
• Section 1: Jurisprudence & Alabama OT Practice Act — 30 questions
• Section 2: Ethics & Professional Standards — 25 questions
• Section 3: Evaluation & Assessment — 30 questions
• Section 4: Intervention Planning & Implementation — 35 questions
• Section 5: Occupational Performance Domains — 30 questions
• Section 6: Client Populations & Conditions — 30 questions
• Section 7: Service Delivery & Management — 20 questions
1 | Alabama State Board of Occupational Therapy
, Alabama OTPS Exam • Alabama State Board of Occupational Therapy • 2026/2027
SECTION 1: JURISPRUDENCE & ALABAMA OT PRACTICE ACT (30
QUESTIONS)
Legal scope, licensure, limited permits, fees, and renewal under AAC 625-X and Code of Ala. §34-39
1. An occupational therapy graduate receives an Alabama limited permit on March 1.
Assuming no earlier NBCOT result is reported, when does the permit expire?
A. 30 days after issuance
B. One year after issuance
C. Upon the licensee's next birthday
D. 120 days after issuance
Correct Answer: D. 120 days after issuance
Ala. Admin. Code r. 625-X-3-.07
Rationale: Limited permits expire 120 days after issuance, or earlier upon notification of examination failure,
except those issued for a traineeship/perceptorship.
Distractor Analysis:
A is incorrect: "30 days after issuance" — violates Ala. Admin. Code r. 625-X-3-.07 and would breach
scope/safety vs correct practice.
B is incorrect: "One year after issuance" — violates Ala. Admin. Code r. 625-X-3-.07 and would breach
scope/safety vs correct practice.
C is incorrect: "Upon the licensee's next birthday" — violates Ala. Admin. Code r. 625-X-3-.07 and would
breach scope/safety vs correct practice.
2. A limited permit holder fails the NBCOT examination and asks the Board to extend the
permit so she can retest. What is the Board's authority?
A. The permit may be renewed once for an additional 120 days
B. The permit converts automatically to an aide registration
C. Limited permits are not renewable and terminate upon notice of examination failure
D. The permit remains valid until the retest date is scheduled
Correct Answer: C. Limited permits are not renewable and terminate upon notice of
examination failure
Ala. Admin. Code r. 625-X-3-.07
Rationale: The rule states limited permits are not renewable and expire upon notification of failure of the
NBCOT examination.
Distractor Analysis:
A is incorrect: "The permit may be renewed once for an additional 120 days" — violates Ala. Admin. Code r.
625-X-3-.07 and would breach scope/safety vs correct practice.
B is incorrect: "The permit converts automatically to an aide registration" — violates Ala. Admin. Code r.
625-X-3-.07 and would breach scope/safety vs correct practice.
D is incorrect: "The permit remains valid until the retest date is scheduled" — violates Ala. Admin. Code r.
625-X-3-.07 and would breach scope/safety vs correct practice.
2 | Alabama State Board of Occupational Therapy
, Alabama OTPS Exam • Alabama State Board of Occupational Therapy • 2026/2027
3. Which body of law is the statutory foundation of the Alabama Occupational Therapy
Practice Act?
A. Code of Alabama 1975, Section 34-24
B. Code of Alabama 1975, Section 34-39
C. Alabama Administrative Code Title 870
D. 42 CFR Part 484
Correct Answer: B. Code of Alabama 1975, Section 34-39
Code of Ala. 1975, Sec. 34-39-1 et seq.
Rationale: The Alabama OT Practice Act is codified at Section 34-39 of the Code of Alabama 1975, from which
the Board derives its rulemaking authority.
Distractor Analysis:
A is incorrect: "Code of Alabama 1975, Section 34-24" — violates Code of Ala. 1975, Sec. 34-39-1 et seq. and
would breach scope/safety vs correct practice.
C is incorrect: "Alabama Administrative Code Title 870" — violates Code of Ala. 1975, Sec. 34-39-1 et seq.
and would breach scope/safety vs correct practice.
D is incorrect: "42 CFR Part 484" — violates Code of Ala. 1975, Sec. 34-39-1 et seq. and would breach
scope/safety vs correct practice.
4. Which chapter of the Alabama Administrative Code sets out the terms of supervision
for occupational therapy assistants, limited permit holders, and aides?
A. Chapter 625-X-5
B. Chapter 625-X-2
C. Chapter 625-X-8
D. Chapter 625-X-11
Correct Answer: C. Chapter 625-X-8
Ala. Admin. Code ch. 625-X-8
Rationale: Chapter 625-X-8 governs supervision of licensed OTAs, holders of limited permits, and occupational
therapy aides.
Distractor Analysis:
A is incorrect: "Chapter 625-X-5" — violates Ala. Admin. Code ch. 625-X-8 and would breach scope/safety vs
correct practice.
B is incorrect: "Chapter 625-X-2" — violates Ala. Admin. Code ch. 625-X-8 and would breach scope/safety vs
correct practice.
D is incorrect: "Chapter 625-X-11" — violates Ala. Admin. Code ch. 625-X-8 and would breach scope/safety
vs correct practice.
3 | Alabama State Board of Occupational Therapy
, Alabama OTPS Exam • Alabama State Board of Occupational Therapy • 2026/2027
5. What is the initial license fee for an occupational therapist in Alabama?
A. $115.00
B. $140.00
C. $25.00
D. $50.00
Correct Answer: B. $140.00
Ala. Admin. Code r. 625-X-7-.01(a)
Rationale: The Board's fee schedule sets the initial occupational therapist license fee at $140.00, payable to the
ASBOTF.
Distractor Analysis:
A is incorrect: "$115.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
C is incorrect: "$25.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
D is incorrect: "$50.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
6. What is the initial license fee for an occupational therapy assistant in Alabama?
A. $140.00
B. $95.00
C. $115.00
D. $175.00
Correct Answer: C. $115.00
Ala. Admin. Code r. 625-X-7-.01(a)
Rationale: The occupational therapy assistant initial license fee is $115.00 under the Board's regulatory fee
schedule.
Distractor Analysis:
A is incorrect: "$140.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
B is incorrect: "$95.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
D is incorrect: "$175.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
7. A new graduate applies for a limited permit. What fee accompanies the application?
A. $25.00
B. $140.00
C. $115.00
D. No fee is charged for limited permits
Correct Answer: A. $25.00
Ala. Admin. Code r. 625-X-7-.01(b)
Rationale: The limited permit fee is fixed at $25.00 by the Board's fee rule.
Distractor Analysis:
B is incorrect: "$140.00" — violates Ala. Admin. Code r. 625-X-7-.01(b) and would breach scope/safety vs
correct practice.
C is incorrect: "$115.00" — violates Ala. Admin. Code r. 625-X-7-.01(b) and would breach scope/safety vs
correct practice.
4 | Alabama State Board of Occupational Therapy
UPDATED FOR 2026/2027 • ABOT BLUEPRINT
ALABAMA OTPS EXAM
OCCUPATIONAL THERAPY PRACTICE STANDARDS
EXAM • 2026/2027 • 200+ QUESTIONS
Realistic Practice Questions & Answers with Verified Regulatory Citations,
Full Rationales, and Distractor Analysis for Every Item
200+ VERIFIED Q&As Randomized Choice Order Updated for 2026/2027 Full Rationales
Overview
This comprehensive study guide provides 200 unique practice questions built for candidates
preparing for Alabama occupational therapy practice standards examination and jurisprudence
review for 2026/2027. Every item is aligned to the Alabama State Board of Occupational Therapy
rules at Alabama Administrative Code Chapter 625-X, the Alabama Occupational Therapy Practice
Act at Code of Alabama 1975, Section 34-39, and current AOTA standards of practice and ethics.
Each question includes a regulatory citation, a written rationale, and a full distractor analysis
explaining why every incorrect option fails.
✓ KEY FEATURES
• 200 unique, verified questions with zero duplicate stems
• Randomized correct-answer placement across all four letters, verified by distribution audit
• Citations to Alabama Administrative Code Chapter 625-X and Code of Alabama 1975, Section
34-39
• AOTA Code of Ethics and Occupational Therapy Practice Framework, 4th Edition alignment
• One-line rationale plus per-option distractor analysis for every item
• Master Quick Answer Key with compact grid layout and duplicate-check confirmation
▣ CORE CONTENT AREAS
• Section 1: Jurisprudence & Alabama OT Practice Act — 30 questions
• Section 2: Ethics & Professional Standards — 25 questions
• Section 3: Evaluation & Assessment — 30 questions
• Section 4: Intervention Planning & Implementation — 35 questions
• Section 5: Occupational Performance Domains — 30 questions
• Section 6: Client Populations & Conditions — 30 questions
• Section 7: Service Delivery & Management — 20 questions
1 | Alabama State Board of Occupational Therapy
, Alabama OTPS Exam • Alabama State Board of Occupational Therapy • 2026/2027
SECTION 1: JURISPRUDENCE & ALABAMA OT PRACTICE ACT (30
QUESTIONS)
Legal scope, licensure, limited permits, fees, and renewal under AAC 625-X and Code of Ala. §34-39
1. An occupational therapy graduate receives an Alabama limited permit on March 1.
Assuming no earlier NBCOT result is reported, when does the permit expire?
A. 30 days after issuance
B. One year after issuance
C. Upon the licensee's next birthday
D. 120 days after issuance
Correct Answer: D. 120 days after issuance
Ala. Admin. Code r. 625-X-3-.07
Rationale: Limited permits expire 120 days after issuance, or earlier upon notification of examination failure,
except those issued for a traineeship/perceptorship.
Distractor Analysis:
A is incorrect: "30 days after issuance" — violates Ala. Admin. Code r. 625-X-3-.07 and would breach
scope/safety vs correct practice.
B is incorrect: "One year after issuance" — violates Ala. Admin. Code r. 625-X-3-.07 and would breach
scope/safety vs correct practice.
C is incorrect: "Upon the licensee's next birthday" — violates Ala. Admin. Code r. 625-X-3-.07 and would
breach scope/safety vs correct practice.
2. A limited permit holder fails the NBCOT examination and asks the Board to extend the
permit so she can retest. What is the Board's authority?
A. The permit may be renewed once for an additional 120 days
B. The permit converts automatically to an aide registration
C. Limited permits are not renewable and terminate upon notice of examination failure
D. The permit remains valid until the retest date is scheduled
Correct Answer: C. Limited permits are not renewable and terminate upon notice of
examination failure
Ala. Admin. Code r. 625-X-3-.07
Rationale: The rule states limited permits are not renewable and expire upon notification of failure of the
NBCOT examination.
Distractor Analysis:
A is incorrect: "The permit may be renewed once for an additional 120 days" — violates Ala. Admin. Code r.
625-X-3-.07 and would breach scope/safety vs correct practice.
B is incorrect: "The permit converts automatically to an aide registration" — violates Ala. Admin. Code r.
625-X-3-.07 and would breach scope/safety vs correct practice.
D is incorrect: "The permit remains valid until the retest date is scheduled" — violates Ala. Admin. Code r.
625-X-3-.07 and would breach scope/safety vs correct practice.
2 | Alabama State Board of Occupational Therapy
, Alabama OTPS Exam • Alabama State Board of Occupational Therapy • 2026/2027
3. Which body of law is the statutory foundation of the Alabama Occupational Therapy
Practice Act?
A. Code of Alabama 1975, Section 34-24
B. Code of Alabama 1975, Section 34-39
C. Alabama Administrative Code Title 870
D. 42 CFR Part 484
Correct Answer: B. Code of Alabama 1975, Section 34-39
Code of Ala. 1975, Sec. 34-39-1 et seq.
Rationale: The Alabama OT Practice Act is codified at Section 34-39 of the Code of Alabama 1975, from which
the Board derives its rulemaking authority.
Distractor Analysis:
A is incorrect: "Code of Alabama 1975, Section 34-24" — violates Code of Ala. 1975, Sec. 34-39-1 et seq. and
would breach scope/safety vs correct practice.
C is incorrect: "Alabama Administrative Code Title 870" — violates Code of Ala. 1975, Sec. 34-39-1 et seq.
and would breach scope/safety vs correct practice.
D is incorrect: "42 CFR Part 484" — violates Code of Ala. 1975, Sec. 34-39-1 et seq. and would breach
scope/safety vs correct practice.
4. Which chapter of the Alabama Administrative Code sets out the terms of supervision
for occupational therapy assistants, limited permit holders, and aides?
A. Chapter 625-X-5
B. Chapter 625-X-2
C. Chapter 625-X-8
D. Chapter 625-X-11
Correct Answer: C. Chapter 625-X-8
Ala. Admin. Code ch. 625-X-8
Rationale: Chapter 625-X-8 governs supervision of licensed OTAs, holders of limited permits, and occupational
therapy aides.
Distractor Analysis:
A is incorrect: "Chapter 625-X-5" — violates Ala. Admin. Code ch. 625-X-8 and would breach scope/safety vs
correct practice.
B is incorrect: "Chapter 625-X-2" — violates Ala. Admin. Code ch. 625-X-8 and would breach scope/safety vs
correct practice.
D is incorrect: "Chapter 625-X-11" — violates Ala. Admin. Code ch. 625-X-8 and would breach scope/safety
vs correct practice.
3 | Alabama State Board of Occupational Therapy
, Alabama OTPS Exam • Alabama State Board of Occupational Therapy • 2026/2027
5. What is the initial license fee for an occupational therapist in Alabama?
A. $115.00
B. $140.00
C. $25.00
D. $50.00
Correct Answer: B. $140.00
Ala. Admin. Code r. 625-X-7-.01(a)
Rationale: The Board's fee schedule sets the initial occupational therapist license fee at $140.00, payable to the
ASBOTF.
Distractor Analysis:
A is incorrect: "$115.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
C is incorrect: "$25.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
D is incorrect: "$50.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
6. What is the initial license fee for an occupational therapy assistant in Alabama?
A. $140.00
B. $95.00
C. $115.00
D. $175.00
Correct Answer: C. $115.00
Ala. Admin. Code r. 625-X-7-.01(a)
Rationale: The occupational therapy assistant initial license fee is $115.00 under the Board's regulatory fee
schedule.
Distractor Analysis:
A is incorrect: "$140.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
B is incorrect: "$95.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
D is incorrect: "$175.00" — violates Ala. Admin. Code r. 625-X-7-.01(a) and would breach scope/safety vs
correct practice.
7. A new graduate applies for a limited permit. What fee accompanies the application?
A. $25.00
B. $140.00
C. $115.00
D. No fee is charged for limited permits
Correct Answer: A. $25.00
Ala. Admin. Code r. 625-X-7-.01(b)
Rationale: The limited permit fee is fixed at $25.00 by the Board's fee rule.
Distractor Analysis:
B is incorrect: "$140.00" — violates Ala. Admin. Code r. 625-X-7-.01(b) and would breach scope/safety vs
correct practice.
C is incorrect: "$115.00" — violates Ala. Admin. Code r. 625-X-7-.01(b) and would breach scope/safety vs
correct practice.
4 | Alabama State Board of Occupational Therapy
