Not every state uses all four levels, so candidates must be sure to check with individual boards to find out which examinations are appropriate for the state in which they are seeking licensure. Each examination contains 170 four-option multiple choice questions designed to measure minimum competencies at four categories of practice. These pretest items are scattered randomly throughout the examination.
Candidates have four hours to complete the test, which is administered electronically.
Special accommodations are available for candidates with disabilities. Additionally, many states offer arrangements for candidates whose first language is not English. In order to view any PDF files, visitors will need Adobe Acrobat Reader. This is a free software to download from the Adobe website.