Prepare for the January 2026 content outline.

Understand the 90-question PTCE, 80 scored and 10 unscored items, 1 hour 50-minute test, four 2026 domains and scaled passing score.

Total questions90Multiple choice

Scored questions8010 unscored are unidentified

Testing time1:502-hour total appointment

Passing scaled score1,400Scale 1,000–1,600

Medications35%

Federal Requirements18.75%

Patient Safety & Quality Assurance23.75%

Order Entry & Processing22.5%

Four official domains

Medications 35%, Federal Requirements 18.75%, Patient Safety and Quality Assurance 23.75%, and Order Entry and Processing 22.5%.

This site's full simulation translates those percentages into 80 scored practice questions—28, 15, 19 and 18—plus 10 hidden pilot questions.