2026 Clinical blueprint · exams from August 3, 2026
ASWB Clinical exam format, timing and 2026 changes
The 2026 ASWB Clinical exam has 122 multiple-choice questions, including 110 scored and 12 unscored. You have up to two hours for each of its two 61-question sections. After the first section closes, you can take an optional break of up to ten minutes with the clock stopped.
What changed on August 3, 2026?
ASWB introduced the current blueprint for exams administered from August 3, 2026. The overall question count fell and the outline consolidated four content areas into three. ASWB also increased the proportion of three-option items and questions that ask candidates to apply knowledge or reason through a situation. Four-option items remain in use.
| Feature | 2018 blueprint | 2026 blueprint |
|---|---|---|
| Content areas | Four | Three |
| Questions | 170 total, 150 scored | 122 total, 110 scored |
| Test time | Four hours | Four hours |
How do the two sections and the break work?
Each section has 61 questions and a separate two-hour limit. You can review answers in the section you are working on. When you submit it or its time runs out, your answers are recorded and you can no longer return to those items. Review any flagged or skipped questions before closing the section.
After the first section closes, the optional scheduled break pauses the exam clock for up to ten minutes. Shortening the break does not add time to the second section. Time used beyond the ten minutes comes out of your remaining exam time. If you take an unscheduled break, the clock keeps running.
For a practice session, set a separate timer for each block and reserve a review interval at the end of each. At the halfway mark in a two-hour block, roughly 30 questions is a useful pacing check. Adjust for question difficulty and the time you need to review.
At the end of a rehearsal, separate questions you flagged because you were unsure about the content from questions you flagged because you were rushing. Use the first group to choose what to study next and the second to adjust your pacing. Rehearse the submission point as part of the session so you remember to make your final review before advancing.
How is the Clinical exam scored?
Only 110 of the 122 questions count toward the pass or fail result. The remaining 12 are unscored items ASWB evaluates for future use. Work through each question with the same care.
The number you need correct depends on the exam form. ASWB says the passing score generally falls between 66 and 78 correct out of 110 across its licensing exams. This describes a range across forms. Your score report gives the number correct and the threshold that applied to your form. If you do not pass, it also gives a breakdown by content area. Check with your board for steps that remain after the exam.
What should you check before test day?
- Review the Pearson confirmation for the correct test center, appointment time and exam level. Set aside time for check-in and checkout in addition to the four hours of question time.
- Plan to arrive 30 minutes early. Check the guidebook for both required forms of identification and match the name on your appointment to the documents.
- Use Pearson’s tutorial to learn how the computer displays questions and how the review controls work.
- If you need nonstandard testing arrangements, check ASWB’s approval process before registering. Use the instructions for your approved appointment if its timing or procedures differ from the standard exam.
Frequently asked questions
Can I return to section one after the break?
After you submit section one or its timer expires, those questions close. Review your answers before submitting or running out of time.
Are all Clinical questions four-option multiple choice?
ASWB uses both three-option and four-option questions. Its 2026 update increased the share of three-option items.