B250D MODULE 4 EXAMINATION TEST 2026
COMPREHENSIVE STUDY GUIDE
◉A
TBI LEVELS
Rancho levels of cognitive functioning:
1. No response = total assistance - not even response to pain
2. Generalized response = total assistance - general response to pain,
gross body movements, vocalizations,
response may be delayed
3. Localized response = total assistance - withdrawal to painful
stimuli, turns towards sound, blinks to light,
eyes follow object, response to family members - moving to music
4. Confused/agitated = maximal assistance - alert, try to remove
restraints, can sit, stand, walk, aggression,
mood swings, uncooperative, incoherent
5. Confused, inappropriate, non-agitated - maximal assistance -
wander around, non oriented to person, time,
place, brief periods of attention, poor memory/learning, can
respond to simple commands, able to converse for
brief periods - making a sandwich
6. Confused appropriate - moderate assistance - sometimes oriented
to person, time, place, able to do t. Answer: 2. Question 1 points
,Rancho Los Amigos Levels 1-10 is an evaluation tool used for
patients with what type of diagnosis?
1. TBI LEVELS
2. SCI levels
3. Glasgow
4. Level 1
◉ A. Answer: For a client with RA, what is contraindicated:
1. PROM and resistive exercises to increase strength
2. Neuro-Developmental Treatment (NDT)
3. Maintaining AROM
4. Anti-Deformity wrist and hand position
◉B
SCI C1 - C3
C1-C2 Neck FL, EXT
C3 Lateral neck FL
Dependent in self-care, can instruct others, can
,chew and swallow.. Answer: When a patient is totally dependent in
self care but can instruct others in preferences for care, what spinal
cord level is he at?
1. SCI C5
2. SCI C1 - C3
3. SCI C8-T1
4. SCI C7
◉ A. Answer: If a patient who has a SCI C7 wants to be independent
with pressure relief, what is the best technique to show them?
1. The OT should teach the patient to do a depression transfer
2. The OT should teach the patient to sit using loops and forward
weight shift
3. The OT should teach the patient to lean forward to do a weight
shift
4. The OT should teach the patient to lean his arms forward and
push back
◉C
Incorrect
, A recommendation for a screen reading program
A screen reading program will be the best adaption for a child with a
progressive condition resulting in loss of vision. Answer: What
would be the best adaptation recommendation for a 13-year-old boy
who has a progressive condition resulting in loss of vision and is
starting to have difficulty using the computer:
1. A recommendation for a modified, smaller keyboard
2. A recommendation for a voice recognition input program
3. A recommendation for a screen reading program
4. A recommendation for single-switch scanning with a keyboard on
the screen
◉B
C. Because the client is highly distractible and displays severe
memory impairment but can respond to simple commands, the
client most closely resembles Level V.
A: A Level VII client has limited distractibility and is capable of
carrying out a intelligible conversation despite minimal confusion.
B: A Level III client inconsistently responds to stimuli and would not
be capable of intelligibly responding to simple commands.
COMPREHENSIVE STUDY GUIDE
◉A
TBI LEVELS
Rancho levels of cognitive functioning:
1. No response = total assistance - not even response to pain
2. Generalized response = total assistance - general response to pain,
gross body movements, vocalizations,
response may be delayed
3. Localized response = total assistance - withdrawal to painful
stimuli, turns towards sound, blinks to light,
eyes follow object, response to family members - moving to music
4. Confused/agitated = maximal assistance - alert, try to remove
restraints, can sit, stand, walk, aggression,
mood swings, uncooperative, incoherent
5. Confused, inappropriate, non-agitated - maximal assistance -
wander around, non oriented to person, time,
place, brief periods of attention, poor memory/learning, can
respond to simple commands, able to converse for
brief periods - making a sandwich
6. Confused appropriate - moderate assistance - sometimes oriented
to person, time, place, able to do t. Answer: 2. Question 1 points
,Rancho Los Amigos Levels 1-10 is an evaluation tool used for
patients with what type of diagnosis?
1. TBI LEVELS
2. SCI levels
3. Glasgow
4. Level 1
◉ A. Answer: For a client with RA, what is contraindicated:
1. PROM and resistive exercises to increase strength
2. Neuro-Developmental Treatment (NDT)
3. Maintaining AROM
4. Anti-Deformity wrist and hand position
◉B
SCI C1 - C3
C1-C2 Neck FL, EXT
C3 Lateral neck FL
Dependent in self-care, can instruct others, can
,chew and swallow.. Answer: When a patient is totally dependent in
self care but can instruct others in preferences for care, what spinal
cord level is he at?
1. SCI C5
2. SCI C1 - C3
3. SCI C8-T1
4. SCI C7
◉ A. Answer: If a patient who has a SCI C7 wants to be independent
with pressure relief, what is the best technique to show them?
1. The OT should teach the patient to do a depression transfer
2. The OT should teach the patient to sit using loops and forward
weight shift
3. The OT should teach the patient to lean forward to do a weight
shift
4. The OT should teach the patient to lean his arms forward and
push back
◉C
Incorrect
, A recommendation for a screen reading program
A screen reading program will be the best adaption for a child with a
progressive condition resulting in loss of vision. Answer: What
would be the best adaptation recommendation for a 13-year-old boy
who has a progressive condition resulting in loss of vision and is
starting to have difficulty using the computer:
1. A recommendation for a modified, smaller keyboard
2. A recommendation for a voice recognition input program
3. A recommendation for a screen reading program
4. A recommendation for single-switch scanning with a keyboard on
the screen
◉B
C. Because the client is highly distractible and displays severe
memory impairment but can respond to simple commands, the
client most closely resembles Level V.
A: A Level VII client has limited distractibility and is capable of
carrying out a intelligible conversation despite minimal confusion.
B: A Level III client inconsistently responds to stimuli and would not
be capable of intelligibly responding to simple commands.
