PREP 2026/2027 – 300 REAL EXAM
QUESTIONS WITH CORRECT VERIFIED
ANSWERS & DETAILED RATIONALE S
| ALREADY GRADED A+ | ASSISTIVE
TECHNOLOGY PROFESSIONAL TEST
BANK
Domain 1: Assessment of Need & Evaluation
1. During an assistive technology assessment, which factor should be
considered FIRST?
A) Funding source requirements
B) Device brand preferences
C) Functional goals of the client
D) Availability of loaner equipment
Correct Answer: C
Rationale : ATP best practice emphasizes a client-centered approach; functional goals
drive assessment decisions and technology selection, not funding or equipment
availability.
2. When completing a mobility device evaluation, which factor should be
addressed FIRST?
A) Funding source
B) Client preference
C) Medical and functional needs
D) Aesthetics
Correct Answer: C
Rationale : The ATP exam prioritizes medical necessity and functional needs as the
foundation of any device recommendation. Funding and client preference are
addressed later, after clinical justification is established.
3. A school-based team is initiating an assistive technology evaluation for a 9-
year-old with cerebral palsy. According to the SETT Framework, which is the
appropriate first step in the process?
,A) Select specific high-tech devices for trial based on catalog evaluation
B) Gather information about the Student, Environment, Tasks, and Tools
C) Order equipment pending funding approval
D) Train educational staff on universal design principles
Correct Answer: B
Rationale : SETT Framework prioritizes understanding Student, Environment, Tasks,
Tools as interdependent elements before tool selection. RESNA ATP standards require
client-centered data gathering prior to recommendation, aligning with ICF and
universal design.
4. When applying the HAAT model during a computer access evaluation, which
component represents the interaction between the user, activity, and assistive
technology within context?
A) Human component alone
B) The context excluding the physical environment
C) The AT system within human, activity, and context interaction
D) Activity performance without technology
Correct Answer: C
Rationale : HAAT model defines assistive technology within a system comprising
Human, Activity, Assistive Technology, and Context. The correct choice reflects holistic
assessment required by RESNA evaluation standards.
5. An ATP is mapping ICF codes to justify mobility device recommendation.
Which ICF domain best captures difficulty navigating narrow doorways at
home?
A) Body Functions and Structures
B) Environmental Factors
C) Participation restriction in community life
D) Health Condition classification
Correct Answer: B
Rationale : ICF Environmental Factors include physical environment barriers such as
architectural features. Doorway width is an environmental barrier, not a body function
limitation.
6. During referral triage, you receive a referral stating "needs wheelchair."
What is the most appropriate next action per RESNA assessment standards?
A) Proceed directly to prescribing a standard manual wheelchair
B) Clarify referral focus, identify assessment team, and prioritize assessment needs
C) Deny referral due to lack of specificity
D) Request physician to specify brand and model
Correct Answer: B
Rationale : RESNA Assessment of Need domain requires evaluation of referral to
determine focus, assemble team, and prioritize needs. This ensures person-centered
evaluation and avoids premature device selection.
,7. For a non-speaking adult with ALS being assessed for AAC, which
interdisciplinary team composition is most essential at initial evaluation?
A) ATP and vendor only
B) SLP, OT, PT, ATP, client, and caregivers
C) Physician and nurse only
D) Family members without clinicians
Correct Answer: B
Rationale : High-tech AAC evaluation for ALS requires SLP for language, OT/PT for
access and positioning, ATP for technology integration, and client/caregivers for goal
setting. Interdisciplinary collaboration is mandated in the 2026/2027 blueprint.
8. What is the PRIMARY purpose of conducting a trial period with assistive
technology?
A) To satisfy funding requirements
B) To determine if the device meets the client's functional goals in real-world settings
C) To allow the client to become familiar with the device
D) To evaluate the device's durability
Correct Answer: B
Rationale : Trials allow the client to use the device in their actual environments to
determine if it effectively meets their functional goals and addresses their needs.
9. A client with a C6 spinal cord injury reports difficulty using a standard
keyboard due to decreased finger strength and endurance. Which intervention
is MOST appropriate to trial first?
A) Eye gaze system
B) Speech recognition software
C) Keyguard with reduced-force keyboard
D) Switch scanning interface
Correct Answer: C
Rationale : A client with C6 function retains some wrist extension and partial hand use;
a reduced-force keyboard paired with a keyguard can improve typing accuracy while
maximizing existing motor skills before transitioning to more complex access methods.
10. A client with low vision struggles with glare while using a tablet. Which
intervention is MOST appropriate?
A) Increase environmental glare
B) Matte screen filter
C) Smaller font size
D) Reduced screen brightness only
Correct Answer: B
Rationale : A matte screen filter reduces glare for individuals with low vision without
sacrificing readability.
, 11. When conducting a wheelchair seating assessment, what is the MOST
critical measurement to obtain?
A) Shoulder width
B) Hip width and seat depth
C) Foot length
D) Arm length
Correct Answer: B
Rationale : Hip width determines the appropriate seat width, and seat depth prevents
pressure on the popliteal vessels and nerves while providing adequate support.
12. What is the MINIMUM seat depth requirement relative to the client's
posterior buttock to popliteal fossa measurement?
A) Equal to the measurement
B) 1–2 inches less than the measurement
C) 1–2 inches greater than the measurement
D) 3–4 inches less than the measurement
Correct Answer: B
Rationale : Seat depth should be 1–2 inches less than the popliteal fossa measurement
to prevent pressure on the popliteal vessels and nerves while providing adequate
support.
13. A client with a C6 spinal cord injury has tenodesis grasp. Which physical
function must be checked to determine if they can safely transfer
independently using a tenodesis grasp?
A) Active wrist flexion
B) Passive wrist extension with concurrent finger flexion
C) Active finger abduction
D) Shoulder internal rotation range of motion
Correct Answer: B
Rationale : A tenodesis grasp relies on passive structural shortening; extending the wrist
naturally pulls the fingers into a functional flexion grip. Evaluating passive wrist
extension ensures this biomechanical property is intact.
14. An ATP is assessing a child with severe athetoid cerebral palsy for a
communication device switch site. Which physical presentation should the ATP
screen for first to avoid accidental switch triggers?
A) Pure microtonal finger twitching
B) The presence of primitive reflexes, such as the asymmetrical tonic neck reflex
(ATNR)
C) Maximum grip strength output on a dynamometer
D) Absolute passive hamstring length
Correct Answer: B
Rationale : In individuals with athetoid cerebral palsy, turning the head can trigger a