RESNA ATP EXAM 2026: 200 PRACTICE
QUESTIONS THAT GUARANTEE YOUR
SUCCESS
Question 1: Assessment Process
A client with C5 tetraplegia is being evaluated for a power
wheelchair. During the assessment, the ATP notes the client has
limited trunk control and uses a chin control for mobility.
Which factor is MOST critical to address first in the equipment
recommendation?
A) Color and aesthetic preferences of the wheelchair
B) Compatibility with the client's existing communication
device
C) Proper seating and postural support to ensure safety and
function
D) The lightest possible frame for transport
Answer: C) Proper seating and postural support to
ensure safety and function
Rationale: For individuals with significant physical
impairments like C5 tetraplegia, foundational seating and
postural support must be prioritized to ensure safety, prevent
pressure injuries, optimize respiratory function, and enable
effective use of controls. While aesthetics, device integration,
and weight are considerations, they are secondary to
establishing a safe, stable seated posture per RESNA ATP
standards of practice.
Question 2: Funding & Documentation
When submitting a prior authorization request to Medicare for
a power mobility device, which documentation element is
MOST likely to result in denial if omitted?
,A) Client's favorite leisure activities
B) Detailed justification of medical necessity linking diagnosis
to functional limitations
C) List of all assistive devices the client has ever tried
D) Photographs of the client's home
Answer: B) Detailed justification of medical necessity
linking diagnosis to functional limitations
Rationale: Medicare and most third-party payers require
clear, specific documentation demonstrating that the
requested device is medically necessary to address functional
limitations directly resulting from a diagnosed condition.
Omitting this clinical justification is a leading cause of denial.
While photos and activity info can support a claim, they
cannot substitute for medical necessity documentation.
Question 3: Ethical Practice
An ATP is offered a significant incentive by a durable medical
equipment (DME) supplier to exclusively recommend their
products. According to the RESNA Code of Ethics, the ATP
should:
A) Accept the incentive if it allows offering clients lower prices
B) Disclose the arrangement to clients but continue the
partnership
C) Decline the incentive to avoid conflict of interest and
maintain objectivity
D) Accept only if the supplier's products are the cheapest
available
Answer: C) Decline the incentive to avoid conflict of
interest and maintain objectivity
Rationale: RESNA Code of Ethics Principle 1.4 requires ATPs
to avoid conflicts of interest and prioritize client welfare over
personal gain. Accepting incentives for referrals compromises
professional judgment and objectivity, potentially leading to
,recommendations that serve the supplier's interests rather
than the client's unique needs.
Question 4: Implementation & Training
After delivering a new speech-generating device (SGD) to a
school-age client, the ATP's NEXT best step is to:
A) Bill the funding source immediately
B) Schedule follow-up training with the client, family, and
educational team
C) Assume the device is ready for full-time use without further
support
D) Recommend the client discontinue all other communication
methods
Answer: B) Schedule follow-up training with the
client, family, and educational team
Rationale: Effective AT implementation requires
comprehensive training and collaboration with all
stakeholders. RESNA standards emphasize that delivery is not
the endpoint; follow-up ensures proper use, troubleshooting,
integration into daily routines, and maximizes adoption.
Billing should occur after service completion, and SGD use
should complement—not replace—other communication
strategies.
Question 5: Device Selection
A client with progressive muscular dystrophy has declining
hand strength but intact cognition and vision. They need a
computer access solution. Which option provides the MOST
sustainable long-term strategy?
A) Standard keyboard with keyguard
B) Head mouse with on-screen keyboard and switch scanning
, capability
C) Large-print keyboard only
D) Voice recognition software without backup access method
Answer: B) Head mouse with on-screen keyboard and
switch scanning capability
Rationale: For progressive conditions, ATPs must anticipate
future functional changes. A head mouse with scanning
capability offers multiple access methods that can adapt as
hand strength declines further. Voice recognition alone (D)
risks failure if speech becomes affected. Options A and C rely
on hand function that will likely deteriorate, making them less
sustainable.
Question 6: Environmental Assessment
During a home assessment for a stairlift installation, the ATP
measures the staircase width at 32 inches. The manufacturer's
minimum requirement is 30 inches. What should the ATP do
NEXT?
A) Proceed with ordering, as the measurement meets
requirements
B) Recommend structural modifications to widen the staircase
C) Verify measurements at multiple points and check for
obstructions like handrails
D) Suggest the client use a portable ramp instead
Answer: C) Verify measurements at multiple points
and check for obstructions like handrails
Rationale: Accurate environmental assessment requires
measuring at multiple points (top, middle, bottom) and
accounting for permanent fixtures. A single measurement may
miss narrowest points or obstructions that could prevent safe
installation. Proceeding without thorough verification (A)
risks installation failure. Modifications (B) or alternatives (D)
may be considered only after complete assessment.
QUESTIONS THAT GUARANTEE YOUR
SUCCESS
Question 1: Assessment Process
A client with C5 tetraplegia is being evaluated for a power
wheelchair. During the assessment, the ATP notes the client has
limited trunk control and uses a chin control for mobility.
Which factor is MOST critical to address first in the equipment
recommendation?
A) Color and aesthetic preferences of the wheelchair
B) Compatibility with the client's existing communication
device
C) Proper seating and postural support to ensure safety and
function
D) The lightest possible frame for transport
Answer: C) Proper seating and postural support to
ensure safety and function
Rationale: For individuals with significant physical
impairments like C5 tetraplegia, foundational seating and
postural support must be prioritized to ensure safety, prevent
pressure injuries, optimize respiratory function, and enable
effective use of controls. While aesthetics, device integration,
and weight are considerations, they are secondary to
establishing a safe, stable seated posture per RESNA ATP
standards of practice.
Question 2: Funding & Documentation
When submitting a prior authorization request to Medicare for
a power mobility device, which documentation element is
MOST likely to result in denial if omitted?
,A) Client's favorite leisure activities
B) Detailed justification of medical necessity linking diagnosis
to functional limitations
C) List of all assistive devices the client has ever tried
D) Photographs of the client's home
Answer: B) Detailed justification of medical necessity
linking diagnosis to functional limitations
Rationale: Medicare and most third-party payers require
clear, specific documentation demonstrating that the
requested device is medically necessary to address functional
limitations directly resulting from a diagnosed condition.
Omitting this clinical justification is a leading cause of denial.
While photos and activity info can support a claim, they
cannot substitute for medical necessity documentation.
Question 3: Ethical Practice
An ATP is offered a significant incentive by a durable medical
equipment (DME) supplier to exclusively recommend their
products. According to the RESNA Code of Ethics, the ATP
should:
A) Accept the incentive if it allows offering clients lower prices
B) Disclose the arrangement to clients but continue the
partnership
C) Decline the incentive to avoid conflict of interest and
maintain objectivity
D) Accept only if the supplier's products are the cheapest
available
Answer: C) Decline the incentive to avoid conflict of
interest and maintain objectivity
Rationale: RESNA Code of Ethics Principle 1.4 requires ATPs
to avoid conflicts of interest and prioritize client welfare over
personal gain. Accepting incentives for referrals compromises
professional judgment and objectivity, potentially leading to
,recommendations that serve the supplier's interests rather
than the client's unique needs.
Question 4: Implementation & Training
After delivering a new speech-generating device (SGD) to a
school-age client, the ATP's NEXT best step is to:
A) Bill the funding source immediately
B) Schedule follow-up training with the client, family, and
educational team
C) Assume the device is ready for full-time use without further
support
D) Recommend the client discontinue all other communication
methods
Answer: B) Schedule follow-up training with the
client, family, and educational team
Rationale: Effective AT implementation requires
comprehensive training and collaboration with all
stakeholders. RESNA standards emphasize that delivery is not
the endpoint; follow-up ensures proper use, troubleshooting,
integration into daily routines, and maximizes adoption.
Billing should occur after service completion, and SGD use
should complement—not replace—other communication
strategies.
Question 5: Device Selection
A client with progressive muscular dystrophy has declining
hand strength but intact cognition and vision. They need a
computer access solution. Which option provides the MOST
sustainable long-term strategy?
A) Standard keyboard with keyguard
B) Head mouse with on-screen keyboard and switch scanning
, capability
C) Large-print keyboard only
D) Voice recognition software without backup access method
Answer: B) Head mouse with on-screen keyboard and
switch scanning capability
Rationale: For progressive conditions, ATPs must anticipate
future functional changes. A head mouse with scanning
capability offers multiple access methods that can adapt as
hand strength declines further. Voice recognition alone (D)
risks failure if speech becomes affected. Options A and C rely
on hand function that will likely deteriorate, making them less
sustainable.
Question 6: Environmental Assessment
During a home assessment for a stairlift installation, the ATP
measures the staircase width at 32 inches. The manufacturer's
minimum requirement is 30 inches. What should the ATP do
NEXT?
A) Proceed with ordering, as the measurement meets
requirements
B) Recommend structural modifications to widen the staircase
C) Verify measurements at multiple points and check for
obstructions like handrails
D) Suggest the client use a portable ramp instead
Answer: C) Verify measurements at multiple points
and check for obstructions like handrails
Rationale: Accurate environmental assessment requires
measuring at multiple points (top, middle, bottom) and
accounting for permanent fixtures. A single measurement may
miss narrowest points or obstructions that could prevent safe
installation. Proceeding without thorough verification (A)
risks installation failure. Modifications (B) or alternatives (D)
may be considered only after complete assessment.
