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PTA National Licensure Exam 2025/2026 – 250+ Clinical Questions with Correct Answers | NPTE Prep, Assistive Devices, Modalities, Gait, Neuro, CVA, Wound Care & Special Populations

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This in-depth and clinically grounded resource provides over 250 board-style questions with expert-level answers designed for Physical Therapist Assistant students preparing for the 2025/2026 National Licensure Exam (NPTE-PTE). Each question is followed by a rationale to solidify clinical reasoning, making it ideal for exam review and practice. Covering the full scope of the NPTE blueprint, this document includes essential exam content such as: Assistive devices & weight-bearing progressions (e.g., crutches for PWB) Pathological gait patterns including gluteus maximus gait and ataxic gait Neuro rehab: stroke positioning, CVA synergy patterns, reflex testing (e.g., flexor withdrawal) Wound care: sterile vs non-sterile technique, dressing applications Modalities: tilt table tolerance, positioning strategies for edema or postural deformities Systemic considerations: renal disease and exercise, myocardial infarction, electrolyte imbalance (e.g., hyperkalemia) Cognitive disorders: Alzheimer’s vs delirium, sundowning interventions Pediatrics & NICU: primitive reflexes, family handling education Cardiopulmonary management: MET levels, ejection fraction, post-MI care The guide also includes questions on musculoskeletal pathologies (e.g., lateral epicondylitis), orthopedic special tests, neurological screening, and postural assessments using the plumb line. This prep document is perfect for: PTA students approaching their national board exam or mid-program licensure exams Clinical educators and tutors providing mock exams or rational-based review NPTE prep course attendees needing highly realistic Q&A practice Health science and pre-PTA students seeking exposure to professional clinical reasoning Each answer includes rationale and clinical context, ensuring students not only memorize but understand the “why” behind each correct choice. It’s an essential board prep tool combining exam readiness, clinical judgment, and critical thinking. Keywords: PTA board exam, NPTE-PTE, physical therapy assistant, assistive devices, gait analysis, neuro rehab, wound care, modalities, tilt table, CVA, reflex testing, Alzheimer's, sundowning, renal disease, MI, exercise tolerance, ejection fraction, pediatric PT, postural assessment, clinical reasoning

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PTA National Licensure Exam Practice
Questions 2025/2026 Exam All Answers
and Illustrations Given



a 60-year-old patient rehabilitating from a fractured ankle receives a walking cast

from their physician and is referred to physical therapy. The patient has been

cleared for partial weight bearing on their walking cast. Which type of assistive

device would be the MOST appropriate for the patient?

A. Straight cane

B. Walker

C. Axillary crutches


D. bilateral canes - 🧠 ANSWER ✔✔C. Axillary crutches.


Rational: Axillary Crutches are lightweight and recommended for patients with

adequate coordination. They also will allow the patient to maintain partial weight

, bearing during ambulation. This is the most appropriate assistive device for the

patient given their age and lack of other deficits.

A physical therapist assistant determines that a patient's abnormal gait pattern is

characterized as ataxic. Which of the following BEST describes this gait pattern?

A. Wide base of support with exaggerated movements

B. Legs crossing the midline

C. Small shuffling steps and festinating


D. High stepping with foot slap - 🧠 ANSWER ✔✔A: Wide base of support with

exaggerated movements

Rational: Ataxia is defined by the presence of abnormal, uncoordinated

movements. An ataxic gait pattern is characterized by staggering and unsteadiness.

There is usually a wide base of support and movements are exaggerated.

A physical therapist assistant prepares to apply a sterile dressing to a wound after

debridement. The assistant begins the process by drying the wound using a towel,

applies medication to the wound using a gauze pad, and then applies a series of

dressings that are secured using a bandage. The application of which of these steps

would NOT warrant the use of sterile technique?

A. Bandage

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