Extensive financial resources and professional services have been used over three years to
provide a computer and software to a young child with sensory, cognitive, language, and motor
disabilities. The parents believe the child’s progress would improve with a new alternate-access
software they found online. What is the next best step?
a. Change to the new software and initiate training
b. Recommend continued training and practice with existing technology
c. Discuss whether the parents’ goals are realistic given the child’s functional abilities
d. Develop measurable outcomes for realistic progress and success for a trial with the new
technology
Correct Answer: d. Develop measurable outcomes for realistic progress and success for a
trial with the new technology
Rationale:
Best practice in assistive technology follows a trial-based, outcome-driven approach.
Establishing measurable outcomes allows objective evaluation of whether the new technology
improves function before full implementation.
Question 2
Which feature is most important to incorporate in a seating system for a 68-year-old with a
fixed kyphotic posture?
a. Lumbar pad
b. Tilt-in-space
c. Shoulder straps
d. Chest strap
Correct Answer: b. Tilt-in-space
Rationale:
Tilt-in-space redistributes pressure, supports posture, and accommodates fixed spinal
deformities without forcing correction that could cause pain or skin breakdown.
Question 3
Even with careful evaluation, providing a backup plan or device is important because:
,a. A secondary method of accomplishing a task is available if the first fails
b. The primary device may be too complicated
c. The user needs time to adjust to new technology
d. The device may not be allowed in work or school
Correct Answer: a. A secondary method of accomplishing a task is available if the first fails
Rationale:
Backup systems ensure continuity of function if the primary device fails, is unavailable, or
requires repair.
Question 4
The primary goal of an assistive technology assessment is to:
a. Identify devices and services to enhance function
b. Facilitate remediation of impairments
c. Identify the most cost-effective devices
d. Recommend the simplest technology
Correct Answer: a. Identify devices and services to enhance function
Rationale:
Assistive technology focuses on functional performance, not remediation. The goal is to match
tools and services to functional needs and environments.
Question 5
During implementation of a new manual wheelchair and seating system, a consumer refuses
installation of a solid seat insert that was recommended at evaluation. The item is not issued.
What should the clinician include in the implementation documentation?
a. Only items issued, omitting the solid seat insert entirely
b. All items originally recommended since they were approved for funding
c. All originally recommended items with justification for the insert
d. Only items issued, noting that the client refused installation of the solid seat insert
Correct Answer: d. Only items issued, noting that the client refused installation of the solid
seat insert
Rationale:
Documentation must be accurate and transparent, reflecting what was issued and noting client
refusal to ensure ethical and legal clarity.
, Question 6
Which instrument is commonly used to assess mobility and functional status in older adults?
a. Katz Index of ADL
b. Thomas test for hip range
c. Functional Independence Measure (FIM)
d. Multilevel Assessment Instrument
Correct Answer: c. Functional Independence Measure (FIM)
Rationale:
The FIM evaluates functional mobility, self-care, and independence and is widely used in
rehabilitation and geriatric settings.
Question 7
A supplier and school physical therapist (PT) evaluated a wheelchair system for a student before
summer break. The chair was purchased through private insurance and ordered during the
summer. The PT requested to be present at delivery. The family asks for immediate delivery
while the PT is unavailable. What should the supplier do?
a. Deliver the chair as requested
b. Perform the first fitting with the family
c. Contact the PT and inform her of the family’s request
d. Require the family to wait until the school year begins
Correct Answer: c. Contact the PT and inform her of the family’s request
Rationale:
Proper wheelchair delivery requires interdisciplinary coordination. The supplier should
communicate with the evaluating clinician to ensure appropriate fitting, training, and safety.
Question 1
Manufacturers of commercially available products are responsible for which of the following?
a. Product defects and warranty
b. Failures from normal wear and use
c. Personal injury when the device is used in a manner it was not designed for
d. Product use throughout the user’s lifetime
Correct Answer: a. Product defects and warranty
Rationale:
Manufacturers are legally responsible for defects in design, manufacturing, and warranty
coverage. They are not responsible for misuse, wear over time, or lifelong performance.