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1. A 45-year-old client with a C5 incomplete spinal cord injury has 3/5 deltoid strength, 4/5 biceps, 2/5 wrist
extensors, and no triceps or hand function. Which mobility base is MOST appropriate?
A) Manual wheelchair with power-assist wheels
B) Power wheelchair with proportional joystick
C) Manual wheelchair with projections
D) Power wheelchair with sip-and-puff control
Answer: B
At C5, the client has adequate shoulder and elbow flexion to control a joystick mounted on the armrest; sip-and-
puff is for higher-level injuries; power-assist requires more upper extremity strength for propulsion .
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
Answer: C
ATP exams prioritize medical necessity and function first; funding and preference are addressed after clinical
justification is established .
3. A client demonstrates extensor tone when seated. Which intervention is MOST appropriate to manage this
tone?
A) Increase seat-to-floor height
B) Add posterior pelvic support
C) Increase seat depth
D) Remove trunk supports
Answer: B
Posterior pelvic support stabilizes the pelvis, reducing extensor tone by providing a stable base of support;
removing supports would worsen the tone .
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,4. What is the PRIMARY purpose of a pelvic positioning belt in a wheelchair?
A) Restraint
B) Pressure relief
C) Postural stability
D) Fall prevention only
Answer: C
Pelvic belts are positioning devices that stabilize the pelvis, which is the foundation of seated posture; they are
not designed as restraints .
5. A client lives in a home with narrow doorways and tight turns. What wheelchair drive base should the ATP
prioritize?
A) Mid-wheel drive
B) Front-wheel drive
C) Rear-wheel drive
D) Scooter
Answer: B
Front-wheel drive offers the tightest turning radius, making it ideal for navigating narrow doorways and tight
indoor spaces; mid-wheel has good maneuverability but can get stuck on thresholds .
6. A client requires frequent repositioning due to pain and fatigue. Which wheelchair feature is MOST
beneficial?
A) Power recline
B) Adjustable armrests
C) Power tilt
D) Elevating leg rests
Answer: C
Power tilt redistributes pressure and reduces fatigue without increasing shear forces on the skin; recline
increases shear and is not as effective for pressure management .
7. Which seating surface is BEST for managing high pressure risk for a client with a stage 3 pressure injury?
A) Foam
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,B) Gel
C) Air-cell
D) Vinyl
Answer: C
Air-cell cushions provide superior pressure redistribution and are the standard for high-risk users; gel cushions
can bottom out, and foam is less effective for high risk .
8. A client with progressive MS needs future adaptability. Which recommendation is MOST appropriate?
A) Fixed-frame manual wheelchair
B) Adjustable power wheelchair system
C) Scooter
D) Standard recliner wheelchair
Answer: B
Progressive conditions require modularity and adjustability to meet changing needs; fixed frames and scooters
cannot adapt as the disease progresses .
9. Which assessment is MOST critical when recommending a power mobility device?
A) Upper extremity range of motion
B) Cognitive ability to operate controls safely
C) Visual acuity
D) Caregiver availability
Answer: B
Safe power mobility use requires adequate cognition, judgment, and problem-solving; this is non-negotiable on
the ATP exam .
10. A child uses a manual wheelchair and can transfer to an approved child safety seat for transport in the family
van. What is the safest transport method?
A) Remain in the wheelchair with lap belt only
B) Transfer to approved child safety seat with vehicle seatbelt system
C) Remain in the wheelchair with four-point tiedown
D) Transfer to the vehicle bench seat without any restraint
Answer: B
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, Children should be transported in an approved child safety seat; wheelchairs are not crash-tested for children,
and lap belts alone are unsafe .
11. A client has decreased head control. Which wheelchair feature is MOST important?
A) Lateral trunk supports
B) Headrest with occipital support
C) Elevated footrests
D) Anti-tippers
Answer: B
Without head control, safety, airway protection, and vision are compromised; proper occipital head support is
critical for function and safety .
12. Which documentation element is REQUIRED for ATP funding justification?
A) Product catalog page
B) Physician’s diagnosis only
C) Functional limitations and goals
D) Caregiver opinion
Answer: C
ATP documentation must clearly link functional limitations to device features to expected outcomes; diagnosis
alone is insufficient .
13. What is the PRIMARY role of the ATP in wheelchair provision?
A) Recommend the least expensive device
B) Prescribe medical treatment
C) Match the technology to the user’s functional needs
D) Train caregivers only
Answer: C
The ATP’s core role is to match assistive technology to the user’s specific functional needs and environment .
14. A client with a C6 spinal cord injury needs to access a computer. Which access method is MOST appropriate?
A) Voice recognition
B) Head mouse
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