ATP Practice Questions (2026) — Free Sample Questions with Answers

6 free ATP questions from our 25-question bank, grouped by content domain. Each answer explains why the right option is right — and why every wrong option is wrong.

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Assessment of Need

Question 1

A 54-year-old man was recently diagnosed with amyotrophic lateral sclerosis (ALS). His speech is still fully intelligible, and he uses no AT. Which recommendation best anticipates his future communication needs?

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Answer: B

Wait until speech becomes hard to understand: Waiting loses the chance to record his natural voice and leaves little time for training before speech fails.

Begin message and voice banking now: Correct. While speech is intelligible he can record personal messages and bank his voice for later use in a speech-generating device, planned for a progressive condition.

Provide a low-tech letter board only: A letter board may be a useful backup but does not plan for the full range of future needs or preserve his voice.

Order an eye-gaze device immediately: Equipment choice should follow assessment of current and anticipated access needs; immediate eye-gaze is premature and may not be funded.

For progressive conditions, plan ahead: introduce AT early, bank messages or voice while speech is clear, and choose systems that can adapt to changing access methods.

Question 2

A client who uses a power wheelchair needs a ramp to an entry door 24 inches above the ground. To meet the ADA maximum running slope for ramps, what is the minimum ramp run length, excluding landings?

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Answer: D

12 feet: 12 feet gives a 1:6 slope (24 inches over 144 inches), twice as steep as permitted.

36 feet: 36 feet (1:18) exceeds the minimum; it would be gentler but is not the required minimum.

2 feet: This uses the rise in feet as the run; a 1:1 slope is not navigable.

24 feet: Correct. ADA maximum running slope is 1:12, so each inch of rise needs 12 inches of run: 24 × 12 = 288 inches = 24 feet.

Ramp length (inches) = rise (inches) × 12 for a 1:12 slope; also plan level landings at the top, bottom and every 30 inches of rise.

Development of Intervention Strategies - Action Plan

Question 3

A client lives in a small apartment with tight hallways and a compact bathroom and is choosing a power wheelchair base. Which drive-wheel configuration usually offers the smallest turning radius?

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Answer: A

Mid-wheel drive: Correct. With drive wheels under the user's center of mass, mid-wheel drive pivots nearly in place, giving the tightest turning footprint for indoor spaces.

Rear-wheel drive: Rear-wheel drive tracks well at higher outdoor speeds but needs the largest turning space.

Front-wheel drive: Front-wheel drive handles obstacles and curbs well and turns better than rear-wheel drive, but its turning circle is usually larger than mid-wheel.

Four-wheel caster drive: This is not a standard power base configuration for complex power wheelchairs.

Mid-wheel drive: tightest turning radius; rear-wheel drive: stable straight-line tracking at speed; front-wheel drive: good obstacle climbing and close approach to surfaces.

Implementation of Intervention (Once Funded)

Question 4

A client with tetraplegia has just received a power wheelchair with power tilt-in-space. The ATP is training him and his caregiver to use tilt for pressure redistribution. According to the research summarized by RESNA, what minimum tilt angle is generally needed for a meaningful reduction in ischial pressure?

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Answer: C

About 5°: Small tilt angles are useful for postural support but produce little ischial unloading.

About 15°: 15° provides postural benefits but has not been shown to give meaningful pressure redistribution on its own.

About 30°: Correct. Studies show tilt of at least about 30° is needed for meaningful ischial pressure reduction, with greater benefit at larger angles and when combined with recline.

About 90°: Power tilt systems do not reach 90°, and such angles are unnecessary for pressure redistribution.

For pressure relief, train users to tilt at least about 30° (more, such as 45° and above, with recline is better) and to hold the position long enough for tissue reperfusion.

Evaluation of Intervention (Follow-up)

Question 5

An AT program wants a standardized tool to measure clients' satisfaction with both their assistive device and the services they received. Which instrument is designed for this purpose?

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Answer: C

Braden Scale: The Braden Scale predicts pressure-injury risk; it does not measure AT satisfaction.

Functional Independence Measure: The FIM rates burden of care in self-care and mobility, not satisfaction with a device.

QUEST 2.0: Correct. The Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0) has device and service subscales.

Berg Balance Scale: The Berg scale measures standing balance and fall risk.

AT outcome tools: QUEST 2.0 (satisfaction with device and services), PIADS (psychosocial impact), FMA (functional mobility); use standardized measures to document outcomes.

Professional Conduct

Question 6

An ATP employed by a supplier receives a bonus for sales of one manufacturer's product line. A client's assessment shows that another manufacturer's chair better meets her needs. What does RESNA's Code of Ethics require?

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Answer: C

Recommend the bonus-eligible line, as it meets basic needs: Putting personal financial gain ahead of the client's assessed needs violates the duty to hold the client's welfare paramount.

Offer both chairs without telling the client about the bonus: Failing to disclose a conflict of interest violates the requirement for honest and transparent practice.

Recommend the best-fit chair and disclose the conflict: Correct. RESNA's Code requires putting the client's welfare first, practicing within objective assessment and avoiding or disclosing conflicts of interest.

Refer the client to another supplier without explanation: Unexplained referral does not address the ethics issue and can delay services.

Ethics: the client's welfare comes first; recommendations follow the assessment, and conflicts of interest are avoided or disclosed.

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