Chambrine School of Nursing
RESNA ATP Practice Exam: 100% Verified Questions & Correct
Answers
2026/2027 Edition
Domain 1: Rehabilitation / Evaluation (Assessment)
1. A 55-year-old male with C4 incomplete tetraplegia (ASIA C) has trace shoulder
elevation (2/5), weak neck flexion (3/5), and no functional upper extremity
movement. He requires a power wheelchair. What is the MOST appropriate
primary drive control interface?
A) Proportional joystick with anterior mount and hand trough
B) Sip-and-puff with proportional input
C) Head array with proximity sensors (non-contact)
D) Chin control with proportional input
Correct Answer: C
Rationale: With trace shoulder elevation and weak neck flexion, a head array with
proximity sensors allows control using minimal head movement without requiring
sustained contact. Sip-and-puff (B) is also appropriate, but head array may be
preferred if oral motor control is compromised or the client prefers head control.
2. A client with a T12 spinal cord injury uses a manual wheelchair. During
propulsion assessment, you observe that the client’s hands consistently contact
the rear wheel axle housing during the recovery phase. What adjustment is MOST
appropriate?
A) Increase seat depth
B) Reduce rear wheel camber
C) Move the rear wheel axles anteriorly
D) Add pushrim projections (e.g., quad knobs)
Correct Answer: C
Rationale: Hand contact with the axle housing indicates that the axles are
,positioned too far posterior relative to the user’s shoulder. Moving the axles
anteriorly aligns the handrims with the user’s biomechanical axis, reducing
contact and improving propulsion efficiency.
3. A client with multiple sclerosis presents with bilateral lower extremity spasticity
and scissoring. The client uses a manual wheelchair and reports difficulty with
perineal hygiene. What seating modification is MOST appropriate?
A) Increase seat width to accommodate abduction
B) Add an abductor pommel (wedge)
C) Reduce seat depth to allow better access
D) Add a contoured foam cushion
Correct Answer: B
Rationale: An abductor pommel provides a physical barrier that prevents hip
adduction and scissoring, improving positioning for hygiene and reducing
spasticity triggers. Increasing seat width (A) would allow more adduction,
worsening the issue.
4. A 70-year-old female with severe osteoarthritis and bilateral total knee
replacements (TKRs) requires a power wheelchair. She reports difficulty with
transfers due to knee pain when standing. What seating feature is MOST
important?
A) Elevating leg rests
B) Power seat lift (vertical lift) to assist with stand-pivot transfers
C) Tilt-in-space for pressure relief
D) Reclining back for rest
Correct Answer: B
Rationale: A power seat lift elevates the seat to near-standing height, reducing the
amount of knee flexion required during stand-pivot transfers. This is critical for
clients with knee pain or limited range of motion following TKRs.
,5. A client with a C7 spinal cord injury uses a manual wheelchair and reports that
the chair feels “tippy” when turning. What adjustment will improve lateral
stability?
A) Increase rear wheel camber
B) Reduce rear wheel camber
C) Move axles anteriorly
D) Increase seat dump
Correct Answer: A
Rationale: Increasing positive camber (angling the wheels outward at the top)
widens the base of support at the contact patch, improving lateral stability during
turns. Camber of 2°–6° is typical for active users.
6. During a seating evaluation, a client with cerebral palsy presents with an
asymmetrical posture: right hip adducted and internally rotated, left hip abducted
and externally rotated (windswept deformity). What cushion configuration is
indicated?
A) Symmetrical contour with bilateral hip guides
B) Right lateral hip guide and left abductor pommel
C) Left lateral hip guide and right abductor pommel
D) Flat cushion with no contouring
Correct Answer: B
Rationale: Windswept deformity requires asymmetrical intervention. A right
lateral hip guide blocks the adducted right hip from crossing midline. A left
abductor pommel prevents the abducted left hip from falling into external
rotation.
7. A client with ALS reports morning headaches, excessive daytime sleepiness, and
difficulty concentrating. FVC is 45% predicted. What is the MOST appropriate
recommendation?
A) Oxygen therapy at 2 L/min during sleep
B) Non-invasive ventilation (BiPAP) with a nasal mask
, C) Mechanical insufflation-exsufflation (Cough Assist)
D) High-flow nasal cannula
Correct Answer: B
*Rationale: Morning headaches and daytime sleepiness are hallmark symptoms of
nocturnal hypoventilation in neuromuscular disease. Non-invasive ventilation
(BiPAP) is indicated when FVC is <50% to maintain nocturnal ventilation and CO₂
clearance.*
8. A client with a left CVA and right hemiplegia uses a power wheelchair. The
client has right homonymous hemianopsia (blindness in the right visual field).
What is the MOST important training strategy?
A) Mount a convex mirror on the right side
B) Instruct the client to visually scan to the right before turning
C) Reduce maximum speed to 25%
D) Use a head array control system
Correct Answer: B
Rationale: Visual scanning training compensates for hemianopsia by teaching the
client to actively turn their head to the affected side to identify obstacles. Mirrors
(A) can create visual confusion and are not a substitute for scanning.
9. A client with a T4 spinal cord injury uses a manual wheelchair with a 3-inch
foam cushion. During a pressure mapping assessment, you note high pressures
(180 mmHg) under both ischial tuberosities that do not decrease significantly
during forward leans. What is the MOST appropriate intervention?
A) Increase cushion thickness to 4 inches
B) Add a gel overlay
C) Switch to an air-filled static cushion
D) Reduce seat dump
Correct Answer: C
Rationale: Air-filled static cushions provide superior immersion and pressure
redistribution compared to foam. If forward leans are not providing adequate
pressure relief, a more effective pressure redistribution cushion is indicated.
RESNA ATP Practice Exam: 100% Verified Questions & Correct
Answers
2026/2027 Edition
Domain 1: Rehabilitation / Evaluation (Assessment)
1. A 55-year-old male with C4 incomplete tetraplegia (ASIA C) has trace shoulder
elevation (2/5), weak neck flexion (3/5), and no functional upper extremity
movement. He requires a power wheelchair. What is the MOST appropriate
primary drive control interface?
A) Proportional joystick with anterior mount and hand trough
B) Sip-and-puff with proportional input
C) Head array with proximity sensors (non-contact)
D) Chin control with proportional input
Correct Answer: C
Rationale: With trace shoulder elevation and weak neck flexion, a head array with
proximity sensors allows control using minimal head movement without requiring
sustained contact. Sip-and-puff (B) is also appropriate, but head array may be
preferred if oral motor control is compromised or the client prefers head control.
2. A client with a T12 spinal cord injury uses a manual wheelchair. During
propulsion assessment, you observe that the client’s hands consistently contact
the rear wheel axle housing during the recovery phase. What adjustment is MOST
appropriate?
A) Increase seat depth
B) Reduce rear wheel camber
C) Move the rear wheel axles anteriorly
D) Add pushrim projections (e.g., quad knobs)
Correct Answer: C
Rationale: Hand contact with the axle housing indicates that the axles are
,positioned too far posterior relative to the user’s shoulder. Moving the axles
anteriorly aligns the handrims with the user’s biomechanical axis, reducing
contact and improving propulsion efficiency.
3. A client with multiple sclerosis presents with bilateral lower extremity spasticity
and scissoring. The client uses a manual wheelchair and reports difficulty with
perineal hygiene. What seating modification is MOST appropriate?
A) Increase seat width to accommodate abduction
B) Add an abductor pommel (wedge)
C) Reduce seat depth to allow better access
D) Add a contoured foam cushion
Correct Answer: B
Rationale: An abductor pommel provides a physical barrier that prevents hip
adduction and scissoring, improving positioning for hygiene and reducing
spasticity triggers. Increasing seat width (A) would allow more adduction,
worsening the issue.
4. A 70-year-old female with severe osteoarthritis and bilateral total knee
replacements (TKRs) requires a power wheelchair. She reports difficulty with
transfers due to knee pain when standing. What seating feature is MOST
important?
A) Elevating leg rests
B) Power seat lift (vertical lift) to assist with stand-pivot transfers
C) Tilt-in-space for pressure relief
D) Reclining back for rest
Correct Answer: B
Rationale: A power seat lift elevates the seat to near-standing height, reducing the
amount of knee flexion required during stand-pivot transfers. This is critical for
clients with knee pain or limited range of motion following TKRs.
,5. A client with a C7 spinal cord injury uses a manual wheelchair and reports that
the chair feels “tippy” when turning. What adjustment will improve lateral
stability?
A) Increase rear wheel camber
B) Reduce rear wheel camber
C) Move axles anteriorly
D) Increase seat dump
Correct Answer: A
Rationale: Increasing positive camber (angling the wheels outward at the top)
widens the base of support at the contact patch, improving lateral stability during
turns. Camber of 2°–6° is typical for active users.
6. During a seating evaluation, a client with cerebral palsy presents with an
asymmetrical posture: right hip adducted and internally rotated, left hip abducted
and externally rotated (windswept deformity). What cushion configuration is
indicated?
A) Symmetrical contour with bilateral hip guides
B) Right lateral hip guide and left abductor pommel
C) Left lateral hip guide and right abductor pommel
D) Flat cushion with no contouring
Correct Answer: B
Rationale: Windswept deformity requires asymmetrical intervention. A right
lateral hip guide blocks the adducted right hip from crossing midline. A left
abductor pommel prevents the abducted left hip from falling into external
rotation.
7. A client with ALS reports morning headaches, excessive daytime sleepiness, and
difficulty concentrating. FVC is 45% predicted. What is the MOST appropriate
recommendation?
A) Oxygen therapy at 2 L/min during sleep
B) Non-invasive ventilation (BiPAP) with a nasal mask
, C) Mechanical insufflation-exsufflation (Cough Assist)
D) High-flow nasal cannula
Correct Answer: B
*Rationale: Morning headaches and daytime sleepiness are hallmark symptoms of
nocturnal hypoventilation in neuromuscular disease. Non-invasive ventilation
(BiPAP) is indicated when FVC is <50% to maintain nocturnal ventilation and CO₂
clearance.*
8. A client with a left CVA and right hemiplegia uses a power wheelchair. The
client has right homonymous hemianopsia (blindness in the right visual field).
What is the MOST important training strategy?
A) Mount a convex mirror on the right side
B) Instruct the client to visually scan to the right before turning
C) Reduce maximum speed to 25%
D) Use a head array control system
Correct Answer: B
Rationale: Visual scanning training compensates for hemianopsia by teaching the
client to actively turn their head to the affected side to identify obstacles. Mirrors
(A) can create visual confusion and are not a substitute for scanning.
9. A client with a T4 spinal cord injury uses a manual wheelchair with a 3-inch
foam cushion. During a pressure mapping assessment, you note high pressures
(180 mmHg) under both ischial tuberosities that do not decrease significantly
during forward leans. What is the MOST appropriate intervention?
A) Increase cushion thickness to 4 inches
B) Add a gel overlay
C) Switch to an air-filled static cushion
D) Reduce seat dump
Correct Answer: C
Rationale: Air-filled static cushions provide superior immersion and pressure
redistribution compared to foam. If forward leans are not providing adequate
pressure relief, a more effective pressure redistribution cushion is indicated.
