Top Wheelchair Strategies for NBCOT
Exam Excellence.
A client was provided with an ultra lightweight wheelchair. Because the client is at risk
for falls, the drop seat was tilted posteriorly to help prevent the client from getting out of
the chair; also, because of the client's short stature, the axle was moved forward to
make it easier for the client to propel the chair. What two accessories would the OTR®-
COTA® team recommend to improve the client's safety while using the wheelchair?
A. Solid rubber casters, antitippers
B. Antitippers, brake lever extenders
C. Brake lever extenders, flip-up footrests
D. Flip-up footrests, antitippers -
\B
Because the client's center of gravity is now behind the axle and the drop seat is tilted
posteriorly, the client is more vulnerable to tipping backward in the chair; thus, the
OTR®-COTA® team would recommend antitippers. The OTR®-COTA® team would
recommend brake lever extenders because the tilt of the drop seat and the client's short
stature will make it difficult for the client to access the brake levers.
A COTA® is working with a client who is unable to drive. The COTA is educating the
client on the benefits of a fixed transit system in comparison with a paratransit system.
What are advantages of a fixed transit system? Select the 3 BEST choices.
A. Fixed transit is more economical than paratransit.
B. Fixed transit offers more autonomy than paratransit.
C. Fixed transit offers more flexibility than paratransit.
D. Fixed transit rides may be customized for the rider's disability.
E. Fixed transit offers door-to-door service.
F. Fixed transit requires less cognitive training than paratransit. -
\A,B,C
A: Fixed transit systems cost less than paratransit systems because they use general,
publicly scheduled routes rather than providing individualized service.
B, C: The rider may choose from a variety of times and routes to get to the destination
rather than a time designated by the paratransit driver.
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D: Paratransit eligibility is based on disability; therefore, specific accommodations may
be made for the rider.
E: Paratransit offers door-to-door or curb-to-curb service.
, F: Paratransit requires less cognitive ability than fixed transit because the driver may
provide assistance. The rider does not need to manage routes, money, or route
transfers.
The COTA® and a Level II Fieldwork OTA student at a long-term care facility observe a
new resident moving his wheelchair forward by gripping the front of the pushrim and
giving it multiple tiny pushes. The COTA® asks the student, "Why do you think he is
pushing his wheelchair that way?" The student observes a bit longer and responds:
A. The seat back is too low.
B. The wheelchair is too wide.
C. The seat back is too high.
D. The armrests are too low. -
\C
When the seat back height is above the lower angle of the scapula, it can prevent
adequate shoulder extension, which is necessary for contacting the pushrim.
An OTR® wrote a goal for modified independence with meal preparation for a client who
recently sustained a fracture of the left humerus and is currently in a splint and sling.
The client uses a straight cane for functional mobility. How should the COTA® instruct
the client to remove items from the oven during meal preparation?
A. Stand directly in front of the oven, open the door, reach in with the right arm, pull out
the food, and place it on top of the oven.
B. Stand to the left of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
C. Stand to the right of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
D. Stand directly in front of the oven, open the door, reach in with a reacher using the
right arm, pull out the food, and place it on top of the oven. -
\B
Standing to the left of the oven allows the client to open the door easily with the right
hand and remain as close as possible to the food item being retrieved when pulling it
out of the oven.
-------
A: Standing directly in front of the oven creates a bigger space between the client and
the food item being retrieved, which means the client would have to bend farther
forward, creating a bigger risk of falling.
C: Standing to the right of the oven would require the client to rotate to get the right arm
in a position in which lifting the food item would be possible.
D: Reachers are not typically used to retrieve hot items from an oven, because they are
generally made of materials that could melt in extreme heat and rarely can hold the
weight of an item coming out of an oven.
Exam Excellence.
A client was provided with an ultra lightweight wheelchair. Because the client is at risk
for falls, the drop seat was tilted posteriorly to help prevent the client from getting out of
the chair; also, because of the client's short stature, the axle was moved forward to
make it easier for the client to propel the chair. What two accessories would the OTR®-
COTA® team recommend to improve the client's safety while using the wheelchair?
A. Solid rubber casters, antitippers
B. Antitippers, brake lever extenders
C. Brake lever extenders, flip-up footrests
D. Flip-up footrests, antitippers -
\B
Because the client's center of gravity is now behind the axle and the drop seat is tilted
posteriorly, the client is more vulnerable to tipping backward in the chair; thus, the
OTR®-COTA® team would recommend antitippers. The OTR®-COTA® team would
recommend brake lever extenders because the tilt of the drop seat and the client's short
stature will make it difficult for the client to access the brake levers.
A COTA® is working with a client who is unable to drive. The COTA is educating the
client on the benefits of a fixed transit system in comparison with a paratransit system.
What are advantages of a fixed transit system? Select the 3 BEST choices.
A. Fixed transit is more economical than paratransit.
B. Fixed transit offers more autonomy than paratransit.
C. Fixed transit offers more flexibility than paratransit.
D. Fixed transit rides may be customized for the rider's disability.
E. Fixed transit offers door-to-door service.
F. Fixed transit requires less cognitive training than paratransit. -
\A,B,C
A: Fixed transit systems cost less than paratransit systems because they use general,
publicly scheduled routes rather than providing individualized service.
B, C: The rider may choose from a variety of times and routes to get to the destination
rather than a time designated by the paratransit driver.
----------------
D: Paratransit eligibility is based on disability; therefore, specific accommodations may
be made for the rider.
E: Paratransit offers door-to-door or curb-to-curb service.
, F: Paratransit requires less cognitive ability than fixed transit because the driver may
provide assistance. The rider does not need to manage routes, money, or route
transfers.
The COTA® and a Level II Fieldwork OTA student at a long-term care facility observe a
new resident moving his wheelchair forward by gripping the front of the pushrim and
giving it multiple tiny pushes. The COTA® asks the student, "Why do you think he is
pushing his wheelchair that way?" The student observes a bit longer and responds:
A. The seat back is too low.
B. The wheelchair is too wide.
C. The seat back is too high.
D. The armrests are too low. -
\C
When the seat back height is above the lower angle of the scapula, it can prevent
adequate shoulder extension, which is necessary for contacting the pushrim.
An OTR® wrote a goal for modified independence with meal preparation for a client who
recently sustained a fracture of the left humerus and is currently in a splint and sling.
The client uses a straight cane for functional mobility. How should the COTA® instruct
the client to remove items from the oven during meal preparation?
A. Stand directly in front of the oven, open the door, reach in with the right arm, pull out
the food, and place it on top of the oven.
B. Stand to the left of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
C. Stand to the right of the oven, open the door, reach in with the right arm, pull out the
food, and place it on top of the oven.
D. Stand directly in front of the oven, open the door, reach in with a reacher using the
right arm, pull out the food, and place it on top of the oven. -
\B
Standing to the left of the oven allows the client to open the door easily with the right
hand and remain as close as possible to the food item being retrieved when pulling it
out of the oven.
-------
A: Standing directly in front of the oven creates a bigger space between the client and
the food item being retrieved, which means the client would have to bend farther
forward, creating a bigger risk of falling.
C: Standing to the right of the oven would require the client to rotate to get the right arm
in a position in which lifting the food item would be possible.
D: Reachers are not typically used to retrieve hot items from an oven, because they are
generally made of materials that could melt in extreme heat and rarely can hold the
weight of an item coming out of an oven.
