TEST 1

Question 1

All of the following are diagnosis that would most likely qualify for a complex power wc
except

Answer 1

Alzheimer’s disease

Question 2

When considering cushions, all of the following are benefits of a foam cushion as
opposed to an air cushion except:

Answer 2

Wound prevention

Question 3

The type of WC most likely to be used by a client with paraplegia to allow for lightweight self-transportation would be:

Answer 3

○ Rigid frame chair

Question 4

Seat-to-footpalte length that is too long bilaterally will likely result in the following
posture:

Answer 4

Sacral sitting and increase risk of skin breakdown

Question 5

● Seat height for a hemi or low seat chair is _____ to allow the client more contact with the ground to assist with w/maneuvering the chair with the unaffected lower extremity

Answer 5

○ 17.5

Question 6

● According to Cook and Hussey, what should be the first area addressed when positioning an individual

Answer 6

○ Pelvis

Question 7

The front edge of the wheelchair seat should end how many inches from the lower leg
when the knee is in a position of 90 degrees of flexion?

Answer 7

○ 2-3in

Question 8

A client with limited ability to weight shift will benefit MOST from the following wheelchair features

Answer 8

○ Tilt

Question 9

Front rigging on a wheelchair with a footplate and calf pad support is called:

Answer 9

○ Leg Rest

Question 10

A non-slip surface, rolled towel, and blocks for feet are low-tech examples of assistive technology in which of the following are areas of need?

Answer 10

○ Seating and positioning

Question 11

Which of the following BEST defines assistive technology as it relates to a student with
down syndrome?

Answer 11

○ A type of adaptation, device, equipment or material that improves the ability to
learn and complete tasks

Question 12

CRTS stands for Certified rehab technology supplier and are experts in adaptive seating
and positioning

Answer 12

○ True

Question 13

An individual who has a spinal cord injury utilizes modified eating utensils and a pencil with a rubber gripper to assist with taking notes in class. These are examples of:

Answer 13

○ Low tech modifications

Question 14

Which of the following would be considered high tech self feeding device

Answer 14

○ Obi robotic arm

Question 15

Which of the following would most likely be used by a client w/later stage ALS?

Answer 15

○ Tobii Dyanox

Question 16

The following AE or technique would MOST likely be beneficial for a client in a SNF with stage 2 dementia and low vision attempting to engage in self-feeding trial:

Answer 16

○ Staff education on the “clock technique”

Question 17

A client w/R CVA is preparing for DC from short term rehab stay. The client presents UE
and R LE flaccid tone, pain 8/10 in R shoulder. Which devices or techniques would be
appropriate to consider recommending for this client to be able to dress himself
independently

Answer 17

○ Hemi-dressing techniques, reacher, dressing stick

Question 18

A COTA is working toward service competency for adaptive feeding equipment
instruction. Which would the OTR BEST establish service competency?

Answer 18

○ Compare outcomes by rating the same client’s performance with the adaptive
equipment at the same level of independence

Question 19

The following shows the correct progressive order of weight bearing precautions from
most to least restrictive

Answer 19

○ NWB, TTWB, PWB, WBAT

Question 20

When are you selecting an assistive technology tool for a student ____.

Answer 20

○ Lowest tech device possible

Question 21

You are seeing a client that is R UE dominant and recently suffered a CVA. He presents with the following: L hemiplegia, poor balance, left side neglect and pain in his left shoulder due to subluxation. Which of the following is the most appropriate consideration for this client when addressing self-feeding?

Answer 21

○ Non-slip deep-dish divided plate

Question 22

To determine the appropriate width of a standard manual wc, one should measure the
aspect of the patient’s hips or thighs and add 2 in.

Answer 22

○ True

Question 23

When measuring for appropriate armrest height, the therapist should not consider the
thickness of the cushion in the measurement

Answer 23

○ False

Question 24

What type of medical record in which all disciplines document in reference to determine list of client issues is termed:

Answer 24

○ SOMR

Question 25

When treating a client for the first time, you must orient the client to all of the following except:

Answer 25

○ The cost of each procedure

Question 26

Which of the following statements is most appropriate for the “A” section of a SOAP note?

Answer 26

○ The client was able to ambulate 10 ft further than yesterday, based on this improvement and her reports of improvement, it is likely she will meet her expected discharge date in one week.

Question 27

Doorways to accessible spaces should be a minimum of how many inches wide?

Answer 27

○ 32in

Question 28

You have just seen a rather difficult patient for a dressing skills group, the patient did not like you and was not cooperative. He was unable to complete any of the tasks because he did not want to work with you. Based on this information your best course of action would be:

Answer 28

○ Engage in active listening and attempt to redirect and then refer to another therapist.

Question 29

You have just received a referral to evaluate and treat for “walker usage and ADL’s” for a client following a fracture, she is to be non-weight bearing on the right hip for 3 weeks. During the interview process the client explains that she does not want to use a walker and “look like an old lady.” Which of the following is the best response/ ○

Answer 29

Explain to her that you have to follow the doctor’s order and she could endanger her surgical success if she doesn’t use the walker

Question 30

All of the following are part of the patient/client management process except:

Answer 30

○ Assessment

Question 31

You are treating a client following a spinal cord injury, he brings his gf w/him to therapy today. You have some test results you need to give him, which of the following is the appropriate way to handle the situation:

Answer 31

○ Ask the client in private, if he would like to share the results w/the girlfriend

Question 32

While sitting in the cafeteria, you over hear 2 PT’s discussing a case. They are concerned the client is not giving full effort and may be attempting to defraud the insurance company. The two spend about 30 mins discussing strategies to deal with this client and assess consistency, based on your knowledge of HIPPA, which of the following statements is TRUE:

Answer 32

○ These two are not in violation as they did not discuss any information that would identify the client

Question 33

You are treating a client on an out-patient basis with a history of IV drug use. His wife calls you and inquires as to his most current blood test (is it clean or not). She explains that they are legally married and she has a power of attorney. Which of the following is the appropriate response?

Answer 33

○ Have her bring the paperwork in to the office before you give the results.

Question 34

You are treating a client following a severe CVA, in which he was unconscious for 2 weeks. During that time, his wife placed a DNR order on the client. The client is now aware and conscious but still at risk for another stroke. The client tells you that he wants the DNR removed based on this information you should:

Answer 34

○ Contact administration to complete the appropriate paperwork to withdraw the order

Question 35

A patient you saw 6 months ago has asked to see his medical record. The last note you wrote states that “the client was able to lift 30lbs using good body mechanics and no complaints of pain.” The client insists he was in terrible pain and he told you at least 10 times, he further demands that you change the record. You really don’t remember that particular day, but based in this scenario you would:

Answer 35

○ Consider the client’s demands and make changes ONLY if you feel they were warrented

Question 36

Due to the death of “bird” the bird, Ryan’s dad has been experiencing chest pain. He goes to his cardiologist who suggests he a cardiac program where you will monitor his heart rate at 80% max target. Ryan’s dad is 76 years young. What is his target heart rate?

Answer 36

○ 115bpm (220-age x%)

Question 37

During an initial evaluation, a client who is in the early stages of spinal muscular atrophy reports that engaging in daily routines causes exhaustion. The client’s goal is to remain independent with his outdoor activities (father and friend). Which of the following should the OTR do FIRST as part of the evaluation?

Answer 37

○ Complete a client centered occupational profile

Question 38

HIPPA was designed to do all to do all the following except:

Answer 38

○ Increase the ease of attaining the flow of medical information

Question 39

Look at the following statements. You and two nurses are riding the elevator. You can’t help but over hear their conversation regarding a client you are NOT seeing, based on their conversation which of the following is NOT protected information

Answer 39

○ “I have a new Pt from Wetumpka w/severe edema, should we refer them to therapy services?”

Question 40

Which of the following is an example of indirect contact in regards to pathogen transmission?

Answer 40

○ Using a computer in the common space

Question 41

You are on your geriatric rotation and your CI tells you the next patient in your schedule has C-diff. You should prepare to implement the following precautions:

Answer 41

○ Contact precautions

Question 42

Precautions designed for the care of all patients, particularly hospitalized patients…. Of their diagnosis or presumed infectious status are termed transmission-based precautions…

Answer 42

○ False

Question 43

When working w/a client with HIV, you must sterilize any equipment they … contact with

Answer 43

○ False

Question 44

Washing your hands with soap for 30 seconds, cold water is just as good as hot water

Answer 44

○ False

Question 45

Protective isolation is the most common type of isolation used with tuberculosis

Answer 45

○ false

Question 46

The following is the most important and frequent mode of healthcare infection transmission:

Answer 46

○ Contact transmission

Question 47

As healthcare workers, we are more likely to contract hepatitis or tuberculosis than HIV or AIDS

Answer 47

○ True

Question 48

When dealing with bodily fluids it is only necessary to use barriers when you know the client is infectious

Answer 48

○ False

Question 49

In regards to hospitals and clinics, they are inherently dangerous places….. You are seeing a client who has a 3yo and runs around the clinic…the best thing you should do is:

Answer 49

○ Explain to the client that no children are allowed and refuse to treat her with her child in the clinic again

Question 50

Your pt is working on stand and pivot transfers, when he goes from sit to stand he complains of lightheadedness, this is most likely:

Answer 50

○ Orthostatic hypotension

Question 51

In regards to the client above, what would be the most appropriate action?

Answer 51

○ Have the client move slowly and attempt to adjust to the light headedness

Question 52

You are on your way home and remember that you forgot to document the pain level of your last client for the day, the best thing to do is:

Answer 52

○ The next time you are at work, write an addendum to yesterday’s note

Question 53

Which of the following arteries is NOT an acceptable location for assessing pulse:

Answer 53

○ Axillary

Question 54

Millie wakes up for OT school and is experiencing a temp of 99.5. This is considered

Answer 54

○ Afebrile

Question 55

You have a client, you notice the nurses reported symptoms of vertigo and diaphoresis when getting out of bed, this potentially indicates:

Answer 55

○ He is experiencing hypotension

Question 56

You have a client with an oral temp of 99.1, based on normal parameters, this is:

Answer 56

○ Normal

Question 57

Temp is commonly taken orally but_____ is most accurate

Answer 57

○ Rectal

Question 58

Which of the following is NOT correct parameter for normal resting heart rate ?

Answer 58

○ Adults 60-120

Question 59

You have a 25 yo client with a BP of 120/94, this would best be described as:

Answer 59

○ Stage 1 hypertension

Question 60

According to Michon’s hierarchy of driving behavior, level 2 is indicated by the ability to make decisions on when to slow down, speed up, how much room to give and is represented in the driving history of the client. This is known as:

Answer 60

○ Tactical level

Question 61

All of the following are components of the driving evaluation except:

Answer 61

○ All of the above are components of the driving evaluation

Question 62

The following techno-ethical considerations including information dissemination and in service training are components of ethical level:

Answer 62

○ Level 2 clinical/interdisciplinary; practitioner-practictioner

Question 63

You are recommending a ramp for a client and note the ramp needs to be 36 ft long. Due to the length necessary, you advise the ramp should also meet the following:

Answer 63

○ The ramp should have vertical grade of 1:12 as well as 5 ft landing

Question 64

Which of the following is NOT a title of the ADA?

Answer 64

○ Title 3 private venues

Question 65

You are working w/a client on the omni cycle and notice he is becoming increasingly confused, anxious and appears cyanotic. Your first action should be to

Answer 65

○ Have him rest and check his O2 sat as he is likely experiencing hypoxia

Question 66

The ADA was signed into law in 1996

Answer 66

○ false

Question 67

RADNA is the professional organization dedicated to promoting the health and well-being of people with disabilities through increasing access to AT

Answer 67

○ False

Question 68

● Little johnny is in the 2nd grade and was injured playing with his dad’s table saw and unfortunately lost his dominant distal FA as a result. He did not want to be laughed at by is friends for using a prosthetic “claw hand” but loves technology. Which of the following is the MOST important consideration you should make before recommending a bionic arm?

Answer 68

○ Johnny’s age

Question 69

● When initially assessing ryan’s pulse, you note that it is considered “normal.” this correlates to an amplitude of ____ in the subjective scale used to measure pulse

Answer 69

○ 2+

Question 70

● Ryan is upset at the death of bird, his HR is elevated and you implement some deep breathing strategies to calm his anxiety. Before the end of your session, you assess his vitals and note his BP is 142/98. This would be considered:

Answer 70

○ Stage 1 hypertension

Question 71

● Which is the following is the correct order to doff PPE?

Answer 71

○ Gown, gloves, goggles, mask

Question 72

● Which of the following is the correct order of PPE

Answer 72

○ Hand hygiene, gown, mask, goggles, gloves