10 free, exam-style Assistive Technology Professional (ATP) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free ATP practice test to study every exam domain.
These 10 free ATP questions are organized by exam domain, so you can see how each part of the Assistive Technology Professional blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Assessment of Need 29% of exam
Question 1
A school AT team is deciding what technology a 9-year-old with a writing disability needs. They first map out the child's strengths, the classroom and home settings, and the specific writing tasks expected of her - and only then consider devices. Which framework are they following?
- HAAT, which analyzes the human, the activity, and the assistive technology within a context
- MPT, which matches the person to technology to reduce the risk of device abandonment
- SETT, which considers the Student, Environment, and Tasks before selecting Tools
- ICF, the WHO classification of body functions, activities, participation, and context
Show answer & explanation
Correct answer: C - SETT, which considers the Student, Environment, and Tasks before selecting Tools
Question 2
During assessment, a client with a C6 spinal cord injury demonstrates active wrist extension but no active finger flexion. The practitioner observes that the client can still achieve a functional grasp. Which mechanism MOST likely explains this grasp?
- Voluntary contraction of the finger flexor muscles closing the hand
- Tenodesis, where active wrist extension passively closes the fingers
- Intact intrinsic hand muscles producing a precise, well-controlled lateral pinch
- Forearm spasticity holding objects pressed against the palm
Show answer & explanation
Correct answer: B - Tenodesis, where active wrist extension passively closes the fingers
Question 3
A client returns for assessment having stopped using a speech-generating device issued 8 months ago. The device functions perfectly and matches her physical abilities, yet it sits unused. To understand the abandonment, which area is MOST important for the practitioner to explore?
- The remaining manufacturer warranty period and what repair coverage it still provides
- Whether a newer, more advanced model has since come onto the market
- The original purchase price and how the device was funded at the time
- Whether the device fit her preferences, environments, and daily routines
Show answer & explanation
Correct answer: D - Whether the device fit her preferences, environments, and daily routines
Domain 2: Development of Intervention Strategies - Action Plan 29% of exam
Question 4
A client with advanced ALS has lost functional hand movement and intelligible speech but retains accurate, consistent eye movement. The team needs to restore computer and communication access. Which access method is the BEST initial match?
- Voice recognition software trained to the client's own speech patterns
- An ergonomic alternative keyboard fitted with a keyguard for accuracy
- An eye-gaze access system driven by the client's reliable eye movement
- A head-mounted laser pointer used with a wall-mounted letter board
Show answer & explanation
Correct answer: C - An eye-gaze access system driven by the client's reliable eye movement
Question 5
An insurer denies a requested power wheelchair, stating that a less expensive manual wheelchair would suffice. The client cannot safely self-propel a manual chair over the distances needed for daily activities at home. To overturn the denial, the practitioner's documentation must PRIMARILY establish that:
- The manual chair cannot meet the client's medical and functional need
- The power wheelchair is the most current model the supplier offers
- The client has expressed a clear personal preference for a power chair
- The recommending supplier endorses the power chair for this client
Show answer & explanation
Correct answer: A - The manual chair cannot meet the client's medical and functional need
Question 6
A nonverbal client cannot reliably or accurately point to specific targets on a display, but can dependably activate a single switch on demand. Which AAC selection method is MOST appropriate?
- Direct selection, with the client pointing a finger to each target
- Direct selection, with the client looking directly at each target
- Unaided communication relying on manual signs and gestures alone
- Scanning, in which choices are highlighted and chosen by switch
Show answer & explanation
Correct answer: D - Scanning, in which choices are highlighted and chosen by switch
Question 7
A device supplier offers a practitioner a per-unit commission for every client steered toward one particular brand of communication device. Under the RESNA Code of Ethics, the practitioner should:
- Accept the commission, since that brand is clinically acceptable for clients
- Decline it and base every recommendation solely on the client's own needs
- Accept it but disclose the arrangement only if a client happens to ask
- Accept it and pass a share of each commission back to the client involved
Show answer & explanation
Correct answer: B - Decline it and base every recommendation solely on the client's own needs
Domain 3: Implementation of Intervention (Once Funded) 23% of exam
Question 8
A full-time power wheelchair user with impaired sensation and a history of pressure injury asks how to protect his skin during long days seated. Based on current clinical guidance, the BEST recommendation is to:
- Perform a seated push-up off the cushion once every hour through the day
- Shift weight every 15-30 minutes by leaning or using power tilt and recline
- Stay fully reclined for most of the day to keep load off the seating surface
- Rely on a high-quality pressure-relief cushion without active repositioning
Show answer & explanation
Correct answer: B - Shift weight every 15-30 minutes by leaning or using power tilt and recline
Question 9
A student uses text-to-speech to access the same grade-level reading material and is assessed against the same standards as classmates. In educational terms, the text-to-speech is functioning as a(n):
- Modification, since it alters the curriculum content the student must master
- Substitution that effectively lowers the learning standard for the student
- Accommodation, since it changes how the task is done, not what is expected
- Remediation aimed at correcting the student's underlying reading disability
Show answer & explanation
Correct answer: C - Accommodation, since it changes how the task is done, not what is expected
Domain 4: Evaluation of Intervention (Follow-up) 19% of exam
Question 10
At a routine follow-up, a client with multiple sclerosis who was independent with a manual wheelchair now reports significant new fatigue and difficulty propelling it across her workplace. The MOST appropriate next action is to:
- Reassess the client's current needs and consider modifying the intervention
- Document her reported satisfaction with the chair and close the case as a successful outcome
- Order an identical new manual wheelchair to replace the current one
- Defer any action until her next regularly scheduled recertification date
Show answer & explanation
Correct answer: A - Reassess the client's current needs and consider modifying the intervention