OTR OTR Adaptive Equipment & Assistive Technology 2 — Questions and Answers
Question 1: A client with low vision is having difficulty reading medication labels. Which low-vision assistive strategy should the OTR recommend FIRST?
- Refer to ophthalmology immediately
- Provide large-print labels and a handheld magnifier (Correct answer)
- Recommend Braille training
- Suggest a caregiver manage all medications
Correct answer: Provide large-print labels and a handheld magnifier
Large-print labels and a handheld magnifier are low-cost, immediately applicable strategies that support independence in medication management for clients with low vision.
Question 2: Which splint design is indicated to prevent thumb web-space contracture in a client with a burn injury to the hand?
- Resting hand splint
- Thumb abduction splint (C-bar or opponens splint) (Correct answer)
- Wrist cock-up splint
- Digit extension splint
Correct answer: Thumb abduction splint (C-bar or opponens splint)
A thumb abduction splint (C-bar or opponens design) maintains the first web space in an open position to prevent contracture following hand burns.
Question 3: An OTR is training a caregiver to use a mechanical Hoyer lift. Which instruction is MOST important for safety?
- Always use the smallest sling available
- Ensure the sling is positioned under the client before operating the lift (Correct answer)
- Keep the client's arms crossed over the chest after transfer
- Lock the lift wheels only after the client is elevated
Correct answer: Ensure the sling is positioned under the client before operating the lift
The sling must be correctly positioned under the client before activating the lift to ensure even weight distribution and prevent falls.
Question 4: Which wrist position in a resting hand splint best preserves hand function and prevents contracture in a client with spastic hemiplegia?
- Wrist neutral, MCPs at 0°, IPs extended
- Wrist extended 20–30°, MCPs flexed 45–70°, IPs slightly flexed (Correct answer)
- Wrist flexed 10°, fingers fully extended
- Wrist at 45° extension, fingers fully flexed
Correct answer: Wrist extended 20–30°, MCPs flexed 45–70°, IPs slightly flexed
The functional resting hand position with wrist extended 20–30° and MCPs at 45–70° maintains the hand in anti-spasticity alignment and preserves tendon length.
Question 5: A client with COPD experiences dyspnea during self-care tasks. Which adaptive equipment recommendation BEST conserves energy during bathing?
- Long-handled loofah only
- Tub transfer bench and handheld shower (Correct answer)
- Non-slip bath mat
- Grab bar at tub rim
Correct answer: Tub transfer bench and handheld shower
A tub transfer bench combined with a handheld shower allows the client to bathe in a seated position, significantly reducing the oxygen demand of standing and maneuvering in the tub.
Question 6: Which characteristic of a power wheelchair drive wheel configuration provides the BEST indoor maneuverability for a client with limited upper extremity strength?
- Rear-wheel drive
- Front-wheel drive
- Mid-wheel drive (Correct answer)
- Six-wheel drive with anti-tip
Correct answer: Mid-wheel drive
Mid-wheel drive power wheelchairs have the smallest turning radius, making them optimal for indoor navigation in tight spaces.
OTR OTR Adaptive Equipment & Assistive Technology 2
A client with low vision is having difficulty reading medication labels.
Which low-vision assistive strategy should the OTR recommend FIRST?