SMS Study Guide 2026

Everything you need to pass the SMS exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 SMS Exam Format at a Glance

150
Questions
180 min
Time Limit
70%
Passing Score

📚 SMS Topics to Study (22)

✍️ Sample SMS Questions & Answers

1. Which power wheelchair drive configuration provides the tightest turning radius?
Mid-wheel drive

Mid-wheel drive power wheelchairs have the drive wheels under the user's center of gravity, enabling a very tight turning radius ideal for indoor navigation.

2. The SMS (Seating and Mobility Specialist) credential is awarded by:
NRRTS (National Registry of Rehabilitation Technology Suppliers)

NRRTS awards the SMS (Seating and Mobility Specialist) credential to rehabilitation technology suppliers who demonstrate competency in seating and mobility.

3. A seating specialist evaluating a client with Friedreich's ataxia should prioritize which intervention for the PRIMARY trunk control challenge?
Lateral trunk supports to manage trunk ataxia and improve midline stability

Friedreich's ataxia produces progressive cerebellar ataxia with trunk instability in multiple planes; lateral trunk supports address the characteristic oscillatory trunk movement.

4. The concept of 'wheelchair skills training' includes which of the following techniques?
Propulsion techniques, curb negotiation, wheelies, and ramp navigation

Wheelchair skills training encompasses functional skills such as propulsion efficiency, curb negotiation, wheelie performance, and ramp and obstacle navigation.

5. When a client with a new pressure injury needs to continue wheelchair use, the SMS clinician's FIRST priority should be:
Eliminate or significantly redistribute pressure at the wound site

The seating system must be urgently modified to eliminate or redistribute pressure at the wound site to allow healing while allowing continued mobility.

6. Which accessory improves safety when transferring into and out of a wheelchair?
Swing-away footrests

Swing-away footrests can be moved out of the way or removed entirely, clearing the space in front of the wheelchair. This provides an unobstructed path for the user's feet during transfers, significantly reducing the risk of tripping or entanglement. This feature greatly improves safety and ease during transfers.

🎯 Free SMS Practice Tests

📖 SMS Guides & Articles

Your SMS Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation