North Carolina Physical Therapy Ebook Continuing Education

INTRODUCTION TO WHEELCHAIR SEATING AND POSITIONING Final Examination Questions Select the best answer for each question and mark your answers on the Final Examination Answer Sheet found on page 68, or complete your test online at EliteLearning.com/Book 21. The primary goal of the mat examination is to: a. Assess muscle tone of the trunk and legs. 31. Which spinal asymmetry is more likely to result from anterior pelvic tilt? a. Lateral scoliosis.

b. Assess muscle strength of the trunk and pelvis. c. Determine seating and support requirements. d. Take measurements of the lower body range of motion. 22. Which of the following is a primary support surface? a. Pelvic positioning belt. b. Cushion. c. Lateral trunk support. d. Anterior trunk support. 23. Which seat-to-back angle is optimal in promoting a position of rest? a. Open. b. Closed. a. Optimal positioning 24 hours daily. b. Skin care and skin integrity. c. Orthotics used to support posture. d. Sleep or resting positioning. 25. Which stage of a pressure injury is defined as “full thickness skin loss”? a. Stage 1. b. Stage 2. c. Stage 3. d. Stage 4. 26. Which of the following is an example of an effective pressure relief technique? a. Using a contoured cushion. b. Sitting on an air cushion. c. Using a molded seating system. d. Performing weight shifts. 27. Cortical visual impairment occurs when: a. Visual acuity and peripheral vision rapidly deteriorate with age. b. Information from the eyes is not processed correctly by the brain. c. Visual perceptual skills are impaired as a result of color blindness. d. Virect damage to the eye causes blindness or loss of vision. 28. One advantage of using injections to reduce muscle tone is: a. Localized impact. b. Systemic impact. c. Improved sleep. d. Pain reduction. 29. To address progressive muscle weakness, a seating system must provide: c. Posterior tilt. d. Anterior tilt. 24. Postural care is best defined as:

b. Kyphosis. c. Lordosis. d. Rotation. 32. A reducible lordosis is best reduced, much like anterior pelvic tilt, by: c. Closing the seat-to-back angle. d. Opening the seat-to-back angle. 33. A medial knee support is specifically designed to limit: a. Pelvic posterior tilt. b. Forward sliding. c. Hip adduction. d. Hip abduction. 34. Which of the following types of posterior head support components can add stability and minimize neck hyperextension? a. Occipital support. b. Lateral support. a. Using an abdominal panel. b. Using anterior chest straps. c. Suboccipital support. d. Flip-down hardware. 35. Elbow extension is considered a destructive posture because it: a. Can lead to elbow dislocation. b. Is not anatomically correct. c. Is not functional. d. Is not aesthetically pleasing. 36. Adaptive strollers are often used because they: c. Allow for maximum adjustments to the stroller frame. d. Accommodate very young and very small children. 37. An increase in the adipose layer of a bariatric client will most likely lead to a decrease in: a. Protection of bony prominences. b. Pressure injury risk. c. Problems with heat and moisture. d. Skin and tissue integrity. 38. Which key feature, used to accommodate fixed kyphosis, is often missing from “fleet” wheelchairs available in long- term care facilities? a. Adjustable seat-to-back angle. b. 90° footrest hangers. c. Adjustable axle. d. Lightweight frame. 39. Which of the following statements regarding the seating a. Are designed for self-propulsion. b. Offer numerous seating options. b. The client’s positioning needs will change over time. c. Only current mobility needs should be considered. d. Modification or replacement is rarely needed. 40. Facilities receiving federal funding are required to follow the restraint guidelines established by: a. Medicare. b. Medicaid. c. The Omnibus Budget Reconciliation Act of 1987. d. Facility administrators. Course Code: PTNC05WC evaluation of a client who is elderly is true? a. It is typically a one-time appointment.

a. A decreased seat-to-back angle. b. Control of increased muscle tone. c. Lack of sensation. d. Increased postural support. 30. A goal of addressing an anterior pelvic tilt is to: a. Increase proximal stability. b. Increase extensor tone. c. Correct pelvic obliquity or rotation. d. Reduce pressure redistribution.

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Book Code: PTNC1023

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