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Question 1

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What is the PRIMARY purpose of the initial referral review in the AT assessment process?

To determine insurance coverage for devices

To identify the focus of the assessment and prioritize assessment needs

To select the specific assistive technology device

To schedule device delivery

to track

2026 Statistics

Key Facts: ATP Exam

180

Exam Questions

Multiple choice

4 hrs

Time Limit

Prometric test centers

600/800

Passing Score

Scaled score

$625

Exam Fee

+ $125 application

2 years

Certification Period

Renewal required

NCCA

Accreditation

Since 2010

The ATP exam has 180 multiple-choice questions with a 4-hour time limit. Scoring uses a 200-800 scaled score with 600 required to pass. The exam covers 5 domains: Assessment of Need (29%), AT Solutions Development (23%), Implementation (29%), Intervention/Follow-up (19%), and Professional Conduct (integrated across all domains). Exam fee is $625 plus $125 application fee (waived for RESNA members). Certification is valid for 2 years and requires continuing education for renewal.

Sample ATP Practice Questions

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1What is the PRIMARY purpose of the initial referral review in the AT assessment process?

A.To determine insurance coverage for devices

B.To identify the focus of the assessment and prioritize assessment needs

C.To select the specific assistive technology device

D.To schedule device delivery

Explanation: The initial referral review determines the focus of the assessment and helps prioritize the client's needs. This step involves understanding why the referral was made, what functional limitations exist, and what outcomes the client and referral source hope to achieve. Device selection, insurance verification, and delivery scheduling occur later in the AT service delivery process.

2During an AT assessment, which professional would be MOST appropriate to consult regarding a client's upper extremity range of motion and fine motor skills?

A.Speech-language pathologist

B.Occupational therapist

C.Vocational rehabilitation counselor

D.Social worker

Explanation: Occupational therapists specialize in evaluating and treating upper extremity function, fine motor skills, and activities of daily living. While SLPs focus on communication and swallowing, VR counselors on employment, and social workers on psychosocial needs, the OT is the team member best suited to assess physical capabilities relevant to AT device operation.

3A client with ALS is being assessed for assistive technology. Which factor is MOST important to consider when selecting AT solutions for this client?

A.The client's current insurance coverage limits

B.The progressive nature of the client's condition and future needs

C.The most popular device brand on the market

D.The lowest-cost option available

Explanation: ALS (amyotrophic lateral sclerosis) is a progressive neurological condition, meaning the client's functional abilities will decline over time. AT solutions must anticipate future needs and be adaptable or upgradable as the disease progresses. While cost and insurance matter, failing to plan for disease progression could result in premature AT abandonment and the need for repeated assessments.

4What does the acronym AAC stand for in assistive technology?

A.Adaptive Assistive Controls

B.Augmentative and Alternative Communication

C.Advanced Automated Computing

D.Assistive Application for Cognition

Explanation: AAC stands for Augmentative and Alternative Communication. Augmentative communication supplements existing speech, while alternative communication replaces speech entirely. AAC includes both low-tech options (communication boards, picture exchange systems) and high-tech options (speech-generating devices, tablet-based apps).

5Which seating component is PRIMARILY designed to prevent pelvic obliquity in a wheelchair user?

A.Headrest

B.Lateral trunk supports

C.Contoured seat cushion with built-up side

D.Armrest pads

Explanation: A contoured seat cushion with a built-up side (or wedge) helps correct or accommodate pelvic obliquity by providing appropriate support under the pelvis. Lateral trunk supports address trunk lean, headrests support the head and neck, and armrest pads provide upper extremity comfort but do not directly address pelvic alignment.

6A client requires environmental control to operate lights, television, and door locks from their wheelchair. Which type of system would provide the MOST comprehensive solution?

A.A simple TV remote control

B.An integrated environmental control unit (ECU) with infrared and radio frequency capabilities

C.A light switch extension pole

D.A voice-activated smart speaker with limited device compatibility

Explanation: An integrated environmental control unit (ECU) with both infrared (IR) and radio frequency (RF) capabilities can control a wide range of devices including lights, televisions, door locks, and other electronics. IR controls line-of-sight devices like TVs, while RF controls devices around corners or through walls like door locks. Single-purpose solutions or devices with limited compatibility would not provide comprehensive control.

7Which federal law PRIMARILY mandates that employers provide reasonable accommodations, including assistive technology, for employees with disabilities?

A.Individuals with Disabilities Education Act (IDEA)

B.Assistive Technology Act

C.Americans with Disabilities Act (ADA)

D.Rehabilitation Act Section 504

Explanation: The Americans with Disabilities Act (ADA), specifically Title I, requires employers with 15 or more employees to provide reasonable accommodations for qualified employees with disabilities, which can include assistive technology. IDEA covers educational settings, the AT Act promotes AT access through state programs, and Section 504 covers entities receiving federal funding.

8Medicare covers durable medical equipment (DME) for assistive technology under which specific requirement?

A.The device must be the newest model available

B.The device must be medically necessary and prescribed by a physician

C.The client must have tried at least three other devices first

D.The device must cost less than $500

Explanation: Medicare covers assistive technology classified as durable medical equipment (DME) when it is medically necessary and prescribed by a physician. The device must meet Medicare's definition of DME: durable, used for a medical purpose, not useful to someone without illness/injury, and appropriate for home use. There are no requirements for trying other devices first, price limits, or newest-model mandates.

9What is the MOST common reason for assistive technology abandonment?

A.Device malfunction or breakage

B.Lack of consideration of the user's preferences and opinions during selection

C.Insurance coverage expiration

D.The device being too expensive to maintain

Explanation: Research consistently shows that the most common reason for AT abandonment is failure to consider the user's preferences, opinions, and input during the selection process. When clients are not actively involved in choosing their AT, they are significantly more likely to stop using it. While device malfunction, cost, and insurance issues contribute to abandonment, lack of user involvement in the selection process is the primary predictor.

10Which assessment tool is specifically designed to measure assistive technology outcomes and user satisfaction?

A.Functional Independence Measure (FIM)

B.Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST)

C.Glasgow Coma Scale

D.Mini-Mental State Examination (MMSE)

Explanation: The Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) is specifically designed to measure AT user satisfaction across dimensions including device effectiveness, weight, ease of use, comfort, and service delivery. FIM measures functional independence broadly, Glasgow Coma Scale assesses consciousness level, and MMSE screens for cognitive impairment — none are AT-specific outcome tools.

About the ATP Exam

The ATP certification is the only NCCA-accredited credential in the assistive technology space. It validates competence in assessing consumer needs, selecting appropriate assistive technology solutions, and training consumers in device use. The certification is recognized globally and administered at Prometric test centers.

Questions

180 scored questions

Time Limit

4 hours

Passing Score

Scaled score 600/800

Exam Fee

$625 exam + $125 application (RESNA (Rehabilitation Engineering and Assistive Technology Society of North America))

ATP Exam Content Outline

29%

Assessment of Need

Reviewing referrals, consulting with clients and stakeholders, assessing environmental factors, gathering assessment data, and clarifying client goals and desired outcomes

23%

AT Solutions Development & Implementation Planning

Identifying AT solutions, conducting device trials and demonstrations, determining funding sources, developing implementation plans, and integrating solutions across environments

29%

Implementation (AT Selection & Acquisition)

Selecting and procuring assistive technology, coordinating delivery and setup, providing client training, and ensuring proper device configuration and customization

19%

Intervention (Follow-up)

Documenting outcomes, monitoring achievement of client goals, identifying changes requiring reassessment, and modifying intervention strategies as needed

Integrated

Professional Conduct

Maintaining compliance with RESNA's Code of Ethics and Standards of Practice, advancing the field through mentoring, education, research, and advocacy

How to Pass the ATP Exam

What You Need to Know

Passing score: Scaled score 600/800
Exam length: 180 questions
Time limit: 4 hours
Exam fee: $625 exam + $125 application

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

ATP Study Tips from Top Performers

1Focus heavily on Assessment of Need and Implementation domains — together they account for 58% of the exam

2Understand the AT service delivery process from referral through follow-up as a complete cycle

3Study funding sources thoroughly — Medicare, Medicaid, vocational rehabilitation, and private insurance each have different AT coverage rules

4Know RESNA's Code of Ethics and Standards of Practice — Professional Conduct is tested as a lens across all domains

5Practice applying client-centered decision-making to real-world AT scenarios

6Review the 2022 Exam Content Outline from RESNA's website to understand exactly what task areas are tested

Frequently Asked Questions

What is the RESNA ATP certification?

The Assistive Technology Professional (ATP) certification is an NCCA-accredited credential offered by RESNA. It recognizes demonstrated competence in analyzing the needs of consumers with disabilities, assisting in the selection of appropriate assistive technology, and providing training in device use. It is the only NCCA-accredited certification in the assistive technology field.

How many questions are on the ATP exam?

The ATP exam has 180 multiple-choice questions and a 4-hour time limit. The exam is administered via computer at Prometric test centers worldwide and is currently delivered in English. A 10-minute tutorial precedes the exam, and preliminary Pass/Fail results are provided immediately after completion.

What is the passing score for the ATP exam?

Scores are determined by converting correct answers to a scaled score ranging from 200 to 800. You need a total scaled score of 600 or above to pass. If you fail, your score report includes diagnostic information showing performance in each of the five major content domains (Proficient, Marginal, or Not Proficient).

What are the eligibility requirements for the ATP exam?

Eligibility depends on your degree level. All candidates need direct AT service work experience (1-3 years depending on education). Candidates without a degree in Special Education or Rehab Science must complete 10-30 hours of AT-related training, with at least half from CEU-approved providers. Rehab Science fields include OT, PT, SLP, audiology, nursing, medicine, and rehabilitation engineering.

How much does the ATP exam cost?

The ATP exam fee is $625, paid after application approval. There is also a $125 application fee, which is waived for RESNA members. If you fail, retake fee is $300 within the first year. You can take the exam up to 3 times within 365 days with a 90-day waiting period between attempts.

What content domains does the ATP exam cover?

The ATP exam covers 5 domains based on the 2022 Job Task Analysis: Assessment of Need (29%), AT Solutions Development & Implementation Planning (23%), Implementation/AT Selection & Acquisition (29%), Intervention/Follow-up (19%), and Professional Conduct (integrated across all domains with no separate weight).

How long is ATP certification valid?

ATP certification is valid for 2 years. Renewal requires documenting relevant AT work experience and completing continuing education (CEUs or academic credit). You can also renew by retaking the exam. Both work experience and professional development requirements must be met for recertification.

What types of assistive technology does the ATP exam cover?

The exam covers the broad field of assistive technology including wheelchairs and seating systems, power mobility, augmentative and alternative communication (AAC), computer access, environmental controls, home modifications, visual and hearing assistive devices, cognitive aids, and ergonomic workstations. The exam tests general AT knowledge rather than specialization in one area.

Where can I take the ATP exam?

The ATP exam is administered at Prometric test centers worldwide. After your application is approved and you pay the $625 exam fee, you receive a Prometric eligibility ID and scheduling link. You have a 90-day testing window to schedule and complete the exam. ADA accommodations are available upon request.