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PrepIQ Iowa IA Athletic Trainer Ultimate Exam
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## EXAM INSTRUCTIONS
This examination consists of 200 multiple-choice questions covering the Iowa Licensed Athletic Trainer requirements for the 2025/2026 cycle. Content aligns with Iowa Code Chapter 152D, Iowa Administrative Code (645-351), Iowa Code Chapter 272C, and recent 2025/2026 legislative updates (ARC 9091C) regarding continuing education carryover. Question Types:
- Single-Answer (A, B, C, or D) – Choose the correct option.
- Multi-Answer (Select all that apply) – Mark all correct choices.
Exam Focus Areas: Iowa Laws & Regulations (25%), Licensure & Renewal Requirements (20%), Continuing Education (15%), Scope of Practice & Supervision (15%), Ethics & Professional Conduct (15%), Practical Applications & Scenario (10%). Time Limit: 180 minutes (54 seconds per question) Passing Score: 85% (170 correct answers) Governing Authorities:
- Iowa Code Chapter 152D – Athletic Training Practice Act
- IAC 645- 351 – Licensure of Athletic Trainers
- IAC 481- 862 – Continuing Education for Athletic Trainers
- IAC 645- 19 – Licensure by Verification
- BOC Standards of Professional Practice
- ARC 9091C – CE Carryover Rules (Effective 2025/2026)
SECTION 1: IOWA CODE CHAPTER 152D & LICENSURE
REQUIREMENTS (Questions 1–40)
- B) June 30 of each year
- C) February 28 of each odd-numbered year
- D) March 31 of each even-numbered year Answer: C Explanation: IAC 645-351.1 defines "license expiration date" as February 28 of each odd-numbered year.
Question 3
According to IAC 645-351.1, how long is the grace period for license renewal after expiration?
- A) 15 days
- B) 30 days
- C) 45 days
- D) 60 days Answer: B
Explanation: IAC 645-351.1 defines "grace period" as the 30-day period following expiration of a license when the license is still considered to be active. To renew a license during the grace period, a licensee is required to pay a late fee.
Question 4 According to IAC 645-351.2(1)(a), what is required for initial licensure application submission?
- A) A paper application mailed to the board office
- B) A complete online application and payment of the nonrefundable fee
- C) A notarized affidavit of good moral character
- D) A letter of recommendation from a supervising physician Answer: B Explanation: IAC 645-351.2(1)(a) requires applicants to submit a complete online application and pay the nonrefundable fee specified in rule 645-5.1. If the application is not completed according to the instructions, the application will not be reviewed by the board.
- A) Official copies of academic transcripts sent directly from the school to the board
- B) Proof of completion of an accredited athletic training program
- C) A baccalaureate degree or postbaccalaureate degree from a U.S. regionally accredited college or university
- D) A master's degree in athletic training Answer: A, B, C Explanation: IAC 645-351.2(1)(b) requires official transcripts from the school to the board. IAC 645-351.3(1) requires a baccalaureate or postbaccalaureate degree from a U.S. regionally accredited institution.
Question 7
According to IAC 645-351.2(1)(c), which examination must an athletic training applicant successfully complete for Iowa licensure?
- A) NATA Certification Examination
- B) Board of Certification (BOC) examination
- C) National Physical Therapy Examination
- D) Iowa Jurisprudence Examination Answer: B Explanation: IAC 645-351.2(1)(c) requires applicants to have successfully completed the BOC examination. It is the responsibility of the applicant to make arrangements to take the examination and have the official results submitted to the Iowa board of athletic training.
Question 8
According to IAC 645-351.4, which examination is required by the Iowa Board of Athletic Training?
- A) The NATA certification exam
- B) The BOC examination
- C) The Iowa state jurisprudence exam
- D) The National Athletic Trainers' Association exam Answer: B
board office." Applicants must also disclose any public or pending complaints against them.
Question 10 According to IAC 645-351.2(2), what information must web-based verification of out-of-state licensure include? (Select all that apply)
- A) Licensee's name
- B) Date of initial licensure
- C) Current licensure status
- D) Any disciplinary actions taken against the license Answer: A, B, C, D Explanation: IAC 645-351.2(2) requires that web-based verification provide: licensee's name; date of initial licensure; current licensure status; and any disciplinary actions taken against the license.
Question 11 Under IAC 645-351.1, who is a "directing physician" as defined by Iowa rules?
- A) A physician who employs an athletic trainer
- B) A physician who supervises the athletic training services provided by a licensed athletic trainer
- C) A physician who provides referrals to athletic trainers
- D) A physician who owns a sports medicine clinic Answer: B Explanation: IAC 645-351.1 defines "directing physician" as "a physician who supervises the athletic training services provided by a licensed athletic trainer".
Question 12
According to IAC 645-351.1, what is "direction" in the context of athletic training supervision?
- A) Personal presence of the physician at each activity
Answer: B Explanation: IAC 645-351.1 explicitly states that "direction shall not be construed as requiring the personal presence of that physician at each activity of the licensed athletic trainer".
Question 14 According to IAC 645-351.6, who is responsible for ensuring that the practice of athletic training is carried out only under the direction of a licensed physician?
- A) The athletic trainer's employer
- B) The licensed athletic trainer
- C) The directing physician
- D) The Iowa Board of Athletic Training Answer: B Explanation: IAC 645-351.1 states that "it is the responsibility of the licensed athletic trainer to ensure that the practice of athletic
training is carried out only under the direction of a licensed physician".
Question 15 Under IAC 645-351.1, what does "physical reconditioning" include? (Select all that apply)
- A) Cryotherapy
- B) Thermotherapy
- C) Hydrotherapy
- D) Electrotherapy
- E) Use of mechanical devices Answer: A, B, C, D, E Explanation: IAC 645-351.1 defines "physical reconditioning" as the part of athletic training that combines physical treatment, rehabilitation, and exercise carried out under orders of a physician or physician assistant. Physical treatment includes continued use of cryotherapy, thermotherapy, hydrotherapy, electrotherapy, or the use of mechanical devices.
Question 17 According to IAC 645-351.2(4), what alternative pathway is available for persons licensed in another jurisdiction who cannot satisfy requirements for licensure by endorsement?
- A) Licensure by waiver
- B) Licensure by verification
- C) Licensure by reciprocity
- D) Licensure by examination Answer: B Explanation: IAC 645-351.2(4) states: "A person who is licensed in another jurisdiction but who is unable to satisfy the requirements for licensure by endorsement may apply for licensure by verification, if eligible, in accordance with rule 645-19.1(272C)".
Question 18 According to IAC 645-351.2(5), what happens to incomplete applications that have been on file in the board office for more than two years?
- A) They are automatically approved
- B) They are considered invalid and shall be destroyed, or maintained upon written request of the candidate
- C) They are sent to the Iowa Attorney General for review
- D) They are returned to the applicant with a refund Answer: B Explanation: IAC 645-351.2(5) states that incomplete applications that have been on file for more than two years shall be considered invalid and shall be destroyed, or maintained upon written request of the candidate. The candidate is responsible for requesting that the file be maintained.
Question 19
- B) They are exempt from the equivalency evaluation requirement
- C) They must complete an additional Iowa-specific training program
- D) They must retake the BOC examination in Iowa Answer: B Explanation: IAC 645-351.3(2)(a) states that an applicant who has passed the BOC examination is exempt from the equivalency evaluation requirement.
Question 21
According to IAC 645-351.3(3), what may an applicant who has relocated to Iowa from a state that did not require licensure submit in lieu of educational and training requirements?
- A) A letter of intent
- B) Proof of work experience, if eligible, in accordance with rule 645- 19.2(272C)
- C) A recommendation from a current employer
- D) A passing score on a state-specific exam
Answer: B Explanation: IAC 645-351.3(3) allows applicants who have relocated from a non-licensing state to submit "proof of work experience in lieu of educational and training requirements, if eligible, in accordance with rule 645-19.2(272C)".
Question 22 True or False: The applicant is responsible for making arrangements to take the BOC examination and having scores sent directly to the Iowa board.
- A) True
- B) False Answer: A Explanation: IAC 645-351.4(2) states that the applicant has responsibility for making arrangements to take the national
