Testing Moderate - Severe Cognitive Disability?

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I have been interested in IQ tests lately, and I'm wondering how they are administered to people with serious cognitive disabilities? I mean, wouldn't it be difficult to get them to comply because they don't understand the directions given or even the concept of a test? Some of them don't even interact much with their environments and would just ignore the evaluator or not respond. And wouldn't the test have to be quite different than the tests given to other people?

Can you clarify what you mean by severe cognitive disability?

IQ below 70 or so. Mental retardation? I don't know what it's called.

http://www.brighthubeducation.com/speci ... ior-scale/
It's important to be flexible and adaptable when testing such children. The onus these days tends to be on finding out what the child CAN do, and what supports are useful for that child, rather than trying to identify deficits. What is the point of identifying deficits when we already know that the child is having severe difficulties.

I always thought it was those IQ tests that determined those people had a low IQ.

I see I was wrong now. That's for the link Sarah81.