Praxis SLP Practice Test: Free Speech-Language Pathology (5331) Exam Questions

250 practice questions for the Praxis Speech-Language Pathology test (5331), the national exam you pass for ASHA's CCC-SLP and most state licenses. They follow the ETS test specifications, weighted the way the real test is: Foundations and Professional Practice, Screening, Assessment, Evaluation and Diagnosis, and Planning, Implementation and Evaluation of Treatment, about a third each, across the big nine areas from speech sounds and fluency to hearing and swallowing. Many are moments from the clinic, the school and the hospital: the toddler who points but doesn't talk, the flat tympanogram, the patient who coughs on thin liquids, the parent who asks you to promise results. Each is tagged to its outline topic, so your score report shows exactly where you miss, and every answer explains why the best choice is best and names its public source.

The real test: 132 selected-response questions in 150 minutes, on computer; ETS says some may not count toward your score. It is scored from 100 to 200, and the ASHA passing score for the CCC-SLP is 162 (your state may set its own), so there is no fixed percent. It covers 3 content categories of about 44 questions each: foundations and professional practice, screening and assessment, and treatment, across the big nine areas. Our practice test is full length, 132 questions in 150 minutes, split evenly like the test, passing at 70% (93 of 132).

Here: 250 questions. Our own practice questions, built on the test specifications in the ETS Study Companion for Speech-Language Pathology (5331) and written from public sources (the ASHA Practice Portal, the ASHA Code of Ethics and Scope of Practice, CDC, NIDCD, IDEA, HIPAA, FERPA, CMS and standard speech-language pathology texts), with every answer's source named. Topics are the test's 3 content categories. Not ETS's test questions. Free.

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What's on the test

TopicOn the testIn the guide
I. Foundations and Professional Practice~4484
II. Screening, Assessment, Evaluation and Diagnosis~4483
III. Planning, Implementation and Evaluation of Treatment~4483

"On the test" is the rough share of a 132-question test for each topic, following the exam's published weights.

10 sample questions

  1. How many morphemes are in the utterance "The dogs are running"?

    • A.7
    • B.5
    • C.4
    • D.6
    Show answer

    D. 6

    SL-1 · I. Foundations and Professional Practice
  2. A kindergartner does not pass a 10-minute speech-language screening. What can the SLP conclude from the screening alone?

    • A.The child qualifies for an IEP
    • B.The child has a language disorder
    • C.The child needs therapy twice weekly
    • D.A full evaluation is needed
    Show answer

    D. A full evaluation is needed

    SL-85 · II. Screening, Assessment, Evaluation and Diagnosis
  3. A parent asks for horn-blowing and tongue-wagging drills to fix her son's speech sound errors. What does the evidence say?

    • A.Oral motor drills are required before any speech work
    • B.Nonspeech oral motor drills have weak support for speech
    • C.The drills work only when done for an hour every day
    • D.These drills are the first-line evidence-based treatment
    Show answer

    B. Nonspeech oral motor drills have weak support for speech

    SL-168 · III. Planning, Implementation and Evaluation of Treatment
  4. Of Brown's 14 grammatical morphemes, which is typically mastered first?

    • A.Regular past tense -ed
    • B.Third person singular -s
    • C.Contractible auxiliary
    • D.Present progressive -ing
    Show answer

    D. Present progressive -ing

    SL-2 · I. Foundations and Professional Practice
  5. ASHA's guidelines for school-age pure-tone hearing screening use which frequencies and level?

    • A.4000 and 8000 Hz at 35 dB HL
    • B.1000, 2000 and 4000 Hz at 20 dB HL
    • C.500 through 8000 Hz at 0 dB HL
    • D.250, 500, 1000 and 2000 Hz at 40 dB HL
    Show answer

    B. 1000, 2000 and 4000 Hz at 20 dB HL

    SL-86 · II. Screening, Assessment, Evaluation and Diagnosis
  6. A patient's new anticholinergic medication may affect his dysphagia and voice treatment mainly by causing:

    • A.Tongue fasciculations
    • B.Dry mouth
    • C.Excess saliva and drooling
    • D.Hypernasality
    Show answer

    B. Dry mouth

    SL-169 · III. Planning, Implementation and Evaluation of Treatment
  7. A 5-year-old is referred for speech errors. Which of these patterns would be the most unusual for the child's age?

    • A.Final consonant deletion
    • B.Gliding of /r/ to /w/
    • C.Stopping of voiceless th
    • D.Vocalization of final /l/
    Show answer

    A. Final consonant deletion

    SL-3 · I. Foundations and Professional Practice
  8. A first grader misses 4000 Hz in the right ear during a hearing screening. What is the recommended next step?

    • A.Start speech therapy targeting high-frequency sounds
    • B.Rescreen, then refer to audiology if missed again
    • C.Wait until next year's screening to see if it resolves
    • D.Diagnose a mild high-frequency hearing loss on the spot
    Show answer

    B. Rescreen, then refer to audiology if missed again

    SL-87 · II. Screening, Assessment, Evaluation and Diagnosis
  9. Parents of a bilingual preschooler with a language disorder ask if they should stop speaking Korean at home so he can focus on English. What should the SLP advise?

    • A.Stop talking until English improves
    • B.Keep using Korean at home
    • C.Use Korean only on the weekends
    • D.Switch to English only right away
    Show answer

    B. Keep using Korean at home

    SL-170 · III. Planning, Implementation and Evaluation of Treatment
  10. By about 18 months, a toddler who points to show a parent something interesting is demonstrating which skill?

    • A.Symbolic play sequences
    • B.Joint attention
    • C.Object permanence
    • D.Receptive vocabulary spurt
    Show answer

    B. Joint attention

    SL-4 · I. Foundations and Professional Practice
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