SPEECH-LANGUAGE PATHOLOGY ASSISTANT
EXAM ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS – FULL ASSESSMENT
1. A child with a mild articulation disorder consistently substitutes /t/ for /k/.
Which strategy should a speech-language pathology assistant (SLPA)
implement first during therapy sessions?
A. Begin with sentence-level drills
B. Focus on phonemic awareness tasks
C. Provide isolated /k/ sound practice in a structured environment
D. Assign home practice with narrative stories
Rationale: Initial intervention targets the specific phoneme in isolation to
establish correct production before advancing to syllables or sentences.
2. An adult patient presents with aphasia post-stroke. The SLP assigns the
SLPA to administer a comprehension task involving simple yes/no
questions. Which action is appropriate?
A. Modify questions to include multiple choices to make them easier
B. Follow the SLP’s instructions and scoring guidelines exactly
C. Reword questions if the patient struggles
D. Provide hints to elicit correct answers
Rationale: SLPAs must administer assessments exactly as prescribed to
ensure validity; modification without supervision may invalidate results.
3. Which of the following reflects the SLPA’s ethical responsibility regarding
client confidentiality?
A. Discussing case details with friends to gain advice
, B. Sharing information only with authorized personnel involved in care
C. Posting anonymized case summaries on social media
D. Allowing family members to access records without consent
Rationale: Confidentiality is mandated by HIPAA and professional
standards; sharing with unauthorized individuals is unethical.
4. A pediatric patient shows difficulty producing /r/ sounds. The SLP instructs
the SLPA to implement a visual cue strategy using a mirror. This technique
is an example of:
A. Auditory bombardment
B. Phonological cycle approach
C. Visual feedback for articulatory placement
D. Oral-motor strengthening exercise
Rationale: Mirrors provide visual feedback to help clients see tongue
placement for target phonemes.
5. During therapy, a patient demonstrates frustration and refuses to participate
in exercises. What is the most appropriate SLPA response?
A. Ignore the behavior and continue
B. Punish refusal to reinforce compliance
C. Use positive reinforcement and adapt tasks to the patient’s level
D. Remove the patient from therapy permanently
Rationale: Positive reinforcement and task adaptation maintain engagement
while supporting learning; punitive actions are unprofessional.
6. Which of the following is a core principle of early intervention for children
with speech and language delays?
A. Focus exclusively on phoneme drills
B. Delay intervention until school age
C. Family-centered, naturalistic activities
, D. Rely solely on standardized testing
Rationale: Early intervention emphasizes functional, family-centered
approaches integrated into everyday activities.
7. A patient with dysphagia is being assessed. The SLP asks the SLPA to
record the frequency of coughs during swallowing trials. What type of data
collection is this?
A. Norm-referenced testing
B. Standardized scoring
C. Objective behavioral observation
D. Informal language sample
Rationale: Counting observable behaviors such as coughs is objective,
quantifiable data collection.
8. Which statement reflects an appropriate scope of practice for a SLPA?
A. Independently diagnosing speech disorders
B. Implementing therapy under the SLP’s supervision
C. Prescribing assistive communication devices
D. Modifying standardized assessments
Rationale: SLPAs cannot diagnose or make independent clinical decisions
but can provide therapy under supervision.
9. A patient has a tracheostomy and limited verbal output. The SLP directs the
SLPA to use a communication board. This strategy is an example of:
A. Oral-motor strengthening
B. Articulation therapy
C. Auditory discrimination
D. Augmentative and alternative communication (AAC)
Rationale: Communication boards are a form of AAC, supporting
communication when verbal speech is limited.
, 10.Which observation would be most relevant for an SLPA to report to the
supervising SLP during a language session?
A. The patient’s clothing color
B. Errors in word retrieval and sentence formulation
C. Patient’s favorite snack
D. Weather outside the clinic
Rationale: Reporting relevant clinical observations supports accurate
assessment and therapy planning.
11.During a therapy session, an SLPA notices that a child with stuttering
becomes more tense when asked to read aloud. What is the best action?
A. Correct the stuttering immediately
B. Ask the child to read louder
C. Record the observation and inform the supervising SLP
D. Ignore the tension and continue
Rationale: SLPAs should document clinical behaviors and communicate
with the SLP rather than making independent modifications.
12.A school-based SLPA is preparing for a session with a bilingual child.
Which strategy is most appropriate?
A. Conduct therapy exclusively in English
B. Translate tasks with no guidance
C. Follow the SLP’s plan while noting cultural and linguistic
considerations
D. Skip therapy if the child does not understand instructions
Rationale: Cultural and linguistic considerations are essential, but therapy
must follow the SLP’s plan.
13.Which standardized assessment is designed to evaluate expressive and
receptive language in children?
EXAM ACTUAL PREP QUESTIONS AND WELL
REVISED ANSWERS - LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS –
ASSURES PASS – FULL ASSESSMENT
1. A child with a mild articulation disorder consistently substitutes /t/ for /k/.
Which strategy should a speech-language pathology assistant (SLPA)
implement first during therapy sessions?
A. Begin with sentence-level drills
B. Focus on phonemic awareness tasks
C. Provide isolated /k/ sound practice in a structured environment
D. Assign home practice with narrative stories
Rationale: Initial intervention targets the specific phoneme in isolation to
establish correct production before advancing to syllables or sentences.
2. An adult patient presents with aphasia post-stroke. The SLP assigns the
SLPA to administer a comprehension task involving simple yes/no
questions. Which action is appropriate?
A. Modify questions to include multiple choices to make them easier
B. Follow the SLP’s instructions and scoring guidelines exactly
C. Reword questions if the patient struggles
D. Provide hints to elicit correct answers
Rationale: SLPAs must administer assessments exactly as prescribed to
ensure validity; modification without supervision may invalidate results.
3. Which of the following reflects the SLPA’s ethical responsibility regarding
client confidentiality?
A. Discussing case details with friends to gain advice
, B. Sharing information only with authorized personnel involved in care
C. Posting anonymized case summaries on social media
D. Allowing family members to access records without consent
Rationale: Confidentiality is mandated by HIPAA and professional
standards; sharing with unauthorized individuals is unethical.
4. A pediatric patient shows difficulty producing /r/ sounds. The SLP instructs
the SLPA to implement a visual cue strategy using a mirror. This technique
is an example of:
A. Auditory bombardment
B. Phonological cycle approach
C. Visual feedback for articulatory placement
D. Oral-motor strengthening exercise
Rationale: Mirrors provide visual feedback to help clients see tongue
placement for target phonemes.
5. During therapy, a patient demonstrates frustration and refuses to participate
in exercises. What is the most appropriate SLPA response?
A. Ignore the behavior and continue
B. Punish refusal to reinforce compliance
C. Use positive reinforcement and adapt tasks to the patient’s level
D. Remove the patient from therapy permanently
Rationale: Positive reinforcement and task adaptation maintain engagement
while supporting learning; punitive actions are unprofessional.
6. Which of the following is a core principle of early intervention for children
with speech and language delays?
A. Focus exclusively on phoneme drills
B. Delay intervention until school age
C. Family-centered, naturalistic activities
, D. Rely solely on standardized testing
Rationale: Early intervention emphasizes functional, family-centered
approaches integrated into everyday activities.
7. A patient with dysphagia is being assessed. The SLP asks the SLPA to
record the frequency of coughs during swallowing trials. What type of data
collection is this?
A. Norm-referenced testing
B. Standardized scoring
C. Objective behavioral observation
D. Informal language sample
Rationale: Counting observable behaviors such as coughs is objective,
quantifiable data collection.
8. Which statement reflects an appropriate scope of practice for a SLPA?
A. Independently diagnosing speech disorders
B. Implementing therapy under the SLP’s supervision
C. Prescribing assistive communication devices
D. Modifying standardized assessments
Rationale: SLPAs cannot diagnose or make independent clinical decisions
but can provide therapy under supervision.
9. A patient has a tracheostomy and limited verbal output. The SLP directs the
SLPA to use a communication board. This strategy is an example of:
A. Oral-motor strengthening
B. Articulation therapy
C. Auditory discrimination
D. Augmentative and alternative communication (AAC)
Rationale: Communication boards are a form of AAC, supporting
communication when verbal speech is limited.
, 10.Which observation would be most relevant for an SLPA to report to the
supervising SLP during a language session?
A. The patient’s clothing color
B. Errors in word retrieval and sentence formulation
C. Patient’s favorite snack
D. Weather outside the clinic
Rationale: Reporting relevant clinical observations supports accurate
assessment and therapy planning.
11.During a therapy session, an SLPA notices that a child with stuttering
becomes more tense when asked to read aloud. What is the best action?
A. Correct the stuttering immediately
B. Ask the child to read louder
C. Record the observation and inform the supervising SLP
D. Ignore the tension and continue
Rationale: SLPAs should document clinical behaviors and communicate
with the SLP rather than making independent modifications.
12.A school-based SLPA is preparing for a session with a bilingual child.
Which strategy is most appropriate?
A. Conduct therapy exclusively in English
B. Translate tasks with no guidance
C. Follow the SLP’s plan while noting cultural and linguistic
considerations
D. Skip therapy if the child does not understand instructions
Rationale: Cultural and linguistic considerations are essential, but therapy
must follow the SLP’s plan.
13.Which standardized assessment is designed to evaluate expressive and
receptive language in children?
