TEXAS SPEECH-LANGUAGE PATHOLOGIST LICENSING EXAM — 2026/2027
Texas Department of Licensing and Regulation (TDLR) Comprehensive Competency Assessment
PART I: PRAXIS EXAM (CODE 5331) — 132 QUESTIONS
PART II: TEXAS JURISPRUDENCE EXAM — 50 QUESTIONS
Praxis: 132 questions | 150 minutes | Passing: 162 (scaled 100–200)
Jurisprudence: 50 questions | 120 minutes | Passing: 75% (38/50)
Format: MCQ, SATA, Case Study, Prioritization, and Scenario-Based Items
Aligned: ASHA Standards, ETS Praxis 5331, TDLR Rules, Texas Occupations Code Ch. 401
Eligibility: Master’s in SLP (CAA-accredited) | 400 clinical hours | 1,260-hour CFY | Praxis + Jurisprudence
passage
PART I: PRAXIS SPEECH-LANGUAGE PATHOLOGY EXAM (5331) — QUESTIONS 1–132
Domain 1: Foundations & Professional Practice (Q1–Q20)
1. According to the ASHA Scope of Practice in Speech-Language Pathology (2016), which of
the following is NOT listed as a domain of service delivery?
A) Advocacy
B) Education
C) Research
D) Medical diagnosis
Correct Answer: D
Rationale: The ASHA Scope of Practice identifies advocacy, education, research, and clinical service as
domains of service delivery. Medical diagnosis falls outside the SLP scope and is the responsibility of a
physician.
2. An SLP is faced with an ethical dilemma regarding a client whose family requests treatment
that conflicts with evidence-based practice. Using the ASPIRE model for ethical decision-
making, what does the 'P' represent?
A) Propose solutions
B) Principles
C) Professional standards
D) Perspectives of stakeholders
Correct Answer: A
1
,Rationale: The ASPIRE model (Analyze the situation, Seek information, Propose solutions, Identify the best
option, Review the decision, Evaluate outcomes) uses 'P' for Propose solutions, guiding the clinician to
generate alternatives before selecting one.
3. Which ASHA document provides the framework for cultural and linguistic responsiveness
in clinical practice?
A) ASHA Code of Ethics
B) ASHA Multicultural Issues Board Position Statement
C) ASHA Practice Policy on Cultural Competence
D) ASHA Scope of Practice
Correct Answer: C
Rationale: ASHA's Practice Policy on Cultural Competence articulates the expectation that clinicians
deliver culturally and linguistically responsive services, addressing biases in assessment and treatment
across diverse populations.
4. When integrating evidence-based practice (EBP), the SLP must consider which three
components?
A) Research evidence, clinical expertise, client/patient perspectives
B) Research evidence, insurance guidelines, physician orders
C) Clinical expertise, family income, research evidence
D) Client preferences, hospital policy, clinical expertise
Correct Answer: A
Rationale: According to ASHA's EBP framework, the three pillars are: the best available research evidence,
the clinician's expertise, and the client's/patient's perspectives and values. Insurance and hospital policies
inform logistics but are not core EBP components.
5. An SLP is collaborating with an occupational therapist and a physical therapist on a
pediatric feeding team. According to the IPEC competencies for interprofessional
collaboration, which competency involves understanding the roles of other professionals?
A) Values/Ethics
B) Roles/Responsibilities
C) Interprofessional Communication
D) Teams and Teamwork
Correct Answer: B
Rationale: The IPEC competency of Roles/Responsibilities requires each professional to understand others'
scopes and expertise to optimize team function. Values/Ethics addresses moral principles; Communication
addresses information sharing; Teams and Teamwork addresses group dynamics.
6. Under HIPAA, which of the following constitutes a violation of protected health
information (PHI)?
A) Discussing a patient's treatment plan with the patient's physician with consent
B) Leaving a patient's chart open on an unattended desk in a shared workspace
2
, C) Sharing de-identified aggregate data for a research study
D) Faxing records to a referring physician with a signed release
Correct Answer: B
Rationale: Leaving a chart with PHI visible in an unattended area violates the HIPAA Privacy Rule's
minimum necessary standard and safeguard requirements. The other options describe permissible
disclosures with consent, de-identification, or authorized sharing.
7. Informed consent for SLP services requires that the client or legal guardian be informed of
all of the following EXCEPT:
A) The nature and purpose of the proposed treatment
B) Risks and benefits of the treatment
C) The clinician's personal religious beliefs
D) Alternatives to the proposed treatment
Correct Answer: C
Rationale: Informed consent mandates disclosure of the treatment's nature, purpose, risks, benefits, and
alternatives. A clinician's personal religious beliefs are irrelevant to clinical decision-making and are not
required disclosures under informed consent doctrine.
8. An SLP receives a gift of significant monetary value from a client's family. According to
ASHA's Code of Ethics, this situation most directly raises concerns about:
A) Principle I: Responsibility to persons served
B) Principle II: Achievement of competence
C) Principle III: Promotion of public understanding
D) Principle IV: Professional relationships and boundaries
Correct Answer: D
Rationale: Accepting substantial gifts creates a dual relationship and boundary violation under ASHA
Code of Ethics Principle IV, which addresses maintaining professional objectivity and avoiding conflicts of
interest.
9. [Select All That Apply] Which of the following are core principles of the ASHA Code of
Ethics (2023 revision)?
A) Holding paramount the welfare of persons served
B) Maintaining professional competence
C) Ensuring the highest possible billing revenue
D) Promoting public understanding of the profession
E) Engaging only in areas of competence
Correct Answer: A, B, D, E
Rationale: The ASHA Code of Ethics (2023) is organized around four principles: welfare of persons served,
professional competence, public understanding, and professional responsibility (including practicing
within competence). Billing revenue maximization is not an ethical principle.
3
, 10. An SLP who is supervising a clinical fellow (CF) must ensure that supervision activities
comply with which ASHA document?
A) ASHA Scope of Practice
B) ASHA Standards for Clinical Certification
C) ASHA Position Statement on Supervision
D) ASHA Technical Report on Caseload Size
Correct Answer: B
Rationale: ASHA's Standards for Clinical Certification outline requirements for the CFY, including
supervision qualifications, frequency, and documentation. The Scope of Practice defines professional
domains, and the supervision position statement offers guidance but is not the regulatory standard.
11. A bilingual SLP is assessing a child who speaks Spanish at home and English at school.
According to ASHA's position on bilingual service delivery, the clinician should:
A) Test only in English since the child attends an English-speaking school
B) Test only in Spanish since it is the home language
C) Assess in both languages and compare performance across languages
D) Refer to a monolingual English-speaking SLP for testing
Correct Answer: C
Rationale: ASHA's position on bilingual service delivery requires comprehensive assessment in all
languages the child uses. Testing in only one language risks misdiagnosis of either a disorder or a language
difference.
12. When evaluating research evidence for EBP, which level of the Oxford Centre for
Evidence-Based Medicine hierarchy represents the strongest evidence for treatment efficacy?
A) Case series
B) Expert opinion
C) Systematic review of randomized controlled trials
D) Single-case experimental design
Correct Answer: C
Rationale: Systematic reviews of RCTs occupy the highest level (Level 1) in the Oxford CEBM hierarchy
because they synthesize data from multiple controlled studies, minimizing bias. Case series and expert
opinion are lower levels of evidence.
13. According to ASHA's position on telepractice, which statement is TRUE regarding service
delivery via telepractice?
A) Telepractice is only appropriate for adult clients
B) The clinician must hold licensure in the state where the client is located
C) Telepractice services do not require informed consent
D) Telepractice cannot be used for swallowing assessments
Correct Answer: B
4
Texas Department of Licensing and Regulation (TDLR) Comprehensive Competency Assessment
PART I: PRAXIS EXAM (CODE 5331) — 132 QUESTIONS
PART II: TEXAS JURISPRUDENCE EXAM — 50 QUESTIONS
Praxis: 132 questions | 150 minutes | Passing: 162 (scaled 100–200)
Jurisprudence: 50 questions | 120 minutes | Passing: 75% (38/50)
Format: MCQ, SATA, Case Study, Prioritization, and Scenario-Based Items
Aligned: ASHA Standards, ETS Praxis 5331, TDLR Rules, Texas Occupations Code Ch. 401
Eligibility: Master’s in SLP (CAA-accredited) | 400 clinical hours | 1,260-hour CFY | Praxis + Jurisprudence
passage
PART I: PRAXIS SPEECH-LANGUAGE PATHOLOGY EXAM (5331) — QUESTIONS 1–132
Domain 1: Foundations & Professional Practice (Q1–Q20)
1. According to the ASHA Scope of Practice in Speech-Language Pathology (2016), which of
the following is NOT listed as a domain of service delivery?
A) Advocacy
B) Education
C) Research
D) Medical diagnosis
Correct Answer: D
Rationale: The ASHA Scope of Practice identifies advocacy, education, research, and clinical service as
domains of service delivery. Medical diagnosis falls outside the SLP scope and is the responsibility of a
physician.
2. An SLP is faced with an ethical dilemma regarding a client whose family requests treatment
that conflicts with evidence-based practice. Using the ASPIRE model for ethical decision-
making, what does the 'P' represent?
A) Propose solutions
B) Principles
C) Professional standards
D) Perspectives of stakeholders
Correct Answer: A
1
,Rationale: The ASPIRE model (Analyze the situation, Seek information, Propose solutions, Identify the best
option, Review the decision, Evaluate outcomes) uses 'P' for Propose solutions, guiding the clinician to
generate alternatives before selecting one.
3. Which ASHA document provides the framework for cultural and linguistic responsiveness
in clinical practice?
A) ASHA Code of Ethics
B) ASHA Multicultural Issues Board Position Statement
C) ASHA Practice Policy on Cultural Competence
D) ASHA Scope of Practice
Correct Answer: C
Rationale: ASHA's Practice Policy on Cultural Competence articulates the expectation that clinicians
deliver culturally and linguistically responsive services, addressing biases in assessment and treatment
across diverse populations.
4. When integrating evidence-based practice (EBP), the SLP must consider which three
components?
A) Research evidence, clinical expertise, client/patient perspectives
B) Research evidence, insurance guidelines, physician orders
C) Clinical expertise, family income, research evidence
D) Client preferences, hospital policy, clinical expertise
Correct Answer: A
Rationale: According to ASHA's EBP framework, the three pillars are: the best available research evidence,
the clinician's expertise, and the client's/patient's perspectives and values. Insurance and hospital policies
inform logistics but are not core EBP components.
5. An SLP is collaborating with an occupational therapist and a physical therapist on a
pediatric feeding team. According to the IPEC competencies for interprofessional
collaboration, which competency involves understanding the roles of other professionals?
A) Values/Ethics
B) Roles/Responsibilities
C) Interprofessional Communication
D) Teams and Teamwork
Correct Answer: B
Rationale: The IPEC competency of Roles/Responsibilities requires each professional to understand others'
scopes and expertise to optimize team function. Values/Ethics addresses moral principles; Communication
addresses information sharing; Teams and Teamwork addresses group dynamics.
6. Under HIPAA, which of the following constitutes a violation of protected health
information (PHI)?
A) Discussing a patient's treatment plan with the patient's physician with consent
B) Leaving a patient's chart open on an unattended desk in a shared workspace
2
, C) Sharing de-identified aggregate data for a research study
D) Faxing records to a referring physician with a signed release
Correct Answer: B
Rationale: Leaving a chart with PHI visible in an unattended area violates the HIPAA Privacy Rule's
minimum necessary standard and safeguard requirements. The other options describe permissible
disclosures with consent, de-identification, or authorized sharing.
7. Informed consent for SLP services requires that the client or legal guardian be informed of
all of the following EXCEPT:
A) The nature and purpose of the proposed treatment
B) Risks and benefits of the treatment
C) The clinician's personal religious beliefs
D) Alternatives to the proposed treatment
Correct Answer: C
Rationale: Informed consent mandates disclosure of the treatment's nature, purpose, risks, benefits, and
alternatives. A clinician's personal religious beliefs are irrelevant to clinical decision-making and are not
required disclosures under informed consent doctrine.
8. An SLP receives a gift of significant monetary value from a client's family. According to
ASHA's Code of Ethics, this situation most directly raises concerns about:
A) Principle I: Responsibility to persons served
B) Principle II: Achievement of competence
C) Principle III: Promotion of public understanding
D) Principle IV: Professional relationships and boundaries
Correct Answer: D
Rationale: Accepting substantial gifts creates a dual relationship and boundary violation under ASHA
Code of Ethics Principle IV, which addresses maintaining professional objectivity and avoiding conflicts of
interest.
9. [Select All That Apply] Which of the following are core principles of the ASHA Code of
Ethics (2023 revision)?
A) Holding paramount the welfare of persons served
B) Maintaining professional competence
C) Ensuring the highest possible billing revenue
D) Promoting public understanding of the profession
E) Engaging only in areas of competence
Correct Answer: A, B, D, E
Rationale: The ASHA Code of Ethics (2023) is organized around four principles: welfare of persons served,
professional competence, public understanding, and professional responsibility (including practicing
within competence). Billing revenue maximization is not an ethical principle.
3
, 10. An SLP who is supervising a clinical fellow (CF) must ensure that supervision activities
comply with which ASHA document?
A) ASHA Scope of Practice
B) ASHA Standards for Clinical Certification
C) ASHA Position Statement on Supervision
D) ASHA Technical Report on Caseload Size
Correct Answer: B
Rationale: ASHA's Standards for Clinical Certification outline requirements for the CFY, including
supervision qualifications, frequency, and documentation. The Scope of Practice defines professional
domains, and the supervision position statement offers guidance but is not the regulatory standard.
11. A bilingual SLP is assessing a child who speaks Spanish at home and English at school.
According to ASHA's position on bilingual service delivery, the clinician should:
A) Test only in English since the child attends an English-speaking school
B) Test only in Spanish since it is the home language
C) Assess in both languages and compare performance across languages
D) Refer to a monolingual English-speaking SLP for testing
Correct Answer: C
Rationale: ASHA's position on bilingual service delivery requires comprehensive assessment in all
languages the child uses. Testing in only one language risks misdiagnosis of either a disorder or a language
difference.
12. When evaluating research evidence for EBP, which level of the Oxford Centre for
Evidence-Based Medicine hierarchy represents the strongest evidence for treatment efficacy?
A) Case series
B) Expert opinion
C) Systematic review of randomized controlled trials
D) Single-case experimental design
Correct Answer: C
Rationale: Systematic reviews of RCTs occupy the highest level (Level 1) in the Oxford CEBM hierarchy
because they synthesize data from multiple controlled studies, minimizing bias. Case series and expert
opinion are lower levels of evidence.
13. According to ASHA's position on telepractice, which statement is TRUE regarding service
delivery via telepractice?
A) Telepractice is only appropriate for adult clients
B) The clinician must hold licensure in the state where the client is located
C) Telepractice services do not require informed consent
D) Telepractice cannot be used for swallowing assessments
Correct Answer: B
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