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Hearing Aid Dispenser Exam Prep 2026–2027 Study Guide & Practice Questions

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This Hearing Aid Dispenser Exam Prep 2026–2027 complete study guide is designed to help candidates succeed in hearing aid dispensing certification and licensing exams. It includes comprehensive practice questions with answers, detailed review notes, and key concepts covering audiology fundamentals, hearing loss classification, audiogram interpretation, hearing aid technology, earmold impressions, fitting procedures, amplification systems, patient counseling, infection control, ethics, and state regulatory requirements. Based on current exam formats used in hearing healthcare certification pathways, licensing exams typically assess both theoretical knowledge and practical competency in hearing assessment, device selection, fitting accuracy, and patient care procedures. This guide is ideal for trainees, apprentices, and candidates preparing for written and practical components of hearing aid dispenser certification, helping improve confidence, accuracy, and overall exam performance.

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Hearing Aid Dispenser Exam Prep 2026–2027 | Complete
Study Guide, Practice Questions & Licensing Review

1. When headphones are used when should speech audiometry be masked?
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A) When there is a 40 dB difference between the best B/C threshold and
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presentation level
i i




B) When there is a 15 dB or more air-bone gaps for the better ear
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C) When there is a 10 dB or more air-bone gaps for the better ear
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D) You never need to mask for speech audiometry: A
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2. Which infection control process refers to the killing of 100% of germs?
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A) Sterilization
B) Cleaning
C) Disinfecting
D) None of the above: A i i i i




3. Whenapatient/clientreportsdifficultyhearingwordslikesip/tip/ship,but can
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hearwordslikedoor/floor/more. Wherewouldthehearinghealthcare provider
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expecttheretobeahearinglossontheaudiogram?
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A) Hearing loss in the high frequencies i i i i i




B) Hearing loss in the mid frequencies i i i i i




C) Hearing loss in the low frequencies i i i i i




D) Degree of hearing loss cannot be determined from speech results: A
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4. Whichofthefollowingisthepreferredorderforaudiometrictesting?
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A) MCL before WRS i i




B) Bone conduction before air conduction
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C) Speech UCL before SRT i i i




D) 500 Hz before 1K Hz: A
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5. Which frequencies are usually affected when a noise induced hearing loss is
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suspected?
i




A) 250- 750 Hz i i




B) 1500- 3000 Hz i i





i i

,C) 3000- 6000 Hz i i




D) 750- 1500 Hz: C i i i




6. Whichofthefollowingstatementsismosttrueabouttheuseofgloves?
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A) Latex gloves should be used for ear impressioningi i i i i i i




B) Gloves can be saved to be used during a different appointment with the
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same patient/client
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C) Gloves are considered one-time use and should be disposed of after each use
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D) Gloves can be cleaned and reused if properly sanitized in cold soak bath: C
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7. When the bone conduction threshold is 15 dB or better than the air conduc-
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tion threshold what action should occur?
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A) Mask all bone conduction thresholds i i i i




B) Apply appropriate masking to NTE to obtained masked bone conduction
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ithreshold
C) Apply appropriate masking to NTE to obtained masked air conduction
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threshold
i




D) Immediate medical referral for air-bone gaps: B i i i i i i




8. Why is it important to determine if there is a PTA/SRT discrepancy?
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A) To determine dynamic range
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B) TodeterminelevelforMCLwhicheffectsthelevelforWRStesting
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C) To determine if malingering or misunderstanding of directions is occurring
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iduring pure tones i i




D) To determine needs for masking pure tones: C
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9. When establishing UCL/LDL/TD it is important that
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.

A) The faceis observed foranydiscomfort (grimace,eyebrows, raise, etc)
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B) They indicate when the sound is slightly loud
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i i

,C) They indicate when the sound is unbearable
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D) They indicate when the sound is comfortable: A
i i i i i i i




10. Using the audiogram, what type of hearing loss is indicated for the left ear?
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(Audiogram shows mild to severe sloping SNHL AD anda flat mild CDHL AS)
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A) Normal hearing i




B) Mixed hearing loss i i




C) Conductive hearing loss i i




D) Sensorineural hearing loss: C i i i




11. When masking for air-conduction the initial masking level is how many dB
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greater than the NTE threshold?
i i i i i




A) 10dB i




B) 20dB i




C) 40dB i




D) 0 dB: A
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12. Ambient room noise can have what effect during un-occluded bone con- i i i i i i i i i i




duction testing?
i i




A) All frequencies will present poorer
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B) Low frequencies will present better
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C) High frequencies will present poorer
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D) Low frequencies will present poorer: D
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13. Whenthereisa15-20dBdifferencebetweenanoctavewhatshouldoccur
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A) Continue testing octaves i i




B) Test the inter-octave
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C) Apply masking for air conduction i i i i




D) Apply masking for bone conduction: B i i i i i




14. When masking for puretones which type of masking noise is most effec-
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tive?
i




A) Speechnoise i





i i

, B) Narrowband noise i




C) White noise i




D) Pink noise: B i i




15. At 2K Hz the best bone conduction threshold is a 30 dB HL. The air con-
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ductionthresholdfortherightearisat45dBHLandfortheleftearat50 dB HL.
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iThe hearing healthcare provider wants to find the left masked bone
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conductionthreshold.Howshouldthetransducersbesetformasking?
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A) A/C: right and left; B/C: left mastoid
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B) A/C: right; B/C: left mastoid i i i i




C) A/C: right and left; B/C: right mastoid
i i i i i i




D) A/C: left; B/C: right mastoid: B i i i i i




16. Apatient/clienthasamoderatehearingloss.Whichtypeofhearingloss would
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thespeechdiscriminationstillbegoodtoexcellentwiththisdegreeof hearing
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loss?
i




A) Central hearing loss i i




B) Conductive hearing loss i i




C) Normal hearing i




D) Sensorineural hearing loss: B i i i




17. What should occur next when 1K Hz threshold shifts 10 dB when being
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retested?
i




A) Record new threshold and complete testing i i i i i




B) Re-instruct and test remaining thresholds i i i i




C) Record both threshold levels i i i




D) Re-instruct and retest all thresholds: D i i i i i




18. A patient/client obtains a 76% on a word recognition testing. How many
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wordsdidtheymissifa25wordlistwasused?
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A) 5
B) 7

i i

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