Page 1 of 25
16 June 2026
IHS FINAL PREP EXAM 2026/2027 LATEST EXAM TEST
UNDER NEW GUIDELINE 100 QUESTIONS AND CORRECT
ANSWERS PERFECT TO PASS 2026 IHS FINAL TEST EXAM
A patient/client presents with a progressive bilateral sensory/neural hearing loss that is now
profound with significantly reduced WR ability in both ears. The patient/client reports that
hearing instruments are no longer providing benefit. What should be recommended?
Select one:
A. Monaural hearing instrument fitting on the best ear
B. BAHA consultation
C. Cochlear implant consultation
D. Binaural premium power hearing instruments - correct answer-C
Which hearing instrument option should be recommended for a patient/client who finds loud
sounds uncomfortable?
Select one:
A. Adaptive feedback suppression
B. Compression
C. Frequency transposition
D. Expansion - correct answer-B
During follow-up, a patient/client reports having difficulty hearing their spouse in the presence of
background noise. What should be recommended?
Select one:
A. Use of an omni-directional program
B. Decrease overall gain
C. Activation of frequency transposition
D. Use of a remote microphone - correct answer-D
What is the primary goal of completing a thorough and systematic case history prior to every
hearing assessment?
Select one:
A. To ensure that all documentation is complete
, Page 2 of 25
16 June 2026
B. To complete the pre-fitting validation questionnaire
C. To learn of any relevant information regarding insurance benefits
D. To identify issues requiring a medical referral - correct answer-D
What activity should be completed with a patient/client who is a realtor and is struggling to hear
when meeting clients in restaurants?
Select one:
A. The "Count-the-Dots" audiogram
B. The Stenger test
C. The QuickSIN test
D. Comparison of aided and unaided thresholds in the soundfield - correct answer-C
What criteria determines that the plateau has been reached during masked testing?
Select one:
A. When effective masking causes a shift in the TE threshold
B. When accurate and valid thresholds are measured
C. When the patient/client reports that they hear the tone in the TE
D. When effective masking is applied without a shift in the TE threshold - correct answer-D
What strategy should family members be encouraged to use when talking with their loved ones
who wear hearing instruments?
Select one:
A. Be more expressive
B. Speak in a loud voice
C. Face each other when speaking
D. Improve the lighting in the room - correct answer-C
In the matrix 118/45/06, what does the middle number refer to?
Select one:
A. FOG
B. OSPL90
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16 June 2026
C. Slope
D. RTG - correct answer-A
A patient/client with a bilateral severe, sloping sensory/neural loss has worn ITEs for many years
but they are providing insufficient gain. The patient/client will only consider new ITE hearing
instruments. What feature should be ordered on the new ITE hearing instruments to promote
more gain?
Select one:
A. Long canals
B. Multiple memories
C. Directional microphones
D. Compression - correct answer-A
What activity should be completed with a patient/client who wants to purchase hearing
instruments because they are having difficulty hearing in a number of different listening
environments?
Select one:
A. The HHI
B. Comparison of unaided and aided WR ability in the soundfield
C. The COSI
D. The SII - correct answer-C
What audiometric condition requires a medical referral?
Select one:
A. Symmetrical sensory/neural hearing loss with asymmetrical WRS
B. Previously documented noise induced hearing loss
C. Pre-auricular pits
D. Family history of hearing loss - correct answer-A
A patient/client reported significant concerns about hearing effectively during an important
meeting they have scheduled for the next day. An audiometric assessment demonstrated bilateral
mixed hearing loss. Otoscopy was then completed and revealed that only one quadrant of the TM
was visible due to copious cerumen in each ear canal. Demonstration binaural RIC/RITE hearing
16 June 2026
IHS FINAL PREP EXAM 2026/2027 LATEST EXAM TEST
UNDER NEW GUIDELINE 100 QUESTIONS AND CORRECT
ANSWERS PERFECT TO PASS 2026 IHS FINAL TEST EXAM
A patient/client presents with a progressive bilateral sensory/neural hearing loss that is now
profound with significantly reduced WR ability in both ears. The patient/client reports that
hearing instruments are no longer providing benefit. What should be recommended?
Select one:
A. Monaural hearing instrument fitting on the best ear
B. BAHA consultation
C. Cochlear implant consultation
D. Binaural premium power hearing instruments - correct answer-C
Which hearing instrument option should be recommended for a patient/client who finds loud
sounds uncomfortable?
Select one:
A. Adaptive feedback suppression
B. Compression
C. Frequency transposition
D. Expansion - correct answer-B
During follow-up, a patient/client reports having difficulty hearing their spouse in the presence of
background noise. What should be recommended?
Select one:
A. Use of an omni-directional program
B. Decrease overall gain
C. Activation of frequency transposition
D. Use of a remote microphone - correct answer-D
What is the primary goal of completing a thorough and systematic case history prior to every
hearing assessment?
Select one:
A. To ensure that all documentation is complete
, Page 2 of 25
16 June 2026
B. To complete the pre-fitting validation questionnaire
C. To learn of any relevant information regarding insurance benefits
D. To identify issues requiring a medical referral - correct answer-D
What activity should be completed with a patient/client who is a realtor and is struggling to hear
when meeting clients in restaurants?
Select one:
A. The "Count-the-Dots" audiogram
B. The Stenger test
C. The QuickSIN test
D. Comparison of aided and unaided thresholds in the soundfield - correct answer-C
What criteria determines that the plateau has been reached during masked testing?
Select one:
A. When effective masking causes a shift in the TE threshold
B. When accurate and valid thresholds are measured
C. When the patient/client reports that they hear the tone in the TE
D. When effective masking is applied without a shift in the TE threshold - correct answer-D
What strategy should family members be encouraged to use when talking with their loved ones
who wear hearing instruments?
Select one:
A. Be more expressive
B. Speak in a loud voice
C. Face each other when speaking
D. Improve the lighting in the room - correct answer-C
In the matrix 118/45/06, what does the middle number refer to?
Select one:
A. FOG
B. OSPL90
, Page 3 of 25
16 June 2026
C. Slope
D. RTG - correct answer-A
A patient/client with a bilateral severe, sloping sensory/neural loss has worn ITEs for many years
but they are providing insufficient gain. The patient/client will only consider new ITE hearing
instruments. What feature should be ordered on the new ITE hearing instruments to promote
more gain?
Select one:
A. Long canals
B. Multiple memories
C. Directional microphones
D. Compression - correct answer-A
What activity should be completed with a patient/client who wants to purchase hearing
instruments because they are having difficulty hearing in a number of different listening
environments?
Select one:
A. The HHI
B. Comparison of unaided and aided WR ability in the soundfield
C. The COSI
D. The SII - correct answer-C
What audiometric condition requires a medical referral?
Select one:
A. Symmetrical sensory/neural hearing loss with asymmetrical WRS
B. Previously documented noise induced hearing loss
C. Pre-auricular pits
D. Family history of hearing loss - correct answer-A
A patient/client reported significant concerns about hearing effectively during an important
meeting they have scheduled for the next day. An audiometric assessment demonstrated bilateral
mixed hearing loss. Otoscopy was then completed and revealed that only one quadrant of the TM
was visible due to copious cerumen in each ear canal. Demonstration binaural RIC/RITE hearing
