ETS Praxis Audiology Practice Test
Questions with correct Answers (A+
GRADED 100% VERIFIED) 2025/2026
(R: WNL thresholds; type A tymp; SRT-10; WRS 96%) (present AR contra at 2k)
(L: WNL sloping to profound snhl after 1k Hz; type A tymps; SRT-30; WRS-20%;
absent AR contra at 2k)
If this hearing test and audiology exam represent the initial point of entry, the
audiologist should
A.offer the patient a trial with an osseointegrated cochlear stimulator
B.have the patient complete a hearing handicap scale to determine the extent of his
communication problems
C.obtain a complete family case history
D.offer aural rehabilitation classes
E.refer the patient for a complete otological evaluation - ANSWER: Correct Answer:
E
Option (E) is correct. Based on the audiogram, which shows an asymmetrical
audiometric configuration, it is necessary to rule out a brainstem lesion, such as an
acoustic neuroma; for a complete evaluation, the audiologist should refer the patient
to an otologist.
A 1000 Hz tympanogram is obtained on a month-old infant by an audiologist, who
reports a type B tympanogram. The parents seek a second opinion from another
audiologist, who performs a low-frequency 226 Hz tympanogram and reports a type
A tympanogram. The discrepancy is most likely the result of
A.differences in training between the two audiologists
B.a misinterpretation of the tympanogram by one of the audiologists
C.increased cooperation by the infant during one of the measurements
D.the decreased reliability of low-frequency tympanograms on infants
E.the use of tympanometers from different manufacturers for the two tests -
ANSWER: Correct Answer: D
Option (D) is correct. The middle-ear system of the infant is mass dominated with a
lower resonant frequency, thus a 1000 Hz probe frequency would be more
appropriate for detecting changes in middle-ear function than a 226 Hz probe tone.
A 13-month-old child has been diagnosed with a severe-profound hearing loss. The
audiologist has met with the child's parents to discuss the functional impact of this
,hearing loss, along with intervention options. In addition, the parents have read
information online related to intervention options. Which of the following should the
audiologist recommend as the step for the parents to take?
A.Continuing to search for information online
B.Obtaining bilateral cochlear implants for the child
C.Consulting with a pediatric otolaryngologist to obtain medical clearance for
amplification
D.Scheduling a future appointment with the audiologist to review information about
their child's hearing loss
E.Joining a support group for parents of infants with hearing loss to gain insight into
the issues they may face - ANSWER: Correct Answer: C
Option (C) is correct. Given that the child is 13 months of age, the fitting of
amplification needs to happen as soon as possible. However, it is necessary to
obtain medical clearance before fitting the child with amplification.
A 3-year-old child with chronic ear infections had PE tubes placed six months ago.
Although the current audiological battery reveals normal hearing bilaterally, the
tympanograms reveal a large volume in the right ear and a flat tracing with a small
volume in the left ear. The next step should be
A.VRA audiometry to determine the status of hearing in each ear
B.retesting with a tympanometer that utilizes a 1000 Hz probe tone
C.irrigation of the ear in an attempt to determine whether the tube is blocked
D.referral to the ENT physician for further evaluation and treatment
E.retesting the child in 3 to 6 months - ANSWER: Correct Answer: D
Option (D) is correct. The tympanometric findings are suggestive of poor middle ear
function that could be due to a medical condition requiring treatment.
A 6-month old is brought to the clinic by her parents. They report that she has had
two bouts of otitis media already and they want to be sure her hearing is okay. The
audiologist would like to test using VRA. Prior to beginning testing, the audiologist
should be certain that the infant is able to
A.cross the midline with an object
B.visually track objects laterally
C.localize sounds and objects from above
D.babble
E.point to different body parts - ANSWER: Correct Answer: B
Option (B) is correct. Six-month-old infants can be expected to be able to track
objects laterally with their eyes, and this skill is essential for visual reinforcement
audiometry (VRA).
,A 7-year-old child has become inattentive and frequently asks for things to be
repeated. The child has a history of recurrent otitis media. Pure-tone air-conduction
thresholds are borderline normal bilaterally, and the child exhibits flat type B
tympanograms bilaterally and a 15 dB air-bone gap bilaterally. The audiologist's most
appropriate action would be to refer the child for
A.further audiometric testing
B.an otologic examination
C.a hearing-aid evaluation
D.special audiometric testing
E.psychosocial counseling - ANSWER: Correct Answer: B
Option (B) is correct. The flat tympanograms call for an otologic examination to
determine the exact problem.
A child with a moderate sensorineural hearing loss who wears binaural hearing aids
is referred to the clinic because of problems understanding the teacher at school.
The child's aided speech recognition scores in quiet at 55 dB HL were 88 percent
correct and in noise with a +5 SNR were 60 percent correct. Which of the following is
the best recommendation for this child?
A.Referral for a cochlear implant evaluation
B.Use of digital noise reduction features in the hearing aids
C.Fitting with a personal FM system coupled to the hearing aids
D.Fitting with a personal FM system that uses earbuds
E.An increase in the gain of the hearing aids - ANSWER: Correct Answer: C
Option (C) is correct. An FM system coupled to the child's hearing aids will take
advantage of the prescribed amplification for the child's specific hearing loss and
assist in improving the signal-to-noise ratio.
A common medication known to be ototoxic is
A.ibuprofen
B.Benadryl
C.cough syrup
D.melatonin
E.high dosage vitamin C - ANSWER: Correct Answer: A
Option (A) is correct. Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to
be ototoxic. Ibuprofen is an NSAID.
A language-stimulation program for a 6-month-old infant newly identified as having a
hearing impairment should
A.emphasize phonology
B.precede fitting of amplification
, C.emphasize structured drills
D.be integrated with routine activities in the home
E.follow the Carhart approach - ANSWER: Correct Answer: D
Option (D) is correct. Intervention for infants who have hearing impairments must
center on family involvement.
A native Spanish speaker who speaks very little English is seen for a hearing
evaluation by an audiologist who does not speak Spanish. The audiologist does not
have any Spanish materials for speech recognition testing. Which of the following is
the most appropriate course of action for the audiologist?
A.Referring the patient to a Spanish-speaking otolaryngologist
B.Rescheduling the patient for a time when a Spanish-speaking interpreter is
available
C.Administering an English word recognition test and scoring it as accurately as
possible based on the patient's responses in English
D.Administering an English SRT and word recognition test, recording the responses,
and having a Spanish-speaking friend score the responses
E.Administering an English word recognition test, having the patient write down the
responses in Spanish, and asking a Spanish-speaking interpreter to score the
responses - ANSWER: Correct Answer: B
Option (B) is correct. Given that the audiologist does not speak Spanish, a
Spanish-speaking interpreter would be the most effective solution to assist the
audiologist with speech-recognition testing.
A new patient, Mr. Harris, reports to an audiologist's clinic and reports that eight
weeks ago he had surgery to repair a fistula in the round window in his left ear. The
patient tells the audiologist that he was discharged by the surgeon and told that the
procedure was successful. The patient indicates that he has not noticed any change
in his hearing since the operation. Which of the following actions should the
audiologist take first?
A.Referral for another medical evaluation
B.Auditory brainstem response (ABR) testing
C.A routine audiometric evaluation
D.Evaluation for a conventional CROS hearing aid
E.Evaluation for a transcranial CROS hearing aid - ANSWER: Correct Answer: C
Option (C) is correct. The surgery has apparently been successful, the client's report
that there has been no subjective improvement warrants further investigation. The
follow-up medical evaluation that occurred would normally focus on physical healing
and would not include an audiometric evaluation, so the audiologist should conduct a
routine audiometric examination to determine the precise level of postsurgical
hearing loss.
Questions with correct Answers (A+
GRADED 100% VERIFIED) 2025/2026
(R: WNL thresholds; type A tymp; SRT-10; WRS 96%) (present AR contra at 2k)
(L: WNL sloping to profound snhl after 1k Hz; type A tymps; SRT-30; WRS-20%;
absent AR contra at 2k)
If this hearing test and audiology exam represent the initial point of entry, the
audiologist should
A.offer the patient a trial with an osseointegrated cochlear stimulator
B.have the patient complete a hearing handicap scale to determine the extent of his
communication problems
C.obtain a complete family case history
D.offer aural rehabilitation classes
E.refer the patient for a complete otological evaluation - ANSWER: Correct Answer:
E
Option (E) is correct. Based on the audiogram, which shows an asymmetrical
audiometric configuration, it is necessary to rule out a brainstem lesion, such as an
acoustic neuroma; for a complete evaluation, the audiologist should refer the patient
to an otologist.
A 1000 Hz tympanogram is obtained on a month-old infant by an audiologist, who
reports a type B tympanogram. The parents seek a second opinion from another
audiologist, who performs a low-frequency 226 Hz tympanogram and reports a type
A tympanogram. The discrepancy is most likely the result of
A.differences in training between the two audiologists
B.a misinterpretation of the tympanogram by one of the audiologists
C.increased cooperation by the infant during one of the measurements
D.the decreased reliability of low-frequency tympanograms on infants
E.the use of tympanometers from different manufacturers for the two tests -
ANSWER: Correct Answer: D
Option (D) is correct. The middle-ear system of the infant is mass dominated with a
lower resonant frequency, thus a 1000 Hz probe frequency would be more
appropriate for detecting changes in middle-ear function than a 226 Hz probe tone.
A 13-month-old child has been diagnosed with a severe-profound hearing loss. The
audiologist has met with the child's parents to discuss the functional impact of this
,hearing loss, along with intervention options. In addition, the parents have read
information online related to intervention options. Which of the following should the
audiologist recommend as the step for the parents to take?
A.Continuing to search for information online
B.Obtaining bilateral cochlear implants for the child
C.Consulting with a pediatric otolaryngologist to obtain medical clearance for
amplification
D.Scheduling a future appointment with the audiologist to review information about
their child's hearing loss
E.Joining a support group for parents of infants with hearing loss to gain insight into
the issues they may face - ANSWER: Correct Answer: C
Option (C) is correct. Given that the child is 13 months of age, the fitting of
amplification needs to happen as soon as possible. However, it is necessary to
obtain medical clearance before fitting the child with amplification.
A 3-year-old child with chronic ear infections had PE tubes placed six months ago.
Although the current audiological battery reveals normal hearing bilaterally, the
tympanograms reveal a large volume in the right ear and a flat tracing with a small
volume in the left ear. The next step should be
A.VRA audiometry to determine the status of hearing in each ear
B.retesting with a tympanometer that utilizes a 1000 Hz probe tone
C.irrigation of the ear in an attempt to determine whether the tube is blocked
D.referral to the ENT physician for further evaluation and treatment
E.retesting the child in 3 to 6 months - ANSWER: Correct Answer: D
Option (D) is correct. The tympanometric findings are suggestive of poor middle ear
function that could be due to a medical condition requiring treatment.
A 6-month old is brought to the clinic by her parents. They report that she has had
two bouts of otitis media already and they want to be sure her hearing is okay. The
audiologist would like to test using VRA. Prior to beginning testing, the audiologist
should be certain that the infant is able to
A.cross the midline with an object
B.visually track objects laterally
C.localize sounds and objects from above
D.babble
E.point to different body parts - ANSWER: Correct Answer: B
Option (B) is correct. Six-month-old infants can be expected to be able to track
objects laterally with their eyes, and this skill is essential for visual reinforcement
audiometry (VRA).
,A 7-year-old child has become inattentive and frequently asks for things to be
repeated. The child has a history of recurrent otitis media. Pure-tone air-conduction
thresholds are borderline normal bilaterally, and the child exhibits flat type B
tympanograms bilaterally and a 15 dB air-bone gap bilaterally. The audiologist's most
appropriate action would be to refer the child for
A.further audiometric testing
B.an otologic examination
C.a hearing-aid evaluation
D.special audiometric testing
E.psychosocial counseling - ANSWER: Correct Answer: B
Option (B) is correct. The flat tympanograms call for an otologic examination to
determine the exact problem.
A child with a moderate sensorineural hearing loss who wears binaural hearing aids
is referred to the clinic because of problems understanding the teacher at school.
The child's aided speech recognition scores in quiet at 55 dB HL were 88 percent
correct and in noise with a +5 SNR were 60 percent correct. Which of the following is
the best recommendation for this child?
A.Referral for a cochlear implant evaluation
B.Use of digital noise reduction features in the hearing aids
C.Fitting with a personal FM system coupled to the hearing aids
D.Fitting with a personal FM system that uses earbuds
E.An increase in the gain of the hearing aids - ANSWER: Correct Answer: C
Option (C) is correct. An FM system coupled to the child's hearing aids will take
advantage of the prescribed amplification for the child's specific hearing loss and
assist in improving the signal-to-noise ratio.
A common medication known to be ototoxic is
A.ibuprofen
B.Benadryl
C.cough syrup
D.melatonin
E.high dosage vitamin C - ANSWER: Correct Answer: A
Option (A) is correct. Nonsteroidal anti-inflammatory drugs (NSAIDs) are known to
be ototoxic. Ibuprofen is an NSAID.
A language-stimulation program for a 6-month-old infant newly identified as having a
hearing impairment should
A.emphasize phonology
B.precede fitting of amplification
, C.emphasize structured drills
D.be integrated with routine activities in the home
E.follow the Carhart approach - ANSWER: Correct Answer: D
Option (D) is correct. Intervention for infants who have hearing impairments must
center on family involvement.
A native Spanish speaker who speaks very little English is seen for a hearing
evaluation by an audiologist who does not speak Spanish. The audiologist does not
have any Spanish materials for speech recognition testing. Which of the following is
the most appropriate course of action for the audiologist?
A.Referring the patient to a Spanish-speaking otolaryngologist
B.Rescheduling the patient for a time when a Spanish-speaking interpreter is
available
C.Administering an English word recognition test and scoring it as accurately as
possible based on the patient's responses in English
D.Administering an English SRT and word recognition test, recording the responses,
and having a Spanish-speaking friend score the responses
E.Administering an English word recognition test, having the patient write down the
responses in Spanish, and asking a Spanish-speaking interpreter to score the
responses - ANSWER: Correct Answer: B
Option (B) is correct. Given that the audiologist does not speak Spanish, a
Spanish-speaking interpreter would be the most effective solution to assist the
audiologist with speech-recognition testing.
A new patient, Mr. Harris, reports to an audiologist's clinic and reports that eight
weeks ago he had surgery to repair a fistula in the round window in his left ear. The
patient tells the audiologist that he was discharged by the surgeon and told that the
procedure was successful. The patient indicates that he has not noticed any change
in his hearing since the operation. Which of the following actions should the
audiologist take first?
A.Referral for another medical evaluation
B.Auditory brainstem response (ABR) testing
C.A routine audiometric evaluation
D.Evaluation for a conventional CROS hearing aid
E.Evaluation for a transcranial CROS hearing aid - ANSWER: Correct Answer: C
Option (C) is correct. The surgery has apparently been successful, the client's report
that there has been no subjective improvement warrants further investigation. The
follow-up medical evaluation that occurred would normally focus on physical healing
and would not include an audiometric evaluation, so the audiologist should conduct a
routine audiometric examination to determine the precise level of postsurgical
hearing loss.
