ANSWERS | COMPREHENSIVE PRACTICE EXAM | ADVANCED REVIEW |
CERTIFICATION EXAM | LATEST UPDATE 2026/2027
Examiner:
Texas Department of Licensing and Regulation (TDLR)
TABLE OF CONTENTS
1. Texas Speech-Language Pathology and Audiology Act
2. Licensing Requirements and Scope of Practice
3. License Renewal and Continuing Education
4. Supervision Requirements
5. Assistants and Delegation
6. Professional Standards and Ethics
7. Client Rights and Confidentiality
8. Documentation and Recordkeeping
9. Disciplinary Actions and Enforcement
10. Telepractice Requirements
11. Informed Consent and Professional Responsibility
12. Complaints, Investigations, and Compliance
TEXAS SLP JURISPRUDENCE || LICENSURE || PROFESSIONAL ETHICS || SCOPE OF
PRACTICE || SUPERVISION || ASSISTANTS || TELEPRACTICE || CONFIDENTIALITY ||
CLIENT RIGHTS || DOCUMENTATION || CONTINUING EDUCATION || DISCIPLINARY
ACTIONS || COMPLIANCE || INFORMED CONSENT || RECORDKEEPING ||
PROFESSIONAL RESPONSIBILITY || REGULATORY INTERPRETATION ||
ENFORCEMENT || PRACTICE STANDARDS || LEGAL REQUIREMENTS
QUESTION 1.
A licensed speech-language pathologist is asked by an employer to begin providing
a newly marketed therapeutic intervention that falls outside established evidence-
,based practice and exceeds the clinician's demonstrated competency. Under Texas
jurisprudence principles, what is the most appropriate action?
A. Decline to provide the intervention until adequately trained and competent to
perform it.
B. Provide the intervention if the employer documents authorization.
C. Delegate the intervention entirely to an assistant.
D. Perform the intervention because innovation is encouraged.
Correct Answer: A. Decline to provide the intervention until adequately trained
and competent to perform it.
Explanation: A licensee is professionally responsible for practicing only within areas
of competence and ensuring services meet accepted professional standards.
Employer direction does not override legal or ethical obligations, and delegation
cannot eliminate the supervising clinician's responsibility.
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QUESTION 2.
A complaint alleges that an SLP altered clinical documentation after learning of a
pending regulatory investigation. Which factor would most likely increase the
seriousness of the alleged violation?
A. The records were corrected for spelling.
B. The alterations affected the accuracy of treatment documentation.
C. The clinician retained duplicate copies.
D. The employer approved the revisions.
Correct Answer: B. The alterations affected the accuracy of treatment
documentation.
Explanation: Altering records in a manner that changes substantive clinical
information undermines the integrity of documentation and may interfere with
regulatory oversight. Administrative approval does not excuse inaccurate or
misleading records.
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QUESTION 3.
An SLP provides telepractice services to a Texas client. Before initiating treatment, the
clinician should primarily ensure that:
A. The client has signed a general financial agreement only.
B. The clinician's employer accepts telepractice billing.
C. Telepractice services comply with applicable legal and professional requirements,
including informed consent when required.
D. The client owns identical technology to the clinician.
Correct Answer: C. Telepractice services comply with applicable legal and
professional requirements, including informed consent when required.
Explanation: Telepractice must be delivered in compliance with applicable laws,
regulations, and professional standards. Financial agreements and equipment
preferences do not replace the clinician's responsibility to provide legally compliant
services.
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QUESTION 4.
A supervising SLP delegates a complex swallowing assessment to an assistant
because the schedule is overbooked. Which statement best reflects appropriate
jurisprudential analysis?
A. Delegation is appropriate if the assistant agrees.
B. Delegation is acceptable when productivity goals require it.
C. Delegation is acceptable if documented afterward.
D. Delegation should not occur if the activity exceeds the assistant's authorized
responsibilities.
Correct Answer: D. Delegation should not occur if the activity exceeds the
assistant's authorized responsibilities.
, Explanation: Supervising clinicians remain responsible for ensuring delegated tasks
remain within legally permissible limits and the assistant's competence.
Operational pressures never justify improper delegation.
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QUESTION 5.
A licensee realizes that a required continuing education activity was mistakenly
reported as completed before it actually occurred. What is the most appropriate
response?
A. Wait until the next renewal cycle.
B. Promptly correct the inaccurate information and satisfy all renewal requirements.
C. Ignore the discrepancy if the hours are eventually completed.
D. Ask another licensee to verify completion.
Correct Answer: B. Promptly correct the inaccurate information and satisfy all
renewal requirements.
Explanation: Licensees are responsible for maintaining truthful and accurate
licensure records. Correcting an error promptly demonstrates compliance and
protects the integrity of the licensing process.
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QUESTION 6.
An SLP receives confidential educational records from another provider without
parental authorization where authorization is otherwise required. Before
incorporating the records into treatment planning, the SLP should first:
A. Destroy the records immediately.
B. Share them with the employer's billing office.
C. Determine whether their acquisition and use comply with applicable confidentiality
requirements.
D. Assume they may always be used because another professional sent them.