Speech Language Pathology Assistant (SLPA) Certification Exam (Latest 2024/ 2025 Update) Questions and Verified Answers| 100% Correct | Grade A

Speech Language Pathology Assistant
(SLPA) Certification Exam (Latest 2024/
2025 Update) Questions and Verified
Answers| 100% Correct | Grade A
Q: The SLPA has been working with a patient that uses a dynamic display voice output
communication device for six months. Therapy sessions have now begun to focus on greetings,
ordering at restaurants, and reciprocal conversational exchanges. What has the SLPA been
targeting?:
A. linguistic competence
B. operational competence
C. social competence
D. strategic competence
Answer:
C. social competence
Q: True or False: SLPAs may practice under 2 regulatory bodies.
Answer:
True. Asha + your state’s licensing body
Q: Who retains full and ethical responsibility for the students, patients and clients served but
may delegate specific tasks to the SLPA?
Answer:
The supervising SLP

Q: True or Flase: State licensure laws supersede any ASHA SOP guidelines.
Answer:
True.
Q: Where can you find the scope of practice (SOP) for an SLPA?
Answer:
The SOP is defined by ASHA in the SLPA Scope of Practice, AND can differ from state to state
Q: What is the purpose of the ASHA SOP document? (Name at least 4)
Answer:
1) Parameters of education & professional development
2) Responsibilities within & outside the SOP
3) Examples of practice settings
4) Information for others regarding SLPA services
5) Information on ethics & liability
6) Supervision requirements
Q: What 3 categories form the SLPA Scope of Practice?
Answer:
1) Service Delivery
2) Prevention and Advocacy Tasks
3) Administrative Tasks

Q: True or False: SLPAs can administer and/or interpret assessments.
Answer:
FALSE. SLPAs CANNOT administer and/or interpret assessments.
ONLY assist via direction from the supervising SLP.
Q: Which category from the SLPA SOP does this fall under?
Present primary prevention information to individuals information to individuals and groups
known to be at risk for communication disorders and other appropriate groups; promote early
identification and early intervention activities
Answer:
Prevention and Advocacy Tasks
Q: Which category from the SLPA SOP does this fall under?
Support the supervising SLP in research projects, in-service training, public relations programs,
and marketing programs.
Answer:
Prevention and Advocacy Tasks
Q: Which category from the SLPA SOP does this fall under?
Advocate for individuals and families through community awareness, health literacy, education,
and training programs to promote and facilitate access to full participation in communication,
including the elimination of societal, cultural, and linguistic barriers.
Answer:
Prevention and Advocacy Tasks
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An SLPA is qualified to serve as an interpreter/translator when they are:A. able to orally communicate in more than one language.B. able to read and write effectively in more than one language.C. trained to interpret/translate from one language to another.D. trained to interpret/translate written text from one language to another. C. trained to interpret/translate from one language to another.
Therapy activities generated by the SLPA should be:A. approved by the parents/caregivers.B. based solely on the client’s/patient’s or student’s interests.C. evidence-based.D. low in cost. C. evidence-based.
The SLPA can provide direct voice therapy when following treatment plans or protocols that are:A. provided by the SLP.B. provided by a respiratory therapist.C. found in the evaluation report.D. submitted by the attending physician. A. provided by the SLP.
Which of the following approaches is a speech modification strategy in fluency therapy?A. desensitizationB. reducing word avoidanceC. easy onsetD. minimal pairs C. easy onset
To best support a 20-year old client/patient or student with a traumatic brain injury in age appropriate cognitive rehabilitation therapy, the SLPA implements:A. dual task training by having the client/patient or student sort cards by color while responding to job interview questions.B. early memory recall by having the client/patient or student read a children’s picture book.C. errorless learning by having the client/patient or student follow 5-step directions.D. sustained attention training by having the client/patient or student participate in hour-long sessions without breaks. A. dual task training by having the client/patient or student sort cards by color while responding to job interview questions.
The positive behavioral intervention plan approach consists of three aspects; antecedent-behavior-consequence. The antecedent involves:A. modifying specific aspects of the environment to prevent problem behaviors from occurring.B. teaching new skills to replace problem behaviors.C. providing responses to increase positive behavior.D. getting attention or a reaction. A. modifying specific aspects of the environment to prevent problem behaviors from occurring.
The SLPA has changed the treatment activity within the therapy session therefore, the SLPA should:A. inform the parents/caregivers.B. inform the SLP.C. make the necessary changes in the IEP.D. stop the session in order to remain in compliance. B. inform the SLP.
A client/patient or student appeared upset on the day of the treatment. She stated, “My best friend isn’t talking to me.” This is a statement written in a SOAP note. What area of the SOAP note would you find this statement?:A. subjectiveB. objectiveC. assessmentD. plan A. subjective
The SLPA has been working with a patient that uses a dynamic display voice output communication device for six months. Therapy sessions have now begun to focus on greetings, ordering at restaurants, and reciprocal conversational exchanges. What has the SLPA been targeting?:A. linguistic competenceB. operational competenceC. social competenceD. strategic competence C. social competence
True or False: SLPAs may practice under 2 regulatory bodies. True. Asha + your state’s licensing body
Who retains full and ethical responsibility for the students, patients and clients served but may delegate specific tasks to the SLPA? The supervising SLP
True or Flase: State licensure laws supersede any ASHA SOP guidelines. True.
Where can you find the scope of practice (SOP) for an SLPA? The SOP is defined by ASHA in the SLPA Scope of Practice, AND can differ from state to state
What is the purpose of the ASHA SOP document? (Name at least 4) 1) Parameters of education & professional development2) Responsibilities within & outside the SOP3) Examples of practice settings4) Information for others regarding SLPA services5) Information on ethics & liability6) Supervision requirements
What 3 categories form the SLPA Scope of Practice? 1) Service Delivery2) Prevention and Advocacy Tasks3) Administrative Tasks
True or False: SLPAs can administer and/or interpret assessments. FALSE. SLPAs CANNOT administer and/or interpret assessments. ONLY assist via direction from the supervising SLP.
Which category from the SLPA SOP does this fall under?Present primary prevention information to individuals information to individuals and groups known to be at risk for communication disorders and other appropriate groups; promote early identification and early intervention activities Prevention and Advocacy Tasks
Which category from the SLPA SOP does this fall under?Support the supervising SLP in research projects, in-service training, public relations programs, and marketing programs. Prevention and Advocacy Tasks
Which category from the SLPA SOP does this fall under?Advocate for individuals and families through community awareness, health literacy, education, and training programs to promote and facilitate access to full participation in communication, including the elimination of societal, cultural, and linguistic barriers. Prevention and Advocacy Tasks
Which category from the SLPA SOP does this fall under?Self-identify to all as an SLPA Service Delivery Tasks
Which category from the SLPA SOP does this fall under?Provide guidance and treatment via telepractice Service Delivery Tasks
Which category from the SLPA SOP does this fall under?Demonstrate or share information with patients, families, and staff regarding feeding strategies developed by the SLP Service Delivery Tasks
Which category from the SLPA SOP does this fall under?Perform checks and maintenance of equipment. Administrative Tasks
Which category from the SLPA SOP does this fall under?Assist with clerical duties, such as preparing materials and scheduling activities, as directed by the SLP. Administrative Tasks
Which category from the SLPA SOP does this fall under?Assist with departmental operations (scheduling, record keeping, safety/maintenance of supplies and equipment) Administrative Tasks
Are these tasks within or outside the SOP for an SLPA?1) represent himself or herself as an SLP 2) perform standardized or non-standardized diagnostic tests, formal or informal evaluations, or swallowing screenings/checklists 3) perform procedures that require a high level of clinical acumen and technical skill (e.g., vocal tract prosthesis shaping or fitting, vocal tract imaging and oral pharyngeal swallow therapy with bolus material) 4) tabulate or interpret results and observations of feeding and swallowing evaluations performed by SLPs 5) participate in formal parent conferences, case conferences, or any interdisciplinary team without the presence of the supervising SLP or other designated SLP OUTSIDE the SOP for an SLPA. DO NOT ENGAGE in these acts.
Are these tasks within or outside the SOP for an SLPA?6) provide interpretative information to the student/patient/client, family, or others regarding the patient/client status or service 7) write, develop, or modify a student’s, patient’s, or client’s treatment plan in any way 8) assist with students, patients, or clients without following the individualized treatment plan prepared by the certified SLP and/or without access to supervision9) Select students, patients, or clients for service 10) Discharge a student, patient, or client from services OUTSIDE the SOP for an SLPA. DO NOT ENGAGE in these acts.
Are these tasks within or outside the SOP for an SLPA?11) Make referrals for additional service 12) Disclose clinical or confidential information either orally or in writing to anyone other than the supervising SLP (the SLPA must comply with current HIPAA and FERPA guidelines) unless mandated by law 13) Develop or determine the swallowing strategies or precautions for patients, family, or staff 14) Treat medically fragile students/patients/clients independently 15) Design or select augmentative and alternative communication systems or devices OUTSIDE the SOP for an SLPA. DO NOT ENGAGE in these acts.
What do you do or say?An administrator in your setting comes to you and asks you to you to perform some of the roles and duties typically performed by the SLP because an SLP resigned and your facility is understaffed. There is a job posting for an SLP, however no one has been hired yet. You respond, no I cannot because those roles are outside the scope of practice for an SLPA. and refer your administrator to specific reg/policy SLPA SOP (ASHA and/or state) that apply.
What should the SLPA do or say?A parent brings their child to the clinic for an evaluation. The SLP completes the evaluation and leaves the building. The parent realizes they forgot to ask the SLP to give a specific test they had researched and wanted administered. The parent asks the SLPA to administer the test so they do not have to come back for another test session Thank you for inquiring about this. As an SLPA I cannot administer exams. Examinations and evaluations can ONLY be administered by an SLP.I CAN notify the SLP of your request though. Maybe we can catch them before they leave. 🙂
What are the 3 Principles of the ASHA Assistants Code of Conduct (COC)? 1) Assistants shall honor their responsibility to hold paramount the welfare of persons they serve professionally2) Individuals shall honor the responsibility to the public by providing accurate information in all communications and by providing services with honesty integrity, and compassion3) Assistants shall maintain collaborative and harmonious interprofessional and intraprofessional relationships
Describe the function of the ASHA Board of Ethics. To establish a general framework that allows the professional to make decisions regarding: 1) the persons served 2) the public3) professional relationshipsThe ASHA Board of Ethics will review cases for violations of the Code of Ethics and may (or may not) impose different/additional sanctions (sanctions of state licensing boards are different than BOE) against current or former ASHA members, certified individuals or applicants for membership or certification.
How is this a Code of Ethics (CoC) violation?Roger posted the following on his Facebook page: “I am so very proud of my client at the Developmental Center. He said his first intelligible words this week: me, pie, more. He has been using a QuickTalker 12 since he was 5 years old and I think that by the end of this year, when he is 9, he may not need it if he keeps making this progress.” This post reveled enough information to identify the client:-facility-age-type of device used-communication needsViolating HIPAA
Where can you find SLP/SLPA censures? In the Asha leader
What do you do?Ella is an audiology assistant assigned to the hearing aid repair lab in a large private practice. Ella believes that one audiologist (not her supervisor) is pushing for purchase of new aids when a repair would be sufficient. She believes this is inappropriate 1) Review if your professional belief is recent, evidenced-based and accurate2) Schedule a meeting with YOUR direct supervisor to discuss findings3) Let supervisor make decisions and discuss with the other supervisor from there and wait for resolution.
Define: Direct Supervision onsite, in-view observation and guidance by the supervisor when a clinical activity is performed by the assistant.
What is the difference between supervising a CFY/grad student & supervising an assistant? CFY/grad student: Supervisor will use a direct style to help the CFY work towards independent practiceAssistant: Will NOT be led to independent practice.
What are ASHA’s supervision requirements based on? • Academic preparation/clinical training and experience of the assistant • Needs of the clients • Service delivery setting • Types of tasks assigned • Assistant’s contract with the employer (managing v. directing v. supervising)
Why does the supervising SLP have ultimate responsibility? The supervisor is the individual who is licensed to provide services as an independent practitioner. The SLP is in the position to make those decisions
What if I have questions about how often and in what way I’m being supervised? -Ultimately the SLP is required to stay-up-to date with implementing supervising requirements-discuss with supervisor about concerns
What are the 2 major federal laws governing privacy and confidentiality? HIPAA & FERPA
List 3 ways an assistant can support the supervisor in treatment of patients. -Prepare treatment materials-provide treatment or support as per the SLP plan
Define the importance of cultural competence individually and in the workplace Cultural competence is the ability to understand, communicate with and effectively interact with people across cultures.
Describe the importance of cultural competence individually and in the workplace Cultural competence encompasses being aware of one’s own worldview, developing positive attitudes towards cultural differences, gaining knowledge of different cultural practices and world views.
Fill in the blank: – Understand that treatment decisions are based on key components of _-Focused continuing education can facilitate knowledge of and effective use of ___ evidence-based practice
“When workers from different professional backgrounds work together with patients, families, (caregivers), and communities to deliver the highest quality of care” (WHO, 2010) is known as what? Interprofessional Collaborative Practice (IPCP)
Your supervisor has asked you to work alongside the OT with a student during his adaptive physical education class. What skills could you focus on during this time period? You could be focusing on helping the student follow directions for a group activity. These directions may include spatial vocabulary (prepositions) and temporal concepts (sequence).
Following a session the client pulls the assistant aside and asks for their personal opinion as to whether the “problem” is serious and whether the action prescribed by the supervising SLP will “really help.”How should the assistant respond to this request? There are many factors that impact outcomes. The assistant should not generalize and provide an opinion. The assistant should state that it is absolutely natural for patients to be concerned about outcomes but the best person to respond would be the supervising clinician. Encourage the patient to ask that question to the SLP.
The treatment protocol developed by the supervising SLP calls for materials that are no longer found in the inventory. What could the assistant do in this situation? • The SLPA should contact the SLP and discuss the substitution of materials. • If the supervising SLP is not available the SLPA could explore options available on the ASHA portal for EBP material options.
Velum and its functions soft palate.Is the posterior portion of the palate which is the upper boundary of the oral cavityplays a role in directing airflow during speech raised to keep the airflow exclusively through the oral cavityLowered and air passes through the nose for nasal speech sounds
Fluency Produced with relative ease, flowing, smooth, continuous, relatively rigid, normally rhythmic, free from an excessive amount or duration of dysfluencies
What causes people to stutter? -Cause not completely understood but scientists believe these are important factors:+genetic and congenital influences+development influences+environmental influences-Repeated negative emotional experiences with stuttering lead to negative feelings and attitudes
Between what ages does stuttering usually begin? 2-5
Stuttering -abnormally high frequency and/or duration of stoppages in the flow of speech-Includes speakers’ reactions to stoppages-These reactions include behavioral, emotional and cognitive responses to repeated experiences of getting stuck while talking
Core Behaviors repetitions, prolongations, blocks
secondary behaviors Learned behaviors that are triggered by the experience of stuttering or the anticipation of it+Escape+Avoidance
oral mech exam -To compare structure and function of the oral-facial mechanism-To determine if problems that exist are or are not related to the speech disorder-To make referrals to other necessary professionals if needed.-To identify or rule out structural or functional factors that relate to a communicative disorder or dysphagia- performed on every client-supplies needed: gloves, flashlight, tongue depressor, mask/glasses, mirror, straws, tubetes
Structural Adequacy Refers to the normal development of the orofacial structures and their relationship to each otherAdequacy of the structures (lips, tongue, teeth, hard palate, and soft palate) and their relationship to each other
What measurements are used to assess bilingualism? -Listening & Reading (receptive)-Speaking & Writing (productive)-Standardized tests-Self-reportsParent/teacher questionnaires
Balanced bilinguals bilinguals with equally-high proficiency in both of their languages