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Praxis Speech-Language Pathology Examination Practice Test

140 questions available

The Praxis Speech-Language Pathology Examination (Code 5331) is the national certification assessment required for state licensure and the Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) from the American Speech-Language-Hearing Association (ASHA). Administered by Educational Testing Service (ETS), this comprehensive exam validates a candidate's mastery of the knowledge and skills essential for independent, entry-level practice. A passing score demonstrates core competency across the discipline's foundational domains, including articulation, fluency, voice, language, cognition, swallowing, and social aspects of communication. Success on this examination is a non-negotiable milestone, signifying readiness to provide safe, effective, and evidence-based services to diverse populations across the lifespan. It serves as the primary objective measure for state boards and employers, ensuring a standardized benchmark for professional qualification and public protection.

Certification exam
132 Exam questions
Practice bank
140 Practice Questions
2 hours 20 minutes Practice Time
Start Practice
The bank 140 Practice questions checked against the official objectives.
qf-import140 practice questions32 answers with a checkable referenceBlueprint 1.0Bank updated 2026-05-08

Sample Questions

Try a few questions to see what the full exam is like.

32 of 140 answers carry a checkable reference.

Foundations and Professional Practice

After a left middle cerebral artery stroke, a patient has nonfluent speech, impaired repetition, relatively better comprehension, and right arm weakness. Which foundational neuroanatomic relationship best explains the communication profile?

Screening, Assessment, Evaluation, and Diagnosis

An adult has speech that is clear in the morning but becomes hypernasal, breathy, and imprecise by evening. He also reports diplopia and chewing fatigue. Which assessment concern should the SLP prioritize?

Planning, Implementation, and Evaluation of Treatment

A stroke patient aspirates thin liquid silently but can follow directions. Instrumental testing shows good oral control, no aspiration with nectar-thick liquid, and strong motivation for water. The team asks about a free-water protocol. What decision is best?

Foundations and Professional Practice

An 82-year-old without neurologic disease eats slowly, needs extra liquid wash with dry solids, and has mild vallecular residue that clears with a second swallow. He has stable weight and no pulmonary history. Which foundational concept best frames the SLP's counseling?

Screening, Assessment, Evaluation, and Diagnosis

A 6-year-old has strong vocabulary scores but rarely initiates with peers, gives excessive detail about train schedules, misses listener confusion, and has meltdowns during changes in routine. Which assessment plan best addresses the referral question?

Why This Certification Opens Doors

Achieving a passing score on the Praxis SLP exam is the definitive gateway to professional autonomy and recognition. It is a mandatory requirement for state licensure in all 50 states and for earning the prestigious CCC-SLP credential from ASHA, the gold standard in the field. This certification is not merely a test; it is a career credential that validates your expertise to employers, healthcare institutions, school districts, and clients. It directly impacts your earning potential, expands your scope of practice opportunities, and is often required for third-party reimbursement from insurance providers and government agencies. In essence, it transforms academic preparation into professional legitimacy and is the cornerstone of a respected and impactful career in speech-language pathology.

Exam Blueprint

Each domain is weighted to match the real certification exam, so a full practice simulation predicts your result.

01Foundations and Professional Practice
33%
02Planning, Implementation, and Evaluation of Treatment
33%
03Screening, Assessment, Evaluation, Diagnosis
33%

Exam Details 5331

Exam Code 5331
Vendor qf-import
Exam questions 132

Frequently Asked Questions

What is the passing score for the Praxis SLP exam?

The required passing score is set by individual state licensing boards and by ASHA for the CCC-SLP. ASHA's current required score is 162 on a 100-200 scale. However, you must verify the specific score requirement with your state's licensing body, as it may differ. ETS reports scores to the designated recipients you select during registration.

How is the exam structured and how long does it take?

The Praxis SLP (5331) is a computer-delivered test consisting of 132 selected-response questions, of which 12 are unscored pretest questions. You will have 150 minutes (2 hours and 30 minutes) to complete the exam. The questions are organized into content categories based on the official test blueprint, covering foundations, screening/assessment, planning/implementation, and professional issues.

When should I take the exam during my clinical fellowship year?

ASHA requires that you take and pass the Praxis SLP exam during your Clinical Fellowship (CF) experience. It is strongly recommended to take it early in your CF, as a passing score is required to complete your CF and apply for the CCC-SLP. Delaying the exam can postpone your certification and full licensure. Check with your state for any specific timing requirements.

What are the primary content areas covered on the test?

The exam is built from a detailed blueprint. Major categories include: Foundations (Basic Human Communication, Speech Sound Production, Language); Screening, Assessment, and Evaluation; Planning, Implementation, and Evaluation of Treatment; and Professional Issues (Ethics, Research, Counseling, Interprofessional Collaboration). A full breakdown is available in the official 'Test at a Glance' document from ETS.

How do I register and what identification is required?

Registration is completed online through the ETS Praxis website. You will schedule your test at an approved Prometric test center. On test day, you must present one original, valid (non-expired) government-issued photo ID with your signature (e.g., passport, driver's license). The name on your ID must exactly match the name used during registration.