Free Practice Questions for C-AA

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Sample C-AA Practice Questions

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1An audiology assistant is asked to decide whether a child should receive tympanometry before pure-tone screening. What is the best response?

A.Choose the order based on the assistant's judgment at the visit

B.Follow the protocol approved by the supervising audiologist

C.Skip tympanometry unless the parent requests it

D.Ask the child's teacher which test should be done first

Explanation: Audiology assistants perform tasks that are planned, delegated, and supervised by the audiologist. Selecting or changing an evaluation protocol requires professional judgment and is outside the assistant role.

2Which activity is generally appropriate for a trained audiology assistant when permitted by state law and delegated by the audiologist?

A.Diagnosing conductive hearing loss from a tympanogram

B.Cleaning hearing aids and checking basic device function

C.Changing the patient's treatment plan after poor progress

D.Signing the final audiology report

Explanation: ASHA identifies cleaning, troubleshooting, and checking hearing aids and other amplification devices as examples of assistant tasks when properly trained and supervised. Diagnosis, treatment-plan changes, and formal reports require the audiologist.

3An assistant has never performed electroacoustic analysis on a particular hearing aid analyzer. What should happen before the assistant performs the task independently under routine supervision?

A.The assistant should practice on the first patient's devices

B.The assistant should receive training and demonstrate competency for that task

C.The assistant may proceed if the device is under warranty

D.The assistant should ask the front desk to observe the first run

Explanation: Assistant duties depend on training, demonstrated competency, supervision, and the work setting. New equipment or new tasks require adequate instruction and competency verification by the supervising audiologist.

4Which statement best describes direct supervision in the audiology assistant context?

A.The audiologist reviews the chart at the end of the month

B.The audiologist is unavailable unless an emergency occurs

C.The audiologist observes and guides the activity in person or through real-time communication

D.The assistant emails a weekly summary of all patient contacts

Explanation: Direct supervision involves observation and guidance while the assistant performs the activity, including real-time telecommunication when immediate feedback is possible. Delayed chart review or periodic summaries are indirect oversight, not direct supervision.

5Which situation most clearly calls for increased supervision of an audiology assistant?

A.The assistant is restocking batteries after clinic hours

B.The assistant is starting a newly delegated task with unfamiliar equipment

C.The assistant is greeting a returning adult patient in the waiting room

D.The assistant is printing manufacturer repair forms

Explanation: ASHA guidance notes that supervision should increase for factors such as new tasks, new equipment, a new supervisory relationship, or changes in patient status. Routine administrative or supply tasks usually do not require the same level of clinical oversight.

6A medically fragile patient is scheduled for an assistant-supported treatment activity. What supervision principle applies?

A.The assistant may work alone if the family is present

B.The assistant should provide the service only with the level of direct supervision required to protect the patient

C.The assistant may proceed if the patient was stable at the previous visit

D.The assistant should replace the audiologist to reduce patient fatigue

Explanation: ASHA identifies medically fragile status as a reason for very close direct supervision and heightened protection of patient welfare. The supervising audiologist remains responsible for the care and must ensure the assistant does not exceed skill or supervision limits.

7Which task is outside the audiology assistant scope even if the assistant has many years of experience?

A.Escorting a patient to the test room

B.Packaging earmolds for mailing to a lab

C.Interpreting audiometric results as a diagnostic statement

D.Demonstrating battery insertion after instruction

Explanation: Experience does not convert an assistant task into a professional audiology function. Interpretation and diagnosis are reserved for the audiologist.

8The supervising audiologist is unexpectedly absent and no qualified substitute supervisor is designated. What should the assistant do with scheduled clinical tasks that require supervision?

A.Continue because the schedule was already approved

B.Perform only tasks that do not require professional judgment or required supervision until a qualified supervisor is designated

C.Ask another assistant to supervise the tasks

D.Document that the audiologist was unreachable and complete all visits

Explanation: If the required supervisor is unavailable, the assistant should not perform assigned clinical tasks that require that level of supervision. A qualified ASHA-certified or licensed audiologist with supervision training must be designated when supervision is required.

9Which credential requirement is specifically associated with an audiologist supervising C-AA fieldwork completed under ASHA standards?

A.Current CCC-A plus the required post-certification experience and supervision education

B.Only a state business license

C.Current hearing aid dispenser license with no audiology credential

D.Any graduate degree in a health field

Explanation: ASHA standards require supervised clinical experience under an ASHA-certified audiologist and specify post-certification experience plus supervision-related professional development. The requirement protects the quality and accountability of assistant training.

10An audiology assistant notices that a state rule is stricter than the clinic's usual assistant protocol. Which standard should guide practice?

A.Use the clinic protocol because it is more familiar

B.Follow the state requirement and alert the supervising audiologist

C.Let the patient choose which rule to follow

D.Ignore the state rule if ASHA lists the task as an example

Explanation: Assistant tasks must be permitted by state law and delegated within the applicable work setting. ASHA examples do not override state licensure laws or facility requirements.

About the C-AA Exam

The ASHA C-AA credential is a voluntary, entry-level national certification for audiology assistants. The exam validates knowledge of delegated audiology assistant practice, supervision requirements, patient care, hearing screening and test support, hearing device support, infection control, confidentiality, ethics, documentation, and workflow boundaries under an audiologist's direction.

Exam sponsor: American Speech-Language-Hearing Association (ASHA) / Prometric. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

100 multiple-choice questions administered by Prometric after ASHA application approval

Time Limit

Not publicly specified by ASHA

Passing Score

162 or higher

Exam / Certification Fees

$249 initial certification fee; $99 retest fee

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

40%

Providing Patient Care

Support privacy, safety, screening, test-assist tasks, non-diagnostic procedures, and patient communication within delegated duties.

20%

Hearing Devices and Products

Handle hearing aid support, listening-device assistance, earmold tasks, routine checks, and patient instruction.

25%

Workplace Behaviors

Apply infection control, universal precautions, confidentiality, ethical conduct, cultural responsiveness, and scope boundaries.

15%

Practice Management

Support scheduling, equipment readiness, documentation workflow, supply management, and quality processes.

Preparing for the C-AA Exam

What You Need to Know

Passing score: 162 or higher
Assessment: 100 multiple-choice questions administered by Prometric after ASHA application approval
Time limit: Not publicly specified by ASHA
Exam / certification fees: $249 initial certification fee; $99 retest fee Official sources

Using Our Practice Resources

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

C-AA: Suggested Study Strategy

1Use the ASHA audiology assistant blueprint as the source of truth and study the largest patient-care domain first.

2Practice distinguishing delegated assistant tasks from activities that require audiologist judgment, interpretation, or diagnosis.

Frequently Asked Questions

How many questions are on the ASHA C-AA exam?

ASHA states that the assistants certification exam is made up of 100 multiple-choice questions.

What score do you need to pass the C-AA exam?

ASHA lists the current passing score for audiology assistants as 162 or higher.