199+ Free Praxis SLP 5331 Practice Questions

Pass your Praxis Speech-Language Pathology (5331) exam on the first try — instant access, no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately

199+ Questions

100% Free

1 / 199

Question 1

Score: 0/0

Which speech pattern in a 4-year-old English-speaking child most strongly warrants further evaluation for a phonological disorder?

Fronting /k/ to /t/ in words such as cat

Gliding /r/ to /w/ in words such as rabbit

Backing /t/ to /k/ in words such as toy

Cluster reduction in words such as spoon

to track

2026 Statistics

Key Facts: Praxis SLP 5331 Exam

132

Selected-Response Questions

ETS Praxis 5331 test page

150 min

Testing Time

ETS Praxis 5331 study companion

$146

Current Fee

ETS Praxis 5331 test page

33 / 33 / 33

Official Domain Weighting

ETS Praxis 5331 study companion

162

ASHA CCC-SLP Score

ASHA Praxis examination requirements

5 years

ASHA Score Validity Window

ASHA Praxis examination requirements

Praxis 5331 is a 132-question, 150-minute ETS exam priced at $146. The official blueprint is evenly weighted across three domains at about 33% each, and ASHA currently requires a score of 162 for CCC-SLP eligibility. As of March 7, 2026, I did not find an official ETS redesign notice for 5331; the main current policy context is that ASHA's revised certification standards remain in force and the ETS 2025-2026 bulletin still reflects a no-break rule for live remote proctoring appointments on this test.

Sample Praxis SLP 5331 Practice Questions

Try these sample questions to test your Praxis SLP 5331 exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 199+ question experience with AI tutoring.

1Which speech pattern in a 4-year-old English-speaking child most strongly warrants further evaluation for a phonological disorder?

A.Fronting /k/ to /t/ in words such as cat

B.Gliding /r/ to /w/ in words such as rabbit

C.Backing /t/ to /k/ in words such as toy

D.Cluster reduction in words such as spoon

Explanation: Backing is considered an atypical phonological process in children and is more concerning than common developmental simplifications. In contrast, fronting, gliding, and cluster reduction are patterns more often seen in typical development, especially in younger children, even if they may still merit monitoring at age 4.

2Which cranial nerve provides the primary motor innervation for soft-palate movement needed for velopharyngeal closure during speech and swallowing?

A.Trigeminal nerve (CN V)

B.Vagus nerve (CN X)

C.Facial nerve (CN VII)

D.Hypoglossal nerve (CN XII)

Explanation: The vagus nerve, primarily through the pharyngeal plexus, supplies most of the muscles of the soft palate involved in velopharyngeal closure. CN V contributes to tensor veli palatini, CN VII is more related to facial expression, and CN XII controls tongue movement rather than palatal elevation.

3An SLP is evaluating a child whose parents speak primarily Somali and have limited English proficiency. The clinic has access to a trained interpreter. What is the BEST way to conduct the parent interview?

A.Use the trained interpreter, address the parents directly, and document that the interview was interpreted

B.Ask the child's older sibling to interpret because the family already trusts the sibling

C.Conduct the interview in English only and rely on gestures for clarification

D.Skip the parent interview because standardized testing is more objective than caregiver report

Explanation: Using a qualified interpreter supports accurate information gathering, informed consent, and culturally responsive practice. The SLP should still speak to the parents rather than to the interpreter so the interaction remains family-centered and respectful.

4In Part C early intervention, which action most reflects a coaching-based, family-centered approach for a toddler with language delay?

A.Provide clinician-directed drills while caregivers watch silently from across the room

B.Give the caregiver a vocabulary list and ask for exactly 20 minutes of nightly practice

C.Focus only on clinician-child interaction so the caregiver does not interfere with therapy

D.Model a strategy in a daily routine, observe the caregiver use it, and problem-solve together

Explanation: Family-centered early intervention emphasizes embedding communication support into routines the child experiences every day. Coaching helps caregivers learn why a strategy works, practice it themselves, and adapt it to real contexts such as meals, dressing, and play.

5A teacher reports increasing vocal fatigue by the end of each school day. Which preventive recommendation is MOST appropriate?

A.Whisper whenever the throat feels tired

B.Increase hydration and reduce habitual throat clearing

C.Avoid speaking at home so the voice can reset overnight

D.Practice repeated hard glottal attacks to build vocal strength

Explanation: Hydration and reducing phonotraumatic behaviors such as chronic throat clearing are core voice-hygiene recommendations. Whispering and hard glottal attacks can increase laryngeal strain rather than reduce it.

6Which documentation excerpt BEST supports continued skilled dysphagia therapy in an outpatient medical chart?

A.Patient attended therapy and worked hard today.

B.Will continue the same plan because more therapy should help.

C.Patient used a supraglottic swallow with moderate cues and reduced overt coughing from 6 to 1 episodes across 10 thin-liquid trials.

D.Patient still has dysphagia and should keep coming twice a week.

Explanation: Skilled documentation shows what the clinician did, what the patient did in response, and how performance changed in observable terms. Objective data and cueing level help establish medical necessity and demonstrate why continued skilled intervention is warranted.

7Which presentation is MOST characteristic of cluttering rather than developmental stuttering?

A.Rapid or irregular rate with reduced awareness and collapsing syllables

B.Frequent audible sound prolongations with strong anticipation and struggle

C.Consistent word-final repetitions with clear awareness of each disruption

D.Tension-filled blocks that worsen when the speaker tries to initiate speech

Explanation: Cluttering is often marked by excessive rate, irregular bursts, reduced self-monitoring, and breakdowns in clarity or fluency. Stuttering more classically involves core behaviors such as blocks, prolongations, and repetitions that are often accompanied by awareness and physical tension.

8A bilingual kindergartner uses some grammar patterns in English that reflect influence from the home language but demonstrates age-appropriate skills across both languages. This MOST likely reflects:

A.An expressive language disorder because the child's grammar differs across languages

B.A phonological disorder because mixed-language production is abnormal

C.A cognitive disorder because the child is confusing two language systems

D.A language difference associated with bilingual development

Explanation: Cross-linguistic influence and code-switching are expected features of bilingual development and are not automatically signs of disorder. The key clinical question is whether weaknesses are present across languages beyond what would be expected from bilingual exposure and development.

9Damage to the basal ganglia is most likely to produce which motor speech pattern?

A.Flaccid dysarthria from lower motor neuron weakness

B.Hyperkinetic dysarthria with involuntary movements and variable breakdowns

C.Apraxia of speech caused solely by impaired planning in left frontal cortex

D.Ataxic dysarthria from cerebellar timing deficits

Explanation: Basal ganglia control circuits contribute to the regulation of movement amplitude and inhibition, so lesions there are associated with hyperkinetic or hypokinetic dysarthria patterns. Hyperkinetic dysarthria often includes involuntary movements, variable articulatory breakdowns, and abnormal prosody.

10Which task is outside routine delegation to an SLPA and should remain the supervising SLP's responsibility?

A.Implementing a treatment activity exactly as planned by the SLP

B.Collecting data during a therapy session

C.Performing a clinical swallowing evaluation and making diet recommendations

D.Preparing materials for a scheduled treatment session

Explanation: Evaluation, interpretation, diagnosis, and medical decision-making remain the responsibility of the licensed SLP. Dysphagia evaluation and diet recommendations have direct safety implications and should not be delegated as routine assistant tasks.

About the Praxis SLP 5331 Exam

The Praxis Speech-Language Pathology (5331) exam is the national Praxis assessment used by ASHA and many state licensure pathways to evaluate entry-level readiness across communication and swallowing disorders. ETS currently lists 132 selected-response questions in 150 minutes, and the official study companion keeps the blueprint split evenly across Foundations and Professional Practice, Screening/Assessment/Evaluation/Diagnosis, and Planning/Implementation/Evaluation of Treatment.

Questions

132 scored questions

Time Limit

2h 30m (150 minutes)

Passing Score

162 for ASHA CCC-SLP eligibility; state licensure uses may vary

Exam Fee

$146 (ETS / Praxis)

Praxis SLP 5331 Exam Content Outline

33%

Foundations and Professional Practice

Typical communication development, anatomy and physiology, neurologic and etiologic foundations, disorder characteristics, culturally and linguistically appropriate practice, prevention, counseling, documentation, ethics, collaboration, and advocacy.

33%

Screening, Assessment, Evaluation, and Diagnosis

Screening and referral, case history and observation, standardized and dynamic assessment, differential diagnosis, and disorder-specific evaluation in speech sound production, fluency, voice, resonance, motor speech, language, pragmatics, cognition, AAC, hearing, and swallowing.

33%

Planning, Implementation, and Evaluation of Treatment

Goal writing, prognosis, evidence-based intervention planning, treatment selection, progress monitoring, outcomes evaluation, dismissal decisions, generalization, counseling, and interprofessional coordination across communication and feeding/swallowing services.

How to Pass the Praxis SLP 5331 Exam

What You Need to Know

Passing score: 162 for ASHA CCC-SLP eligibility; state licensure uses may vary
Exam length: 132 questions
Time limit: 2h 30m (150 minutes)
Exam fee: $146

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

Praxis SLP 5331 Study Tips from Top Performers

1Study in thirds because the official blueprint is essentially 33/33/33: foundations, assessment/diagnosis, and treatment each matter about equally.

2When a scenario asks for the best next step, decide first whether the task is screening, diagnosis, goal planning, treatment, or referral. Praxis SLP often separates those decisions cleanly.

3Build disorder families together instead of in isolation: speech sound, fluency, voice, resonance, motor speech, language, literacy, cognition, AAC, hearing, and swallowing questions often test comparisons.

4For school and medical items, anchor your answer in safety, functional communication, evidence-based practice, and scope of practice rather than convenience or habit.

5Use missed questions to track error type: developmental milestones, differential diagnosis, instrumentation, treatment selection, data interpretation, or ethics. That gives you a better review plan than just counting by disorder label.

Frequently Asked Questions

How many questions are on Praxis Speech-Language Pathology (5331)?

ETS currently lists Praxis 5331 as 132 selected-response questions completed in 150 minutes. The test is computer-delivered and uses a single-session format rather than separate subtests.

What passing score do I need for Praxis 5331?

ASHA currently requires a score of 162 on Praxis 5331 for CCC-SLP eligibility. State licensure agencies may use the same score or set their own rules for how Praxis results fit into the overall licensing process, so you should still verify your state board requirements.

How is the official blueprint weighted?

The current ETS study companion divides the exam evenly across three major domains: Foundations and Professional Practice, Screening/Assessment/Evaluation/Diagnosis, and Planning/Implementation/Evaluation of Treatment. That means strong prep has to stay balanced across prevention and ethics, diagnostic reasoning, and intervention decision making.

How much does the exam cost?

ETS currently lists the Speech-Language Pathology (5331) fee as $146. Always confirm the live registration total in your ETS account before checkout in case pricing changes after March 7, 2026.

What changed for Praxis 5331 in 2026?

As of March 7, 2026, I did not find an official ETS blueprint redesign, time-limit change, or fee-category change for Praxis 5331. The broader current policy context is that ASHA's revised certification standards implemented January 1, 2025 remain in force in 2026, and the ETS 2025-2026 bulletin still reflects that live remote proctoring appointments for 5331 do not permit breaks.

What topics show up repeatedly in strong Praxis 5331 prep?

Expect repeated questions on articulation versus phonological patterns, language and literacy development, AAC selection, differential diagnosis of fluency, voice, and motor speech disorders, dysphagia safety decisions, culturally responsive assessment, and evidence-based treatment planning tied to measurable outcomes.