SLPA NC Board Exam: Complete Study Guide (Latest 2026/2027
Update) | Q&A | Grade A | 100% Correct (Verified Answers) – NC
Board of Examiners
Subject: North Carolina SLPA Board Exam – Licensure, Registration, Supervision, Scope of
Practice, Clinical Procedures, Articulation, Assessment
Source: NC Board of Examiners Rules / SLPA Registration Guidelines / ASHA Scope of Practice
Format: Q&A Guide with Regulatory & Clinical Rationale | 100% Verified
1: In the context of the SLPA NC Board Exam, what does "Board" mean?
Correct Answer: The North Carolina Board of Examiners for Speech and Language Pathologists and
Audiologists.
1. This board regulates the practice of speech-language pathology and audiology in North
Carolina.
2. Responsible for licensing SLPs, audiologists, and registering SLPAs.
2: What does "Licensee" mean according to NC Board rules?
Correct Answer: An individual who holds a current permanent license in speech-language pathology
from the North Carolina Board of Examiners for Speech and Language Pathologists and
Audiologists.
1. Temporary license holders cannot supervise SLPAs.
2. Licensee must have held license for 2 years to supervise.
3: Who is the Primary Supervising Licensee?
Correct Answer: The Licensee who supervises the majority of the Assistant's work, who is
responsible for the Assistant's registration with the Board, and who bears responsibility for all
supervision requirements and notifying the Board of changes.
1. Primary supervisor has overall accountability for the SLPA's work.
2. Must report address changes within 10 business days.
4: Who is a Secondary Supervising Licensee?
Correct Answer: A Licensee who may supervise the Assistant in the absence of the Primary
Supervising Licensee to cover variations in work hours.
1. Secondary supervisor steps in when primary is unavailable.
2. Must also be qualified (permanent license for 2 years).
5: What is a Treatment Protocol?
Correct Answer: A written session plan clearly describing specific procedures for all treatment tasks
including: (1) eliciting conditions, (2) target behavior(s), and (3) consequences of target behaviors.
1. ABC model: Antecedent, Behavior, Consequence.
2. SLPA must demonstrate reliable application before implementing independently.
, 6: What does Registration mean?
Correct Answer: The process through which an assistant is approved by the Board to work with a
Licensee to provide services to the public.
1. Registration must be completed before providing services.
2. Annual renewal fee is $40.
7: What must assistants present for registration? (Three pathways)
Correct Answer: (1) Associate's Degree in SLPA from accredited institution; OR (2) Bachelor's Degree
plus specific SLPA curriculum courses; OR (3) passing score on a board-approved competency test.
1. Courses include Introduction to SLP, Office Procedures, Disorders and Treatment I/II, Assistive
Technology, Field Work and Seminar.
2. Board approves equivalent coursework.
8: In whom is authority vested to approve the curriculum or equivalent courses for speech-
language pathology assistants?
Correct Answer: The Board of Examiners.
1. Board reviews transcripts and course equivalency.
2. Ensures minimum educational standards are met.
9: How many assistants may a full-time Licensee (30+ hours) supervise as primary
supervisor?
Correct Answer: No more than two assistants at any one time.
1. Ratio ensures adequate supervision quality.
2. Exceeding ratio violates Board rules.
10: How many assistants may a part-time Licensee (less than 30 hours) supervise as
primary supervisor?
Correct Answer: No more than one assistant at any one time.
1. Less availability requires lower ratio.
2. Part-time supervisors must still meet all supervision requirements.
11: Who is responsible for assuring compliance with registration process, Board rules, and
ethical standards?
Correct Answer: The Primary Supervising Licensee.
1. Primary supervisor bears legal and ethical accountability.
2. Cannot delegate responsibility for compliance.
12: Who must keep the Board apprised of any changes in registration information?
Correct Answer: The Primary Supervising Licensee.
1. Includes changes of address, employment status, or supervising licensee.
2. Failure to report may result in penalties.
Update) | Q&A | Grade A | 100% Correct (Verified Answers) – NC
Board of Examiners
Subject: North Carolina SLPA Board Exam – Licensure, Registration, Supervision, Scope of
Practice, Clinical Procedures, Articulation, Assessment
Source: NC Board of Examiners Rules / SLPA Registration Guidelines / ASHA Scope of Practice
Format: Q&A Guide with Regulatory & Clinical Rationale | 100% Verified
1: In the context of the SLPA NC Board Exam, what does "Board" mean?
Correct Answer: The North Carolina Board of Examiners for Speech and Language Pathologists and
Audiologists.
1. This board regulates the practice of speech-language pathology and audiology in North
Carolina.
2. Responsible for licensing SLPs, audiologists, and registering SLPAs.
2: What does "Licensee" mean according to NC Board rules?
Correct Answer: An individual who holds a current permanent license in speech-language pathology
from the North Carolina Board of Examiners for Speech and Language Pathologists and
Audiologists.
1. Temporary license holders cannot supervise SLPAs.
2. Licensee must have held license for 2 years to supervise.
3: Who is the Primary Supervising Licensee?
Correct Answer: The Licensee who supervises the majority of the Assistant's work, who is
responsible for the Assistant's registration with the Board, and who bears responsibility for all
supervision requirements and notifying the Board of changes.
1. Primary supervisor has overall accountability for the SLPA's work.
2. Must report address changes within 10 business days.
4: Who is a Secondary Supervising Licensee?
Correct Answer: A Licensee who may supervise the Assistant in the absence of the Primary
Supervising Licensee to cover variations in work hours.
1. Secondary supervisor steps in when primary is unavailable.
2. Must also be qualified (permanent license for 2 years).
5: What is a Treatment Protocol?
Correct Answer: A written session plan clearly describing specific procedures for all treatment tasks
including: (1) eliciting conditions, (2) target behavior(s), and (3) consequences of target behaviors.
1. ABC model: Antecedent, Behavior, Consequence.
2. SLPA must demonstrate reliable application before implementing independently.
, 6: What does Registration mean?
Correct Answer: The process through which an assistant is approved by the Board to work with a
Licensee to provide services to the public.
1. Registration must be completed before providing services.
2. Annual renewal fee is $40.
7: What must assistants present for registration? (Three pathways)
Correct Answer: (1) Associate's Degree in SLPA from accredited institution; OR (2) Bachelor's Degree
plus specific SLPA curriculum courses; OR (3) passing score on a board-approved competency test.
1. Courses include Introduction to SLP, Office Procedures, Disorders and Treatment I/II, Assistive
Technology, Field Work and Seminar.
2. Board approves equivalent coursework.
8: In whom is authority vested to approve the curriculum or equivalent courses for speech-
language pathology assistants?
Correct Answer: The Board of Examiners.
1. Board reviews transcripts and course equivalency.
2. Ensures minimum educational standards are met.
9: How many assistants may a full-time Licensee (30+ hours) supervise as primary
supervisor?
Correct Answer: No more than two assistants at any one time.
1. Ratio ensures adequate supervision quality.
2. Exceeding ratio violates Board rules.
10: How many assistants may a part-time Licensee (less than 30 hours) supervise as
primary supervisor?
Correct Answer: No more than one assistant at any one time.
1. Less availability requires lower ratio.
2. Part-time supervisors must still meet all supervision requirements.
11: Who is responsible for assuring compliance with registration process, Board rules, and
ethical standards?
Correct Answer: The Primary Supervising Licensee.
1. Primary supervisor bears legal and ethical accountability.
2. Cannot delegate responsibility for compliance.
12: Who must keep the Board apprised of any changes in registration information?
Correct Answer: The Primary Supervising Licensee.
1. Includes changes of address, employment status, or supervising licensee.
2. Failure to report may result in penalties.
