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NC SLPA Exam: Complete Study Guide 2026/2027 Update North Carolina Speech-Language Pathology Assistant Certification | Complete Q&A with Verified Answers and Detailed Rationales Exam | Scope of Practice, Supervision, Ethics, Documentation, SOAP Notes | A

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INSTANT PDF DOWNLOAD — This comprehensive EXAM resource for the NC SLPA (Speech-Language Pathology Assistant) Certification Exam covers all competency domains for the 2026/2027 examination cycle . It features exam-style questions with verified answers and detailed rationales covering the NC Speech-Language Pathologists and Audiologists Practice Act, NCBOESLPA rules and regulations, definitions and regulatory terminology, eligibility and registration requirements, supervision responsibilities, scope of practice for assistants, documentation and SOAP notes, ethics, mandatory reporting, telepractice compliance, and patient confidentiality/HIPAA . NC SLPA CERTIFICATION EXAM – COMPLETE Q&A REVIEW PART 1: DEFINITIONS AND REGULATORY TERMINOLOGY Question 1: What does "Board" mean in NC SLPA regulations? Correct Answer: B) The North Carolina Board of Examiners for Speech and Language Pathologists and Audiologists Rationale: The "Board" is specifically defined as the NC Board of Examiners for Speech and Language Pathologists and Audiologists (NCBOESLPA), which oversees SLPA registration and practice in North Carolina . Question 2: What does "Licensee" mean? Correct Answer: B) An individual who holds a current permanent license in speech-language pathology from the NC Board of Examiners Rationale: A Licensee is specifically defined as an individual holding a current permanent license in speech-language pathology from the NC Board of Examiners. Temporary license holders cannot register assistants . Question 3: What does "Primary Supervising Licensee" mean? Correct Answer: B) The Licensee who supervises the majority of the Assistant's work, is responsible for registration with the Board, and bears responsibility for supervision requirements Rationale: The Primary Supervising Licensee has specific responsibilities: supervising the majority of the assistant's work, handling registration, notifying the Board of changes, and bearing ultimate responsibility for supervision . Question 4: What does "Secondary Supervising Licensee" mean? Correct Answer: A) A Licensee who may supervise the Assistant in the absence of the Primary Supervising Licensee to cover variations in work hours Rationale: Secondary Supervising Licensees allow for flexibility in scheduling by providing supervision coverage when the primary supervisor is unavailable. Question 5: What is "Registration"? Correct Answer: B) The process through which an assistant is approved by the board to work with a Licensee to provide services to the public Rationale: Registration is the formal approval process by the NC Board for an assistant to work under a Licensee . PART 2: ELIGIBILITY AND REQUIREMENTS Question 6: Which organization licenses speech-language pathologists in North Carolina? Correct Answer: B) North Carolina Board of Examiners for Speech-Language Pathologists and Audiologists (NCBESPA) Rationale: The NCBESPA is the official regulatory body responsible for licensing and overseeing SLPs in North Carolina . Question 7: What level of education is required for a SLP license in North Carolina? Correct Answer: C) Master's degree Rationale: North Carolina requires a master's degree in speech-language pathology to obtain licensure . Question 8: What is required for registration as an SLPA in North Carolina? Correct Answer: B) Successful completion of an Associate's Degree in SLP Assisting from an accredited institution OR a Bachelor's Degree with specific SLP courses and a passing score on a competency test Rationale: Registration requires either (1) an Associate's Degree in SLP Assisting, or (2) a Bachelor's Degree plus specific SLP courses, plus a passing competency test score . Question 9: How many assistants may a full-time Licensee (30 hours or more) supervise? Correct Answer: B) Two Rationale: Full-time Licensees (30 hours or more) may supervise up to two assistants at one time . Question 10: How many assistants may a part-time Licensee (less than 30 hours) supervise? Correct Answer: B) One Rationale: Part-time Licensees (less than 30 hours) are limited to supervising one assistant . Question 11: How many years must a Licensee have held a permanent NC license to register an Assistant? Correct Answer: B) 2 years Rationale: Supervisors must have held a permanent NC license for at least 2 years . Question 12: What is the annual registration fee for an Assistant? Correct Answer: $40.00 Rationale: The Primary Supervising Licensee shall remit to the Board an annual registration fee for the Assistant in an amount of forty dollars ($40.00) . Question 13: Who has the authority to approve the curriculum for speech-language pathology assistants? Correct Answer: The Board of Examiners Rationale: Authority to approve the curriculum or the equivalent courses for speech-language

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NC SLPA Exam: Complete Study Guide (Latest 2026/2027 Update) |
Q&A | Grade A | 100% Correct (Verified Answers) – NC Board of
Examiners

Subject: North Carolina SLPA Licensure Exam – Registration, Supervision, Ethics, Treatment
Protocols, SOAP Notes, Communication Disorders
Source: NC Board of Examiners Rules / ASHA Guidelines / Clinical Practice
Format: Q&A Guide with Regulatory & Clinical Rationale | 100% Verified


1: Who is responsible for reporting changes in registration to the Board?
Correct Answer: Primary Supervising Licensee

1. Primary supervisor must report address changes within 10 business days.
2. Changes of supervising licensee require written approval 10 days prior.

2: Who approves the SLPA's curriculum?
Correct Answer: Board of Examiners

1. Board reviews transcripts for equivalency to approved SLPA curriculum.
2. Includes courses: Intro to SLP, Office Procedures, Disorders and Treatment I/II, Assistive
Technology, Fieldwork and Seminar.

3: A licensee employed full time may register to be a primary supervisor of no more than
______________ assistants at one time.
Correct Answer: 2

1. Full time = 30 hours or more per week.
2. Ratio ensures adequate supervision quality.

4: A licensee employed part time (less than 30 hours) may register to be a supervisor of no
more than ___________ assistants at one time.
Correct Answer: 1

1. Part-time supervisors have less availability for oversight.
2. Limited ratio protects patient safety.

5: Who is responsible for ensuring compliance of registration process and ethics of SLPA?
Correct Answer: Primary Supervising Licensee

1. Legal and ethical accountability rests with primary supervisor.
2. Includes ensuring SLPA follows scope of practice.

6: What must an SLPA's badge say?
Correct Answer: SLP-ASSISTANT

1. Clear identification prevents misrepresentation.
2. Patients have right to know provider's role.

, 7: True or False? Temporary license holders may not register assistants.
Correct Answer: True

1. Only permanent license holders may supervise SLPAs.
2. Temporary license does not meet the 2-year experience requirement.

8: Primary Supervising Licensee must submit an annual registration fee in the amount of
___________ for the assistant.
Correct Answer: $40

1. Annual fee required for registration renewal.
2. Covers Board administrative costs.

9: Licensee who registers an assistant must hold a current ________________ in North Carolina
for ___________ years or equivalent qualifications from another state.
Correct Answer: permanent license, 2

1. Two years of licensed experience required.
2. Ensures supervisor has adequate clinical judgment.

10: Licensees who register an assistant must have an understanding of what four areas?
Correct Answer: Record keeping, Scope, Ethics, Written protocols

1. Supervisor must know both their own and SLPA's scope.
2. Written protocols ensure treatment fidelity.

11: Changes that do not directly relate to patient care including _____________ must be
reported to the board in writing within _______________ days of effective change.
Correct Answer: change of address, 10 business days

1. Timely updates maintain accurate Board records.
2. Applies to address, phone, email changes.

12: For registration, assistants must present evidence of Associate's Degree OR Bachelor's
Degree plus specific courses. Which courses are required?
Correct Answer: Intro to SLP, SLP Office Procedures, Disorders and Treatment 1, Disorders and
Treatment 2, Assistive Technology, SLP Fieldwork, SLP Fieldwork Seminar, PLUS passing score on
competency test.

1. All seven courses are mandatory for Bachelor's pathway.
2. Competency test alternative to coursework.

13: Who monitors job responsibilities of the SLPA?
Correct Answer: supervising SLP

1. SLP responsible for ongoing supervision and competency assessment.
2. Includes direct and indirect supervision.

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