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Praxis SLP Prep

400+ Questions · Updated 2026

Praxis 5331 practice questions

Scenario-style Praxis 5331 practice questions written by licensed SLPs. Start with 20 free items — no signup — or unlock the full 400+ bank plus a timed 132-question mock exam. Every question ships with a written rationale so you learn the reasoning, not just the answer.

Try 20 free questionsUnlock the full bank — $49

✓ Rationales on every question · ✓ Wrong-only retake · ✓ Mobile-friendly

What's in the Praxis 5331 question bank

Free is genuinely free. The 20-question sampler is at /praxis-practice-test — no email wall.

Free questions
20 (no signup)
Paid question bank
400+ with rationales
Full-length mock
132 questions · 150 min
Format
Multiple choice, scenario-style
Written by
Licensed, ASHA-certified SLPs
Blueprint match
3 ETS content categories
Rationales
Every question, right and wrong
Wrong-only retake
Bank, flashcards & mock

Questions by ETS content category

The bank matches the ETS blueprint weights, so time spent here maps proportionally to what shows up on test day.

Foundations & Professional Practice

44%

~180 questions in the bank

  • Cranial nerves V, VII, IX, X, XI, XII
  • Anatomy of the vocal tract and swallowing mechanism
  • Normal speech, language & swallowing development
  • Research design, statistics & EBP levels
  • ASHA Code of Ethics, scope of practice, HIPAA & IDEA
  • Cultural-linguistic competence & bilingual assessment

Screening, Assessment, Evaluation & Diagnosis

33%

~140 questions in the bank

  • Standardized test selection, standard scores & percentiles
  • Dynamic assessment & non-standardized measures
  • Instrumental swallowing evals (MBSS, FEES)
  • Voice evaluation (videostroboscopy, CAPE-V, GRBAS)
  • Aphasia batteries (WAB, BDAE) & differential diagnosis
  • Interpreting audiograms & tympanograms

Planning, Implementation & Evaluation of Treatment

23%

~100 questions in the bank

  • SMART goal writing & IEP goals
  • Evidence-based treatment selection (LSVT, PROMPT, Lidcombe, VNeST)
  • Dosage, intensity & response-to-intervention
  • Data collection & progress monitoring
  • AAC, discharge criteria & multidisciplinary collaboration
  • Dysphagia treatment strategies & diet modifications

Sample Praxis 5331 practice questions

Three real examples from the bank so you can see the style before you commit.

Sample 1 · Assessment & Diagnosis

A 68-year-old male presents 3 days post-CVA with fluent, jargon-filled speech, poor auditory comprehension, and unawareness of his deficits. Which aphasia subtype is most consistent with this presentation?

  1. A.Broca's aphasia
  2. B.Wernicke's aphasia
  3. C.Conduction aphasia
  4. D.Global aphasia
Show answer & rationale

Answer: B. Wernicke's aphasia

Fluent output with paraphasias, impaired comprehension, and anosognosia (unawareness) localize to the posterior superior temporal gyrus — classic Wernicke's. Broca's is non-fluent with preserved comprehension; conduction spares comprehension but impairs repetition; global affects both expression and comprehension severely.

Sample 2 · Foundations — Development

A 4-year-old produces 'tup' for 'cup' and 'dat' for 'that.' Which phonological process is present?

  1. A.Stopping
  2. B.Fronting
  3. C.Gliding
  4. D.Cluster reduction
Show answer & rationale

Answer: B. Fronting

Fronting substitutes anterior sounds for posterior ones — /t/ for /k/ (velar fronting) and /d/ for /ð/. Fronting typically resolves by age 3;6, so this child would warrant assessment. Stopping replaces fricatives with stops; gliding replaces liquids with glides.

Sample 3 · Assessment — Dysphagia

During a modified barium swallow study, a patient demonstrates penetration of thin liquids that clears spontaneously with a second swallow. Using the Penetration-Aspiration Scale, what is the appropriate score?

  1. A.2
  2. B.3
  3. C.4
  4. D.6
Show answer & rationale

Answer: A. 2

PAS 2 = material enters the airway, remains above the vocal folds, and is ejected from the airway. PAS 3 = same but material is NOT ejected. PAS 6 = aspiration with material ejected from the trachea. Knowing the 8-point PAS cold is high-yield for the 5331.

Want 400+ more like these? Unlock the full bank →

How to work through the question bank

  1. 1

    Warm up with the free 20

    Take the free 20-question set cold with no notes. If you score above 75%, you can shorten your prep timeline. Below 60%, plan 8+ weeks.

  2. 2

    Drill by category, not by topic

    Use the bank's category filter to hammer one ETS domain at a time. Read every rationale — the wrong ones teach as much as the right ones.

  3. 3

    Track your accuracy by domain

    A 78% overall is misleading if you're 90% on Foundations and 55% on Treatment. Fix the weak leg before you add more questions.

  4. 4

    Do a full timed mock every 2–3 weeks

    132 questions in 150 minutes trains pacing and stamina — separate skills from question knowledge. Two full mocks minimum before test day.

  5. 5

    Retake wrong-only in the final week

    Filter to just the questions you missed. Fastest way to close gaps without re-drilling material you've already mastered.

High-yield topics to drill first

These content clusters show up on nearly every 5331 form. Master them and you've locked in a big share of your score.

Cranial nerves cheat sheet →Aphasia subtypes (Boston) →Motor speech — dysarthrias & AOS →Dysphagia & instrumental assessment →Pediatric language & Brown's morphemes →Voice disorders, LSVT, CAPE-V →Fluency: Lidcombe & Van Riper →Audiology basics & audiograms →

Related Praxis 5331 resources

Praxis 5331 practice question FAQ

Where can I get free Praxis 5331 practice questions?
Praxis Path offers 20 free Praxis 5331 practice questions with written rationales — no signup, no email required. Paid members unlock 400+ additional scenario-style questions plus a full-length timed 132-question mock exam.
How many practice questions should I do before the Praxis 5331?
First-time passers typically work through 300–600 scenario-style questions across 6–8 weeks, plus at least one full-length 132-question timed mock in the final two weeks. Volume matters less than reading every rationale — even on questions you got right.
Are Praxis 5331 practice questions the same as the real exam?
No third-party practice question is an official ETS item — ETS keeps its bank private. But quality practice questions mirror the ETS blueprint (44% Foundations, 33% Assessment, 23% Treatment) and the scenario-based clinical reasoning style. Praxis Path items are written by licensed SLPs to that spec.
What kinds of questions are on the Praxis 5331?
All 132 questions are multiple choice — most are single-answer with 4 options, some are 'select all that apply,' and a few use table or scenario formats. Nearly every item is scenario-based: a short clinical case followed by a question about assessment, diagnosis, or treatment.
How do I know if I'm answering enough questions correctly?
You need a scaled score of 162 to pass, which maps to roughly 85–95 correct out of 132 depending on form difficulty. Track your percent-correct by domain, not overall — a 75% in Treatment but 55% in Foundations is a very different problem than the reverse.
Can I retry only the practice questions I got wrong?
Yes — Praxis Path paid members get wrong-only retake mode on the question bank, flashcards, and mock exam. Once you answer a previously-missed question correctly, it drops from your review list automatically.

Practice questions by topic

Deep-dive question sets on the highest-yield Praxis 5331 topics — each page has 3 scenario items with written rationales, common traps, and study moves.