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Under HRS Chapter 442, what is the primary statutory definition of chiropractic in Hawaii?

A system of health care based on nerve impulse transmission principles

The science of locating and correcting subluxations of the spine and pelvis

A method of diagnosing and treating human ailments by manual means

The practice of adjusting misaligned tissues using mechanical methods

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Free Chiropractic Jurisprudence Exam Prep by State 2026: 4,600+ Questions17 min read

2026 Statistics

Key Facts: HI Chiro Juris Exam

Questions

State exam

75%

Passing Score

HI Board

Ch. 442

Practice Act

HRS

NBCE PT

Physio Req.

Board approval

1.5h

Exam Time

HI Board

$295

Exam Fee

DCCA 2026

The HI Chiropractic Jurisprudence Exam covers HRS Chapter 442 definitions and scope of practice, physiotherapy modality approval requirements, NBCE physiotherapy exam prerequisite, licensure by examination and endorsement, CE requirements, telehealth provisions, informed consent, patient record-keeping, and professional conduct standards enforced by the Hawaii Board of Chiropractic.

Sample HI Chiro Juris Practice Questions

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1Under HRS Chapter 442, what is the primary statutory definition of chiropractic in Hawaii?

A.A system of health care based on nerve impulse transmission principles

B.The science of locating and correcting subluxations of the spine and pelvis

C.A method of diagnosing and treating human ailments by manual means

D.The practice of adjusting misaligned tissues using mechanical methods

Explanation: HRS Chapter 442 defines chiropractic in Hawaii as the science of locating and correcting subluxations, primarily of the vertebral column and pelvis, using manual adjustment techniques. This definition establishes the foundational scope of chiropractic practice in the state.

2Which Hawaii state agency oversees the Board of Chiropractic?

A.Department of Health (DOH)

B.Department of Commerce and Consumer Affairs (DCCA)

C.Department of Labor and Industrial Relations

D.Department of Human Services

Explanation: The Hawaii Board of Chiropractic operates under the Department of Commerce and Consumer Affairs (DCCA), Professional and Vocational Licensing Division. The DCCA is responsible for regulating professional licensing in Hawaii.

3Under HRS 442, which of the following is NOT authorized for chiropractors in Hawaii?

A.Using mechanical measures incident to body care

B.Using hygienic measures incident to body care

C.Administering drugs or medicine

D.Using sanitary measures incident to body care

Explanation: HRS 442 explicitly prohibits chiropractors from administering drugs or medicine. A chiropractic license permits the use of mechanical, hygienic, and sanitary measures incident to body care, but does not authorize drug administration, surgery, or the practice of osteopathy, dentistry, or optometry.

4What must a Hawaii chiropractor obtain before using physiotherapy modalities in practice?

A.A separate physiotherapy license from the DOH

B.Written approval from a medical doctor

C.Approval from the Board of Chiropractic after passing the NBCE physiotherapy exam

D.Completion of 100 additional CE hours in physiotherapy

Explanation: Under HRS 442, no chiropractor licensed in Hawaii may use physiotherapy modalities without receiving approval from the Board. The Board requires all chiropractors seeking modality approval to take and pass the NBCE physiotherapy examination.

5Under HRS 442, a Hawaii chiropractic license does NOT authorize the practice of which of the following?

A.Chiropractic adjustment

B.Osteopathy

C.Mechanical body care measures

D.Hygienic body care measures

Explanation: HRS 442 specifically states that a chiropractic license does not authorize the practice of osteopathy, dentistry, or optometry. These are separate professions requiring their own licensing.

6What happens if a person practices chiropractic in Hawaii without a valid license?

A.They receive a written warning for the first offense

B.They are committing a misdemeanor and subject to penalties under HRS 442

C.They are referred to voluntary compliance education

D.They must pay a civil fine but face no criminal charges

Explanation: Under HRS 442, it is unlawful for any person to practice chiropractic without a license. Practicing without a license constitutes a criminal offense subject to penalties established in the statute.

7Under HRS 442-17, Hawaii chiropractic licensees may execute disability and health certificates for which conditions?

A.All health conditions without restriction

B.Only conditions relating to the spine and nervous system

C.Physical conditions and ailments they are authorized by law to treat

D.Only conditions requiring fewer than 30 days of disability

Explanation: HRS 442-17 states that licensees may execute disability and health certificates confined to physical conditions and ailments which they are by law authorized to treat. This limits certificate authority to conditions within the chiropractic scope of practice.

8Which examination(s) must an applicant pass for chiropractic licensure in Hawaii?

A.NBCE Parts I and II only

B.NBCE Parts I-IV plus the state jurisprudence exam

C.Only the Hawaii state jurisprudence exam

D.NBCE Part IV and SPEC exam only

Explanation: Hawaii requires passage of NBCE Parts I through IV along with the state jurisprudence examination for chiropractic licensure. Additional examinations such as the NBCE physiotherapy exam may be required for physiotherapy modality approval.

9What is the role of the Hawaii Board of Chiropractic under HRS 442-5?

A.Provide direct patient care through state clinics

B.Adopt rules, set examination standards, and regulate the chiropractic profession

C.Operate chiropractic schools in Hawaii

D.Negotiate insurance reimbursement rates for chiropractors

Explanation: Under HRS 442-5, the Board of Chiropractic has the power to adopt rules, establish examination standards, grant or deny licenses, investigate complaints, and take disciplinary action to regulate the chiropractic profession in Hawaii.

10Under Hawaii law, which of the following is a chiropractic licensee required to observe?

A.Federal DEA registration requirements

B.All state and municipal regulations relating to public health

C.Hospital credentialing requirements

D.Pharmacy compounding standards

Explanation: HRS 442-17 requires chiropractic licensees to observe and be subject to all state and municipal regulations relating to public health. This ensures chiropractors comply with broader public health mandates.

About the HI Chiro Juris Exam

The Hawaii Chiropractic Jurisprudence Exam tests knowledge of HRS Chapter 442 and HAR Title 16 Chapter 78 governing chiropractic practice in Hawaii. Required alongside NBCE Parts I-IV for chiropractic licensure in Hawaii.

Questions

50 scored questions

Time Limit

1.5 hours

Passing Score

75%

Exam Fee

$295 (Hawaii Board of Chiropractic / DCCA)

HI Chiro Juris Exam Content Outline

50%

Practice Act & Scope of Practice

HRS Chapter 442 definitions, scope limitations (no drugs, surgery, osteopathy), physiotherapy modality approval, permitted procedures

20%

Scope of Practice Details

Authorized treatments, mechanical/hygienic/sanitary measures, x-ray use, referral obligations, telehealth

15%

Licensing & CE

Licensure by exam and endorsement, NBCE requirements, CE hours, license renewal, reinstatement

15%

Ethics & Professional Conduct

Informed consent, patient records, advertising, disciplinary actions, reporting obligations

How to Pass the HI Chiro Juris Exam

What You Need to Know

Passing score: 75%
Exam length: 50 questions
Time limit: 1.5 hours
Exam fee: $295

Keys to Passing

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

HI Chiro Juris Study Tips from Top Performers

1Study HRS Chapter 442 thoroughly — it defines chiropractic and sets all scope limitations in Hawaii

2Know the physiotherapy modality approval process and NBCE physiotherapy exam requirement

3Understand what is excluded from scope: drugs, surgery, osteopathy, dentistry, optometry

4Review HAR Title 16 Chapter 78 for administrative rules on licensing and CE

5Master the licensure by examination vs. endorsement pathways

Frequently Asked Questions

What is the HI Chiropractic Jurisprudence Exam passing score?

The Hawaii Chiropractic Jurisprudence Exam requires a passing score of 75%. It is administered by the Hawaii Board of Chiropractic under the DCCA.

What Hawaii law governs chiropractic practice?

HRS Chapter 442 is the primary chiropractic statute. It defines chiropractic, sets scope of practice limits (no drugs, surgery, or osteopathy), and establishes the Hawaii Board of Chiropractic.

Can Hawaii chiropractors use physiotherapy modalities?

Only with board approval. Chiropractors must pass the NBCE physiotherapy examination and receive specific approval from the Hawaii Board of Chiropractic before using physiotherapy modalities.

What CE does Hawaii require for chiropractic license renewal?

Hawaii chiropractors must complete board-approved continuing education hours each renewal period. Specific hour requirements are set by HAR Title 16 Chapter 78 administrative rules.