200+ Free Massachusetts CNA Practice Questions
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Key Facts: Massachusetts CNA Exam
70
Total Questions (60 scored)
Prometric / MA DPH
~70%
Passing Score Required
~42/60 scored questions
75 hrs
Training Required
MA DPH (federal OBRA minimum)
$40
Written Exam Fee
Prometric / MA DPH
2 yrs
Renewal Period
MA NAR
8 hrs
Paid Work to Renew
MA NAR requirement
Massachusetts uses Prometric and the NNAAP format (70 questions, 90 min). Unique to Massachusetts: mandatory abuse reporting is governed by MGL Chapter 19A, Section 15 — reportable to the Elder Protective Services (EPS) hotline at (800) 922-2275 for elders 60+. End-of-life care uses the Massachusetts MOLST form (Medical Orders for Life-Sustaining Treatment). Healthcare proxy decisions are governed by MGL Chapter 201D. LTC facilities are regulated under 105 CMR 150.000. The MA Nurse Aide Registry (MA NAR) is maintained at 67 Forest St., Marlborough, MA 01752. CNA renewal requires working 8+ hours as a CNA within the 2-year renewal period — no continuing education hours required.
About the Massachusetts CNA Exam
The Massachusetts CNA competency exam is a two-part test administered by Prometric under contract with the MA Department of Public Health. The written exam uses the NNAAP format: 70 questions total (60 scored + 10 pretest), 90 minutes. You must answer approximately 42 of 60 scored questions correctly (~70%). The clinical skills exam requires demonstrating 5 randomly selected skills in 30 minutes with 100% accuracy on critical steps. Massachusetts requires a minimum of 75 hours of state-approved training before testing.
Questions
70 scored questions
Time Limit
90 min written + 30 min skills (5 skills)
Passing Score
~70% (42/60 scored questions)
Exam Fee
$40 written / $50 oral / $70 skills per attempt (Prometric (under MA DPH contract))
Massachusetts CNA Exam Content Outline
Physical Care Skills
ADL, bathing, grooming, oral hygiene, dressing, nutrition, elimination, transfers, ROM, restorative care
Basic Nursing Skills & Safety
Vital signs, infection control, standard precautions, fall prevention, fire safety (RACE/PASS), emergency response
MA Regulations & Role of Nurse Aide
MGL Ch. 19A elder abuse reporting, 105 CMR 150.000, MA NAR registry, scope of practice, delegation, MOLST
Psychosocial & Mental Health Care
Dementia care, emotional support, spiritual care, resident rights, dignity, cultural competence
Communication & Documentation
Medical terminology, charting, HIPAA, Healthcare Proxy (MGL Ch. 201D), interdisciplinary team, SBAR
How to Pass the Massachusetts CNA Exam
What You Need to Know
- Passing score: ~70% (42/60 scored questions)
- Exam length: 70 questions
- Time limit: 90 min written + 30 min skills (5 skills)
- Exam fee: $40 written / $50 oral / $70 skills per attempt
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
Massachusetts CNA Study Tips from Top Performers
Frequently Asked Questions
Who administers the Massachusetts CNA exam?
The Massachusetts CNA competency exam is administered by Prometric under contract with the Massachusetts Department of Public Health (MA DPH). The written exam uses the NNAAP format with 70 questions (60 scored + 10 pretest) and is 90 minutes. For testing locations and scheduling, visit the Prometric website or call the MA Nurse Aide Registry (MA NAR) at (617) 753-8144.
What is the passing score for the Massachusetts CNA exam?
You must correctly answer approximately 42 out of 60 scored questions (~70%) on the written exam. The clinical skills exam requires 100% accuracy on critical steps for all 5 randomly selected skills. The 10 pretest questions are not scored — they are used to evaluate future exam questions.
How do I report elder abuse as a Massachusetts CNA?
Massachusetts CNAs are mandatory reporters under MGL Chapter 19A, Section 15. Suspected abuse, neglect, or exploitation of an elder (age 60+) must be reported to Elder Protective Services (EPS) at (800) 922-2275. Suspected abuse in long-term care facilities should also be reported to the MA DPH abuse hotline at (800) 462-5540. You must also notify your supervisor. Failure to report is a violation of state law.
What is a MOLST form in Massachusetts?
MOLST stands for Medical Orders for Life-Sustaining Treatment. It is a Massachusetts medical order form used in long-term care settings to document a resident's wishes regarding CPR, mechanical ventilation, artificial nutrition, and hospitalization. As a CNA, you must follow the MOLST; it has the force of a physician order. The MOLST is different from a Healthcare Proxy, which designates a decision-maker under MGL Chapter 201D.
How do I maintain my Massachusetts CNA certification?
Massachusetts CNAs must renew every 2 years with the MA Nurse Aide Registry (MA NAR). To renew, you must have worked at least 8 hours as a CNA during the renewal period. There are no continuing education requirements for renewal. Renewal is free. If you have not worked 8+ hours, you must retest. The MA NAR is located at 67 Forest St., Marlborough, MA 01752, phone (617) 753-8144.
What are Massachusetts CNA training requirements?
Massachusetts requires a minimum of 75 hours of state-approved CNA training before you can test. This meets the federal OBRA minimum of 75 hours. Training must be completed at a MA DPH-approved program. After completing training, you must pass both the written and clinical skills exams through Prometric. You have 4 attempts at the written exam and 3 attempts at the skills exam.