100+ Free CHHA Practice Questions

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Question 1

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A client weighs more than 35 pounds and needs to be transferred. The aide should:

Get assistance from another person or use a mechanical lift

Drag the client to avoid lifting

Have the client transfer themselves regardless of ability

Lift the client alone using good body mechanics

to track

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Key Facts: CHHA Exam

$70

Exam Fee

NCCT

Content Domains

NCCT

1,040 hrs

Alternate Eligibility

Verifiable work hours

The NCCT CHHA (Certified Home Health Aide) credential validates entry-level home health aide competency. Fee $70. Multiple-choice format. Eligibility: NCCT-authorized HHA program OR HS/GED + 1,040 work hours.

Sample CHHA Practice Questions

Try these sample questions to test your CHHA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A home health aide is preparing to give a complete bed bath to a client with right-sided hemiplegia. In what order should body parts be washed?

A.Legs, arms, face, perineum, back

B.Face, arms, chest, abdomen, legs, back, perineum

C.Perineum first, then proceed to face and extremities

D.Back, legs, abdomen, chest, arms, face

Explanation: Bathing proceeds from cleanest to dirtiest areas to prevent cross-contamination. The standard order is face, neck, arms, hands, chest, abdomen, legs, feet, back, and finally the perineum. The perineum is always washed last because it harbors the most microorganisms.

2When providing perineal care to a female client, the home health aide should wipe in which direction?

A.From back to front in a single stroke

B.From front to back, using a clean section of cloth for each stroke

C.In a circular motion starting at the rectum

D.From side to side across the perineum

Explanation: Female perineal care is performed front to back (from the urethra toward the rectum) using a clean section of washcloth for each stroke. This prevents transferring fecal bacteria from the rectal area to the urinary meatus, which can cause urinary tract infections.

3A home health aide is helping a client with hemiparesis put on a shirt. Which arm should be dressed first?

A.The strong (unaffected) arm first

B.The weak (affected) arm first

C.Both arms simultaneously

D.Either arm; order does not matter

Explanation: When dressing a client with one-sided weakness, always dress the weak (affected) side first and undress the weak side last. This minimizes stretching and stress on the affected limb and makes it easier to maneuver the garment around the stronger, more flexible side.

4What is the safest water temperature range for a tub bath for an elderly client?

A.85 to 95 degrees Fahrenheit

B.100 to 105 degrees Fahrenheit

C.110 to 115 degrees Fahrenheit

D.120 to 125 degrees Fahrenheit

Explanation: A safe bath water temperature for elderly clients is approximately 100-105 degrees Fahrenheit. Older adults have thinner skin and reduced sensitivity to temperature, making them prone to scalds at higher temperatures. Always test water with a thermometer or your wrist before the client enters.

5When shaving a male client with a safety razor, the aide should:

A.Shave against the direction of hair growth for a closer shave

B.Shave in the direction of hair growth using short strokes

C.Apply pressure firmly to remove all stubble

D.Use cold water to tighten the skin first

Explanation: Shave in the direction of hair growth using short, smooth strokes while holding the skin taut. This minimizes razor burn, ingrown hairs, and skin irritation. Use warm water and shaving cream to soften the hair first.

6A client with dentures should have them cleaned at least:

A.Once a week

B.Once a day

C.After every meal

D.Only when they appear stained

Explanation: Dentures should be cleaned after every meal to remove food particles and prevent bacterial growth, mouth odor, and gum irritation. They should also be removed at night and stored in water or denture solution to prevent warping.

7When providing oral care to an unconscious client, the aide should position the client:

A.Flat on the back

B.Side-lying with the head turned to the side

C.Sitting upright at 90 degrees

D.Prone with the face down

Explanation: An unconscious client should be positioned side-lying with the head turned to the side to allow secretions and fluid to drain out of the mouth, preventing aspiration into the lungs. Use small amounts of fluid and a suction device if available.

8Which type of bath is appropriate for a client confined to bed who can perform some self-care?

A.Complete bed bath performed entirely by the aide

B.Partial bed bath where the client washes accessible areas

C.Tub bath with assistance

D.Shower with grab bars

Explanation: A partial bed bath allows the client to wash areas they can reach (face, arms, chest), promoting independence and dignity, while the aide assists with hard-to-reach areas like the back, legs, and perineum. This balances autonomy with adequate hygiene.

9When assisting a client with toileting, the aide notices the urine is dark amber and has a strong odor. The aide should:

A.Empty the toilet and say nothing since this is normal

B.Document the observation and report it to the supervising nurse

C.Encourage the client to drink less fluid

D.Add water to the toilet to dilute the urine

Explanation: Dark amber, strong-smelling urine may indicate dehydration, urinary tract infection, or other medical issues. The aide must document the observation objectively and report it to the supervising nurse promptly. Aides observe and report; nurses assess and diagnose.

10Before providing peri-care, what is the most important first step?

A.Put on sterile gloves

B.Perform hand hygiene and explain the procedure to the client

C.Drape the client completely

D.Get a fresh basin of water

Explanation: Hand hygiene is always the first step in any care procedure to prevent infection. Explaining the procedure respects the client's dignity, reduces anxiety, and obtains cooperation. Both are foundational before any task.

About the CHHA Exam

NCCT entry-level credential for Home Health Aides. Validates competency in personal care and ADLs, vital signs and observation, safety and infection control, communication and patient rights, and nutrition/body mechanics/mobility. Multiple eligibility paths including NCCT-authorized HHA program completion or HS/GED plus 1,040 verifiable work hours.

Questions

100 scored questions

Time Limit

Per NCCT scheduling

Passing Score

Pass/Fail

Exam Fee

$70 (NCCT)

CHHA Exam Content Outline

30%

Personal Care and Daily Living

Bed bath, peri-care, transferring, feeding, toileting, ROM, ADLs

20%

Vital Signs, Observation and Reporting

Manual BP, temperature, pulse, respirations, reporting changes to RN

20%

Safety, Infection Control and Emergencies

Hand hygiene, PPE, fall prevention, fire safety, bloodborne pathogen standard

15%

Communication, Documentation and Patient Rights

Therapeutic communication, HIPAA, advance directives, mandated reporting

15%

Nutrition, Body Mechanics and Mobility

Therapeutic diets, dysphagia, gait belt, body mechanics, mechanical lift use

How to Pass the CHHA Exam

What You Need to Know

Passing score: Pass/Fail
Exam length: 100 questions
Time limit: Per NCCT scheduling
Exam fee: $70

Keys to Passing

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

CHHA Study Tips from Top Performers

1Focus heaviest on personal care and ADLs (30%) plus vital signs/observation (20%) — together 50% of the exam

2Master infection control: hand hygiene before/after every patient contact, PPE selection, soiled linen handling, sharps disposal

3Know fall prevention: nightlights, decluttering, throw rug removal, gait belt for ambulation

4Understand HIPAA basics: minimum necessary disclosure, no discussion of patient info in public areas

Frequently Asked Questions

What are CHHA eligibility requirements?

NCCT offers multiple paths: completion of an NCCT-authorized HHA training program OR a high school diploma/GED plus 1,040 verifiable work hours as an HHA. The fee is $70.

What does the CHHA exam cover?

Five domains: personal care/ADLs (30%), vital signs and observation (20%), safety/infection control/emergencies (20%), communication/documentation/patient rights (15%), and nutrition/body mechanics/mobility (15%).

How should I study for the CHHA?

Plan 20-40 hours over 3-6 weeks. Focus on personal care/ADLs and vital signs (50% combined). Master infection control (hand hygiene, PPE, bloodborne pathogen standard), fall prevention, gait belt/transfer technique, and HIPAA basics.