100+ Free NHA CCMA Practice Questions
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Key Facts: NHA CCMA Exam
180
Total Exam Questions
NHA CCMA Test Plan (150 scored + 30 pretest)
390/500
Passing Score
NHA scaled scoring (~78%)
81%
2024 Pass Rate
NHA annual pass rates (78,681 exams)
$155–$165
Exam Fee
NHA CCMA registration
233,190
Active Certifications
NHA as of Dec 31, 2024
100
Practice Questions Here
OpenExamPrep question bank
NHA's CCMA test plan (based on a 2022 job analysis) lists 150 scored items plus 30 pretest items in 3 hours, with a scaled passing score of 390/500 (~78%). Clinical Patient Care is the dominant domain at 84 items (56%), broken into 6 sub-domains: Patient Intake/Vitals (14), General Patient Care (28), Infection Control/Safety (15), POC Testing/Lab (9), Phlebotomy (12), and EKG/Cardiovascular (6). The 2024 NHA pass rate report shows 81.38% passing across 78,681 exams administered, with 233,190 active CCMA certifications as of December 31, 2024. The exam fee ranges from $155 to $165, and certification renews every 2 years with 10 CE credits and a $179 fee.
About the NHA CCMA Exam
The NHA CCMA exam is the most widely administered medical assistant certification exam in the United States, validating entry-level clinical and administrative competencies. The exam covers 7 domains with Clinical Patient Care accounting for 56% of scored questions. Sub-domains include patient intake and vitals, general patient care, infection control and safety, point of care testing, phlebotomy, and EKG/cardiovascular testing. CCMAs work in physician offices, outpatient clinics, hospitals, and specialty practices performing clinical procedures and supporting patient care under physician supervision.
Assessment
150 scored items + 30 pretest items, all multiple-choice
Time Limit
3 hours
Passing Score
Scaled score 390/500 (~78%)
Exam Fee
$155–$165 exam application (NHA / PSI Testing Centers / Live Remote Proctoring)
NHA CCMA Exam Content Outline
Foundational Knowledge and Basic Science
Healthcare systems, medical terminology, basic pharmacology, nutrition, psychology, scope of practice, roles and responsibilities, and controlled substances.
Anatomy and Physiology
Body structures, organ systems, cardiovascular/respiratory/endocrine/musculoskeletal systems, pathophysiology, disease processes, and microbiology.
Clinical Patient Care
Patient intake and vitals (14), general patient care including positioning, medications, wound care, and procedures (28), infection control and safety (15), POC testing and lab procedures (9), phlebotomy (12), and EKG/cardiovascular testing (6).
Patient Care Coordination and Education
Patient education, health promotion, referral management, care coordination, community resources, follow-up communication, and discharge instructions.
Administrative Assisting
Scheduling, medical records management, EHR systems, billing and coding basics, insurance verification, prior authorizations, and office procedures.
Communication and Customer Service
Patient communication, cultural competency, diversity awareness, de-escalation, therapeutic communication, professional conduct, and team collaboration.
Medical Law and Ethics
HIPAA, informed consent, patient rights, scope of practice, reportable conditions, advance directives, ethical standards, and incident reporting.
How to Pass the NHA CCMA Exam
What You Need to Know
- Passing score: Scaled score 390/500 (~78%)
- Assessment: 150 scored items + 30 pretest items, all multiple-choice
- Time limit: 3 hours
- Exam fee: $155–$165 exam application
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
NHA CCMA Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the NHA CCMA exam?
The CCMA exam has 150 scored multiple-choice questions plus 30 unscored pretest items, for a total of 180 questions in 3 hours. Pretest questions are interspersed throughout the exam and cannot be distinguished from scored questions, so answer every question carefully.
What score do I need to pass the NHA CCMA exam?
You need a scaled score of 390 out of 500 to pass, which corresponds to correctly answering approximately 78% of the scored questions. NHA uses scaled scoring to ensure fairness across different exam versions.
What is the CCMA exam pass rate?
According to NHA's 2024 annual pass rate report, 81.38% of 78,681 CCMA exams administered in 2024 resulted in a passing score. The CCMA is NHA's most popular certification with 233,190 active certifications as of December 31, 2024.
How much does the NHA CCMA exam cost?
The exam fee ranges from $155 to $165 depending on the registration pathway. Some schools include the exam fee in their tuition. Certification must be renewed every 2 years with 10 CE credits and a $179 renewal fee.
What is the biggest section on the CCMA exam?
Clinical Patient Care is by far the largest domain at 84 items (56% of scored questions). It is broken into 6 sub-domains: Patient Intake and Vitals (14 items), General Patient Care (28 items), Infection Control and Safety (15 items), POC Testing and Lab Procedures (9 items), Phlebotomy (12 items), and EKG and Cardiovascular Testing (6 items).
Can I take the CCMA exam remotely?
Yes. NHA offers live remote proctoring (LRP) so you can take the exam from home using a computer with a webcam, microphone, and stable internet connection. You can also take it at a PSI testing center or at your school if they offer on-site testing.
What happens if I fail the NHA CCMA exam?
If you fail, you can retake the exam after a 30-day waiting period. You have up to 3 retake attempts, paying the full exam fee each time. After failing the 3rd retake, you must wait 1 year before attempting again.