Free Massachusetts CNA Exam Prep
Massachusetts Certified Nursing Assistant Competency Examination
Pass your Massachusetts CNA exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.
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Massachusetts CNA License: Complete Roadmap
Follow this path to maximize your chances of passing on the first try
Complete MA DPH-Approved CNA Training
Complete the minimum 75-hour state-approved nurse aide training program. Register with D&S Diversified Technologies (Headmaster) at hdmaster.com to schedule your competency evaluation ($40 written / $70 skills).
Massachusetts Regulations & Registry RequirementsYou are here
Study MA-specific requirements: MGL Chapter 19A mandatory elder abuse reporting, 105 CMR 150.000 LTC regulations, MA NAR at (617) 753-8144, MOLST form (physician order), Healthcare Proxy under MGL Chapter 201D, 4-attempt/3-skills rule, and reciprocity requirements.
Physical Care Skills & Basic Nursing (~60% of Exam)
Master ADLs (bathing, grooming, oral hygiene, dressing, feeding, elimination, positioning) and basic nursing skills (vital signs, infection control, hand hygiene, C. diff precautions, body mechanics, transfers, fall prevention, fire safety RACE/PASS, pressure ulcer prevention).
Psychosocial Care, Rights & Communication (~20%)
Study dementia/Alzheimer's care (sundowning, validation therapy, elopement), resident rights (OBRA 1987), dignity, HIPAA, SBAR communication, documentation standards, grief stages (Kübler-Ross), and end-of-life/palliative care.
Clinical Skills Practice
Practice the clinical skills you may be tested on — you are assigned 3-4 random tasks (one with embedded handwashing). Common tasks: hand washing, vital signs, bed bath, transfers, ROM exercises, perineal care, ambulation. Perform every key (starred) step correctly and at least 80% of non-key steps on each task.
Can You Take the Massachusetts CNA Exam?
Check if you meet the basic eligibility requirements
- •Must pass both the Knowledge Test (60 questions, 60 min, 76% to pass) AND the Clinical Skills Evaluation (3-4 randomly assigned tasks with embedded handwashing, 30 min) through D&S Diversified Technologies (Headmaster)
- •Maximum 4 attempts at written exam and 3 attempts at skills exam within 24 months of training completion
- •Massachusetts Nurse Aide Registry (MA NAR) maintained by MA DPH at 67 Forest St., Marlborough, MA 01752; phone (617) 753-8144
- •Mandatory reporter under MGL Chapter 19A, Section 15 — must report suspected abuse of elders (age 60+) to EPS hotline at (800) 922-2275
- •LTC facility abuse also reported to MA DPH abuse hotline at (800) 462-5540
- •MOLST (Medical Orders for Life-Sustaining Treatment) is a physician order used in MA facilities — CNAs must follow MOLST
- •Healthcare Proxy governed by MGL Chapter 201D — designates a substitute decision-maker
- •LTC facilities regulated under 105 CMR 150.000 (MA DPH nursing facility regulations)
- •Renewal: every 2 years, must have worked at least 8 paid hours as CNA, no fee, no CE hours required
- •Reciprocity available for active CNAs with no abuse/neglect findings who have never been certified in Massachusetts before
- •Substantiated findings of abuse, neglect, or misappropriation are noted on the MA NAR and shared through interconnected state nurse aide registries nationwide
Massachusetts CNA Quick Facts
Time to Get Licensed
2-4 weeks after completing training (schedule through D&S Diversified Technologies/Headmaster at hdmaster.com or call (888) 401-0462; MA NAR at (617) 753-8144)
From start to license in hand
Exam Provider
D&S Diversified Technologies (Headmaster) under MA Department of Public Health contract
Retake Policy
Maximum 4 attempts at the knowledge test and 3 attempts at the clinical skills test within 24 months of training completion. After exhausting attempts or exceeding 24 months, must complete another MA DPH-approved CNA training program. Contact D&S/Headmaster at (888) 401-0462 or MA NAR at (617) 753-8144.
Total Cost Breakdown
Free Massachusetts CNA Prep That Actually Works
The official pass rate is ~75% (estimated first-time pass rate, Massachusetts). Our students do better.
200+ Practice Questions
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Updated for 2026
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What You'll Study
6 chapters covering everything you need to pass
Massachusetts CNA Exam Details
Massachusetts Certified Nursing Assistant Competency Examination
Administered by D&S Diversified Technologies (Headmaster) under MA DPH contract
Exam Content Breakdown
Based on the official D&S Diversified Technologies (Headmaster) under MA DPH contract content outline
ADL, bathing, grooming, oral hygiene, hair/nail care, dressing, nutrition and feeding, elimination, restorative ROM, transfers and positioning
Vital signs, infection control, hand hygiene, standard precautions, fall prevention, fire safety (RACE/PASS), emergency response, pressure ulcer prevention, body mechanics
MGL Chapter 19A elder abuse mandatory reporting, 105 CMR 150.000 LTC regulations, MA NAR registry requirements, scope of practice, delegation, MOLST, Healthcare Proxy (MGL Chapter 201D)
Dementia/Alzheimer's care, validation therapy, sundowning, emotional support, spiritual and cultural care, grief (Kübler-Ross), end-of-life/palliative care, elopement protocols
Medical terminology, objective vs. subjective data, SBAR, HIPAA, charting standards, interdisciplinary team communication, resident rights and dignity
What's Included
6 Chapters
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Practice Quizzes
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What's Next After the Massachusetts CNA?
After passing the Massachusetts CNA, you can pursue these career paths
Licensed Practical Nurse (LPN)
Massachusetts CNAs can advance to LPN by completing an approved program and passing NCLEX-PN. High demand in MA's large long-term care sector.
Home Health Aide (HHA)
Many MA CNAs work in home health settings, caring for elderly clients under the MA Home Care Program. Strong demand across Massachusetts.
Registered Nurse (RN)
With additional education (ADN or BSN), MA CNAs can become RNs. Bridge programs are available at many MA community colleges.
CNA
National CNA practice questions
Massachusetts CNA Exam FAQ
Official D&S Diversified Technologies (Headmaster) under MA DPH contract Resources
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