Free CHHA Practice Test (NCCT Certified Home Health Aide)
National (voluntary certification) · 150 questions in 3 hours · pass at a scaled 575
150 questions in 3 hours, drawn in the Detailed Test Plan category counts, with a score for each part and an explanation for every answer.
Or start with a free 10-question drill434 original questions for this exam · 6 test plan categories · a 150-question timed mock
What must the aide do with the wheelchair before helping a client move from the bed into it?
The NCCT CHHA exam at a glance
The National Center for Competency Testing (NCCT) gives the Certified Home Health Aide (CHHA) exam, a voluntary national certification. It has 150 items in 3 hours: 125 scored items in six categories and 25 unscored pretest items. You pass with a scaled score of 575. Our mock uses the Detailed Test Plan’s exact category counts.
- Exam
- NCCT’s Certified Home Health Aide (CHHA) certification exam, a voluntary national credential. It is not a state license; check what your state and employer require
- Format
- 150 items in 3 hours: 125 scored and 25 unscored pretest items. 92% are four-option multiple choice and 8% are alternative items such as multi-select, drag and drop, and hotspot
- Content
- Infection Prevention 15, Direct Client Care 26, Client Safety and Transfers 25, Activities of Daily Living 25, Special Populations 15, Law and Ethics 19 (Detailed Test Plan effective November 2024)
- Passing score
- A scaled score of 575 on NCCT’s 200–720 scale
- Fee
- $70 (NCCT’s CHHA page)
- Retakes
- Wait 30 days after a first or second failed attempt, 90 days after a third, and 180 days plus an approved appeal and proof of remediation after a fourth
- Eligibility
- A current student or recent graduate (within 5 years) of an NCCT-authorized home health aide, home care aide or CNA program, verified home health aide work experience, or equivalent military training
- NCCT practice
- NCCT sells a CHHA practice exam ($15) and a Practice Exam PLUS ($20) built on the same test plan

What the NCCT CHHA test covers
NCCT’s Detailed Test Plan sets how many of the 125 scored items come from each category. Each topic has a free ten-question drill.
Infection Prevention · 15 questions
Direct Client Care · 26 questions
Free Observation and Reporting drillFree Vital Signs drillFree Skin Care drillFree Body Functions drill
Client Safety and Transfers · 25 questions
Free Transfers and Walking drillFree Emergencies drillFree Home Safety drillFree Range of Motion drill
Activities of Daily Living · 25 questions
Free Personal Care drillFree Nutrition drillFree Home Safety drill
Special Populations · 15 questions
Free Client Needs drillFree Body Functions drillFree Communication drill
Law and Ethics · 19 questions
How to study for the NCCT CHHA test
- Direct Client Care (26), Client Safety and Transfers (25) and Activities of Daily Living (25) are 76 of the 125 scored items. Start there.
- Law and Ethics is 19 items: client rights, abuse reporting, HIPAA, consent, decision-makers and code status.
- About 8% of real items are multi-select, drag-and-drop or hotspot. Our mock uses four-option questions only, so read each real item’s instructions carefully.
- Take the full 150-question mock under the 3-hour clock at least once; stamina matters on a test this long.
Sit the full exam under the real clock
150 questions in 3 hours, drawn in the Detailed Test Plan category counts, with a score for each part and an explanation for every answer.
Or start with a free 10-question drillCommon questions
How many questions are on the NCCT CHHA exam?
150 items in 3 hours: 125 are scored and 25 are unscored pretest items you cannot tell apart. 92% are four-option multiple choice; 8% are alternative items such as multi-select, drag and drop, and hotspot.
What score do you need to pass the CHHA?
NCCT reports scaled scores from 200 to 720, and 575 is the passing point. Our mock shows your score on the 125 scored questions and in each category; it does not convert to NCCT’s scale.
How much does the CHHA exam cost?
NCCT’s CHHA page lists an exam fee of $70.
Is the NCCT CHHA required to work as a home health aide?
Not by federal rules. It is a voluntary national certification. Medicare home health agencies must use aides who meet 42 CFR 484.80, and states may add rules, so check with your state and employer.
Does the mock include drag-and-drop or hotspot items?
No. Our CHHA mock has 150 four-option questions in the official category counts. The real exam also has about 8% multi-select, drag-and-drop and hotspot items, which we do not simulate.
150 questions in 3 hours, drawn in the Detailed Test Plan category counts, with a score for each part and an explanation for every answer.
Or start with a free 10-question drillOther home health aide tests
Sources
- NCCT: Certified Home Health Aide (CHHA), exam fee $70
- NCCT: CHHA Detailed Test Plan, effective November 2024 (125 scored + 25 pretest items, 3 hours)
- NCCT: Candidate Handbook, revised January 2026 (retest waiting periods)
- NCCT: scaled score update (scale 200–720, passing point 575)
- NCCT: practice exams (CHHA practice exam $15; Practice Exam PLUS $20)
Original practice questions written to 42 CFR 484.80, the NCCT CHHA Detailed Test Plan, the DC HHA content outline and the Washington HCA candidate bulletin; they are not exam questions. Independent practice, not affiliated with or endorsed by CMS, NCCT, Credentia, Prometric, the DC Board of Nursing, the Washington State Department of Health or any state agency. Follow your agency’s policies, your state’s rules and the supervising nurse in practice.