Free Washington Home Care Aide (HCA) Practice Test
Washington State · 60 questions in 90 minutes · passing score not published
60 questions in 90 minutes, drawn in the bulletin domain counts, with a score for each part and an explanation for every answer.
Or start with a free true/false drill133 original questions for this exam · 3 bulletin domains · a 60-question timed mock
Kitchen and bathroom cleaning cloths should be kept separate.
The Washington HCA exam at a glance
Washington certifies home care aides through a Department of Health exam given by Prometric: a knowledge exam and a skills exam. The knowledge exam has 60 questions in 90 minutes, mostly true/false, and 10 of them are not scored. It covers three domains: roles and responsibilities, supporting physical and psychosocial well-being, and promoting safety. Our mock is 60 true/false statements in the bulletin’s domain counts.
- Who it is for
- Washington long-term care workers who must be certified as home care aides. This is Washington’s home care aide credential, not a federal home health aide certificate
- Knowledge exam
- 60 questions in 90 minutes; 10 are unscored. Mostly true/false questions, with some pictures and short animations. Every candidate can hear an oral version
- Content
- Roles and Responsibilities 38% (19 questions), Supporting Physical and Psychosocial Well-being 44% (22), Promoting Safety 18% (9)
- Passing score
- An overall number of questions correct; you do not have to pass each area. The number is not published
- Skills exam
- Timed; five skills are scored and you must pass all five
- Fees
- $49 for the knowledge exam, $101 for the skills exam, $35 to reschedule
- Attempts
- Four attempts at each exam; after four failures you retrain and take both again
- Languages and remote testing
- Offered in 13 languages besides English. The English knowledge exam can be taken online with a live remote proctor

What the Washington HCA test covers
The Washington bulletin sets how many of the 50 scored questions come from each domain. The true/false drill is free to try.
Roles and Responsibilities of the Home Care Aide · 19 questions
Supporting Physical and Psychosocial Well-being · 22 questions
Promoting Safety · 9 questions
How to study for the Washington HCA test
- Supporting Physical and Psychosocial Well-being is the biggest domain (22 scored questions): daily living, skin care, nutrition, medication assistance, culture, grief.
- Roles and Responsibilities (19) includes abuse and mandatory reporting, client rights, observation and reporting, communication and self-care.
- Know Washington’s rules: home care workers are mandated reporters who must report suspected abuse of a vulnerable adult immediately, and medication assistance means helping a client take her own medicine, not giving injections.
- True/false items reward careful reading. Check every word of the statement before you answer.
Sit the full exam under the real clock
60 questions in 90 minutes, drawn in the bulletin domain counts, with a score for each part and an explanation for every answer.
Or start with a free true/false drillCommon questions
How many questions are on the Washington home care aide exam?
The knowledge exam has 60 questions in 90 minutes. Ten are unscored statistical questions. Most are true/false, with some pictures and short animations.
What is the passing score for the Washington HCA exam?
You pass with an overall number of questions correct; you do not have to pass each domain. The bulletin does not publish the number. Our mock shows your score on the 50 scored questions and in each domain.
How much does the Washington HCA exam cost?
The Department of Health lists $49 for the knowledge exam and $101 for the skills exam, plus $35 to reschedule.
Is the Washington home care aide exam true or false?
Mostly. Prometric’s bulletin says the knowledge exam is mostly true/false, with some pictures and short animations. Our practice uses written true/false statements; it does not include pictures or animations.
How many times can I take the Washington HCA exam?
Four attempts at each part. After four failures you must retrain with an approved program and take both exams again.
60 questions in 90 minutes, drawn in the bulletin domain counts, with a score for each part and an explanation for every answer.
Or start with a free true/false drillOther home health aide tests
Sources
- Prometric: Washington State DOH Certified Home Care Aide Candidate Information Bulletin, effective October 12, 2026
- Washington State Department of Health: Home care aide exam information (60 questions, 90 minutes, fees)
- RCW 74.34.035: mandated reporters must report abuse of vulnerable adults immediately
- RCW 69.41.010: definition of medication assistance
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.