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Exam Format and Question Count

The test contains exactly 180 multiple-choice questions, which you must complete within a 180-minute time limit. Out of these, 150 are scored and 30 are unscored pretest items.

2,300+

questions in the app

10+ yrs

exam-prep publishing

Free

on iOS & Android

Built to help you pass faster — by exam-prep publishers with 10+ years' experience

  • 💡 Key Takeaways — the one transferable rule per question
  • 🔍 Hint highlights — the decisive cue phrases in each stem
  • 📖 Full rationales — why every option is right or wrong

Every CCMA question is written to the current exam outline for quick learning and a clear pass strategy.

Get the full CCMA question bank — free

2,300+ practice questions with rationales on iOS & Android

Download on theApp StoreGET IT ONGoogle Play
How many questions are on the test?
You will face 180 total items. Only 150 of these count toward your final score. The remaining 30 are unscored pretest items used to evaluate future test material.
What is the format of the questions?
Every item is multiple-choice. You must select the single best answer from the provided options. The entire test is computer-based.
How much time do I have to finish?
You have exactly 180 minutes. This gives you an average of one minute per item.
What score do I need to pass?
You must earn a scaled score of 390 out of 500. This translates to roughly 78 percent correct on the scored portion.
Which subject area is the largest?
Clinical Patient Care makes up the biggest portion of the test. It accounts for about 56 percent of the scored items, which equals 84 questions.
What other domains are covered?
The remaining items cover Foundational Knowledge and Basic Science, Anatomy and Physiology, Patient Care Coordination and Education, Administrative Assisting, Communication and Customer Service, and Medical Law and Ethics.
Are there any fill-in-the-blank or essay questions?
No. You will only see multiple-choice items. There are no essays, short answers, or practical demonstrations required during this computer-based session.
Are the unscored items grouped together?
The 30 pretest items are mixed randomly among the 150 scored ones. You will not know which items affect your final score, so treat every single prompt with equal effort.
How are the questions delivered?
The session is entirely computer-based. You will read and answer every item on a screen. For exact technical requirements or remote proctoring rules, check the NHA official handbook.
How can I prepare for this format?
We offer a bank of 2300+ practice questions. Working through these helps you build stamina for the three-hour testing window and get comfortable with the single-best-answer style.

What the questions actually look like

The format is one thing; the questions are another. Here are three realistic examples. The app has 2,300+, timed and scored.

Question 1

A medical assistant is reviewing a progress note for a patient presenting with SOB and DOE. The assistant should recognize that these abbreviations relate to which body system assessment?

▸ Why A is the answer

Medical assistants frequently review chart notes to prepare for the provider's examination. The abbreviation SOB stands for shortness of breath, and DOE stands for dyspnea on exertion. Both of these are classic symptoms evaluated during a respiratory system assessment, making Option A the correct answer. Option B is incorrect; while cardiovascular issues can cause secondary breathing problems, the abbreviations themselves describe respiratory effort rather than direct cardiac pain like CP (chest pain). Option C is incorrect because gastrointestinal distress uses abbreviations like N/V (nausea/vomiting). Option D is incorrect because musculoskeletal complaints use abbreviations like ROM (range of motion).

🔑 Key takeaway

The abbreviations SOB and DOE describe respiratory symptoms requiring pulmonary evaluation.

Question 2

A medical assistant is evaluating a patient with advanced Parkinson's disease who is unable to bear weight on either leg for a transfer.

▸ Why B is the answer

A patient who is unable to bear weight cannot safely participate in a standing pivot transfer. You must recognize your own limitations and request a two-person lift or use a mechanical lift to ensure safety. Option A is incorrect because a solo pivot requires the patient to bear at least partial weight. Option C is incorrect as slide boards require upper body strength the patient likely lacks. Option D is impossible given the patient's advanced condition.

🔑 Key takeaway

Non-weight-bearing patients require a two-person lift or mechanical assistance for safe transfers.

Question 3

A patient with diabetes becomes lethargic and slurs their words during an electrocardiogram. The patient is unable to swallow safely and begins to lose consciousness. What is the most appropriate medical assistant action?

▸ Why C is the answer

When a hypoglycemic patient exhibits an altered level of consciousness and cannot swallow safely, oral interventions become dangerous. Alerting the provider and preparing intramuscular emergency glucagon is the correct response, as glucagon stimulates the liver to release stored glucose rapidly without requiring the patient to swallow. Option A is incorrect because giving apple juice to a lethargic patient risks aspiration into the lungs. Option B is incorrect because a hard candy poses a significant choking hazard for someone losing consciousness. Option D is incorrect because the patient's symptoms strongly suggest hypoglycemia, not hyperglycemia, and delaying emergency treatment to perform a capillary puncture while the patient's airway is at risk is clinically unsafe.

🔑 Key takeaway

Severe hypoglycemia in patients unable to swallow requires provider intervention and injectable glucagon to prevent aspiration.

Unlock all 2,325 CCMA practice questions, including 15 full-length mock exams

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Practice the full CCMA bank in the app

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Get the full CCMA question bank — free

2,300+ practice questions with rationales on iOS & Android

Download on theApp StoreGET IT ONGoogle Play
CCMA · Exam Simulator

A patient's abdominal ultrasound report reveals hepatomegaly following a long history of chronic alcohol abuse…

A) Inflammation of the liver tissue
B) Softening of the liver tissue
C) Enlargement of the liver tissue
D) Hardening of the liver tissue
Submit Answer