Alabama HHA Practice Test 2026

Alabama follows the federal minimum. Training must include 16 hours of supervised clinical practice before patient contact.

All Alabama HHA training programs must be approved by the state. Upon completing your training and passing the competency evaluation, your name will be added to the Alabama Nurse Aide Registry. Employers verify certification through this registry.

The competency evaluation in Alabama tests knowledge across 7 core domains: Infection Control, Personal Care, Safety & Emergency, Nutrition, Communication, Legal & Ethics, and Basic Skills.

The Alabama HHA competency exam follows national HHA curriculum standards. Focus your study on these high-frequency topics:

• Infection Control (highest frequency) — Standard Precautions, handwashing technique, PPE donning/doffing, isolation types
• Safety & Emergency — Fall prevention, fire safety (RACE/PASS), seizure response, body mechanics
• Personal Care Skills — Bathing procedures, oral care, perineal care, positioning patients
• Vital Signs — Normal ranges for BP, pulse, respiration, temperature, and SpO2
• Legal & Ethical Standards — Patient rights, HIPAA, abuse/neglect reporting, scope of practice
• Nutrition — Special diets, dysphagia, documenting intake, assisting with meals

How many training hours does Alabama require for HHA certification?

Alabama requires 40 hours of approved HHA training, including at least 16 hours of supervised clinical practice. Training must be completed through a state-approved program.

What is the passing score for the Alabama HHA exam?

Most Alabama HHA competency evaluations require a score of at least 70% to pass. You must pass both the written test and the clinical skills demonstration.

How many questions are on the Alabama HHA exam?

The Alabama HHA exam format is: 50-question written test + skills demonstration. Question counts can vary by test provider, but expect a written knowledge test of 40–100 questions plus a practical skills evaluation.

Can I take the Alabama HHA exam online?

Most states, including Alabama, require in-person competency evaluations — particularly the skills demonstration component. Some states may offer oral testing as an alternative to written tests. Check with your training program or the Alabama Nurse Aide Registry for current options.

How long does Alabama HHA certification last?

HHA certification is typically renewed every 1–2 years. Alabama requires HHAs to complete annual in-service training (usually 12 hours) to maintain active certification on the registry.