How Many Questions Are on the HHA Exam?
The HHA written exam typically has 50–75 multiple-choice questions, with 90 minutes to complete it. Most states use a 60–75 question format. The clinical skills demonstration requires you to perform 5 randomly selected skills.
- Written test: 50–75 multiple-choice questions (most states use 60–75)
- Time limit: 90 minutes for the written portion
- Skills demonstration: 5 randomly selected clinical skills
- Passing score: 70% on written in most states
Why?
The exact number of questions varies by state and testing provider. Federal Medicare/Medicaid regulations require the written exam to cover at least the 7 core competency domains, but states set their own question counts. The most common format is 75 questions in 90 minutes — roughly 72 seconds per question. The skills test is separate: an evaluator randomly selects 5 skills from a standard list and scores you on each one using a step-by-step checklist.
Your Options
- 1Practice with 75-question timed mock exams to build the stamina and pacing the real test requires
- 2Use the 72-second-per-question rule during practice — if you spend more than 90 seconds on one question, mark it and move on
- 3For the skills test, know all skills on your state's list — since 5 are randomly selected, you cannot predict which ones will appear
Practice with a real 75-question format so the actual exam feels familiar. Our mock exam mirrors the length, timing, and topic distribution of the real test.
Frequently Asked Questions
How many questions are on the HHA written exam?
Most states use 60–75 questions. The federal minimum requires coverage of all 7 competency domains but does not mandate a specific number. Your testing provider will tell you the exact count for your state — common formats are 60, 70, or 75 questions.
How long do I have to complete the HHA exam?
The standard time limit is 90 minutes for the written portion. This gives you roughly 72–90 seconds per question depending on the format. Most candidates finish with time to spare, but timed practice helps eliminate test-day anxiety about the clock.
How many skills are on the HHA skills demonstration?
You are tested on 5 randomly selected skills from your state's approved skill list, which typically contains 20–30 skills. Common tested skills include hand washing, bed bath, transfer techniques, vital signs, and range of motion exercises.
Is the HHA exam the same in every state?
No. While all states cover the same 7 core domains required by federal law, the number of questions, passing score, time limit, and which skills are on the demonstration list vary by state. Always confirm the format with your testing provider before exam day.
Can I go back and change answers on the HHA exam?
It depends on whether the exam is paper-based or computer-based. Most modern HHA exams are administered on a computer, which typically allows you to flag questions and return to them before submitting. Confirm with your testing center.