Free HHA Practice Test 2026

HIPAA protects a patient's right to:

Most HHA candidates who fail do so because they underestimate the written exam. Here are the strategies that work:

1. Master infection control first. It is the highest-frequency topic on every state exam. Know Standard Precautions, the 5 moments of hand hygiene, and PPE donning/doffing order cold.
2. Memorize normal vital sign ranges. Blood pressure 90–120/60–80 mmHg, pulse 60–100 bpm, respirations 12–20/min, oral temperature 97.8–99.1°F. Expect 3–5 questions on this.
3. Know the fire safety acronyms. RACE (Rescue, Alarm, Contain, Extinguish) and PASS (Pull, Aim, Squeeze, Sweep) appear on nearly every exam.
4. Understand patient rights. HIPAA, the right to refuse care, and mandatory abuse/neglect reporting are tested in the legal/ethics domain.
5. Practice daily. Even 20–30 questions per day for two weeks builds the recall speed the timed exam requires. Use PassHHA's daily practice mode to build a streak.

How hard is the HHA exam?

The HHA exam is considered moderately difficult. The written portion has a national first-attempt pass rate of approximately 75–80%. The skills demonstration has a slightly higher pass rate. Most candidates who study consistently for 2–3 weeks pass on their first try.

How many questions are on the actual HHA exam?

The written portion of the HHA exam typically contains 40–100 questions depending on the state and test provider. Most states use 50-question exams. The skills demonstration requires you to perform 5 randomly selected skills.

What is the passing score for the HHA exam?

Nearly all states require a minimum score of 70% on the written test to pass. A few states set the bar at 75%. You must pass both the written test and the clinical skills demonstration to earn your HHA certification.

How many times can you retake the HHA exam?

Most states allow unlimited retakes, but there is usually a waiting period of 2–4 weeks between attempts. Some training programs require you to complete additional training hours before your third attempt.

Can I take the HHA exam online?

The written portion of the HHA exam may be offered via computer at testing centers, but the clinical skills demonstration must always be done in person. Some states allow oral testing as an alternative to written for candidates with reading difficulties.