Certified Clinical Medical Assistant (CCMA) Practice Test 2026
Free NHA Certified Clinical Medical Assistant (CCMA) practice β the clinical medical-assistant certification. Covers all seven official NHA domains: Foundational Knowledge & Basic Science, Anatomy & Physiology, Clinical Patient Care (vitals, general care, infection control, point-of-care testing, phlebotomy, EKG), Patient Care Coordination & Education, Administrative Assisting, Communication & Customer Service, and Medical Law & Ethics. 450 original, NHA-test-plan-based questions grounded in standard clinical references (CDC, OSHA, CLSI, AHA, CMS/CLIA, DEA, ADA), with Chinese, Spanish, Vietnamese & Korean study-aid explanations (the real NHA CCMA exam is administered in English: 150 scored items, 3 hours, scaled passing score of 390). Practice every question free, then sit a 150-question mock scored to the real 78% pass line.
π― Practice by Topic
Foundational Knowledge and Basic Science
Health care systems and settings, medical terminology (word building, the TJC 'Do Not Use' list), basic pharmacology (drug classifications, the rights of medication administration, controlled-substance schedules, routes and forms), nutrition, and psychology.
Anatomy and Physiology
Body structures and organ systems, cell structure, homeostasis, and pathophysiology and disease processes (signs, symptoms, etiology, diagnostics, and treatment modalities).
Clinical Patient Care
The largest domain (56% of the exam): patient intake and vital signs (normal ranges and errors), general patient care (sterile technique, CPR/BLS, first aid), infection control and safety (hand hygiene, asepsis, sterilization, OSHA), point-of-care and CLIA-waived testing, phlebotomy (the CLSI order of draw), and EKG and cardiovascular testing (12-lead placement).
Patient Care Coordination and Education
Reviewing records, care coordination and transitions, team-based care and the patient-centered medical home, patient education and health literacy (the teach-back method), and preventive medicine and referrals.
Administrative Assisting
Scheduling and patient flow, insurance verification and prior authorization, check-in/out, coding and billing context (ICD/CPT, charge reconciliation), practice management systems and the electronic health record, and records management.
Communication and Customer Service
Therapeutic and professional communication, verbal and nonverbal skills, active listening and empathy, communication barriers and diverse audiences, telephone and conflict management, and interprofessional communication.
Medical Law and Ethics
HIPAA and patient confidentiality, scope of practice and delegation, informed consent, advance directives, documentation and the legal record, mandatory reporting, negligence and liability, and professional ethics.
π What to Bring
- β
Government-issued photo ID
A valid, unexpired government photo ID whose name matches your NHA registration.
- β
NHA exam confirmation
Your scheduled-exam confirmation from your NHA account (nhanow.com).
- β
For online proctored: a quiet room + webcam
If testing online with live remote proctoring, meet the system/room check (working webcam, stable internet, no notes). Closed book β no personal items.
π How to Schedule
- 1
Confirm eligibility with NHA
NHA requires a high school diploma or equivalent and, within the past few years, either completion of a medical-assistant training program OR relevant supervised work experience. Verify the current eligibility routes on nhanow.com.
- 2
Register and pay the NHA fee
Create an account and register for the CCMA at nhanow.com, paying the NHA exam fee. Many test-takers apply through an NHA-approved training school. Check nhanow.com for the current fee.
- 3
Choose test center or online proctoring
Sit the exam at a PSI test center, an NHA-approved training site, or online with live remote proctoring. Results (pass/fail with a scaled score) are typically available shortly after you finish.
π‘ Test Day Tips
- β’The real exam is English-only. Use the Chinese, Spanish, Vietnamese and Korean explanations to understand each concept, then lock in the English clinical term the exam actually uses.
- β’Clinical Patient Care is the largest domain (about 56%): vital sign normal ranges, infection control and hand hygiene, CPR/BLS, the CLSI order of draw for phlebotomy, and 12-lead EKG placement. Master these first.
- β’Get the clinical numbers exact: normal vital-sign ranges, CPR rate (100β120/min) and depth, the rights of medication administration, and controlled-substance schedules. A wrong clinical value is a wrong answer β and can harm a patient.
- β’Budget your time: 180 questions in 3 hours is about 1 minute each. 30 of the 180 are unscored pretest items (unlabeled), so answer every question β you cannot tell which ones count.
- β’The result is a scaled score (200β500; 390 to pass), not a raw percentage. There is no public raw-to-scaled conversion, so treat the practice score here as a study gauge, not the official number.
π Study Handbook
All practice questions are based on the sections below. Click any to read the official source.
π Official Resources
β Frequently asked questions
How many questions are on the Certified Clinical Medical Assistant (CCMA) test, and how many do I need to pass?
The Certified Clinical Medical Assistant (CCMA) knowledge test has 150 questions. You must answer 117 correctly (78%) to pass.
How many questions can you miss on the Certified Clinical Medical Assistant (CCMA) test?
You can miss up to 33 of the 150 questions and still pass.
What should I bring to the Certified Clinical Medical Assistant (CCMA) test?
Government-issued photo ID β A valid, unexpired government photo ID whose name matches your NHA registration. NHA exam confirmation β Your scheduled-exam confirmation from your NHA account (nhanow.com). For online proctored: a quiet room + webcam β If testing online with live remote proctoring, meet the system/room check (working webcam, stable internet, no notes). Closed book β no personal items.
How do I schedule and take the Certified Clinical Medical Assistant (CCMA) test?
1. Confirm eligibility with NHA: NHA requires a high school diploma or equivalent and, within the past few years, either completion of a medical-assistant training program OR relevant supervised work experience. Verify the current eligibility routes on nhanow.com. 2. Register and pay the NHA fee: Create an account and register for the CCMA at nhanow.com, paying the NHA exam fee. Many test-takers apply through an NHA-approved training school. Check nhanow.com for the current fee. 3. Choose test center or online proctoring: Sit the exam at a PSI test center, an NHA-approved training site, or online with live remote proctoring. Results (pass/fail with a scaled score) are typically available shortly after you finish.