CCMA practice test: free NHA CCMA exam questions with explanations
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A CCMA practice test for the NHA Certified Clinical Medical Assistant exam, with original questions on all seven domains of its test plan, from clinical patient care to medical law. Start with 5 free questions, then take two timed tests of 75 questions in 75 minutes, split like the official test plan, with an explanation for every answer, every dose worked out and your score per domain.
- 5 free questions
- 2 timed tests, 150 questions
- Real pace: 1 minute per question
- Score per domain
- Practice certificate PDF
NHA CCMA exam format and passing score
| NHA CCMA exam | Facts |
|---|---|
| Questions | 180: 150 scored and 30 unscored pretest questions (you cannot tell which ones are pretest) |
| Time | 3 hours, so about 1 minute per question |
| Scoring | Scaled score from 200 to 500 |
| Passing score | 390 or higher |
| Retakes | At least 30 days between attempts; after a third fail you wait 1 year. Every retake means registering and paying the full exam price again |
Sources: NHA CCMA test plan (CCMA 3.0, based on a 2022 job analysis) and NHA Candidate Handbook, nhanow.com; checked 2 November 2026 against published summaries of those documents. Because the score is scaled, 390 is not a percentage: you cannot turn it into a fixed number of questions you may miss. The exam fee is shown in the NHA store when you register, and NHA updates its test plans from time to time, so check nhanow.com for the version that applies on your exam date.
What is on the CCMA exam: the seven domains
| Domain | Scored questions | On MyLevel (per test) |
|---|---|---|
| Foundational Knowledge and Basic Science | 15 | 8 |
| Anatomy and Physiology | 8 | 4 |
| Clinical Patient Care | 84 | 42 |
| Patient Care Coordination and Education | 12 | 6 |
| Administrative Assisting | 12 | 6 |
| Communication and Customer Service | 12 | 6 |
| Medical Law and Ethics | 7 | 3 |
Clinical patient care is more than half of the exam. Its 84 scored questions are split into patient intake and vitals (14), general patient care (28), infection control and safety (15), point-of-care testing and lab procedures (9), phlebotomy (12) and EKG and cardiovascular testing (6). Source: NHA CCMA test plan (2022 job analysis), as summarised by medical assistant training providers, checked 2 November 2026.
What you practise on MyLevel
Every MyLevel question is an original question written on the topics of the test plan, with one correct answer, three wrong ones and a short explanation. The two full tests have 75 questions in 75 minutes each: half of the 150 scored questions, at the same pace as the real exam (180 questions in 3 hours). Each test has 42 clinical patient care questions spread over vitals, injections and dosage math, infection control, lab tests, phlebotomy and EKG, plus the six other domains in their official proportions. After each test you see your score per domain.
The questions follow standard, conservative guidance: CDC vaccine and infection control advice, the AHA blood pressure categories, USPSTF screening ages and CPT and ICD-10-CM basics. Every dose, vital sign and billing sum was re-solved by script. MyLevel costs $9.99, a one-time payment with no subscription and no time limit, and also unlocks every other MyLevel job test. Taking the AAMA exam instead? That is a different test: see our CMA (AAMA) practice test. For more practice on single topics, try the phlebotomy and EKG practice tests.
How to study for the CCMA exam
- Start with clinical patient care: 84 of the 150 scored questions. Know normal vital signs, the AHA blood pressure categories, injection sites and routes, and how to work out a dose (dose ordered divided by dose on hand, times the volume).
- Know your infection control steps: the chain of infection, hand hygiene, standard, contact, droplet and airborne precautions, sterilization checks and what goes in a sharps or biohazard container.
- Do not skip the small domains: administrative assisting, communication and coordination are 36 questions together. Learn the birthday rule, deductibles and coinsurance, new versus established patients, referrals and teach-back.
- Know your scope: a medical assistant works under a provider, does not diagnose or interpret results and does not authorize refills. Many law and ethics questions test exactly this.
- Train under time: take a full MyLevel test, read the explanation of every miss, work on your weakest domain and retake. Aim for 70% or more in each domain; this is our own practice target, not an NHA score.
MyLevel is independent and not affiliated with, or endorsed by, the National Healthcareer Association (NHA). CCMA and Certified Clinical Medical Assistant are certifications of the NHA. All questions are original practice questions written by MyLevel, not real NHA exam questions, and a practice score is not an NHA score. Medical content follows standard, conservative textbook practice; follow your training program, employer and state rules where they differ.
Sample question with explanation
Which task is generally outside a medical assistant's scope of practice?
- Interpreting a test result and giving the diagnosis
- Giving an ordered injection under supervision
- Taking vital signs and recording them in the patient's chart
- Scheduling a follow-up appointment
Show the answer
Answer: A. Interpreting a test result and giving the diagnosis
Medical assistants work under a provider's supervision and do not diagnose or interpret results. Scope of practice also varies by state.
Frequently asked questions
Is this CCMA practice test free?
Yes, you can start with 5 free questions with explanations, on vital signs, vaccines, nutrition, insurance and scope of practice. Two full timed tests of 75 questions cost $9.99 once, with no subscription.
How many questions are on the CCMA exam?
The NHA CCMA exam has 180 questions: 150 scored and 30 unscored pretest questions, in 3 hours. 84 of the scored questions are on clinical patient care; the rest cover foundational knowledge (15), anatomy and physiology (8), care coordination (12), administrative assisting (12), communication (12) and law and ethics (7) (NHA CCMA test plan).
What is the passing score for the CCMA exam?
NHA reports a scaled score from 200 to 500, and you pass with 390 or higher (NHA Candidate Handbook). A scaled score is not a percentage, so there is no fixed number of questions you can miss.
Is the CCMA exam hard?
It is long and broad: 180 questions in 3 hours, from injections and lab tests to insurance and law. Most people find the clinical part the biggest and the small domains the easiest to forget. Timed practice with explanations shows your weak domain; aim for 80% on practice tests for a safe margin.
How many times can you take the CCMA exam?
According to the NHA Candidate Handbook you wait at least 30 days between attempts, and after a third fail you wait a year. Each retake means registering and paying the full exam price again.
Can I unlock only this test?
There is one option, so you never have to choose: the $9.99 job pack, one time. It unlocks the 2 full tests on this page and every other MyLevel job test, with no subscription and a full refund within 14 days if it does not help you.
Do I get a certificate?
Yes. After a full practice test you can download a MyLevel practice certificate (PDF) with your score. It is a personal record of your practice, not an official document and not an NHA CCMA certification.
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