CHA Practice Test

The Certified Hospice Administrator (CHA) exam is for administrators and managers with qualifying experience in home care or hospice. This page brings together free practice sets, explanations of sample answers, and a study plan organized around the official content areas. You can also check the supplied eligibility, delivery, fee, and retake information. Practice Test Geeks uses AI tools to write its content; these practice questions are not real exam questions.

CHA Exam at a Glance

What changed for CHA in 2026

• Oct 26, 2026: Delivery changed to Onsite paper-and-pencil (Las Vegas) or computer-based at Pearson VUE test centers (previously On-site paper or Pearson VUE test center).^[2]
• Oct 26, 2026: Eligibility changed to 1+ year as a home care or hospice administrator, or 5+ years as a manager (previously 1+ year as administrator or 5+ years as manager).^[4]

What the CHA is and how it works

According to National Board for Home Care and Hospice Certification, “All certification exams contain 80-100 questions. There is no penalty for guessing on the examination.”^[1]

The Certified Hospice Administrator credential is offered by the National Board for Home Care and Hospice Certification. Its exam covers Business development, Business Operations, Compliance, and Finance. Use those official areas to organize your preparation; the practice-set titles on this page are study labels rather than official exam domains.

The supplied eligibility information identifies administrators who hold or have held a home care or hospice administrator position for at least 1 year, or a manager position for at least 5 years. Consult the board’s About Certification page for its eligibility wording before applying.

Delivery options are onsite paper-and-pencil testing in Las Vegas or computer-based testing at Pearson VUE test centers. The exam contains 80-100 questions, with 2 hours allowed. The board states that there is no penalty for guessing. The supplied facts do not specify a passing score or explain how the final score is calculated; consult the board’s Preparing page for official preparation information.

Exam registration costs $499, with a $99 application fee. The board’s Applying page is the official source for registration information. If you fail, the stated waiting period before attempting the same exam again is two quarters, as described on its Testing Policies page.

CHA content outline and where to practise each area

The content areas below are copied from the official CHA content outline published by National Board for Home Care and Hospice Certification, with the share of the exam each area carries. The right-hand column shows which of our practice sets covers it.

Worked examples: how to reason through CHA questions

These are practice questions written for this site, not questions from the real exam. Each explanation shows why the right answer is right and why the others are wrong.

Example 1

Question: The OIG Work Plan is a resource hospice administrators use primarily to:

1. Identify areas of fraud and abuse focus for federal audits
2. Apply for Medicare certification
3. File complaints against other agencies
4. Request Stark Law exceptions

Answer: A. Identify areas of fraud and abuse focus for federal audits

Explanation:

A is correct: the OIG Work Plan identifies areas the Office of Inspector General intends to review. That makes it useful for recognizing federal audit priorities involving fraud and abuse and deciding where to direct compliance attention. B is wrong because a statement of planned oversight work is not an application for Medicare certification. C is wrong because reviewing audit priorities is different from filing a complaint against another agency. D is wrong because the Work Plan does not serve as a request for Stark Law exceptions. Remember the distinction: an oversight plan tells you what may receive scrutiny; it is not an application, complaint channel, or exception request.

Example 2

Question: Which of the following best represents a 'process measure' in hospice quality improvement?

1. The percentage of patients who died completely pain-free
2. The percentage of patients who received a pain assessment within 48 hours of admission
3. Family satisfaction score on the CAHPS survey
4. The 30-day live discharge rate

Answer: B. The percentage of patients who received a pain assessment within 48 hours of admission

Explanation:

B is correct: it asks whether a defined care activity—a pain assessment—occurred within the stated 48 hours of admission. That is a process measure because it tracks what staff did. A describes the patient’s pain outcome, rather than whether an assessment or intervention occurred. C measures the family’s reported satisfaction, rather than performance of a specific care activity. D tracks live discharges, rather than whether staff carried out a care task. The general rule: process measures ask whether an activity happened; outcome measures ask what resulted. The 48 hours belongs to this practice example and should not be read as a separate regulatory requirement.

Example 3

Question: In hospice quality management, a 'sentinel event' is best defined as:

1. A routine clinical outcome requiring standard documentation
2. A minor medication discrepancy with no patient harm
3. An unexpected occurrence involving death or serious physical or psychological harm
4. A patient complaint escalated to the medical director

Answer: C. An unexpected occurrence involving death or serious physical or psychological harm

Explanation:

C is correct: it describes an unexpected occurrence involving death or serious physical or psychological harm. The seriousness and unexpected nature of the event distinguish it from routine care documentation. A is wrong because an ordinary clinical outcome does not, by itself, fit that description. B is wrong because the option specifies a minor discrepancy without patient harm. D is wrong because escalating a complaint does not establish that a serious adverse event occurred; the underlying circumstances matter. Remember: classify the event by what happened and the harm involved, rather than by who received a report. The explanation links sentinel events with immediate investigation and root cause analysis to prevent recurrence.

How to use these practice tests

Start with the exam body’s official outline and preparation material. Use its content areas as your checklist, then choose a linked practice set that addresses the topic you are studying. The set titles do not establish coverage of every official objective, so keep the outline beside your notes.

Begin with CHA Hospice Operations & Management or an area where your reasoning feels less secure. For each missed question, write down the decision being tested, why your answer seemed plausible, and what distinguishes the correct answer. Also review answers you guessed correctly.

Move between CHA Regulatory and Legal Framework and CHA Financial Management & Compliance to practise separating operational, legal, and financial considerations. Check uncertain explanations against official material before treating them as study rules.

Return to missed topics and explain the answer without looking at the choices. Before test day, review the official delivery instructions and appointment details. Keep the 2-hour exam limit in mind when practising your pace, and remember that the board states there is no penalty for guessing.

Sources & last verified

1. National Board for Home Care and Hospice Certification — number of questions, time limit (official source). “All certification exams contain 80-100 questions. There is no penalty for guessing on the examination.” Verified Oct 26, 2026.
2. National Board for Home Care and Hospice Certification — exam fee, delivery (official source). “Examinations Registration Fee: $499” Verified Oct 26, 2026.
3. National Board for Home Care and Hospice Certification — retake policy (official source). “If a candidate fails an exam s/he must wait two quarters before attempting to take the same exam again.” Verified Oct 26, 2026.
4. National Board for Home Care and Hospice Certification — eligibility (official source). “Administrators include senior staff holding or have held administrator positions in either a home care or hospice agency for at least one year or as…” Verified Oct 26, 2026.
5. pearsonvue.com — registration deadline (official source). “Appointments can be scheduled up to one business day in advance, and test center availability is offered on a first‑come, first‑served basis.” Verified Oct 26, 2026.
6. cdn.ymaws.com — other (official source). “business development 11%” Verified Oct 27, 2026.

How we verify: editorial & fact-checking policy. Report an error: contact us.