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.
The CHA has 100 questions and takes about 2 hours[1] (National Board for Home Care and Hospice Certification, verified Oct 26, 2026).
Numbers in brackets link to the official sources listed under Sources & last verified. Dates that have passed are removed automatically.
| Item | Detail | Source · Verified |
|---|---|---|
| Number of questions | 80-100 questions[1] | National Board for Home Care and Hospice Certification · Oct 26, 2026 |
| Time limit | 2 hours[1] | National Board for Home Care and Hospice Certification · Oct 26, 2026 |
| Exam fee (Examination registration) | $499 exam registration + $99 application fee[2] | National Board for Home Care and Hospice Certification · Oct 26, 2026 |
| Retake policy | Wait two quarters before retaking[3] | National Board for Home Care and Hospice Certification · Oct 26, 2026 |
| Delivery | Onsite paper-and-pencil (Las Vegas) or computer-based at Pearson VUE test centers[2] | National Board for Home Care and Hospice Certification · Oct 26, 2026 |
| Eligibility | 1+ year as a home care or hospice administrator, or 5+ years as a manager[4] | National Board for Home Care and Hospice Certification · Oct 26, 2026 |
| Registration deadline (Computer-based (Pearson VUE) appointment changes) | Schedule, reschedule or cancel up to 1 business day before the appointment[5] | pearsonvue.com · Oct 26, 2026 |
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.
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.
| Official content area | Weight | Practice on this site |
|---|---|---|
| Business development[6] | 11% | CHA Leadership & Organizational Development Use relevant leadership scenarios to practise connecting organizational development decisions with hospice service goals. |
| Business Operations[6] | 34% | CHA Hospice Operations & Management Practise evaluating operational decisions involving staffing, workflow, documentation, and care delivery. |
| Compliance[6] | 24% | CHA Regulatory and Legal Framework Practise distinguishing regulatory obligations, oversight resources, and appropriate administrative responses. |
| Finance[6] | 31% | CHA Financial Management & Compliance Practise interpreting financial management scenarios and separating financial decisions from related compliance concerns. |
Prepare for the CHA - Certified Hospice Administrator exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
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.
Question: The OIG Work Plan is a resource hospice administrators use primarily to:
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.
Question: Which of the following best represents a 'process measure' in hospice quality improvement?
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.
Question: In hospice quality management, a 'sentinel event' is best defined as:
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.
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.
The supplied eligibility wording identifies at least 1 year as a home care or hospice administrator, or at least 5 years as a manager. It includes people who hold or have held administrator positions. Consult the National Board for Home Care and Hospice Certification’s About Certification page when checking your experience against its requirements.
The listed charges are $499 for exam registration plus a $99 application fee. Account for both charges when planning your application. The National Board for Home Care and Hospice Certification’s Applying page is the official source for the supplied fee information.
You can take the exam onsite using paper and pencil in Las Vegas, or by computer at a Pearson VUE test center. These are the delivery options in the supplied facts. Consult the board’s Applying page for registration information and Pearson VUE’s NBHHC page for test-center appointment information.
The exam contains 80-100 questions and allows 2 hours. The board explicitly states that there is no penalty for guessing, so an uncertain answer does not carry a guessing penalty. The supplied facts do not specify the passing score or the method used to calculate the final score.
The supplied appointment rule allows scheduling, rescheduling, or cancellation up to 1 business day before the appointment. Test-center availability is first-come, first-served. Use Pearson VUE’s NBHHC page as the official source when arranging your appointment or checking the instructions for changing it.
You must wait two quarters before attempting the same exam again, according to the supplied retake policy. The National Board for Home Care and Hospice Certification’s Testing Policies page is the official source. The supplied facts do not explain how that waiting period translates into your next eligible appointment date.
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