HHA Certification Online Practice Test 2025
Home Health Aide

HHA Practice Test

Home Health Aide 2025 (HHA) certificate programs provide courses on patient care, basic medical care, emergency response, and housekeeping duties. Certificate HHA programs usually require one semester of study where students learn how to take care of residents by administering medications, cooking, cleaning, organizing household goods, and assisting with personal hygiene. Additionally, they learn how to take vital signs like pulse and blood pressure. Certificate programs generally meet working out requirements needed seriously to act as a property health aide.

What is HHA?

The HHA or the Home Health Aide exam is a fundamental requirement in order to become a certified HHA. The HHA test contains two sections: 1.) Written Test and 2.) Skills Evaluation. The written examination is composed of close-to-a-hundred multiple-choice questions presented in English while the Skills Evaluation is focused on hands-on assessment. 

In addition, when taking the Skills Evaluation, you will be asked to perform five randomly selected skills. You will be given about 30 minutes to complete the assigned skills test. You will be rated and evaluated on these skills by a Registered Nurse Evaluator.

Below you’ll find more than 50 questions to answer. Try our Free HHA practice test now!

To provide you with a quick overview of the HHA test sections, please refer to the following information below:

                                                                                 HHA Test Format
Written Examination

The written section may be given in an oral format for test-takers who may have reading comprehension difficulties. Since the exam is multiple-choice and written in English, it will be helpful for those  who consider English as their second language

The written examination may include the following categories:

●     Basic Nursing Skills – 35%

●     Communication – 10%

●     Daily Living Activities – 15%

●     Client Rights/Ethical Behavior – 10%

●     Mental/Spiritual Health – 10%

●     Home Management/Safety – 20%

The average number of questions for the HHA written examination is 75 questions, but this is subject to change.


Skills Evaluation

The Skills Evaluation is structured to bear resemblance to an actual caregiving situation. This HHA exam section area will look similar to your work setting, which means that you will be given access to all the equipment needed to perform your assigned skills. As mentioned earlier, the Skills Evaluation will be administered by a Registered Nurse Evaluator. Prior to the commencement of your evaluation, the Evaluator will inform you where the equipment is located and will also give you full instructions as to how the equipment should be operated.

Some of the potential subject matters on the Skills Evaluation that you will be asked to demonstrate may include the following:

●     Handling and Emergency

●     Proper Bed Bath

●     Patient Transfer

●     Bed Making

●     Turning/Positioning Patients

●     Checking Pulse Rate

The Skills Evaluation normally takes 25-30 minutes. However, dummies will not be used to carry out the demonstration. Most of the time, you will be working with a pretend client to make it more realistic.

Some of the other factors that are on the HHA test are the following:

       ● Documentation of patient status.
       ● Taking temperature, pulse, and respiration.
       ● Communication skills.
       ● Proper transferring techniques and ambulation.
       ● Personal hygiene and grooming.
       ● Health and environment maintenance.
       ● Spiritual, physical, and emotional needs
       ● Body functions

HHA Certification Classes

Formal training for a registered nurse is necessary for the state in that you live, it’s often performed by an authorized RN. Some states require formal training by an RN, in addition to the standardized testing and hands-on competency assessment, before an HHA is permitted to utilize a client. 

If Home Health Aide state requirements do not need these, working out can often be instructed by other experienced HHAs or healthcare professionals with various degrees of education, in addition to family members. Much instruction in those settings is completed with on-the-job training and return demonstration. 

Educational programs and on-the-job training are beneficial to understand overarching necessary skills; however, each client may have unique needs that’ll require additional training that lasts from a couple of hours to some days, with respect to the complexity of the patient’s healthcare needs. Types of patient-specific needs may include special dietary needs for anyone patients requiring dietary/cooking assistance, or specific transfer techniques to make certain patient safety.

Online Classes for HHA Certification

       • Pratt Community CollegePratt, KS
       • Long Beach City CollegeLong Beach, CA
       • Eastern New Mexico University-Roswell CampusRoswell, NM
       • Northcentral Technical CollegeWausau, WI

HHA Training

In a few states, certified home health agencies may provide mandatory training classes, standardized written testing, and hands-on competency assessments for candidates to be looked at for patient assignments once hired. Standard skill sets include learning basic safety techniques whenever using patients, not merely to help keep the individual safe, but to stop injury to the HHA when completing tasks such as for example transfers, bathing, and dressing. 

Training may also include emergency response skills, such as example basic medical training and cardiopulmonary resuscitation (CPR). The associated expenses with completing these HHA training programs may differ from the couple hundred

Home Health Aide Certification – Subjects:

       – Medical terminology

       – Home health care and patient support

       – Health care supervision

       – Home maintenance and organizational skills

Home health aides care for patients in private residences by providing basic medical and personal services. Certificate programs allow home health aides to gain the necessary state-regulated training for employment in the field.

Free TACHS Practice Test

HHA Exam Scoring System

The scoring system for the HHA exam is pretty easy. Once you have taken each HHA test section, you will receive a score report that will indicate if you passed or failed the exam. If you happen to fail the Written Test or the Skills Evaluation, your score report contains information and instructions on how you can retake either or both parts. Moreover, keep in mind that a new examination fee will incur each time you retake any part of the HHA test.

State and federal policies allow test-takers 3 chances to pass both the HHA Written exam and the Skills Evaluation. In an instance where you fail both exams 3 times, you will then be required to complete a Board-approved training program in order to retake both sections. To successfully become a certified HHA, you must pass both the Written Examination and the Skills Evaluation within a 24-month period. Once you have successfully accomplished the exams, you will receive certification as a Home Health Aide.

To give an idea regarding how an HHA score report looks like, please refer to the table below:

                                                        HHA Sample Examination Score Report

Exam: Skills Evaluation

Skills Performed:
Positioning ClientUnsatisfactory
Checking Vital SignsUnsatisfactory
Hand HygieneUnsatisfactory
Measuring and Recording Weight of Ambulatory PatientUnsatisfactory
Bedpan AssistanceSatisfactory

Note: The table shown above is not an exact replica of the HHA score report.

The HHA score report will list the five skills that you demonstrated and a score of Satisfactory or Unsatisfactory for each skill performed. Take note that any skill with an Unsatisfactory mark is considered a failed skill. In other words, you must acquire a Satisfactory mark on all five skills in order to pass the Skills Evaluation.

Furthermore, a corresponding reason for a failed skill is actually provided in the score report. As part of your evaluation, the failing score report will list all the steps that you missed. You can review the skills you failed and study the steps in order to correct them on your next attempt.

HHA Registration

If you’re working for a Medicare-certified home health agency then you need to be assessed and trained through state-level approved training programs. For HHA training requirements, please refer to the information below:

       ● At least 75-hour HHA certificate online training (depends on state)
       ● At least 16 hours of supervised clinical or practical training.
       ● 12 hours of continuing education per each 12-month period.

The HHA training requirements can be quite confusing due to the fact that states are slow to acquire recommendations to make the training follow a common standard. Despite this challenging set up, HHA’s need to be appropriately trained to address the various needs of patients.

Important Reminder: When it comes to the number of hours required for training, some states require 120 hours, not 75 hours. Thus, you need to make sure that you are aware of your state’s Home Health Aide requirements before enrolling in a Home Health Aide training program.

HHA Career

The top 5 high-paying Home Health Aide jobs in the United States are shown below.

Job TitleAnnual SalaryWeekly Pay
Aide Owner Operator Amazon$127,593$2,454
Aide Agency RN$84,433$1,624
Aide Travel Nurse$79,161$1,522
Home Health Services$72,848$1,401

Home Health Aide Exam PDF

To help you pass your HHA test, you have to practice and review. Take our HHA Practice Test PDF, HHA Test PDF, HHA PDF, HHA Certificate Sample PDF, and HHA Form PDF with detailed questions and answers to pass the HHA test.

HHA Test Questions and Answers

An HHA is essentially a Certified Nursing Assistant who has decided to complete an additional 40 hours of training focused on caring for patients at home rather than in a hospital or other medical facility.

For certification, home care workers can contact the National Home Care Hospital Association (NAHC) for certification. To qualify, applicants must complete 75 hours of training, demonstrate their skills, and pass a written exam.

HHA stands for Home Health Aide.

As of December 22, 2020, the average hourly wage for HHA in the United States is $ 10.68 per hour. Currently, the majority of US HHA salaries range from $ 9.86 (25th percentile) to $ 12.50 (75th percentile).

A high school diploma or equivalent is not required to become a licensed home health aide, but you must complete a training program to become certified.

HHA and CNA salaries vary by location, level of education, and experience. Nursing assistants have higher qualifications and more responsibilities, so their salaries are higher than usual.

The first step in getting a home health certification online is to make sure you are eligible for a training course. If you have a high school diploma or equivalent GED, you are eligible.

The HHA does not perform invasive procedures such as enema and rectal temperature, checking and/or removing fecal congestion, injecting fluid from the tube, or administering vaginal or rectal plumbing.

Home health aides are only permitted to assist a person with self-medication.

They usually work with the elderly and patients with disabilities. Most HHA works in one patient or a small number of patients.

The average hourly wage for White Globe home care assistants in the United States is about $ 17.19, 35% above the national average.

To renew your certification, you must be working at least 8 hours during the two years that your certification was renewed. If you do not have this document, you can use a minimum of 8 hours of work certificate created within (2) years after the expiration date.

The main difference between the CNA and the HHA is that the CNA cannot dispense medication, whereas the Home Health Aide can. Aside from that, both healthcare occupations involve taking care of patients’ essential daily quality-of-life requirements.

A home health aide training program is intended to prepare you for the day-to-day responsibilities of your position as an HHA. HHAs are in charge of the health, well-being, and long-term care of the patients they serve, so don’t skimp on your training.

Home health aides can obtain certification through the National Association for Home Care and Hospice (NAHC). Applicants must complete 75 hours of training, demonstrate their skills, and pass a written exam to acquire their credentials.

H.H.A./C.N.A. It does not do the following: Replace sterile dressings. Rinse body cavities such as enemas, colostomy, and wounds.

The Home Health Aide certificate usually expires on the certificate holder’s birthday two years after it was first approved.

An HHA license is required for an individual working at a home care institution or hospice that provides home medical services mandated by a qualified physician, chiropractor, podiatrist, or optician.

Provides cleaning and laundry services, as well as grocery buying and other domestic needs, meal preparation and serving, and errand running for patients. Personal services such as washing, clothing, and grooming are provided to patients as needed.

HHA is a paid healthcare worker. They work in patients’ homes and medical facilities.

A healthcare assistant (HHA) assists elders and other patients with daily activities such as walking, bathing, and dressing, while a personal care assistant (PCA) assists clients with grooming, bathing, dressing, and other activities such as cleaning, meal preparation, shopping, and more.

Yes, a Certified Nursing Assistant (CNA) can be a Home Health Care Assistance (HHA). They have the same personal training and can assist their clients in many of the same tasks. CNAs may require a license to become HHA.

No, HHA can’t apply a hot pack.

You can’t administer a rectal suppository as a home health care aide.

The nurse must give the order for nail clipping or cutting. If the skin around their nails is reddish, inflamed, or otherwise shows signs of infection, DO NOT cut or clip them. Patients with diabetes or peripheral vascular disease should not have their nails clipped by home health and hospice aides (P.V.D.).

The aides will be able to provide insulin to diabetic patients as well as emergency epinephrine injections to treat anaphylaxis.

Patients with injuries, impairments, or chronic illnesses, such as physical, mental, and psychological ailments, are cared for by home health aides in the comfort of their own homes or in an assisted living facility.

The HHA course is accessible from any computer with an internet connection, and it includes access to a qualified instructor who is available to answer questions through email or phone at any time. For a whole year, you will have access to the online home health aide course.

Individuals who enroll in-home health aide training programs have 60 days to complete the required 75 hours. The 75 hours are divided into two parts: 59 hours in the classroom and 16 hours.

This test has 50 questions. Some tests have up to 100 questions, but most of the time they average around 75.

Home Health Aide Study Guide

#1 Do your homework

The best way to prepare for a Home Health Aide certification test is to have an idea of what the test is all about. “What is the coverage for the written exam?” “What are the possible skills that you may be asked to demonstrate during the skills evaluation?”

Having a clear background of the exam coverage will contribute a lot to your success. Do your best to study all the information you obtained about the HHA test coverage.

#2 Be aware of the test center regulations.

There are specific test day policies and procedures that you need to be aware of before going into the HHA testing center. Some of these rules may include these general factors:

       ● Identity Verification
       ● Physical Screening
       ● Accessory Inspection
       ● Prohibited Materials
       ● Strict Break Rules
       ● Standard Examination Rules

#3 Balance your stress level.

One of the most important factors that you should consider when taking the HHA exam, especially the Skills Evaluation, is to manage and balance your stress level effectively. There are instances wherein test-takers tend to forget what needs to be done because they are simply overpowered by anxiety and nervousness. When taking the exam, it is strongly advisable to keep yourself calm and composed. Focus and don’t let your current emotions take over your ability to think straight.

#4 Utilize HHA Test prep materials

There are free HHA training materials and a Home Health Aide program online. Aside from exam materials and free certified Home Health Aide classes online provided by an HHA agency, there are other credible practice tests that are available on the internet that you can use to amplify your exam preparation.

#5 Develop Core Skills

There are a set of skills and characteristics that every HHA possesses. It is exceedingly important that you know what these are. So to help you learn more about these skills, we’ve compiled the most essential ones below:

Organization Skills – Being organized is extremely vital when it comes to being an HHA. Organizing your responsibilities in an effective manner will help you carry out your tasks easily and smoothly.

Detail-oriented Character – Following instructions is very important in HHAs. When you’re taking the test, focusing on every important detail will allow you to execute the assigned task properly, leaving no room for errors or mistakes.

Patience – Being patient at all times is one of the core characteristics of a good HHA. When it comes to taking the exam, don’t rush things. Be patient enough to think of the answers or steps that will help you acquire the best possible exam results and get your Home Health Aide license.


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