Free CCMA Practice Test: 10 NHA CCMA Practice Questions

10 realistic NHA CCMA-style clinical questions covering vital signs, phlebotomy, medication administration, and HIPAA — with the guideline reference for every answer. Click to reveal the answer and explanation.

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The NHA CCMA exam has 180 questions — 150 scored plus 30 unscored pretest — a 3-hour (180-minute) time limit, and a passing score of 390/500 (about 78%). The 10 free practice questions below follow that blueprint and multiple-choice format, and every answer includes the guideline reference behind it.

These 10 sample questions represent the type of questions you will encounter on the NHA CCMA exam. Each question covers a specific clinical area of the official blueprint — vital signs and patient intake, phlebotomy and the order of draw, medication administration, HIPAA, infection control, EKG, and point of care testing.

Click the Show Answer button under each question to see the correct answer, a detailed explanation, and the guideline reference. Use these questions to practice your clinical reasoning and identify areas that need more study.

CCMAPractice has 1,200+ CCMA practice questions covering all thirteen blueprint chapters — from foundational knowledge and anatomy to phlebotomy, EKG, and medical law and ethics. Sign up for free to access the full question bank with adaptive difficulty, timed simulations, and AI-powered explanations.

Want the numbers behind the test first? See the full CCMA exam structure breakdown (question counts, timing, scoring and the 13 domains), then follow the 8-week CCMA study checklist to turn practice into a plan.

1Vital Signs

A medical assistant records a patient’s vital signs: blood pressure 118/76 mmHg, pulse 72 bpm, respirations 14/min, oral temperature 98.6°F (37°C). Which of the following is the correct interpretation?

  • A: The temperature is elevated and should be rechecked
  • B: All vital signs are within normal adult ranges
  • C: The pulse is bradycardic
  • D: The blood pressure indicates stage 2 hypertension
▶Show Answer

✅ Correct Answer: B: All vital signs are within normal adult ranges

Normal adult vital signs are approximately: blood pressure < 120/80 mmHg, pulse 60–100 bpm, respirations 12–20/min, and oral temperature about 98.6ðF (37°C). All values in this scenario fall within those ranges.

Reference: NHA CCMA Blueprint Ch. 3 (Patient Intake and Vitals)

2Phlebotomy — Order of Draw

During venipuncture, which tube should be collected FIRST when using the evacuated tube system?

  • A: Lavender-top (EDTA) tube
  • B: Light blue-top (sodium citrate) tube
  • C: Blood culture bottles (yellow-top or culture media)
  • D: Red-top (serum) tube
▶Show Answer

✅ Correct Answer: C: Blood culture bottles (yellow-top or culture media)

The standard order of draw begins with blood culture bottles to prevent contamination by additives from other tubes, followed by light blue (coagulation), red/SST (serum), green (heparin), lavender (EDTA), and gray (fluoride) tubes.

Reference: NHA CCMA Blueprint Ch. 8 (Phlebotomy); CLSI order of draw

3Medication Administration

Which of the following is NOT one of the five rights of medication administration?

  • A: Right patient
  • B: Right medication
  • C: Right diagnosis
  • D: Right dose
▶Show Answer

✅ Correct Answer: C: Right diagnosis

The five rights of medication administration are: right patient, right medication, right dose, right route, and right time. "Right diagnosis" is not one of the five rights.

Reference: NHA CCMA Blueprint Ch. 4 (General Patient Care Part 1)

4HIPAA

A patient’s family member calls the clinic and asks for the patient’s lab results. The patient has not authorized this disclosure. What should the medical assistant do?

  • A: Provide the results since the caller is family
  • B: Politely explain that protected health information cannot be shared without the patient’s authorization
  • C: Provide partial results but not the diagnosis
  • D: Ask the caller to come in person to receive the results
▶Show Answer

✅ Correct Answer: B: Politely explain that protected health information cannot be shared without the patient’s authorization

Under the HIPAA Privacy Rule, protected health information (PHI) may only be disclosed with the patient’s written authorization (or another permitted exception). Family members are not automatically entitled to PHI without authorization.

Reference: HIPAA Privacy Rule; NHA CCMA Blueprint Ch. 13 (Medical Law and Ethics)

5Infection Control

According to the CDC, which of the following is the single most important practice for preventing the spread of infection in healthcare settings?

  • A: Wearing a mask at all times
  • B: Hand hygiene
  • C: Isolating every patient
  • D: Sterilizing all instruments daily
▶Show Answer

✅ Correct Answer: B: Hand hygiene

The CDC identifies hand hygiene as the single most important practice to reduce the transmission of infectious agents in healthcare settings. It should be performed before and after patient contact, after glove removal, and when moving from a contaminated to a clean body site.

Reference: CDC Hand Hygiene Guidelines; NHA CCMA Blueprint Ch. 6 (Infection Control and Safety)

6Phlebotomy — Tube Additives

A lavender-top (EDTA) tube is used for which of the following laboratory tests?

  • A: Prothrombin time (PT/INR)
  • B: Complete blood count (CBC)
  • C: Blood glucose
  • D: Electrolyte panel
▶Show Answer

✅ Correct Answer: B: Complete blood count (CBC)

The lavender-top tube contains EDTA, an anticoagulant used for hematology tests such as the complete blood count (CBC). PT/INR uses a light blue (sodium citrate) tube; glucose may use gray (fluoride) or SST tubes depending on the test.

Reference: NHA CCMA Blueprint Ch. 8 (Phlebotomy)

7Medication Administration — Routes

A medication is administered into the subcutaneous layer of the upper arm. Which route of administration is this?

  • A: Intramuscular (IM)
  • B: Intravenous (IV)
  • C: Subcutaneous (SUBQ)
  • D: Intradermal (ID)
▶Show Answer

✅ Correct Answer: C: Subcutaneous (SUBQ)

Subcutaneous (SUBQ) injections are delivered into the subcutaneous tissue, just below the skin — common sites include the upper arm, abdomen, and thigh. Common SUBQ medications include insulin and heparin.

Reference: NHA CCMA Blueprint Ch. 4 (General Patient Care Part 1)

8EKG

When performing a 12-lead EKG, where is the V1 precordial lead placed?

  • A: Fourth intercostal space, left sternal border
  • B: Fourth intercostal space, right sternal border
  • C: Fifth intercostal space, midclavicular line
  • D: Left anterior axillary line
▶Show Answer

✅ Correct Answer: B: Fourth intercostal space, right sternal border

V1 is placed in the fourth intercostal space at the right sternal border. V2 is at the fourth intercostal space at the left sternal border; V4 is at the fifth intercostal space at the midclavicular line.

Reference: NHA CCMA Blueprint Ch. 9 (EKG and Cardiovascular Testing)

9Point of Care Testing

A point-of-care glucose test is performed on a capillary blood sample obtained by fingerstick. Which CLIA category applies to most glucose meter testing performed in physician offices?

  • A: Waived testing
  • B: Moderate complexity testing
  • C: High complexity testing
  • D: Provider-performed microscopy
▶Show Answer

✅ Correct Answer: A: Waived testing

Most glucose meter (glucometer) tests performed in physician offices are CLIA-waived — simple, low-risk tests with a low probability of error. Waived tests are the most common category in ambulatory settings.

Reference: CLIA Waived Testing; NHA CCMA Blueprint Ch. 7 (Point of Care Testing and Laboratory Procedures)

10Patient Intake

During patient intake, a patient reports chest pain that began 30 minutes ago and rates it 7/10. Which is the MOST appropriate action for the medical assistant?

  • A: Complete the intake forms and continue as scheduled
  • B: Notify the provider or clinical supervisor immediately and monitor the patient
  • C: Instruct the patient to take an aspirin and lie down
  • D: Document the complaint and tell the patient to call 911 if it worsens
▶Show Answer

✅ Correct Answer: B: Notify the provider or clinical supervisor immediately and monitor the patient

Chest pain is a potentially life-threatening complaint. The medical assistant should notify the provider or clinical supervisor immediately, keep the patient comfortable, and monitor vital signs. Medical assistants should not independently diagnose, treat, or triage beyond their scope.

Reference: NHA CCMA Blueprint Ch. 3 (Patient Intake and Vitals); scope of practice

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CCMA Practice Test FAQ

How many questions are on the NHA CCMA exam?▼
The NHA CCMA exam delivers 180 questions: 150 scored questions plus 30 unscored pretest questions used to validate future exam items. You get 3 hours (180 minutes), and the passing score is 390 out of 500, about 78%. Confirm the exact numbers in the current official NHA CCMA candidate handbook for your exam window.
How many free CCMA practice questions are on this page?▼
This page gives you 10 free NHA CCMA-style practice questions, each with the correct answer, a clinical explanation, and the guideline reference behind it. They cover vital signs, order of draw, medication administration, HIPAA, infection control, EKG lead placement, and CLIA-waived point of care testing. No signup is required to use them.
Are these the actual NHA CCMA exam questions?▼
No. The NHA does not release live exam items. These are NHA CCMA-style questions written to the official blueprint and the same multiple-choice format you will see on exam day, so you practice clinical reasoning rather than memorized answers.
What score do you need to pass the CCMA exam?▼
You need a scaled score of 390 out of 500 — roughly 78% — to pass the NHA CCMA exam. Only the 150 scored questions count toward that score; the 30 pretest questions do not.
What topics do the free CCMA practice questions cover?▼
The 10 questions sample the highest-yield clinical areas of the 13-chapter blueprint: patient intake and vital signs, the order of draw and tube additives in phlebotomy, the five rights of medication administration and injection routes, HIPAA and protected health information, CDC hand hygiene, 12-lead EKG lead placement, and CLIA-waived point of care testing.
Do I need an account to use the free CCMA practice test?▼
No account is needed for these 10 questions. A free CCMAPractice account unlocks the full 1,200+ question bank across all 13 blueprint chapters, with adaptive difficulty, timed simulations, and AI Tutor explanations.

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