NHA CMAA Practice Test: 83 Free Questions, Scored by the Seven Real Domains

Last verified: August 2026 · By the Castleport Test Prep Editorial Team

Start here. This free NHA CMAA practice test gives you 83 original questions written to NHA's current CMAA test plan. Take a 25-question Quick Check split the same way the real exam is weighted, or a 49-question Full Diagnostic with seven questions from every domain. You get instant results by domain, a written explanation on every question, and no sign-up. The real exam is 110 scored questions plus 25 unscored pretest questions in 2 hours 15 minutes, and you pass at a scaled score of 390 out of 500.

One thing our test does that we did not find on another free CMAA practice test when we checked in August 2026: it asks whether you were sure, unsure, or guessing — and then it uses that answer. More on why that matters in a minute, because it changes which domain you should study first.

Take the free NHA CMAA practice test

Best for you if — and not for you if

This page is built for you if:

• You have a CMAA test date and want to know what to study first, not just how you scored.
• You didn't pass and you're holding a score report that says "Near" on a domain and you don't know what to do with it.
• You want to check whether the practice questions you're already using match the exam NHA gives today.
• You want to see the reasoning behind every answer, including the ones you got right by luck.

Go somewhere else if:

• You need to register, pay, reschedule, or ask for testing accommodations. That's NHA, and nothing on this page replaces it. Start at NHA's CMAA page.
• You're taking the CCMA, not the CMAA. Different exam, different role, and different blueprints despite some overlap. Here's the CCMA practice test.
• You want fees, eligibility rules, accommodations, or test-day logistics. Those are set by NHA. Use the current NHA Candidate Handbook and NHA CMAA page. This page is about questions.
• You want real, recalled exam questions. We don't publish them and never will. Neither should anyone else — NHA's testing rules treat sharing exam content as grounds for invalidated scores and revoked credentials.

The right prep path isn't the same for every candidate — it depends on the exam version you'll actually sit, your state's requirements, if any, your test date, and the gaps you have today. The official handbook and your state's oversight body, if any, set the requirements, not a checklist. Because a general answer can't resolve those for you, take the free Castleport CMAA diagnostic above and see which domain deserves your first study hour before you spend anything.

Castleport Test Prep is an independent exam prep publisher. This free diagnostic is mapped to NHA's current published CMAA test plan, and every official exam claim on this page is tied to the source we checked.

What's actually in this NHA CMAA practice test?

Eighty-three original multiple-choice questions, written by our editorial team against NHA's published CMAA test plan and split across all seven scored domains. The 25-question Quick Check uses the same proportions NHA uses on the real exam. The 49-question Full Diagnostic uses seven questions per domain so every domain gets an even sample.

Most free CMAA practice tests hand you a pile of questions and a percentage at the end. That tells you how you did on the pile. It doesn't tell you whether the pile looked anything like the exam.

So here's exactly how ours is built, with the arithmetic shown:

The Quick Check numbers come from largest-remainder rounding — you take each domain's exact share of 25, keep the whole numbers, then hand the leftovers to the domains with the biggest fractions. Communication and Professionalism is 21 of the 110 scored questions on the real exam, so it's 5 of your 25 here. Foundational Knowledge is 10 of 110, so it's 2. You can check that against NHA's own item counts in the CMAA test plan. The share percentages and the 25-question split are our calculations from NHA's numbers.

The official test plan continues past the one-page summary into all 45 task statements and 101 knowledge statements. Open the full NHA CMAA test plan if you want to trace a question to the source.

Two things that make these questions different

Every question carries its test-plan reference. When you miss a question tagged k51, that's knowledge statement 51 in NHA's own document: types of appointment scheduling. You can open the test plan, find that exact line, and study that exact thing. We checked the free CMAA practice tests we could find in August 2026 and did not find another one that publishes this mapping.

Many are scenario questions, on purpose. NHA says exam items may require recall and critical thinking tied to a knowledge statement, a task statement, or both. Its detailed CMAA plan contains 45 task statements alongside 101 knowledge statements. Domain 4 alone has eight tasks, covering everything from determining optimal scheduling to running pre-appointment screening. A practice test made only of vocabulary definitions would miss that decision-making layer. So many of our questions put you at a desk with a decision to make.

Ownership disclosure: this practice test and every question in it were created and published by Castleport Test Prep. We're not a neutral third party reviewing someone else's tool — we built this one.

Why do we ask whether you were sure, unsure, or guessing?

Because a right answer and a lucky guess look identical in a score, and they mean completely different things for your study plan. After each question you tell us Sure, Unsure, or Guessed. We combine that with your accuracy and each domain's weight on the real exam to rank which domain deserves your first study hour.

This is the part we'd most like you to actually use.

Picture two candidates. Both score 18 out of 25. The first was confident on every question and got seven wrong because she genuinely doesn't know Billing. The second guessed on eleven questions and got lucky on four of them. Same score. Completely different next week.

A raw percentage can't tell them apart. Confidence can.

Here's the formula, in plain English and then in symbols, because you should be able to check it:

Study priority = how much that domain is worth on the real exam × (how often you missed it, weighted heavily + how shaky you felt, weighted lightly)

priority = domain share × (0.8 × miss rate + 0.2 × mean uncertainty)

Sure counts as 0 uncertainty. Unsure counts as 0.5. Guessed counts as 1.

Three deliberate choices in there, and you should know about all of them:

• Accuracy carries four times the weight of confidence. Being wrong is a bigger problem than feeling wobbly. Confidence is a tiebreaker, not the main event.
• Everything is multiplied by domain weight. Bombing a domain worth 21 questions matters more than bombing one worth 10. A study plan that ignores weighting sends you to the wrong place.
• Uncertainty raises priority even when the answer was correct. A guessed-right answer is not treated like secure knowledge; a wrong answer still carries most of the weight.

This is our editorial framework, not an NHA measurement. NHA doesn't publish anything like it. It exists because "you got 72%" is not an instruction and "start with Domain 3, then Domain 5" is.

Sound like the problem you actually have? Take the 25-question Quick Check and mark your confidence honestly — especially on the ones you'd rather not admit you guessed.

What does my CMAA practice test score actually mean?

Treat your percentage as a sample, not a prediction. NHA scores the real exam on a scaled range of 200 to 500 with 390 as passing, and it does not publish any way to convert questions-correct into a scaled score. Nobody — including us — can honestly turn 19 out of 25 into "you'll pass."

A scaled score is a converted score. NHA builds multiple versions of the CMAA exam, and some versions happen to contain harder questions than others. So instead of counting raw correct answers, NHA weights questions by difficulty and reports the result on a fixed 200–500 range. That's how 390 means the same thing whether you sat an easy form or a hard one.

The cut score itself — the 390 — is set by panels of subject matter experts using a modified Angoff method. Experts go through the exam question by question and judge whether a minimally qualified candidate would get each one right.

You will see "390 out of 500 is about 78%" on several CMAA prep sites. That number comes from dividing 390 by 500. It is not a raw-score target. NHA publishes no conversion, so "I need 86 of 110 correct" is a guess wearing a lab coat.

So what do you do with the result instead?

Read it by domain. That's the same shape as your real score report, which reports a performance band — Above, Near, or Below the passing standard — for each major content area rather than a per-area percentage.

One CMAA-specific detail that took us reading two NHA documents against each other to find, and that matters if you're retaking:

NHA's Candidate Handbook says a content area with five or fewer questions on your exam gets marked "N/A" on your score report instead of a band, because too few questions cannot support a reliable read. The smallest domain on the current published CMAA blueprint is Foundational Knowledge at 10 scored questions. Every other domain is bigger.

On the current published blueprint, no CMAA domain falls under the N/A threshold. All seven domains have at least 10 scored items, so the published structure supports a performance band for every domain.

Two more things the handbook says about those bands that people misread constantly:

• "Near" is not a pass in that area. The handbook states outright that landing in Near does not mean your performance in that content area was satisfactory. It reads like a near-miss. It isn't a compliment.
• The bands don't add up to your score. NHA says the performance categories and overall result are calculated differently, so you can't total the bands to reverse-engineer your scaled score. People try. It doesn't work.

Ready to see your own domain order? Run the Quick Check and get your priority list — it takes about 25 minutes and there's nothing to sign up for.

Is this practice test similar to the actual NHA CMAA exam?

It matches the current blueprint, the seven-domain structure, the proportional weighting, and the plan's mix of recall and critical-thinking tasks. It cannot match NHA's actual questions, its difficulty calibration, its pretest-item mix, or its scaled scoring — and any publisher claiming otherwise is telling you something they can't know.

Here's an honest side-by-side of what we match and what we don't.

That last row is the trade. NHA's exam tells you almost nothing about why. A practice test's entire job is the why.

The pretest questions nobody warns you about

Twenty-five of the 135 questions on exam day don't count. NHA is trying them out for future versions of the exam, and they are mixed in unmarked. That's 18.5% of everything you answer earning you nothing, and there is no way to identify which ones.

Some prep material treats this as a strategy tip. It isn't one, and we won't teach you to hunt for pretest questions. You can't spot them, trying wastes clock you don't have, and NHA's own handbook is explicit that pretest items are not identifiable to candidates. Answer all 135 like they count.

The 60-second-per-question thing

Do the division: 135 minutes, 135 questions. Exactly one minute each.

That sounds generous right up until you hit a coordination-of-benefits scenario and read it three times. The fix isn't reading faster. It's refusing to spend your minute on a question you were never going to solve by rereading it. Make your best choice and move. One item does not get to eat the next two.

That's what the optional timer in our tool is for. Not the score — the pacing. Turn it on for one attempt and find out whether you stall, and on what kind of question.

How do I know a CMAA practice test matches the current exam?

Count the domains. NHA's current CMAA exam has seven, and the current test plan is based on a 2021 job analysis for an exam version that went live on September 12, 2023. If your study material uses a different domain count, a different item total, or a different time limit, it is not aligned to the current published plan.

This is the quietest way to waste a month of studying, and nothing on the cover warns you. A practice test built to the old blueprint still asks reasonable-sounding questions about medical offices. It just weights them wrong and drills topics the current plan de-emphasized.

While researching this page on August 13, 2026, we found a live CMAA practice app whose store listing presents five areas as “exam domains” — Patient Scheduling, Medical Office Procedures, Healthcare Law & Ethics, Billing & Coding, and Office Communication — instead of NHA's current seven-domain structure. The point is not the publisher name. The point is that a current year in a title does not prove a current blueprint — the counts below do.

Even NHA's own site hosts an outdated item count

Here's the one that surprised us.

NHA's accreditation page publishes Job Task Analysis executive summaries for each exam. We opened the CMAA one on August 13, 2026. It describes a job analysis performed in 2014, and it states that each multiple-choice test will be made up of 100 scored items and 20 unscored pretest items.

The current test plan says 110 scored and 25 pretest.

Both documents are live on nhanow.com right now. They're not contradicting each other so much as living in different years — the live JTA summary still reflects the 2014 study rather than the current test plan. But if you land on the accreditation page first, you'll walk away with the wrong numbers.

The Candidate Handbook settles it. It tells candidates to get the number of scored questions, the number of pretest questions, and the time limit from the exam's test plan. So that's the rule: for structure, the test plan wins.

The 60-second version check

Run this on any CMAA practice test, including ours.

1. Open NHA's CMAA test plan. It's free, and the summary outline is one page.
2. Count the domains in your study material. If it isn't seven, stop using it as your main source.
3. Check the header. The current plan reads "110 Scored Items / 25 Pretest Items" and "Exam Time: 2 hours + 15 minutes," and says it's based on a job analysis completed in 2021.
4. Spot-check the domain names. Foundational Knowledge; Communication and Professionalism; Medical Law, Ethics, and Compliance; Scheduling; Patient Encounter; Billing and Revenue Cycle; Medical Practice Administrative Procedures and Logistics.
5. If it passes those checks, it's built for the exam you'll actually sit.

As of August 13, 2026, NHA's test-plan library lists separate CPCT/A plans for exams before and after January 2027, while CMAA still links one current plan. Recheck NHA's test-plan library before your test date. The 30-day retest note in NHA's change log was specific to the 2023 CMAA transition, not a standing rule to apply to every future version change.

What does NHA's own CMAA practice test give you?

NHA sells a CMAA practice test, alone or bundled with its study guide, and it includes Focused Review — a tool that turns your practice results into study recommendations. On how many attempts you get, NHA's website currently publishes two different numbers on two different pages.

We're covering this fairly because it's a real option and for a lot of candidates it's the right one. If you want practice published by NHA itself and built to the same NHA test plan, that's the product.

But attempts are the whole value proposition of a paid practice test, so this matters. Here's exactly what we found on August 13, 2026:

Sources: NHA CMAA certification page and NHA Certification Prep page. We're reporting what each page publishes. We're not going to guess which one is right — and if the number matters to your purchase, confirm it at checkout before you pay.

Two more things worth knowing before you spend money with NHA:

• Confirm the fee in your NHA account before you register. NHA requires an examination fee for each attempt and directs candidates to its website for the applicable amount. We could not verify a CMAA-specific checkout price from NHA's public, JavaScript-gated store, so this page does not publish a dollar figure.
• NHA Mobile flashcards aren't available for CMAA. There's a footnote on NHA's Certification Prep page listing CMAA among the products without flashcards. If your plan was to review on the NHA app between shifts, plan differently.

Official-source rule: registration, fees, eligibility, accommodations, score reporting, and retake policy belong to NHA, not to us. Every one of those answers is in the NHA Candidate Handbook or on NHA's CMAA page, and we'll send you there first every time. That is why this page sends you to the official source first instead of standing in front of it.

Are free CMAA practice questions enough to pass?

Free questions are enough to find your weak spots. They are not enough to be your whole study plan. Twenty-five or 49 questions can't cover 146 separate task and knowledge statements, and they can't simulate sitting still for 135 questions in 2 hours 15 minutes.

Now the part we'd rather you hear from us than notice on your own.

Our CMAA bank is 83 questions. A live CMAA app listing we checked advertises hundreds of questions, and NHA's own practice test can be attempted multiple times. If raw volume is what you're after, we are not the biggest option among the options checked for this page, and we're not going to pretend otherwise.

Here's why we built it this way anyway, and you can decide whether the trade is worth it.

Every question in our bank is mapped to a numbered statement in NHA's test plan, carries a written explanation, and was written after we read the detailed outline line by line. That's slower to produce than volume. It also means when you miss one, you get a study instruction instead of a wrong-answer tally. A 200-question bank with no blueprint mapping tells you that you're weak "in billing." Ours tells you that you're weak on the difference between a rejection and a denial, and points you at the task statement it came from.

And if volume is genuinely what you need next, use both. Run our diagnostic to find the domain, then drill volume — ours, NHA's, or anyone's that passes the version check above. Nothing about this is exclusive.

One more thing while we're being direct: we don't offer a pass guarantee. If a money-back pass guarantee is the thing you want, some prep companies offer one — read the eligibility, completion, and refund terms before you count on it. We put that effort somewhere else: original questions written to the published blueprint, every official claim tied to a named document with the date we read it, and a public corrections log when we get something wrong.

Castleport does not currently sell any paid CMAA product. There is nothing on this page to buy and no upsell behind the practice test. When that changes, this page will say so plainly.

When free questions are enough for today

• You have three or more weeks and you're trying to figure out where to start.
• You just finished a program and want a reality check before you book.
• You failed, you have a score report, and you need to know whether the report matches your actual weak spots.

When you need more than free questions

• You have less than two weeks and you're missing more than a third of the questions.
• Your misses are spread across four or more domains, which usually means a content gap rather than a practice gap.
• You've taken this diagnostic twice and your weakest domain hasn't moved.

What should I study first after this NHA CMAA practice test?

Start with the single domain your result ranks first, not with everything at once. Below is what "first" actually means for each of the seven domains, keyed to the specific statements in NHA's test plan so you can go straight to the source instead of rereading a whole study guide.

This is our editorial guidance built on the verified test plan — not an official NHA study sequence.

If your weakest domain is Communication and Professionalism (21 of 110 scored questions)

The biggest domain on the exam, tied with Patient Encounter. It is also the one people assume they'll pass on instinct because they've worked a front desk.

Don't study "communication." Study the nine task statements. They're specific: adapting communication for language barriers and sensory or physical disabilities, managing difficult customer service situations, relaying communications between parties, providing pre- and post-procedure instructions as prescribed, and knowing when to escalate. The test plan also names gender identity, expression, and use of pronouns as a knowledge statement — treating it as filler leaves a published knowledge statement uncovered.

Drill the escalation and scope questions hardest. They're the ones where the intuitive answer and the correct answer split.

If your weakest domain is Patient Encounter (21 of 110)

The other biggest domain, and the one with the most terminology that sounds interchangeable and isn't.

Get these five nailed down cold before you do anything else: copay versus coinsurance, referral versus prior authorization versus predetermination, EOB versus ERA, the birthday rule, and when an Advance Beneficiary Notice is issued. That's five knowledge statements carrying a lot of the domain. If you can explain each one out loud in one sentence without hedging, you've moved the needle.

If your weakest domain is Medical Law, Ethics, and Compliance (17 of 110)

The trap domain. It's only 15.5% of the exam but it has more separate material behind it than any other domain — HIPAA, OSHA, Joint Commission standards, consent types, mandatory reporting, scope of practice, and record retention all fighting for 17 questions.

You cannot fix this by reading more. You fix it by drilling until you can tell the concepts apart. The four highest-yield distinctions: the four HIPAA culpability tiers, implied versus expressed versus informed consent, fraud versus abuse, and what may be disclosed without authorization. Learn those four and you've covered a disproportionate share of what this domain asks.

If your weakest domain is Scheduling (16 of 110)

Almost always the same fix: you don't have the appointment types straight.

Time-specified, wave, modified wave, double booking, open booking, block. Six terms, one knowledge statement (k51), and they show up as scenarios rather than definitions — "three patients are booked at the top of each hour and seen in arrival order" instead of "define wave scheduling." Learn them by the pattern they describe, not the label.

After that, the duplicate-record procedures. Searching maiden and married names and using two identifiers are both named explicitly in the plan.

If your weakest domain is Administrative Procedures and Logistics (14 of 110)

The forgotten domain. It's bigger than Billing and most study guides give it a page.

Terminal-digit filing, telephone procedure including hold management, petty cash and end-of-day reconciliation, downtime procedures when the EHR goes down, ADAAA compliance, inventory, and data backup. These are concrete and learnable in an afternoon. If this domain is your weakest, it is also your fastest fix — probably the best return on a single study session anywhere on this exam.

If your weakest domain is Billing and Revenue Cycle (11 of 110)

The smallest domain except Foundational Knowledge, so don't over-invest — but don't skip it either, because it's dense.

Priorities in order: the phases of the revenue cycle and how the front end creates back-end denials, the difference between a rejection and a denial, what a clearinghouse actually does, and how to read an aging report. Add reason codes and remark codes if you have time. Eleven questions is worth roughly one focused session, not a week.

If your weakest domain is Foundational Knowledge (10 of 110)

The cheapest points on the exam, and here's a detail we noticed reading the detailed outline: this is the only CMAA domain with zero task statements. Every other domain mixes things you must know with things you must be able to do. Domain 1 has 12 knowledge statements and 10 scored questions. That makes it the most flashcard-friendly part of the blueprint, but NHA can still write knowledge-statement items that require critical thinking.

Delivery models, record types, EHR and EMR components, medical terminology including the Joint Commission "Do Not Use" list, and basic anatomy and physiology at a recognition level. If this is your weakest domain, it is still one of the fastest to tighten.

Got your domain? Good — that's the hard part done. Drill that one domain here until the explanations stop surprising you, then take a fresh mixed draw to see whether the priority order changes.

How should I use a practice test in my last two weeks?

Stop using practice tests to check your score and start using them to run a diagnosis. Take one mixed draw to find your weakest domain, drill that domain until the explanations stop teaching you anything new, then take a mixed draw again with the timer on. Three uses, three different jobs.

This is our recommendation, but it's built on what NHA's own handbook tells candidates preparing for a retake: spend considerable study time on the content areas where you scored Below or Near, and don't assume the Above areas can be dropped, because a band is a range and Above can sit anywhere inside it.

Days 14–13 — baseline. Take the 49-question Full Diagnostic cold. No notes, no timer. Write down your top two priority domains. That's the whole job for those two days.

Days 12–5 — drill, don't review. Single-domain mode on your top priority. Read the explanation on every question, including the ones you got right, because a lucky guess and real knowledge score identically. When you can predict the explanation before you read it, move to your second domain.

Days 4–2 — pacing. Mixed draw with the timer on, at 60 seconds a question. Ignore the score. You're looking for one thing: do you stall, and on what kind of question?

Day 1 — stop studying. Confirm your current government-issued photo ID, your registration address and any proof of address NHA requires if they differ, your venue, and your start time. Nothing you learn on the last day survives the night.

One thing not to do: don't memorize our questions. NHA's handbook says the questions on a practice exam are not the same questions that appear on the certification exam, and that a high practice score does not guarantee you will pass. That applies to ours as much as anyone's. The explanation is the product. The question is just how it gets delivered.

Are these real NHA CMAA exam questions?

No. Every question on this page is an original item written by the Castleport Test Prep Editorial Team against NHA's publicly published CMAA test plan. We have no access to NHA's live question bank, we do not use recalled or leaked exam content, and we are not affiliated with or endorsed by NHA.

You should be suspicious of anyone who claims otherwise, and not only because it's dishonest.

When you register for an NHA exam, you attest that you will not reproduce, memorize, or share exam questions, and that all assessment questions are copyrighted property. NHA's rules of conduct treat theft of exam content as grounds for invalidated scores, revoked credentials, and a ban from future NHA exams — and NHA reserves the right to report violations to your school, your employer, and licensing bodies.

Studying from recalled questions puts your certification at risk to learn material that was probably retired anyway. It's a bad trade twice over.

How we actually produced these questions: we read NHA's detailed CMAA test plan — all 45 task statements and all 101 knowledge statements — and wrote items against specific statements, keeping the proportions NHA publishes. Each item names the statement it was written to. Explanations are grounded in the governing authority where one exists, such as The Joint Commission's official "Do Not Use" list for the abbreviation questions. Then we counted the bank by domain to confirm the proportions actually held.

Castleport Test Prep is an independent publisher of exam preparation materials and is not affiliated with, endorsed by, or approved by the National Healthcareer Association (NHA), Assessment Technologies Institute, PSI, or any certifying body, testing vendor, or licensing board. Exam and credential names are used descriptively for identification only. Castleport claims no ownership of third-party names or marks.

This page is study guidance, not legal, licensing, or career advice. State requirements for medical administrative assistants, if any, vary — confirm yours with your state's oversight body. Eligibility, registration, fees, accommodations, scoring, and retake rules are set by NHA and stated in the current NHA Candidate Handbook, which controls over anything written here. We do not offer a pass guarantee and do not predict exam outcomes.

What we actually verified for this page

Everything below was read directly from the source named, on August 13, 2026, by the Castleport Test Prep Editorial Team. This list contains only checks we actually performed. Where something couldn't be verified, this page says so instead of filling the gap.

Checked against NHA's CMAA test plan:

• The seven domain names, the scored item counts totalling 110, the 25 pretest items, and the 2 hours 15 minutes time limit.
• All 45 task statements and all 101 knowledge statements, counted from the detailed outline and reconciled by script.
• That Domain 1 (Foundational Knowledge) contains no task statements at all.
• That the current plan is based on a job analysis completed in 2021.

Checked against the NHA Candidate Handbook, updated 06/01/2026:

• The 390 passing score on a 200–500 scaled range, and the modified Angoff method used to set it.
• That no raw-score-to-scaled-score conversion is published anywhere in the document.
• The Above / Near / Below performance bands; that "Near" is explicitly not satisfactory; and that bands cannot be added to reach the overall outcome.
• The rule marking a content area "N/A" when it has five or fewer questions.
• That pretest questions are unscored and not identifiable to candidates.
• That the test plan — not the handbook — is where candidates get question counts and time limits.
• The retake structure: a 30-day wait, three attempts, then a one-year wait after each repeated failure past the third, with the full fee due each time.

Checked on NHA's website:

• The CMAA exam version launch date of September 12, 2023, in NHA's product change log.
• That NHA's test plan library lists exactly one current CMAA plan.
• That NHA's test-plan library currently lists separate CPCT/A plans for exams before and after January 2027 while linking one current CMAA plan.
• The two different practice-test attempt figures — six on the CMAA certification page, five on the Certification Prep page — read on the same day.
• The footnote stating NHA Mobile flashcards are not currently available for CMAA.
• The CMAA Job Task Analysis executive summary on NHA's accreditation page, which describes a 2014 study and states 100 scored items and 20 pretest items.
• The versioned 2025 annual pass-rate report: 10,848 CMAA examinations administered, 63.24% passing, and 18,447 active certifications.
• That NHA requires an exam fee for each attempt, but a CMAA-specific checkout price was not verifiable from the public JavaScript-gated store.

Checked in our own tool and bank:

• 83 items, distributed 10 / 14 / 13 / 12 / 14 / 10 / 10 across the seven domains.
• The Quick Check apportionment of 2 / 5 / 4 / 4 / 5 / 2 / 3, verified by script against NHA's item counts.
• That every item carries a test-plan reference and a written explanation.
• That the standalone component contains no browser storage or network calls for answers, scores, or confidence selections; site-level analytics must remain outside those response values.

What we could not verify — and therefore did not publish:

• The current CMAA-specific checkout fee. The handbook directs candidates to NHA's website for the applicable amount, but the public JavaScript-gated store did not expose a CMAA-specific checkout price we could verify. Confirm the amount in your NHA account before paying.

Professional review status: a named subject-matter reviewer for the CMAA has not yet completed a review of this page. We publish reviewer names only after a real review, with the reviewer's credential, scope, and date. An empty reviewer list is more honest than a fabricated one. See current reviewer status · Read the corrections log · Audit our methodology

NHA CMAA practice test: straight answers

Short answers to what CMAA candidates ask right after taking a practice test. Every official figure below is verified against the NHA document named in the sources section, read on August 13, 2026.

Is this NHA CMAA practice test really free?

Yes. Eighty-three original questions, instant scoring by domain, a written explanation after every answer, and no email, account, or payment. The standalone tool code does not store or transmit your answers, scores, or confidence selections.

How many questions are on the NHA CMAA exam?

One hundred thirty-five total: 110 scored and 25 unscored pretest questions, per NHA's current CMAA test plan. You get 2 hours and 15 minutes, and you can't tell which ones are pretest.

What is a passing score on the CMAA exam?

A scaled score of 390 on a 200–500 range, which is the same passing standard NHA uses for all its certification exams. It is not a percentage of questions correct.

How many questions can I get wrong and still pass the CMAA?

Nobody can tell you honestly. The exam is scored on a scaled range with questions weighted by difficulty, and NHA publishes no conversion from raw score to scaled score. Any specific number you see is an estimate presented as a fact.

Are 25 questions enough to know whether I'll pass?

No, and we won't pretend otherwise. Twenty-five questions can point toward a weak domain. They cannot predict a 135-question exam scored on a proprietary scale. Use the result to decide what to study, not to decide whether to feel confident.

Are any of the exam questions unscored?

Yes — 25 of the 135. NHA uses them to try out questions for future exam versions. They don't affect your score, they're mixed in unmarked, and they're not identifiable to candidates.

Can I identify the pretest questions?

No. NHA's handbook states plainly that candidates are not aware which questions are scored and which are pretest. Answer all of them as if they count, because for practical purposes they do.

How is the CMAA practice test scored on this page?

By domain, not as a single percentage. You get your accuracy in each of the seven domains, your confidence pattern, and a ranked study priority. Those rankings are ours, not NHA's, and can't be compared to NHA's performance bands.

Is the CMAA the same exam as the CCMA?

No. The CMAA is administrative — scheduling, intake, records, billing, front-office logistics. The CCMA is clinical and much larger, at 150 scored questions in three hours. They're different exams with different test plans. Start with Castleport's medical-assisting credential overview.

How hard is the CMAA exam?

Harder than its reputation as "the easy administrative one." NHA reports 10,848 CMAA examinations administered in 2025, with 63.24% passing — the second-lowest published rate among its eight exams. The report is organized by examinations administered and does not state a first-attempt rate.

Does NHA offer its own CMAA practice test?

Yes, sold on its own or bundled with the study guide, and it includes Focused Review. NHA's website currently lists two different attempt limits on two different pages — six on one, five on the other. Confirm the number at checkout.

Does NHA offer CMAA flashcards?

Not through NHA Mobile. A footnote on NHA's Certification Prep page lists CMAA among the products without flashcards.

When can I retake the CMAA if I don't pass?

After a 30-day waiting period. NHA allows three attempts with a minimum of 30 days between attempts, then requires a one-year wait after each repeated failure beyond the third. You re-register and pay the full examination price for each retake. Read NHA's current Candidate Handbook before scheduling.

Are these actual NHA exam questions?

No. They're original questions written to NHA's published CMAA blueprint. We have no access to NHA's live question bank and we don't use recalled exam content.

Can I take the practice test without creating an account?

Yes. No account, no email, no payment. The standalone tool code does not store or transmit your answers or result.

Can I retake the Castleport practice test?

Yes, as many times as you want. The bank is large enough that a repeat Quick Check can pull a different mix of questions in most domains. There's no saved attempt history — if you want to compare attempts, write the numbers down or print the result.

Does Castleport sell CMAA study materials?

Not yet. No paid Castleport CMAA Exam System is live as of August 13, 2026. There's nothing on this page to buy.

Do you guarantee I'll pass?

No. We don't offer a pass guarantee and we won't imply one. NHA's own materials state that using preparation materials does not guarantee a passing score.

Sources

Every official claim on this page traces to one of these documents. Where two NHA documents disagree, we publish both and name the handbook as controlling. All were read directly on the date shown.

1. NHA Certified Medical Administrative Assistant (CMAA) Test Plan — based on a job analysis completed in 2021; summary and detailed examination outlines. Read August 13, 2026.
2. NHA Candidate Handbook — updated 06/01/2026; scoring, score reports, retaking the exam, testing rules of conduct, cut scores. Read August 13, 2026.
3. NHA CMAA certification page — eligibility, steps to certification, CMAA preparation products. Read August 13, 2026.
4. NHA Certification Prep page — study packages, practice test attempts, NHA Mobile flashcard availability, test plan library. Read August 13, 2026.
5. NHA Help Center, Product & Cert Portal Updates — CMAA exam available September 12, 2023; current pending version changes. Read August 13, 2026.
6. NHA Accreditation page and CMAA Job Task Analysis executive summary — 2014 study; 100 scored items and 20 pretest items. Read August 13, 2026.
7. NHA Annual Pass Rates for Examinations Administered in 2025 — 10,848 CMAA examinations administered, 63.24% passing, and 18,447 active certifications. Revised January 9, 2026; read August 13, 2026.
8. The Joint Commission, official "Do Not Use" list of abbreviations — used for questions written to test-plan statement k8. Read August 13, 2026.
9. HHS HIPAA guidance on patient-requested email, family and friends, workers' compensation, and medical-record retention — used in the audited regulatory rationales. Read August 13, 2026.
10. CMS Fee-for-Service ABN guidance and CMS signature guidance — used in Medicare and documentation rationales. Read August 13, 2026.
11. OSHA Hazard Communication standard, 29 CFR 1910.1200 — used for the Safety Data Sheet rationale. Read August 13, 2026.
12. Apple App Store listing for “CMAA Practice Test” — the listing advertises hundreds of questions and identifies five content areas as “exam domains”; used only as a dated, inspectable market example. Read August 13, 2026.

Who wrote this, and what happens when we're wrong

Written and maintained by the Castleport Test Prep Editorial Team. Castleport Test Prep is an independent exam prep publisher. This page and its free diagnostic are mapped to NHA's current published CMAA test plan.

Every practice question on this page was written to NHA's published CMAA test plan and mapped to a specific task or knowledge statement in it. Every official claim was read from the primary document named beside it, on August 13, 2026.

When we get something wrong, the correction says what was wrong, what replaced it, and when — dated and public, never quietly edited. Read the corrections log.

Last verified: August 2026. Pass-rate reports, handbooks, and exam plans can change. Recheck the dated sources after any NHA version announcement or new annual pass-rate report.