Free Iowa HHA Practice Test 2026

Study for the Iowa Home Health Aide competency exam with state-specific practice questions aligned to Iowa Department of Inspections, Appeals, and Licensing requirements.

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Iowa HHA Exam Facts

  • Training Hours Required: 75 hours (16 hours clinical)
  • Written Exam Questions: 75 multiple-choice questions
  • Time Limit: 90 minutes
  • Passing Score: 70% or higher
  • Exam Fee: Varies by approved training program
  • Retake Policy: 3 attempts allowed; must repeat training after 3rd failure
  • Certification Validity: 24-month renewal with 12 in-service hours
  • Governing Body: Iowa Dept. of Inspections, Appeals, and Licensing (DIAL)

Official registry: Iowa Nurse Aide Registry

Iowa HHA Exam FAQ

What are the HHA training requirements in Iowa?

Iowa requires 75 hours of HHA training through a DIAL-approved program, including at least 16 hours of supervised clinical training. Programs must comply with CMS 42 C.F.R. § 484.80.

How many questions are on the Iowa HHA competency exam?

The Iowa HHA written competency exam has 75 multiple-choice questions covering all 8 CMS-required domains. A separate hands-on skills evaluation is also required.

What is the passing score for the Iowa HHA exam?

You must score at least 70% on the written exam and correctly demonstrate at least 5 randomly selected clinical skills during the skills evaluation.

How many times can I retake the Iowa HHA exam?

Iowa allows up to 3 attempts to pass the competency evaluation. After 3 failures, you must complete the full HHA training program again before retesting.

How do I verify my certification on the Iowa Nurse Aide Registry?

Iowa DIAL maintains the nurse aide registry. Once you pass your competency evaluation, your training program or employer submits your results for listing. Verify your status through the DIAL website.

Does Iowa accept out-of-state HHA certifications?

Iowa may recognize out-of-state HHA certifications that meet DIAL and CMS standards. Contact Iowa DIAL directly to confirm whether your prior certification qualifies for transfer to Iowa.