Free North Carolina HHA Practice Test 2026

Study for the North Carolina Home Health Aide competency exam with state-specific practice questions aligned to DHSR requirements.

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North Carolina 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: NC Division of Health Service Regulation (DHSR)

Official registry: North Carolina Nurse Aide I Registry

North Carolina HHA Exam FAQ

What are the HHA training requirements in North Carolina?

North Carolina requires 75 hours of HHA training through a DHSR-approved program, including at least 16 hours of supervised clinical training. Programs must meet CMS 42 C.F.R. § 484.80 standards.

How many questions are on the North Carolina HHA exam?

The NC HHA written competency exam has 75 multiple-choice questions covering all 8 CMS-required domains. A skills performance evaluation is also required.

What is the passing score for the North Carolina HHA exam?

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

How many times can I retake the NC HHA exam?

North Carolina allows up to 3 attempts. After 3 failures, you must complete the full HHA training program before retesting.

How do I check my listing on the North Carolina Nurse Aide I Registry?

The NC DHSR maintains the Nurse Aide I Registry. Once you pass your competency evaluation, your training program submits your results and you can verify your status through the DHSR Health Care Personnel Registry.

Does North Carolina accept out-of-state HHA certifications?

North Carolina may recognize out-of-state HHA certifications that meet DHSR and CMS standards. Contact the DHSR Health Care Personnel Education and Credentialing section to determine whether your certification is transferable.