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May 12, 2026

Free CNA Practice Test Massachusetts — NNAAP Exam Prep Guide

Everything Massachusetts CNA candidates need to know — exam format, Prometric testing locations, training requirements, and free NNAAP practice tests to help you pass on your first try.

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Massachusetts CNA Certification Overview

To become a Certified Nurse Aide in Massachusetts, you must complete a state-approved CNA training program and pass the Massachusetts Nurse Aide Competency Evaluation administered by Prometric on behalf of the Massachusetts Department of Public Health (DPH). Massachusetts requires a minimum of 75 hours of CNA training, including at least 16 hours of supervised clinical practice. Many Massachusetts programs exceed this minimum given the state's strong healthcare workforce standards. The exam has two parts: • A written (or oral) knowledge test: 70 multiple-choice questions, 90 minutes • A clinical skills evaluation: demonstration of 5 randomly selected nurse aide skills You must pass both parts to be listed on the Massachusetts Nurse Aide Registry. The passing score is 70%.

Massachusetts CNA Written Exam — What Is Tested

The Massachusetts written exam uses the NNAAP format. All 70 questions come from six content areas: • Physical Care Skills (45%) — bathing, grooming, feeding, transfers, positioning, catheter care, elimination • Safety & Emergency Procedures (14%) — fall prevention, RACE fire protocol, Heimlich maneuver, seizure response • Infection Control (14%) — handwashing, PPE donning and doffing order, isolation precautions • Resident Rights (11%) — OBRA regulations, right to refuse care, privacy, abuse reporting • Psychosocial Care Skills (8%) — therapeutic communication, dementia care, end-of-life support • Role of the Nurse Aide (8%) — scope of practice, documentation, chain of command Massachusetts has one of the most competitive healthcare markets in the country. Candidates who are thorough across all six content areas will be best positioned for both the exam and employment.

Massachusetts Prometric Testing Locations

The Massachusetts CNA written exam is administered at Prometric testing centers throughout the state: • Boston • Worcester • Springfield • Lowell • Cambridge • New Bedford • Brockton • Quincy • Lynn • Fall River To find the nearest Prometric center and available exam dates, visit prometric.com and search for Massachusetts nurse aide. Boston and Worcester have the most testing availability — register promptly after receiving your authorization.

Massachusetts CNA Skills Test — What to Expect

The clinical skills evaluation is held at a Prometric skills testing site. You will demonstrate 5 randomly selected skills before a trained evaluator. Handwashing is evaluated with every skill — perform it at the start and end of each demonstration. Massachusetts evaluators pay close attention to infection control steps and resident dignity throughout the skills test. Commonly tested skills include: • Handwashing • Measuring and recording blood pressure • Providing catheter care for a female resident • Transferring a resident from bed to wheelchair using a gait belt • Positioning a resident in Fowler's position • Providing passive range of motion for the shoulder and elbow • Providing mouth care The Massachusetts Nurse Aide Candidate Handbook is available on the Prometric website.

How to Prepare for the Massachusetts CNA Exam

Massachusetts first-attempt written exam pass rates are approximately 70–75%. Consistent practice testing is the most effective preparation strategy. 1. Take a full diagnostic 70-question practice test before studying. 2. Prioritize Physical Care Skills — 45% of the exam. 3. Study Resident Rights carefully — Massachusetts facilities place strong emphasis on resident dignity and OBRA protections. 4. Run at least one full timed 90-minute practice test before exam day. 5. Target 80% on practice tests before your real exam. CertPrepAcademy.com offers a free 70-question NNAAP practice test with 501 questions — no account required.

After You Pass — Massachusetts Nurse Aide Registry

After passing both parts of the Massachusetts exam, your name is added to the Massachusetts Nurse Aide Registry maintained by DPH. Massachusetts employers must verify registry status before hiring nurse aides in licensed facilities. Your Massachusetts CNA certification is valid for 24 months. To maintain active status, you must work as a nurse aide for at least 8 hours for pay during each renewal period. Lapsed certifications require retaking the competency exam. Registry status can be verified through the Massachusetts DPH website.

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