Free full-length CCMA® practice test

The real CCMA exam is 180 questions in 3 hours. Before building this, we went looking for a free NHA CCMA practice test that matched it, and as of September 15, 2026 we could not find one anywhere.

What is actually out there: the first page of Google for "ccma practice test" is mostly Reddit threads, Quizlet decks, a Facebook group, Amazon listings, and app store pages. The purpose-built prep sites that do rank serve 25-question and 50-question sets — one of them tells you to take its set timed and give yourself an hour, which is a length and a clock that belong to no exam anyone sits. The closest things to a full-length CCMA run are behind paywalls: one charges $29.95 for 30 days of access, another is app-only.

So here is ours, and it is free.

180 questions. 3 hours. 150 scored, 30 unscored pretest items. Drawn at the National Healthcareer Association's (NHA®) exact per-domain item counts. Identical exam structure — not identical questions, and you should be suspicious of anyone who tells you they have those.

What the free run actually is

That last row is the only one where the two columns differ, and the reason is explained below. We are not going to pretend it away.

Here is the distribution the 150 scored questions are drawn to, straight from NHA's current test plan:

Two details in that table are worth pausing on. The first is that Clinical Patient Care is 84 of 150 questions — more than everything else put together, and your practice should feel like that. The second is the 3A–3F breakdown: NHA publishes those subdomain counts, and essentially nobody in this niche builds to them. It is the difference between "some phlebotomy questions" and 12 phlebotomy questions and 6 EKG questions, which is what your form will hold.

Why the 30 pretest questions are in there

The real exam presents 30 unscored pretest items and does not tell you which ones they are. You answer 180 questions, and 30 of them do nothing to your score.

We reproduce that, because leaving it out would make our run shorter and easier than the thing you are training for. No other CCMA practice tool we found does this. It is not a gimmick — it is 30 more questions' worth of sustained attention, which is exactly what exam day asks of you.

The five modules

The full-length run is one option. The other is to work a domain at a time. The five modules map onto NHA's blueprint and sum to exactly 150 scored questions, so running all five covers the scored exam once, at its real weights.

The grouping is ours; the counts are NHA's. Clinical Patient Care and EKG and Phlebotomy are split apart deliberately, even though both come out of Domain 3 — phlebotomy and EKG are the two topics candidates report meeting most often, and the two most often studied in the wrong direction (rhythm strips instead of electrode placement, tube colors instead of sequence). They deserve their own 18-question run rather than being diluted inside 84.

What your results screen shows, and what it refuses to show

It shows: your raw percent correct, your scored and missed counts in every domain measured against the blueprint's counts, your timing, and a worked explanation for every question — including the ones you got right, because getting a two-defensible-answers question right by luck is worth knowing about.

It does not show a predicted scaled score, and it never will. This line sits permanently on the results screen:

The real CCMA reports a scaled score from 200–500, with 390 passing. This simulator reports your raw percentage — your real CCMA score is scaled and will differ.

The reason is arithmetic, not modesty. NHA scales scores by weighting questions according to the difficulty of the form you sat, so that 390 means the same thing on every version of the exam. The per-form difficulty parameters that drive that conversion are not public. Nobody outside NHA has them. So any tool that hands you a predicted CCMA score produced that number out of nothing, and a number produced out of nothing is worse than no number when you are deciding whether to book a $165 exam attempt (NHA's listed fee, checked September 15, 2026).

We will not guess at your scaled score, because nobody honestly can. What we will give you is the gap: which domains are under where they need to be, by how many questions, at the counts the real exam uses.

You will also not see a percentile or a class ranking here. Those require real user data we do not have yet, and inventing them is the same category of fiction as the predicted score.

Where the questions come from

Every question is original, written to NHA's published CCMA test plan — its seven domains, its 3A–3F subdomains, and its exact per-domain item counts. Each one is then independently solved by our AI before it enters the bank. If the answer cannot be verified against a published source, the question does not ship. Numeric items — conversions, dosages, insurance arithmetic — are worked through numerically rather than eyeballed, and each keyed answer carries the reasoning that got there.

What that buys you is distractors built from adjacent true facts rather than from nonsense. An order-of-draw question where the three wrong answers are real tubes in real but later positions is a question that teaches you something. A question where three answers are obviously absurd teaches you to spot absurdity.

To be explicit about what these are not. No practice provider has NHA's live items — not us, not anyone. These are not copies of exam content, not the "retired" bank several sites imply they have access to, and not anything reconstructed from what someone remembered on the drive home from a test center. NHA's item bank is its own property and it is not public. Any site implying otherwise is either making it up or describing something it should not have.

Why a 25-question set cannot tell you where you stand

Scale the real blueprint down to 25 questions and look at what you get: about 14 Clinical Patient Care questions — inside which sit roughly 2 phlebotomy and 1 EKG — plus about 3 Foundational Knowledge, 1 Anatomy and Physiology, 2 Administrative, 2 Communication, 2 Patient Care Coordination and 1 Medical Law and Ethics. One question is not a measurement of a domain. Miss it and your report says 0%; guess it and your report says 100%. Neither tells you anything you can act on.

At 150 scored questions the per-domain counts are large enough to point somewhere. Missing 5 of 12 phlebotomy questions is a signal. Missing 1 of 1 is a coin.

This is also why the full-length run is not about endurance. Candidates report the CCMA is not a time crunch — several describe finishing in 45 minutes to half the window. The value of sitting 180 questions is not survival training, it is coverage at the real weights and enough exposure to the exam's question style that the trick candidates complain about most stops surprising you: two defensible answers, one "most appropriate," and the difference between them is usually medical assistant scope of practice.

How to use it

1. Take the full-length run cold, before you feel ready. A diagnostic taken when you are prepared tells you less than one taken when you are not.
2. Read the explanation on everything you missed, and on anything you were unsure about. The explanation is the study material. The score is just the index to it.
3. Work the modules for whichever domains came back thin. Then re-run the ones that were worst.
4. Take a second full-length run close to your test date, at full length, on the clock, in one sitting.

Before your first run, it is worth ten minutes on the exam itself — the format, the current test plan, and what the 390 passing score does and does not mean.

If you want more than the free run

The full-length simulator is free, and it stays free. There are two one-time upgrades for people who want more question volume and more practice runs: Starter at $49 and Full at $89, both one-time payments rather than subscriptions. What is in each is set out on the pricing page — this page is not the place for it.

You do not need either one to take a complete, honest, full-length CCMA practice test today.

One check before you start

This is the NHA CCMA — the Certified Clinical Medical Assistant credential awarded by the National Healthcareer Association. It is not the CMA (AAMA) from the American Association of Medical Assistants, the RMA from American Medical Technologists, or the NCMA from the National Center for Competency Testing. Those are different exams with different test plans and different passing standards, and practicing for the wrong one is a costly way to spend a month. If your program or employer named a credential without naming the body behind it, confirm which one you are booked for.

More on this site

• The CCMA exam — format, the current test plan at item counts, eligibility, fees, and the 2016 versus 2022 test plan change most sites missed.
• What the 390 passing score means — scaled scoring explained, and why "78%" is not the answer.
• EKG and phlebotomy practice — the 18-question module: placement, artifacts, and waveforms, not rhythm reading.
• CCMA FAQ — retakes, recertification, test center versus remote proctoring, and the questions NHA does not publish an answer to.