CONFUSING sections of the HHA exam? Find out which ones here!



The home health aide (HHA) exam is an important examination because it will determine if you can get a job as a home health aide.

The examination is quite extensive and covers all the skills that are needed for this job. You will have to know how to take care of wounds, administer medications, give injections and make referrals.

Do I need to take the home health aide exam?

If you want to start a career in health care, becoming certified as a HHA is the best way to go. Not only does it give you the skills and experience but also gives your resume legitimacy when applying elsewhere.

To become eligible for certification by agencies like Medicaid or Medicare, applicants must be able to demonstrate competency through passing tests which offers you a level of qualification.

Format of the HHA Exam

The home health competency exam is a two-part evaluation.

The first part, which is the Written Examination, requires applicants to answer ~ 100 multiple choice questions on topics such as infection control, patient safety principles and ethics.

The second part of the test is the Skills Evaluation, where you need to demonstrate your ability to perform tasks related to home care services under supervision from an experienced evaluator.

Written Examination Section of the HHA Exam

The Written Examination usually consists of seventy (70) multiple-choice questions written in English.  There can be as many as 100 questions.

Your future employer wants you to be as prepared as possible for your new job. They want the safety of their patients and staff at all times, so they are testing whether or not you know what is important in these areas before bringing you on board.

These questions are designed to educate you on things that they need to know about home health care and safety. The purpose of this examination is for you to demonstrate your knowledge in these areas by answering each question correctly.

The questions in the Written Examination test you for understanding of how home health provides patient care, as well as safety protocols. If these things are not important to you, then maybe it’s time to pursue a different profession where there is more room for error.

After you finish, your “report card” will be there waiting for you.

If it says “passed,” then congratulations!

But if it says “failed” that doesn’t mean all hope is lost. Failing does not signify hopelessness since there may be tutorial services available to provide assistance and support throughout studies so people may quickly bounce back from failure

If an applicant fails any section of the examination or does not answer all parts correctly, they will not qualify and will have to retake that section before being considered again.

This creates an additional expense for both parties involved because someone else may have already filled that position while waiting on them.”

Skills Evaluation Section of the HHA Exam

No Surprises

The Skills Evaluation is a series of timed tasks where you demonstrate your ability to work with the patients, equipment and techniques.

The Skills Evaluation tests your ability to provide direct homecare treatment activities like administering meds, changing dressings and providing basic personal care assistance.

There are approximately five (5) patient care skills that you will be evaluated on. In order to pass this section, you must perform all tasks without error and complete them within the designated time frames established.

Who Will Act as a Client?

The part of the “client” will be played by a candidate who volunteers to act as an elderly person and with patience.

While you perform your skills, speak kindly to this volunteer because it is important in caregiving when one has their own personal experience to relate back on. It also helps calm oneself while performing these tasks so that they can focus more easily during them without feeling too anxious or stressed out about being judged.

Dress Code for HHA Skills Evaluation

As you perform the Skills Evaluation of the home health aide test, be sure to wear flat shoes or sandals. You will need a loose-fitting top with short sleeves that can be rolled up – preferably something like a tank-top so it doesn’t interfere when lifting clients from their wheelchair onto bed; and nursing scrubs for pants are appropriate too. Be careful not to roll them over your knees as this would make moving on all fours very difficult.

Make sure any accessories such as watches, bracelets, rings, and earrings are removed.

For infection control purposes, you should not come to the test site with open areas/sores on your skin.

Candidates with any open areas or sores on their skin should reschedule their skills test to a later date after they heal from them completely so that we can have an effective and safe testing environment for everyone!

Performing The Tasks

The Skills List contains all of the skills that you may be asked to demonstrate during the Skills Evaluation.

Each skill represents a task that you will be asked to perform in your job and has been broken down into a series of steps, from beginning-to-end instructions on how they should look like if executed properly.

Hand-washing is #1 for the HHA

It is not always the most glamorous, but hand-washing will never be an unimportant task for home health aides. This will always be one of the tasks you need to perform.

The ability of the HHA to wash his hands is evaluated at the beginning of the assessment. This skill is not prompted, so this personal-care health assistant will not be informed that his hands need to be washed. Home care aides are required to wash their hands before and after physical contact (touching) with the patron.

The Tasks

The Skills Evaluation is a comprehensive exam on five (5) of the skills that HHA’s should know.

The evaluator will only allow you to demonstrate each skill once, so make sure they’re perfect before moving onto another one!

After demonstrating your knowledge in all areas, it’s time for cleanup and hand-washing (!) with soap and water. This step isn’t required by law but following proper hygiene practices can help keep infections at bay while taking care of patients in their homes!

There could as many as twenty (20) skills that the evaluator can chose from that you could be tested on.

Here’s a good example of some of the tasks you may be asked to perform as part of the Skills Evaluation.

Skills Evaluation Tasks

Proper Handwashing
Proper Body Mechanics
Tub or Shower Bath
Turning the Client in Bed
Bed Bath
Shampoo in Bed
Back Rub
Nail Care
Shaving the Client
Mouth Hygiene and Care
Assisting with Eating
Assisting with Dressing
Helping Client to Walk
Making an Unoccupied Bed
Making an Occupied Bed
Use of a Bedpan
Use of Urinal

Positioning of Client in Bed
Transfer Client to Sitting Position
Helping a Client to Stand
Transfer to Wheelchair, Chair or Commode
Transfer from Wheelchair to toilet
Transfer from Wheelchair to Shower & Assist w/ Shower
Weighing a Client
Measuring Intake
Measuring Urinary Output
Assisting w/ Changing Clean Dressing
Handling the Infant
Infant Bath
Assist w/ use of Hydraulic Lift
Slide Board Transfer

Example from the Skills sections

hha exam checklist example

Free download of sample Skills

Failing The HHA Exam

If you fail the Written Examination or Skills Evaluation, your Score Report will provide details on how to re-take either or both parts. A new examination fee is required each time you retake any part of the HHA Exam and must be paid by scheduling a new appointment with an additional retake fee included.

You may retake either or both sections and are eligible for certification with successful completion of skills evaluation within 12 months following your first attempt at any part (or all) of HHA Examination.

State and federal regulations may allow you three attempts to pass both the Skills Evaluation and Written Examination. If successful, certification is granted immediately after passing the skills evaluation within 24 months of your first attempt at either part or both parts.

If unsuccessful in any given section, a Board-approved training course must be completed before reattempting that particular test again (3 total retakes allowed).

Passing The HHA Exam

Once you have passed both the Written Examination and the Skills Evaluation, you may apply to be certified as a HHA.

When your application has been approved by the Board of Nursing, you will be mailed out an official certification document for safekeeping in addition to updating your status on an online state database so that other healthcare professionals can see that you are able-bodied enough!

Once one passes their exams with flying colors (and meets all requirements), then they can take advantage of being officially certified as a Home Health Aide – or even better yet, becoming qualified at this point in time means not getting lost among those who’ve either failed or never taken them up until now!


If you are considering a career in home health care, it is important to know what the requirements for certification entail. The Home Health Competency Exam includes two parts: the Written Examination and Skills Evaluation.

Two Confusing Sections of HHA Exam – Frequently Asked Questions (FAQ)