LPLexPort

Exam Format and Question Count

The test contains exactly 180 multiple-choice questions, which you must complete within a 180-minute time limit. Out of these, 150 are scored and 30 are unscored pretest items.

Written and reviewed by the LexPort exam-prep team, led by our Founder & Exam-Prep Lead. LexPort builds certification practice questions — this is exam-preparation material, not medical advice. Last reviewed July 2026.

How many questions are on the test?
You will face 180 total items. Only 150 of these count toward your final score. The remaining 30 are unscored pretest items used to evaluate future test material.
What is the format of the questions?
Every item is multiple-choice. You must select the single best answer from the provided options. The entire test is computer-based.
How much time do I have to finish?
You have exactly 180 minutes. This gives you an average of one minute per item.
What score do I need to pass?
You must earn a scaled score of 390 out of 500. This translates to roughly 78 percent correct on the scored portion.
Which subject area is the largest?
Clinical Patient Care makes up the biggest portion of the test. It accounts for about 56 percent of the scored items, which equals 84 questions.
What other domains are covered?
The remaining items cover Foundational Knowledge and Basic Science, Anatomy and Physiology, Patient Care Coordination and Education, Administrative Assisting, Communication and Customer Service, and Medical Law and Ethics.
Are there any fill-in-the-blank or essay questions?
No. You will only see multiple-choice items. There are no essays, short answers, or practical demonstrations required during this computer-based session.
Are the unscored items grouped together?
The 30 pretest items are mixed randomly among the 150 scored ones. You will not know which items affect your final score, so treat every single prompt with equal effort.
How are the questions delivered?
The session is entirely computer-based. You will read and answer every item on a screen. For exact technical requirements or remote proctoring rules, check the NHA official handbook.
How can I prepare for this format?
We offer a bank of 2,300+ practice questions. Working through these helps you build stamina for the three-hour testing window and get comfortable with the single-best-answer style.

What the questions actually look like

The format is one thing; the questions are another. Here are three realistic examples. The app has 1,800+, timed and scored.

Question 1

A provider orders an urgent cardiology consultation for a patient experiencing new-onset exertional angina. The medical assistant is tasked with facilitating this referral while the patient is still in the clinic.

▸ Why B is the answer

Facilitating collaboration for an urgent referral means the medical assistant must take an active role in care coordination. Because the patient has new-onset angina and the order is urgent, calling the specialist directly (Option B) ensures a timely appointment and allows for a direct verbal handoff of the clinical context. Option A shifts the burden to the patient, risking a dangerous delay in care. Option C treats an urgent situation as routine, which could lead to adverse cardiac events before the referral is processed. Option D overrides the provider's specific order for a cardiology consult; if the provider felt the emergency department was necessary, they would have directed the patient there instead of ordering an urgent outpatient consultation.

🔑 Key takeaway

Urgent referrals require active care coordination and direct communication with the receiving specialty clinic.

Question 2

An 8-year-old child presents for an evaluation for sudden weight gain and is currently wearing a heavy winter coat. Which of the following actions should the medical assistant take to obtain an accurate weight?

▸ Why D is the answer

When a pediatric patient is undergoing an evaluation for sudden weight gain, obtaining a highly accurate measurement is essential for calculating their body mass index and guiding the provider's treatment plan. The medical assistant must instruct the patient to remove the heavy winter coat and shoes, making option D correct. Option A is incorrect because estimating the weight of clothing introduces unacceptable clinical error and compromises the integrity of the medical record. Option B is incorrect because having a parent hold the coat while standing on the scale alters the measurement entirely and adds the parent's weight. Option C is incorrect because weighing the child twice with heavy clothing still yields an inaccurate, artificially elevated weight, regardless of how many times it is repeated.

🔑 Key takeaway

Accurate pediatric weight assessment requires the removal of shoes and heavy outerwear prior to measurement.

Question 3

A patient asks the medical assistant why their surgical incision site is changing appearance six months post-surgery. The medical assistant notes that the scar is becoming flatter and paler. How should the medical assistant interpret this finding?

▸ Why D is the answer

The maturation phase, also known as the remodeling phase, can last for months or even years. During this time, collagen is reorganized, which causes the scar to become flatter and paler. Option A is incorrect because the inflammatory phase occurs immediately after injury and lasts only a few days. Option B is incorrect because hemostasis is the immediate clotting process that stops bleeding. Option C is incorrect because the proliferative phase involves active tissue rebuilding and granulation, which typically resolves within a few weeks, long before the six-month mark.

🔑 Key takeaway

The maturation phase involves collagen remodeling that causes scars to become flatter and paler over time.

1,800+

questions in the simulator

10+ yrs

exam-prep publishing

Free

5 questions · no signup

Built to help you pass faster — by exam-prep publishers with 10+ years' experience and 150,000+ books sold

  • 💡 Key Takeaways — the one transferable rule per question
  • 🔍 Hint highlights — the decisive cue phrases in each stem
  • 📖 Full rationales — why every option is right or wrong

Every CCMA question is written to the current exam outline for quick learning and a clear pass strategy.

CCMA is a credential of the National Healthcareer Association (NHA). NHA does not sponsor or endorse LexPort.

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What the full simulator adds

  • ✓Each answer explains the why, so the skill carries over to the next patient scenario
  • ✓12 practice tests of 150 questions at one minute per question, the real exam’s pace, filed under NHA’s 12 test plan areas
  • ✓Results by test plan area and a readiness line at 70% — the real cut is NHA’s scaled 390

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