Roughly four in five Certified Clinical Medical Assistant (CCMA) exams end in a pass. NHA’s 2025 figures show 98,609 CCMA exams administered with 81.73% passing, a little above 2024’s 81.38% across 78,681 exams. These rates count every exam taken, first attempts and retakes together, and the passing mark is a scaled 390 out of 500.
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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 October 2026.
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81.73%. NHA’s pass-rate report for exams administered in 2025 lists 98,609 CCMA exams with 81.73% passing.
Has the pass rate changed?
Slightly up. NHA’s 2024 report showed 81.38% passing across 78,681 CCMA exams, so both volume and the pass rate rose in 2025.
Is that a first-time pass rate?
No. NHA’s figure is the percentage of all exams passed; it does not separate first-time candidates from people retaking the test.
What score do I need to pass?
A scaled score of 390 out of 500, which NHA applies to all of its examinations.
How many people hold the CCMA?
NHA’s 2025 table lists 278,295 currently active CCMA certifications.
Judge the difficulty yourself
These are three CCMA practice questions at exam difficulty. See where you land. The app has 2,300+, timed and scored.
Question 1
A patient requires two different medicated eye drops to be administered in the same eye during a single clinic visit. Which of the following approaches should the medical assistant use to ensure optimal therapeutic effect?
▸ Why B is the answer
When a patient needs multiple eye drops, you must wait three to five minutes between instillations. The eye can only hold a limited amount of fluid at one time. If you administer the second drop too soon, it will physically wash out the first drop before the ocular tissues can absorb it, reducing the medication's effectiveness. Option A is incorrect because immediate administration guarantees the first drop will be flushed out. Option C is incorrect because mixing medications in a syringe alters their chemical stability and violates sterile administration protocols for ophthalmic solutions. Option D is incorrect because making the patient wait an hour is unnecessary and disrupts clinic workflow; a brief wait time of five minutes is perfectly sufficient for full absorption.
🔑 Key takeaway
Waiting five minutes between different eye drops prevents the second from washing out the first.
Question 2
During medication reconciliation, a patient reports taking an over-the-counter herbal supplement that is not listed on their current electronic health record medication list. What is the most appropriate action?
▸ Why D is the answer
Medication reconciliation is a crucial safety process that involves updating the patient's chart with every substance they consume, including over-the-counter drugs, vitamins, and herbal supplements. These substances can have dangerous interactions with prescribed medications, making option D the correct action. Option A is incorrect because a medical assistant cannot give medical advice or tell a patient to discontinue a herbal supplement. Option B is incorrect because ignoring non-prescription items defeats the purpose of comprehensive medication reconciliation and compromises patient safety. Option C is incorrect because the clinic's electronic health record must be updated directly by the clinical staff during the visit, rather than relying on the pharmacy to manage the clinic's internal documentation.
🔑 Key takeaway
Medication reconciliation must include all prescriptions, over-the-counter drugs, and herbal supplements to prevent interactions.
Question 3
While filling out an incident report for a medication error, the medical assistant accidentally writes the wrong time of administration. The form is a physical paper document written in black ink. How should the medical assistant correct this documentation error?
▸ Why B is the answer
Legal and professional standards dictate that any error made on a physical medical or administrative document must be corrected by drawing a single line through the mistake, ensuring the original text remains legible, and then adding initials and the date. Option A is incorrect because correction fluid obscures the original entry, which can look like intentional tampering in a legal review. Option C is unnecessary and wastes time, as minor errors can be legally corrected on the original form. Option D violates the core principle of transparency, as the original incorrect entry must remain visible to prove no malicious alteration occurred.
🔑 Key takeaway
Errors on physical incident reports must be corrected with a single line, initials, and date.
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