Verification in progress. We could not confirm every fee and process detail for Massachusetts from a current official handbook, so this page lists only what we verified. Check with D&S Diversified Technologies (Headmaster) before you register.
Massachusetts CNA exam at a glance
Exam format, fees and rules
| Item | Detail |
|---|---|
| Testing vendor | D&SDT-Headmaster (mc.tmutest.com) |
| Knowledge exam | 60 multiple-choice questions, 60 minutes |
| Knowledge fee | $30 ($40 audio) |
| Skills test | 3 or 4 randomly selected tasks |
| Attempts | 4 knowledge attempts; 3 skills attempts |
| Languages | English, Spanish, Chinese (traditional and simplified), Haitian Creole |
What makes Massachusetts different
- Massachusetts offers both the knowledge and skills components in Chinese, Haitian Creole and Spanish.
- The current skills-test fee is not printed in the May 2026 handbook text we reviewed, so it is not listed here.
How to get certified in Massachusetts
- Complete a DPH-approved training program
Your program registers you in TMU.
- Sign in at mc.tmutest.com
Complete your account and choose your testing language at registration.
- Pass both parts
Then you are listed on the Massachusetts Nurse Aide Registry.
Test day checklist
- Once you begin in Spanish, Chinese or Haitian Creole you cannot switch back to English.
Federal minimums that apply everywhere
Federal rules set the floor for every state: nurse aide training must be at least 75 clock hours, including at least 16 hours of supervised practical training (42 CFR 483.152). States can require more. After you are certified, going 24 consecutive months without paid nursing-related work means retraining or retesting before you can work in a Medicare/Medicaid nursing home (42 CFR 483.35(d)).
CNA practice test (written exam)
CNA practice test (written exam)
Practice for the Massachusetts CNA written exam
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Frequently asked questions
How do I become a CNA in Massachusetts?
1) Complete a DPH-approved training program. 2) Sign in at mc.tmutest.com. 3) Pass both parts.
Who runs the Massachusetts CNA exam?
D&S Diversified Technologies (Headmaster) administers testing; Massachusetts Department of Public Health (DPH) - Nurse Aide Registry oversees certification and the registry.
How many questions are on the Massachusetts CNA test?
60 multiple-choice questions, 60 minutes.
How many times can I take the Massachusetts CNA exam?
4 knowledge attempts; 3 skills attempts.
Sources
- D&SDT-Headmaster - Massachusetts Nurse Aide Candidate Handbook (May 2026, v7.0) (accessed 2026-09-23)
- Mass.gov - Nurse Aide Registry Program (accessed 2026-09-23)
- eCFR - 42 CFR 483.152 Requirements for approval of a nurse aide training and competency evaluation program (accessed 2026-09-23)