Actual Exam 2026/2027 Complete Questions and
Answers with Detailed Rationales - Pass Guaranteed - A+
Graded
Licensing Requirements & Renewal
Q1: According to RCW 18.108, how often must a massage therapy license be renewed
in Washington State?
A. Every year
B. Every two years
C. Every four years
D. Every five years
Correct Answer: B
Rationale: The statute requires licenses to be renewed every two years, specifically by
the last day of the practitioner's birth month in the renewal year.
Q2: What is the total number of Continuing Education (CE) hours required for each
renewal period in Washington State?
A. 12 hours
B. 16 hours
C. 24 hours
D. 50 hours
Correct Answer: C
Rationale: Washington law requires 24 hours of approved continuing education to be
completed during each two-year renewal period.
Q3: Of the total Continuing Education hours required, how many must be in professional
roles, ethics, or boundaries?
A. 2 hours
B. 4 hours
C. 8 hours
D. 12 hours
Correct Answer: B
Rationale: At least 4 of the 24 required CE hours must be dedicated to professional
roles, ethics, or boundaries to ensure licensees maintain high professional standards.
,Q4: A massage therapist wants to take online continuing education courses. What is the
maximum number of CE hours that can be obtained via distance learning per renewal
period?
A. 4 hours
B. 8 hours
C. 12 hours
D. All 24 hours
Correct Answer: B
Rationale: The state limits distance learning (online) to a maximum of 8 hours per
renewal cycle; the remaining 16 hours must be completed in a classroom or hands-on
setting.
Q5: A therapist fails to renew their license by the expiration date. How long do they
have to renew the license without it becoming "inactive" or needing to pay a penalty?
A. 30 days
B. 60 days
C. 90 days
D. There is no grace period; it expires immediately
Correct Answer: C
Rationale: Washington State provides a 90-day grace period after the expiration date
during which the license can still be renewed without it becoming inactive or requiring
reinstatement fees.
Q6: To apply for initial licensure in Washington State, what is the minimum number of
hours of education required?
A. 300 hours
B. 500 hours
C. 600 hours
D. 1,000 hours
Correct Answer: D
Rationale: RCW 18.108 requires completion of a minimum of 1,000 hours of education
from an approved school, or an equivalent program as determined by the department.
Q7: A massage therapist has legally changed their name. Under what timeframe must
they notify the Department of Health?
A. Immediately upon verification
B. Within 30 days
C. At the time of their next renewal
D. Within 90 days
, Correct Answer: A
Rationale: Licensees are required to notify the Department of Health in writing
immediately after a name change so that the licensure database remains accurate and
public records reflect the correct identity.
Q8: What is the fee charged for a late renewal if the license is expired but renewed
within the 90-day grace period?
A. No additional fee is charged
B. 50% of the renewal fee
C. The renewal fee plus a penalty
D. Double the renewal fee
Correct Answer: C
Rationale: While the license remains active during the grace period, the department
charges the standard renewal fee plus a specified late penalty fee for not renewing on
time.
Q9: A license is placed on "inactive" status. Can the therapist perform massage therapy
in Washington while the license is inactive?
A. Yes, if they inform the client
B. Yes, if they work under another therapist's license
C. No, performing massage with an inactive license is illegal
D. Yes, if they only work pro bono
Correct Answer: C
Rationale: You may not practice massage therapy in Washington State with an inactive
license; the license must be active and current to legally practice.
Q10: A therapist moves to a new address. According to the law, when must they update
their address with the Department of Health?
A. Within 10 days
B. Within 30 days
C. Before the end of the calendar year
D. At the time of renewal
Correct Answer: B
Rationale: State law requires licensees to report any change of address to the
Department of Health within 30 days of the move.
Scope of Practice & Prohibited Activities