HAWAII MASSAGE EXAM PRACTICE
TEST 2027 QUESTIONS AND ANSWERS
1. Under Hawaii Administrative Rules Chapter 84, what is the required ratio of students to
instructors in a massage school?
A. 1 instructor for every 10 students
B. 1 instructor for every 15 students
C. 1 instructor for every 20 students
D. 1 instructor for every 25 students
Answer: B
Conceptual Explanation: Hawaii state regulations specifically mandate a ratio of one
instructor for every fifteen students to ensure proper supervision and safety.
2. Which of the following muscles is a member of the rotator cuff and is responsible for
internal rotation of the humerus?
A. Subscapularis
B. Infraspinatus
C. Teres minor
,D. Supraspinatus
Answer: A
Conceptual Explanation: The subscapularis is the only rotator cuff muscle that performs
medial (internal) rotation; the others perform abduction or external rotation.
3. In the state of Hawaii, massage therapist licenses expire on June 30th of which years?
A. Every odd-numbered year
B. Every even-numbered year
C. Every year
D. Every four years
Answer: B
Conceptual Explanation: Hawaii massage licenses are biennial and expire on June 30 of
every even-numbered year.
4. Which term describes a contraction where the muscle lengthens while maintaining
tension?
A. Concentric
B. Eccentric
C. Isometric
D. Isotonic
, Answer: B
Conceptual Explanation: An eccentric contraction occurs when the muscle lengthens
under load, such as lowering a weight.
5. If a client presents with a diagnosis of Deep Vein Thrombosis (DVT) in the lower leg, what is
the appropriate action?
A. Perform deep tissue to break up the clot
B. Apply hot stones to the area to increase circulation
C. Avoid the area and refer the client to a physician immediately
D. Perform lymphatic drainage only
Answer: C
Conceptual Explanation: DVT is a total contraindication for local massage due to the high
risk of dislodging a clot, which could lead to a pulmonary embolism.
6. The ‘Lomi Lomi’ style of massage, native to Hawaii, is traditionally characterized by which
of the following?
A. Strict use of thumbs for trigger point therapy
B. Application of cold shells and ice
C. Broad, flowing rhythmic strokes using forearms and hands
D. Focusing solely on the feet
Answer: C
TEST 2027 QUESTIONS AND ANSWERS
1. Under Hawaii Administrative Rules Chapter 84, what is the required ratio of students to
instructors in a massage school?
A. 1 instructor for every 10 students
B. 1 instructor for every 15 students
C. 1 instructor for every 20 students
D. 1 instructor for every 25 students
Answer: B
Conceptual Explanation: Hawaii state regulations specifically mandate a ratio of one
instructor for every fifteen students to ensure proper supervision and safety.
2. Which of the following muscles is a member of the rotator cuff and is responsible for
internal rotation of the humerus?
A. Subscapularis
B. Infraspinatus
C. Teres minor
,D. Supraspinatus
Answer: A
Conceptual Explanation: The subscapularis is the only rotator cuff muscle that performs
medial (internal) rotation; the others perform abduction or external rotation.
3. In the state of Hawaii, massage therapist licenses expire on June 30th of which years?
A. Every odd-numbered year
B. Every even-numbered year
C. Every year
D. Every four years
Answer: B
Conceptual Explanation: Hawaii massage licenses are biennial and expire on June 30 of
every even-numbered year.
4. Which term describes a contraction where the muscle lengthens while maintaining
tension?
A. Concentric
B. Eccentric
C. Isometric
D. Isotonic
, Answer: B
Conceptual Explanation: An eccentric contraction occurs when the muscle lengthens
under load, such as lowering a weight.
5. If a client presents with a diagnosis of Deep Vein Thrombosis (DVT) in the lower leg, what is
the appropriate action?
A. Perform deep tissue to break up the clot
B. Apply hot stones to the area to increase circulation
C. Avoid the area and refer the client to a physician immediately
D. Perform lymphatic drainage only
Answer: C
Conceptual Explanation: DVT is a total contraindication for local massage due to the high
risk of dislodging a clot, which could lead to a pulmonary embolism.
6. The ‘Lomi Lomi’ style of massage, native to Hawaii, is traditionally characterized by which
of the following?
A. Strict use of thumbs for trigger point therapy
B. Application of cold shells and ice
C. Broad, flowing rhythmic strokes using forearms and hands
D. Focusing solely on the feet
Answer: C
