Verified Q&A — Law, Ethics & Scope (Plus Rationales)
Pass your Washington State Massage Jurisprudence Exam on the first attempt with this
comprehensive 2026 practice guide featuring over 350 verified questions and detailed
rationales. This resource provides a deep dive into the Washington Administrative Code (WAC)
and Revised Code of Washington (RCW) regarding massage scope of practice, mandatory
reporting, and professional ethics. Fully updated for the 2026 licensing cycle, this instant-
download PDF is the ultimate tool for mastering state-specific regulations and securing your
LMT license
1. A licensed massage therapist (LMT) in Washington is legally required to
provide a client with which of the following before the first session?
A. A list of all other clients they see.
B. A written disclosure statement (Informed Consent).
C. A copy of the LMT's school transcripts.
D. A 10% discount coupon.
Answer: B. A written disclosure statement (Informed Consent)
Rationale: WAC 246-830-550 requires LMTs to provide specific information about their
credentials and the nature of the massage to the client before beginning treatment.
2. Which of the following is an example of "unprofessional conduct" specifically
listed in the Uniform Disciplinary Act (UDA)?
A. Wearing sandals in the clinic.
B. Betraying a professional confidence (violating confidentiality).
C. Charging $5 more than a competitor.
D. Using a blue pen for SOAP notes.
Answer: B. Betraying a professional confidence (violating confidentiality)
Rationale: Under RCW 18.130.180, violating the privacy or confidence of a patient is a
direct breach of professional conduct.
,3. What is the minimum number of hands-on "direct supervised" CE hours
required in Washington every two years?
A. 4 hours.
B. 8 hours.
C. 12 hours.
D. 24 hours.
Answer: B. 8 hours
Rationale: WAC 246-830-475 requires at least 8 hours of continuing education to be in-
person and supervised to ensure manual skill maintenance.
4. If an LMT provides intraoral massage without the proper endorsement on their
license, they are:
A. Practicing within their general scope.
B. Practicing beyond the scope of their license.
C. Allowed to do so if they use gloves.
D. Only allowed to do it for free.
Answer: B. Practicing beyond the scope of their license
Rationale: Intraoral massage requires a specific endorsement and additional specialized
training under WAC 246-830-490.
5. How many days does an LMT have to report a criminal conviction to the
Department of Health?
A. 10 days.
B. 30 days.
C. 60 days.
D. 90 days.
Answer: B. 30 days
Rationale: The UDA requires all licensed healthcare providers to report convictions or
legal findings against them within 30 days.
6. "Draping" a client is a legal requirement in Washington primarily to:
A. Keep the client warm.
,B. Protect the therapist from oil.
C. Protect the client's modesty and maintain professional boundaries.
D. Prevent the massage table from getting dirty.
Answer: C. Protect the client's modesty and maintain professional boundaries
Rationale: Modesty and privacy are core clinical safety standards under WAC 246-830-
560.
7. An LMT who is also a licensed Esthetician must:
A. Only have one license.
B. Clearly define which service is being provided and follow the rules of the
corresponding license.
C. Combine the two services into one without telling the client.
D. Never provide both services to the same person.
Answer: B. Clearly define which service is being provided and follow the rules of
the corresponding license
Rationale: Practitioners with multiple licenses must remain within the scope of the
specific profession they are practicing at that moment.
8. If a therapist suspects a child is being abused, their legal duty is to:
A. Call the child's parents.
B. Report the suspicion to Child Protective Services (CPS) or law enforcement
immediately.
C. Document it and wait for the next session.
/D. Ask the child if it's true.
Answer: B. Report the suspicion to Child Protective Services (CPS) or law
enforcement immediately
Rationale: LMTs are mandated reporters under RCW 26.44.030 and must report
suspected abuse of children or vulnerable adults.
9. The Washington State Board of Massage consists of how many members?
A. 3 members.
B. 5 members.
, C. 7 members.
D. 10 members.
Answer: C. 7 members
Rationale: RCW 18.108.020 dictates the board consists of seven members: five LMTs
and two public members.
10. When an LMT closes their practice, they must ensure client records are:
A. Shredded immediately.
/B. Maintained and accessible to clients for at least 6 years.
C. Given to the Department of Health.
D. Left at the office for the next tenant.
Answer: B. Maintained and accessible to clients for at least 6 years
Rationale: Record retention laws (WAC 246-830-565) require clinical records to be kept
for 6 years from the last date of service.
11. Which term describes the legal right of a client to stop a massage at any time?
A. Vicarious liability.
B. Informed consent.
C. Right of refusal / Bodily autonomy.
D. Scope of practice.
Answer: C. Right of refusal / Bodily autonomy
Rationale: Ethical and legal standards in Washington protect the client's right to
withdraw consent for any treatment at any time.
12. If an LMT’s license expires, the therapist:
A. Can still massage for 30 days.
B. Must stop practicing massage therapy immediately.
C. Can work if they have a "pending" renewal.
D. Can only do chair massage.