HAWAII MASSAGE EXAM PRACTICE
TEST 2026 QUESTIONS AND ANSWERS
1. Under Hawaii Revised Statutes Chapter 452, how many members constitute the Board of
Massage Therapy?
A. Five members
B. Three members
C. Seven members
D. Nine members
Answer: A
Conceptual Explanation: The Hawaii Board of Massage Therapy consists of five members
appointed by the Governor, including three massage therapists and two public members.
2. Which of the following is a specific requirement for renewing a massage therapist license in
Hawaii?
A. Completion of 50 CEU hours every year
B. Passing a practical exam every four years
C. Renewal by December 31 of every odd-numbered year
,D. Renewal by June 30 of every even-numbered year
Answer: D
Conceptual Explanation: In Hawaii, massage therapy licenses expire on June 30 of every
even-numbered year and must be renewed to remain active.
3. A client presents with chronic inflammation in the Achilles tendon. Which technique is
most appropriate to promote fiber realignment?
A. Light effleurage
B. Rapid tapotement
C. Cross-fiber friction
D. Passive stretching only
Answer: C
Conceptual Explanation: Cross-fiber friction helps break up adhesions and promotes the
functional realignment of scar tissue in chronic tendon conditions.
4. Which muscle is considered the primary antagonist to the Rhomboids during protraction of
the scapula?
A. Serratus Anterior
B. Trapezius
C. Levator Scapulae
D. Pectoralis Minor
, Answer: A
Conceptual Explanation: The Serratus Anterior protracts the scapula, making it the
primary antagonist to the Rhomboids, which retract the scapula.
5. In Hawaii, an ‘Apprentice’ is required to complete a minimum of how many hours of
practical massage training?
A. 150 hours
B. 600 hours
C. 570 hours
D. 420 hours
Answer: D
Conceptual Explanation: The Hawaii State Board requires 570 total hours, consisting of
150 hours of academic study and 420 hours of practical massage training.
6. Which of the following conditions is a total contraindication for circulatory massage?
A. Mild Hypertension
B. Chronic Fatigue Syndrome
C. Diabetes Type 2
D. Severe Congestive Heart Failure
Answer: D
TEST 2026 QUESTIONS AND ANSWERS
1. Under Hawaii Revised Statutes Chapter 452, how many members constitute the Board of
Massage Therapy?
A. Five members
B. Three members
C. Seven members
D. Nine members
Answer: A
Conceptual Explanation: The Hawaii Board of Massage Therapy consists of five members
appointed by the Governor, including three massage therapists and two public members.
2. Which of the following is a specific requirement for renewing a massage therapist license in
Hawaii?
A. Completion of 50 CEU hours every year
B. Passing a practical exam every four years
C. Renewal by December 31 of every odd-numbered year
,D. Renewal by June 30 of every even-numbered year
Answer: D
Conceptual Explanation: In Hawaii, massage therapy licenses expire on June 30 of every
even-numbered year and must be renewed to remain active.
3. A client presents with chronic inflammation in the Achilles tendon. Which technique is
most appropriate to promote fiber realignment?
A. Light effleurage
B. Rapid tapotement
C. Cross-fiber friction
D. Passive stretching only
Answer: C
Conceptual Explanation: Cross-fiber friction helps break up adhesions and promotes the
functional realignment of scar tissue in chronic tendon conditions.
4. Which muscle is considered the primary antagonist to the Rhomboids during protraction of
the scapula?
A. Serratus Anterior
B. Trapezius
C. Levator Scapulae
D. Pectoralis Minor
, Answer: A
Conceptual Explanation: The Serratus Anterior protracts the scapula, making it the
primary antagonist to the Rhomboids, which retract the scapula.
5. In Hawaii, an ‘Apprentice’ is required to complete a minimum of how many hours of
practical massage training?
A. 150 hours
B. 600 hours
C. 570 hours
D. 420 hours
Answer: D
Conceptual Explanation: The Hawaii State Board requires 570 total hours, consisting of
150 hours of academic study and 420 hours of practical massage training.
6. Which of the following conditions is a total contraindication for circulatory massage?
A. Mild Hypertension
B. Chronic Fatigue Syndrome
C. Diabetes Type 2
D. Severe Congestive Heart Failure
Answer: D
