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Which is a requirement for the state exam in addition to the required hours of coursework?

  1. CPR certificate

  2. First aid certificate

  3. Massage equipment rental

  4. Insurance documentation

The correct answer is: CPR certificate

A requirement for the state exam in Hawaii, in addition to completing the required hours of coursework, is a certification in CPR. This certification is essential because it ensures that massage therapists are prepared to respond effectively in emergencies, providing life-saving techniques if a client experiences a medical crisis during a session. Having CPR training reflects a commitment to client safety and enhances the professionalism of the practitioner. While first aid certification is also beneficial for massage therapists and may often be recommended or required by employers or for personal knowledge, it is the CPR certification that is specifically mandated for the state exam in Hawaii. The other options, such as renting massage equipment or providing insurance documentation, are not requirements for taking the state exam, focusing instead on operational or personal business aspects rather than individual preparedness for emergency care.