Free Texas CNA Exam Flashcards

A new Texas nurse aide candidate completes approved training, follows the TULIP/Prometric process, passes the Written or Oral knowledge test, passes the Clinical Skills test, and is then placed on the Texas Nurse Aide Registry.

Texas nurse aide training is 100 total hours: 60 classroom hours and 40 clinical hours. Training prepares the candidate for both knowledge testing and supervised resident-care skills.

The Texas CNA Written or Oral knowledge test has 60 multiple-choice questions and a 90-minute time limit. The Oral route also includes an English reading comprehension requirement.

The Clinical Skills test is hands-on and requires the candidate to perform five assigned skills. Candidates should practice the full official skills list, not only favorite or familiar tasks.

Texas candidates have three attempts for the Knowledge test and three attempts for the Clinical Skills test within the required 24-month window. If the attempts are used without passing, retraining is required.

The Registry is the public record employers use to verify CNA status. Passing training alone is not the same as being listed; registry placement follows successful completion of both required exam components.

A resident may refuse care. The CNA should not argue or force the task; the aide should listen, ensure immediate safety, and report the refusal to the nurse.

Close the door or curtain, expose only the area being washed or dressed, and keep the resident covered as much as possible. Privacy protects dignity and is part of safe, respectful care.

Residents have the right to make choices about daily routines when those choices are safe and within the care plan. Examples include clothing, grooming preferences, activities, and meal choices.

A CNA shares resident information only with staff who need it for care. Do not discuss residents in hallways, elevators, social media posts, or with visitors who are not authorized.

Abuse, neglect, and taking or misusing resident property are serious conduct issues. A CNA should protect the resident, report concerns promptly, and never ignore suspected mistreatment.

Give only the assistance the resident needs and allow extra time for the resident to do safe parts of the task. Independence supports function, dignity, and confidence.

Standard Precautions apply to every resident. Treat blood and body fluids as potentially infectious, use hand hygiene, wear PPE when exposure is likely, and handle linens and sharps safely.

Clean hands before and after resident care, after removing gloves, after contact with body fluids, before handling food, after toileting, and whenever hands are visibly soiled.

Gloves are a barrier, not a substitute for clean hands. Perform hand hygiene before putting gloves on when needed and after removing them.

When bathing or cleaning, move from cleaner areas to dirtier areas. This reduces the chance of spreading organisms from contaminated areas to cleaner skin.

Keep soiled linens away from your uniform, avoid shaking them, and place them in the correct container. Shaking or hugging linens can spread microorganisms.

Keep a urinary drainage bag below bladder level and off the floor. This supports drainage and reduces contamination risk.

During bathing, protect privacy, keep the resident warm, wash gently, dry skin well, and report redness, open areas, bruising, rash, or pain to the nurse.

When dressing a resident with one-sided weakness, dress the weak side first. When undressing, remove clothing from the strong side first.

Position the resident upright, offer small bites at a safe pace, check swallowing, and encourage independence. Report coughing, choking, pocketing food, or a sudden change in intake.

Position the resident on the side with the head turned to allow drainage. This helps reduce aspiration risk during mouth care.

Handle dentures carefully, clean them over a protected sink or basin, and store them in a labeled cup with cool water or approved solution when not in use.

Provide prompt perineal care after soiling, dry the skin, apply assigned skin protection if ordered, and report redness or breakdown. Waiting for a routine change time can harm skin.

Keep the bed low, call light within reach, floor clear, footwear secure, brakes locked, and needed items nearby. Report new weakness, dizziness, or unsafe wandering.

Use a wide base of support, bend your knees, keep the load close, avoid twisting, and ask for help or equipment when a transfer is not safe for one person.

A gait belt helps the CNA guide and steady a resident during transfers or ambulation. It is not used to lift a resident by force or replace needed mechanical assistance.

Lock wheelchair brakes before transfers, move footrests out of the way, position the chair close to the bed or toilet, and make sure the resident is stable before moving.

Protect residents in immediate danger first, activate the alarm, contain the fire by closing doors, and follow the facility plan for evacuation or extinguisher use.

If a resident cannot cough, speak, or breathe, call for help and follow facility emergency procedures. If the resident can cough forcefully, stay with them and get the nurse.

Use the assigned route and device, follow facility policy, and report fever, unusually low temperature, or a reading inconsistent with the resident's condition.

Count the pulse as assigned, note rate and rhythm, and report an irregular, unusually fast, unusually slow, or changed pulse to the nurse.

Observe breathing without telling the resident to control it. Count rate and note difficult, noisy, shallow, or labored breathing, then report abnormal findings.

Record fluids taken in and fluids eliminated using the facility's measuring method. Report low intake, unusually high or low output, blood, strong odor, or a sudden change.

Measure urine from the drainage bag using a graduate, avoid contaminating the outlet, empty into the correct container, and report amount and unusual appearance as required.

Use the same scale and similar conditions when possible, ensure the resident is safe, and report sudden gains or losses because weight changes can signal fluid or nutrition problems.

Use a calm tone, face the resident, listen without interrupting, ask one clear question at a time, and respond to feelings without arguing or dismissing concerns.

Approach from the front, reduce background noise, speak clearly, and make sure hearing aids or glasses are available if used. Do not shout unless the resident requests louder speech.

Give extra time, use simple choices, watch nonverbal cues, and avoid finishing every sentence for the resident. Aphasia affects language, not necessarily intelligence.

Stay calm, keep a safe distance, listen for the concern, and get the nurse if the resident may harm self or others. Do not argue, threaten, or take the behavior personally.

A CNA provides assigned care, observes, documents, and reports. The CNA does not diagnose, prescribe, change the care plan, give unassigned treatments, or perform licensed nursing tasks.

Ask the nurse before doing an unfamiliar task, a task outside training, a task not on the assignment, or any care that seems unsafe or inconsistent with the care plan.

The nurse may delegate appropriate tasks, but the CNA is responsible for performing assigned tasks safely and reporting problems. The CNA should not delegate assigned care to another aide without direction.

A CNA does not administer medications unless separately trained and authorized under the applicable role and facility policy. Report medication concerns to the nurse instead of deciding what to give.

Report facts: what you saw, heard, measured, smelled, or did. Avoid labels such as lazy or difficult; describe the behavior and the resident's words when relevant.

Report sudden confusion, shortness of breath, chest pain, fall, new weakness, bleeding, fever, severe pain, skin breakdown, or a major change in eating, drinking, urination, or behavior.

Document after care is provided, use the correct charting method, and record only accurate facts. Never chart care before doing it or alter records to hide a mistake.

Use simple words, a calm approach, familiar routines, and redirection. Do not argue about false beliefs; focus on comfort, safety, and the feeling behind the behavior.

A wandering resident may need supervision, meaningful activity, clear pathways, and prompt reporting of new patterns. Do not use restraints or locked barriers unless directed by the care plan and facility policy.

Provide gentle hygiene, mouth care, positioning, privacy, emotional support, and family respect within the care plan. Report pain, breathing changes, agitation, or family concerns to the nurse.