200+ Free Texas CNA Practice Questions
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Key Facts: Texas CNA Exam
$115
Exam Fee (TX)
Prometric
60
Written Questions
Prometric
70%
Written Passing Score
Prometric TX
100 hrs
Min. Training Required
HHSC (40 TAC Ch. 94)
21 skills
Possible Skills Tested
Prometric TX
24 hrs
Abuse Reporting Deadline
HHSC
The Texas CNA exam is administered by Prometric and costs $115 for the combined written and skills test. Texas requires a minimum 100-hour HHSC-approved training program (60 classroom + 40 clinical) under 40 TAC Chapter 94 — more than the federal OBRA minimum. The written test has 60 questions in 90 minutes with 70% to pass. Skills test evaluates 5 of 21 possible skills. Maximum 3 attempts before retraining. Certification renewal every 24 months with proof of at least one paid nursing service. Mandatory abuse/neglect reporting to HHSC within 24 hours (Texas Abuse Hotline: 1-800-252-5400). Registry verification through TULIP system.
About the Texas CNA Exam
The Texas CNA exam certifies nurse aides to provide basic patient care in Texas. Administered by Prometric under the Texas Health and Human Services Commission (HHSC), it includes a 60-question written NNAAP test and a clinical skills demonstration (5 of 21 possible skills). Texas requires 100 hours of training under 40 TAC Chapter 94.
Questions
60 scored questions
Time Limit
90 min written + skills test
Passing Score
70% written + 100% skills
Exam Fee
$115 (Prometric / Texas HHSC)
Texas CNA Exam Content Outline
Physical Care Skills - Basic Nursing
Vital signs, infection control, PPE, fall prevention, body mechanics, wound observation, emergency response, data collection
Physical Care Skills - ADL
Bathing, grooming, dressing, toileting, nutrition/hydration, feeding, elimination, perineal care, rest/comfort
Psychosocial - Emotional & Mental Health
Dementia/Alzheimer's care, therapeutic communication, depression, grief, behavioral interventions, end-of-life care
Restorative Care
ROM exercises, ambulation, assistive devices, self-care independence, prevention of complications
Role - Communication
Reporting change of condition, documentation, SBAR, HIPAA
Role - Member of Healthcare Team
Delegation from RN/LPN, interdisciplinary team, care planning, professionalism
Role - Client Rights
OBRA 1987 rights, dignity, privacy, right to refuse, advance directives, abuse prevention
Role - Legal & Ethical
40 TAC Chapter 94 scope of practice, mandatory reporting within 24 hours, Texas Nurse Aide Registry
Psychosocial - Spiritual & Cultural Needs
Cultural competency, diverse beliefs, religious accommodations
How to Pass the Texas CNA Exam
What You Need to Know
- Passing score: 70% written + 100% skills
- Exam length: 60 questions
- Time limit: 90 min written + skills test
- Exam fee: $115
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
Texas CNA Study Tips from Top Performers
Frequently Asked Questions
Who administers the Texas CNA exam?
Texas CNA exams are administered by Prometric under the Texas Health and Human Services Commission (HHSC). Schedule at prometric.com/nurseaide.
How much does the Texas CNA exam cost?
The Texas CNA exam costs $115 for the combined written and skills test, paid through Prometric.
How many training hours does Texas require?
Texas requires a minimum 100-hour HHSC-approved training program (60 classroom + 40 clinical) under 40 TAC Chapter 94. This is more than the 75-hour federal OBRA minimum.
What is the Texas Abuse Hotline?
The Texas Abuse Hotline is 1-800-252-5400 or online at txabusehotline.org. Texas CNAs are mandatory reporters and must report suspected abuse or neglect to HHSC within 24 hours.
How do I verify my Texas CNA certification?
Texas CNA certification can be verified through the TULIP (Texas Unified Licensure Information Portal) system maintained by HHSC. Certification renews every 24 months with proof of at least one paid nursing service.