497+ Free Texas CNA Practice Questions
Pass your Texas Certified Nurse Aide exam on the first try — instant access, no signup required.
A resident with mild cognitive impairment wants to make decisions about their daily routine. The CNA should:
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Key Facts: Texas CNA Exam
$125
Written + Skills Fee
Prometric TXCNA Bulletin
$135
Oral + Skills Fee
Prometric TXCNA Bulletin
60
Knowledge Questions
Prometric TXCNA Bulletin
5
Assigned Skills
Prometric TXCNA Bulletin
100 hrs
Training Required
Texas Administrative Code Rule 556.3
3 each
Attempts Per Component
Prometric TXCNA Bulletin
The Texas CNA exam is administered by Prometric for Texas HHSC. Current official facts include a 60-question Written or Oral test with a 90-minute limit, a performance-based Clinical Skills test with five assigned skills, $125 for first-time Written + Skills testing, $135 for first-time Oral + Skills testing, three attempts each for the Knowledge and Clinical Skills tests within 24 months, and a Texas NATCEP training requirement of 100 total hours: 60 classroom and 40 clinical. Use the current bulletin rather than older fee tables or unsupported raw-score claims.
Sample Texas CNA Practice Questions
Try these sample questions to test your Texas CNA exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 497+ question experience with AI tutoring.
1When assisting a Texas nursing facility resident with a complete bed bath, which area of the body should the CNA wash LAST?
2A resident at a Texas long-term care facility has left-sided weakness following a stroke. When helping the resident get dressed, the CNA should:
3While providing oral care to an unconscious resident at a Texas nursing facility, the CNA should position the resident:
4A resident in a Texas nursing facility requests that the CNA leave the room during a bed bath. The CNA should:
5When performing nail care for a diabetic resident at a Texas long-term care facility, the CNA should:
6A resident at a Texas nursing facility has dentures. When storing the resident's dentures overnight, the CNA should:
7While assisting a female resident with perineal care following urinary catheter use in a Texas nursing facility, the CNA should clean:
8When helping a resident use a bedpan in a Texas nursing facility, the CNA should:
9A Texas CNA notices a resident's incontinence brief is soiled. The CNA should change it:
10A resident with contractures in both hands is receiving a bed bath at a Texas nursing facility. When cleaning between the fingers, the CNA should:
About the Texas CNA Exam
The Texas CNA exam certifies nurse aides for Texas long-term-care practice through a Prometric competency evaluation that includes a 60-question Written or Oral knowledge test and a five-skill Clinical Skills test. Texas NATCEP training requires 100 hours: 60 classroom hours and 40 clinical hours.
Questions
60 scored questions
Time Limit
90 minutes for Written or Oral test plus Clinical Skills testing
Passing Score
Pass both Written/Oral and Clinical Skills
Exam Fee
$125 Written + Skills; $135 Oral + Skills (Prometric / Texas HHSC)
Texas CNA Exam Content Outline
Role of the Nurse Aide
Communication, resident rights, legal-ethical conduct, scope boundaries, teamwork, reporting, documentation, and professionalism in Texas long-term care settings.
Promotion of Safety
Standard Precautions, hand hygiene, PPE, environmental safety, fall prevention, body mechanics, emergency response, and safe equipment use.
Promotion of Function and Health of Residents
Activities of daily living, independence, mobility, range of motion, nutrition, hydration, elimination, comfort, and resident-centered routines.
Basic Nursing Care Provided by the Nurse Aide
Vital signs, observation, skin and hydration concerns, intake and output, specimens, weight, changes in condition, and timely reporting to the nurse.
Specialized Care for Residents with Changes in Health
Dementia, confusion, mental health needs, end-of-life comfort, post-acute changes, safety changes, and escalation when resident condition changes.
How to Pass the Texas CNA Exam
What You Need to Know
- Passing score: Pass both Written/Oral and Clinical Skills
- Exam length: 60 questions
- Time limit: 90 minutes for Written or Oral test plus Clinical Skills testing
- Exam fee: $125 Written + Skills; $135 Oral + Skills
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 Health and Human Services Commission contracts with Prometric for the Texas Nurse Aide Competency Evaluation Program. Prometric manages candidate testing, scoring, reporting, and the Candidate Information Bulletin.
How many questions are on the Texas CNA written or oral test?
The current Prometric Texas bulletin lists 60 multiple-choice questions with a 90-minute time limit for the Written test. The Oral test also uses 60 multiple-choice questions and includes a reading comprehension section that must be passed the same day.
How many skills are on the Texas CNA clinical skills test?
Texas candidates perform five assigned skills from the official Prometric skills list. Candidates must pass the Clinical Skills test and the Written or Oral test to be placed on the Texas Nurse Aide Registry.
How much does the Texas CNA exam cost?
The current Prometric Texas bulletin lists $125 for a first-time Written Exam plus Clinical Skills Exam and $135 for a first-time Oral Exam plus Clinical Skills Exam. Single-test fees are $35 Written, $45 Oral, and $90 Clinical Skills.
How many training hours does Texas require for CNA candidates?
Texas Administrative Code Rule 556.3 requires a Texas NATCEP to provide 100 total hours: 60 classroom hours and 40 clinical hours in an approved facility.
Can I take the Texas CNA exam remotely?
Prometric indicates that the Written and Oral exams may be available through remote proctoring, but the Clinical Skills test is performance-based and must be completed through an approved testing arrangement. The full certification path is not fully remote.
What happens if I fail part of the Texas CNA exam?
The current Prometric Texas bulletin states candidates may take the Clinical Skills test and/or Knowledge test three times each within 24 months. Candidates who do not pass within the allowed attempts must retrain before retesting.
Does Texas publish an official CNA pass rate?
The opened Texas HHSC and Prometric sources did not publish a current official Texas CNA pass-rate percentage. Use official score reports and skill checklist feedback for remediation instead of relying on estimated pass-rate claims.