Texas CNA Practice Test

Unofficial Texas nurse aide practice: 60 questions of our own across the six sections of the state curriculum.

How many scored multiple-choice questions does the Texas written or oral examination include?

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Exam mode: 60 questions, no time limit.

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Unofficial practice questions, not affiliated with the Texas Health and Human Services Commission or Prometric. Bank checked October 8, 2026.

The real exam, as Texas rule describes it

Questions
60
Retakes
Twice after a first failure. After three failures, the training is completed again.
Parts
A written or oral examination and a demonstration of five randomly selected skills. Both must be passed.
Scored questions
60 multiple choice, on each course requirement of the state curriculum.
Pass mark
A score HHSC designates. The rule gives no percent and no time limit.
When
Within 24 months of finishing the training.
Who gives it
Prometric, under contract with Texas Health and Human Services (HHSC).
Renewal
Every 24 months: verified paid work, 24 hours of in-service education and a yearly HHSC infection control course. HHSC charges no fee.

Checked October 8, 2026 against 26 Texas Administrative Code §556.6 and §556.9, and the Texas HHS Nurse Aide Registry page. Rules change, so confirm with the agency itself before your test.

The Texas HHS Nurse Aide Registry page

All 60 questions

Introduction to long-term care 16

  • A Texas trainee fails the written examination. How many times may the trainee retake the competency evaluation before training must be repeated? 26 Texas Administrative Code §556.6, subsection (j). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • How are the 100 hours of Texas nurse aide training divided? 26 Texas Administrative Code §556.3, subsection (o). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • How many hours of training must be completed before a Texas trainee has any direct contact with a resident? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.1.1, Introduction to OBRA. Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • How many scored multiple-choice questions does the Texas written or oral examination include? 26 Texas Administrative Code §556.6, subsection (g)(2). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • How much in-service education must a Texas nurse aide complete to renew? 26 Texas Administrative Code §556.9, subsection (e)(4). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
Show all 60 questions (55 more)

Introduction to long-term care, continued

  • How often must a Texas nurse aide complete an HHSC course in infection control and proper use of PPE? 26 Texas Administrative Code §556.9, subsection (e)(3). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • In the fire rule RACE, what does the A stand for? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.1.3, Safety Measures. Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • In the skills part of the Texas competency evaluation, how many skills does a trainee demonstrate? 26 Texas Administrative Code §556.6, subsection (g)(1). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • The in-service education a Texas nurse aide completes for renewal must include training in geriatrics and in which other subject? 26 Texas Administrative Code §556.9, subsection (e)(4). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • On the Texas Nurse Aide Registry, why is a nurse aide's registration shown as Revoked? Texas Health and Human Services, Nurse Aide Registry, Definitions. Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • Under 42 CFR 483.10, at what time may a nursing home resident receive visitors of the resident's choosing? 42 CFR 483.10, paragraph (f)(4). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • What does Texas charge to issue a certificate of registration and list a nurse aide on the Nurse Aide Registry? 26 Texas Administrative Code §556.9, subsection (c). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • What does the Texas curriculum call the single most important practice to prevent the transmission of infection? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.1.5, Infection Control. Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • Which is the last link in the chain of infection as the Texas curriculum lists it? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.1.5, Infection Control. Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • Which term does Texas rule define as the failure to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness? 26 Texas Administrative Code §556.2, paragraph (26). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.
  • Within what time after completing training must a Texas trainee take the competency evaluation? 26 Texas Administrative Code §556.6, subsection (f)(1). Outline: Texas nurse aide curriculum, course outline section 1.1, Introduction to Long-term Care.

Personal care skills 10

  • A resident refuses a bath. What does the Texas curriculum tell the nurse aide to do? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.2.3, Assisting Residents with Bathing. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • After eating, how long should a resident with swallowing problems sit upright, by MedlinePlus? MedlinePlus Medical Encyclopedia, Swallowing problems, Home Care. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • How many people does MedlinePlus say it takes to move a person up in bed safely? MedlinePlus Medical Encyclopedia, Pulling a patient up in bed, Avoiding Injury. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • How much liquid a day does MedlinePlus advise drinking to relieve constipation? MedlinePlus Medical Encyclopedia, Constipation - self-care, Eating When you Have Constipation. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • How often should a resident in a wheelchair shift weight to take pressure off the skin, by MedlinePlus? MedlinePlus Medical Encyclopedia, Preventing pressure injuries, If You Use a Wheelchair. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • The Texas curriculum bars a nurse aide from cutting the nails of a resident who has which condition? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.2.6, Hygiene and Grooming. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • Under the Texas curriculum, who may insert an indwelling urinary catheter? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.2.9, Elimination. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • What does the Texas curriculum say about incontinence and aging? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.2.9, Elimination. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • What normal daily fluid intake does the Texas curriculum give? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.2.8, Hydration. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.
  • Which powder does MedlinePlus say not to use on skin that incontinence keeps moist? MedlinePlus Medical Encyclopedia, Skin care and incontinence, Taking Care of the Skin. Outline: Texas nurse aide curriculum, course outline section 1.2, Personal Care Skills.

Basic nursing skills 10

  • After how many tries does the Texas curriculum tell the nurse aide to ask the nurse for help with a blood pressure that cannot be heard? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3.2, Vital Signs, Height, and Weight. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • By the definition the Texas curriculum gives from OBRA, what makes a device a physical restraint? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3.1, Promoting a Restraint-Proper Environment. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • For a blood pressure reading, how far above the bend of the elbow should the lower edge of the cuff sit, by MedlinePlus? MedlinePlus Medical Encyclopedia, Blood pressure measurement, How the Test is Performed. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • Vomit or stool that looks like coffee grounds is a sign of what, by the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3.3, Observing and Reporting Summary. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • What do restraints require before they are used, by the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3.1, Requirements for Using Restraints. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • What does the Texas curriculum call the 52-page document that records a complete assessment of a nursing facility resident? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3, Key Terms. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • When does the Texas curriculum say care should be documented? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3.3, Observing, Reporting and Documenting. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • Where does MedlinePlus place the fingers to take a pulse at the wrist? MedlinePlus Medical Encyclopedia, Pulse, How the Test is Performed. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • Which respiration rate does the Texas curriculum tell the nurse aide to report? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3.2, Vital Signs, Height, and Weight. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.
  • Which temperature readings does the Texas curriculum tell the nurse aide to report? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.3.2, Vital Signs, Height, and Weight. Outline: Texas nurse aide curriculum, course outline section 1.3, Basic Nursing Skills.

Restorative services 6

  • A resident walks with a walker. Which leg steps forward first, by MedlinePlus? MedlinePlus Medical Encyclopedia, Using a walker, How to Walk with Your Walker. Outline: Texas nurse aide curriculum, course outline section 1.4, Restorative Services.
  • How does the Texas curriculum define a prosthetic device? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.4, Key Terms. Outline: Texas nurse aide curriculum, course outline section 1.4, Restorative Services.
  • How does the Texas curriculum define restoration? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.4.1, Introduction to Restorative Services. Outline: Texas nurse aide curriculum, course outline section 1.4, Restorative Services.
  • In which hand does MedlinePlus say to hold a cane? MedlinePlus Medical Encyclopedia, Using a cane, Cane Basics. Outline: Texas nurse aide curriculum, course outline section 1.4, Restorative Services.
  • What does range of motion refer to in the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.4.2, Maintaining PROM. Outline: Texas nurse aide curriculum, course outline section 1.4, Restorative Services.
  • When does restorative care planning begin, by the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.4.2, Specific Restorative Programs. Outline: Texas nurse aide curriculum, course outline section 1.4, Restorative Services.

Mental health and social service needs 12

  • A person with dementia remembers something wrong. What does MedlinePlus say to do? MedlinePlus Medical Encyclopedia, Dementia - daily care, Tips For Talking To Someone With Dementia. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • A resident is physically aggressive. Which does the Texas curriculum warn against? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.3, Assisting Residents Who Are Verbally or Physically Aggressive. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • A resident with dementia resists care and shows distress. What does the Texas curriculum say to do at the first sign? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.4, Guidelines for Assisting Residents Who Resist Care. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • A resident with depression is crying. Which phrase does the Texas curriculum tell the nurse aide not to use? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.3, Assisting Residents who have Depression. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • A resident with hearing loss says, "I can't hear you because you mumble." Which defense mechanism is this in the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.1, Normal Responses to Losses and Changes. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • In a confused resident, the unmet need behind a behavior problem is usually of what kind, by the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.3, Causes of Behavioral Problems. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • In Erikson's stages as the Texas curriculum sums them up, what does the older adult develop? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.1, Developmental Tasks Associated with Aging. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • In the ABCs of behavior management, what is the A? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.3, Specific Behavior Problems. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • What does MedlinePlus say delirium usually is? MedlinePlus Medical Encyclopedia, Delirium, Causes. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • What share of dementia cases does the Texas curriculum attribute to Alzheimer's disease? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.4, Cognitive Impairment. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • When talking with a person who has dementia, what does MedlinePlus say about pronouns such as he, she and them? MedlinePlus Medical Encyclopedia, Dementia - daily care, Tips For Talking To Someone With Dementia. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.
  • Which need is the most basic in Maslow's hierarchy as the Texas curriculum describes it? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.5.1, Psychosocial Needs of Residents. Outline: Texas nurse aide curriculum, course outline section 1.5, Mental Health and Social Service Needs.

Social skills 6

  • A resident is angry and argumentative. Which does the Texas curriculum advise? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.6.1, Conflicts with Residents. Outline: Texas nurse aide curriculum, course outline section 1.6, Social Skills.
  • A workplace conflict involves a resident. Who should always be included in the resolution, by the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.6.1, Resolving a Workplace Conflict. Outline: Texas nurse aide curriculum, course outline section 1.6, Social Skills.
  • Two co-workers who disagree each give up something to "meet in the middle." Which approach to conflict is this in the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.6.1, Conflict Resolution. Outline: Texas nurse aide curriculum, course outline section 1.6, Social Skills.
  • What does the Texas curriculum warn about improper use of social media by staff? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.6.2, Technologies. Outline: Texas nurse aide curriculum, course outline section 1.6, Social Skills.
  • What is the first step in resolving a workplace conflict, by the Texas curriculum? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.6.1, Resolving a Workplace Conflict. Outline: Texas nurse aide curriculum, course outline section 1.6, Social Skills.
  • Which approach to conflict does the Texas curriculum say will likely escalate a disagreement into a conflict? Texas Curriculum for Nurse Aides in Long Term Care Facilities (Texas HHS), section 1.6.1, Conflict Resolution. Outline: Texas nurse aide curriculum, course outline section 1.6, Social Skills.

How this list was compiled: Our own questions, written to the outline Texas publishes for its nurse aide written examination: 26 Texas Administrative Code §556.6(g)(2) (60 scored multiple-choice questions that address each course requirement in the curriculum; read 2026-10-08 at https://www.law.cornell.edu/regulations/texas/26-Tex-Admin-Code-SS-556-6, the Texas Administrative Code as carried by the Legal Information Institute, amended effective 2024-09-18) and the Texas Curriculum for Nurse Aides in Long Term Care Facilities of Texas Health and Human Services, September 2026 edition (https://www.hhs.texas.gov/sites/default/files/documents/doing-business-with-hhs/licensing-credentialing-regulation/nurse-aide/cna.pdf, read 2026-10-08), whose course outline has six sections: 1.1 Introduction to Long-term Care, 1.2 Personal Care Skills, 1.3 Basic Nursing Skills, 1.4 Restorative Services, 1.5 Mental Health and Social Service Needs, 1.6 Social Skills. The bank holds 16, 10, 10, 6, 12 and 6 questions: Section 1 is weighted by its 16 required hours of the 60 classroom hours, the other sections by their length in the curriculum; the state publishes no question count per section. Every fact was read on 2026-10-08 in the public source the question names: the curriculum, 26 TAC §556.2, §556.3, §556.6 and §556.9, the Texas HHS Nurse Aide Registry page (https://www.hhs.texas.gov/business/licensing-credentialing-regulation/long-term-care-credentialing/nurse-aide-registry), 42 CFR 483.10 on ecfr.gov and the MedlinePlus Medical Encyclopedia of the National Library of Medicine (medlineplus.gov/ency). Licence: Questions, choices and explanations are original work of this site.

How it works

This free Texas CNA practice test has 60 questions of our own, in the six sections of the state nurse aide curriculum. It is unofficial and not affiliated with the Texas Health and Human Services Commission or Prometric.

Read the full guide

What the Texas written exam covers

State rule 26 TAC §556.6, read October 8, 2026, gives the written or oral examination 60 scored multiple-choice questions on each course requirement of the Texas Curriculum for Nurse Aides in Long Term Care Facilities. This bank follows that curriculum's six sections, with the most questions on Section 1, the 16 hours taught before any contact with a resident.

  • Twelve questions are on Texas's own rules: training hours, retakes, the registry and renewal.

Questions and answers

Is this a free CNA practice test for Texas?

Yes, free, with no account. After each answer you see the reason and the section of the Texas curriculum, state rule or other public page behind it.

How many questions are on the CNA state exam in Texas?

60 scored multiple-choice questions, by state rule 26 TAC §556.6. A demonstration of five randomly selected skills must also be passed.

Who gives the Texas nurse aide test?

Prometric, under contract with the Texas Health and Human Services Commission, by the commission's Nurse Aide Registry page read October 8, 2026. The commission issues the certificate and keeps the registry.

How many times can you take the CNA test in TX?

Three in all. A trainee who fails either part may retake the evaluation twice; after a third failure the training is completed again. The test must be taken within 24 months of finishing training.

Are these the real Texas CNA test questions?

No. Federal rule 42 CFR 483.154 keeps the real pool from being disclosed. These are our own questions, written from the state curriculum and other public sources, and no testing company's practice test was used.