Free Texas CNA Practice Test 2026 — 60-Question Prometric Exam

Here is what every Texas CNA candidate needs to know before sitting for the exam — note that Texas's written exam format is genuinely different from most other states: • Training required: 100 hours (at least 50 hours clinical) • Exam vendor: Prometric, on behalf of the Texas Health and Human Services Commission (HHSC) • Written exam: 60 questions, 90 minutes — shorter than the 70-question/2-hour format most states use • Oral exam option: same 60 questions read aloud, plus a separate ~15-question reading comprehension section; both must be passed the same day • Skills exam: 5 randomly selected nurse aide skills (plus handwashing and indirect-care skills scored on every attempt) • Exam fee: Written Test $31, Oral Test $41, Clinical Skills Test $89 — paid separately • Retake limit: up to 3 attempts at each portion, within 24 months of completing your training program • Rescheduling: $25 fee if 5–29 days before your test date; reschedule less than 5 days out and you lose your fee entirely • Registry: Texas Nurse Aide Registry, managed through the TULIP portal (Texas Unified Licensure Information Portal) • Registry validity: 24 months; must work at least 8 paid hours as a nurse aide per renewal period If you've studied using a generic "70 questions in 2 hours" practice test, recalibrate your pacing — Texas gives you 90 minutes for 60 questions, about the same pace per question but a shorter overall exam.

To become a Certified Nurse Aide in Texas, you must complete a state-approved CNA training program and pass the Texas Nurse Aide Competency Evaluation administered by Prometric on behalf of the Texas Health and Human Services Commission (HHSC). Texas requires a minimum of 100 hours of CNA training, including at least 50 hours of hands-on clinical practice. Most state-approved programs exceed this minimum. The exam consists of two parts: • A written (or oral) knowledge test: 60 multiple-choice questions, 90 minutes • A clinical skills evaluation: demonstration of 5 randomly selected nurse aide skills You must pass both parts to be listed on the Texas Nurse Aide Registry. Texas does not publish a single official passing percentage, but it is generally understood to be around 70% — roughly 42 of 60 questions correct.

Texas doesn't use the standard national NNAAP content outline — it uses Prometric's own Texas-specific content outline, with different categories and different weights entirely: • Role of the Nurse Aide (20%) — personal responsibility, workplace standards, communication skills • Promotion of Safety (22%) — hazard prevention, restraint alternatives, infection prevention, emergencies and fire safety • Promotion of Function and Health of Residents (20%) — personal care skills, health maintenance, age-related and psychosocial changes • Basic Nursing Care Provided by the Nurse Aide (24%) — routine and emergency situations, observation and reporting • Providing Specialized Care for Residents with Changes in Health (14%) — physical and psychological impairments, end-of-life care There's no single dominant 45% category like the national NNAAP format — Safety (22%) and Basic Nursing Care (24%) are the two largest, so Texas candidates should spread their study time more evenly across all five areas rather than over-indexing on any one.

The Texas CNA written exam is administered at Prometric testing centers throughout the state. Testing is available in all major Texas cities and many smaller communities: • Houston (multiple locations) • Dallas and Fort Worth • San Antonio • Austin • El Paso • Lubbock • Amarillo • Corpus Christi • McAllen • Beaumont To find the Prometric testing center nearest you and view available exam dates, visit prometric.com and search for Texas nurse aide. Your training program will provide your authorization to test once you complete the required coursework. In Houston and Dallas, test slots fill up quickly — register as soon as your authorization is issued.

The clinical skills evaluation is conducted at a separate Prometric skills testing facility. You will be asked to demonstrate 5 randomly selected nurse aide skills. A trained evaluator will observe each skill and check off whether you completed the required steps. Handwashing is evaluated as part of every skill. You must perform proper handwashing at the beginning and end of each demonstration — skipping or rushing handwashing steps is a common reason candidates fail the Texas skills test. Frequently tested skills in Texas include: • Handwashing • Measuring and recording radial pulse and respirations • Providing perineal care for a female resident • Assisting a resident with a transfer from bed to wheelchair • Providing passive range of motion exercises for the shoulder and elbow • Positioning a resident in the lateral (side-lying) position • Making an occupied bed Review the Texas Nurse Aide Candidate Handbook available on the Prometric website for the complete skills list and required steps for each skill.

Texas has a written exam pass rate of approximately 70–75% for first-time candidates. Consistent practice test use is the strongest predictor of first-attempt success. Recommended study plan: 1. Start with a full 60-question diagnostic test before studying anything. Your results by topic will tell you where to focus first. 2. Spread your study time across Safety (22%) and Basic Nursing Care (24%) first — Texas's two largest categories, together nearly half the exam. Know restraint alternatives, infection prevention, emergency response, and routine observation/reporting cold. 3. Don't neglect Role of the Nurse Aide, Function and Health of Residents, or Specialized Care — each is still 14-20% of the exam, more evenly weighted than most states. 4. Practice under timed conditions. Run a 90-minute countdown while taking a 60-question practice test. Pacing is important — you have about 90 seconds per question. 5. Aim for 80% on practice tests before scheduling your real exam date. CertPrepAcademy.com offers a free NNAAP-style practice test with 500+ questions — no account required.

After passing both parts of the Texas exam, your name is added to the Texas Nurse Aide Registry maintained by HHSC. Texas employers are required to verify registry status before hiring any nurse aide. Your Texas CNA certification is valid for 24 months. To maintain active status, you must work as a nurse aide for at least 8 hours for pay during each renewal period. If you work fewer than 8 hours in a 24-month period, your certification will become inactive and you will need to retake the exam to reactivate it. Texas manages CNA licensure through the TULIP system (Texas Unified Licensure Information Portal). You can verify your Texas nurse aide registry status, check renewal deadlines, or look up another nurse aide through the TULIP portal on the HHSC website.