Pass the Texas CNA Exam. First time.

Practice questions on basic nursing skills, personal care, infection control, and residents' rights, matching the format used by Prometric in Texas. 60 questions on the real written exam, 70% to pass. Full explanations on every answer.

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105+ practice questions  ·  Money-back guarantee  ·  9 topic areas covered

About the Texas CNA Competency Exam

The Texas Certified Nursing Assistant competency exam is administered by Prometric, under the oversight of the Texas Health and Human Services Commission (HHSC). It combines a 60-question written (or oral) knowledge test requiring 70% to pass with a hands-on skills evaluation. Applications processed through the state's TULIP online system; 24 hours continuing education required per cycle, higher than the common 12-hour standard.

Why this matters: Both the written and skills portions must usually be passed within a set window of completing your training program. Missing that window in Texas can mean retaking your training hours, not just the exam.

Why Practice Before the Test

The Texas CNA written exam covers real clinical knowledge, from infection control to residents' rights under federal OBRA 1987 protections. Practising realistic multiple-choice questions with full explanations builds the recall speed you need, especially for scenario-based questions that test judgment, not just memorization.

FeatureFree Online GuidesTestReadyUSA
Practice questions✗ Limited, inconsistent quality✓ 105+ questions
Answer explanations✗ Rarely explained✓ Every question
Texas-specific facts✗ Generic content✓ Real Texas vendor and training facts
Drill by topic✗ No✓ Yes
Free sample: Try 5 randomly selected questions below. Use Drill Mode to focus on Basic Nursing Skills and Personal Care Skills, the two most heavily tested areas.

Drill Mode

Practice one topic at a time. Start with Basic Nursing Skills and Personal Care Skills, the most heavily tested areas on the CNA exam.

Frequently Asked Questions

The Texas CNA written/knowledge exam has 60 questions, and you need 70% correct to pass. It is administered by Prometric, under the oversight of the Texas Health and Human Services Commission (HHSC). Applications processed through the state's TULIP online system; 24 hours continuing education required per cycle, higher than the common 12-hour standard.
Texas uses Prometric to administer the CNA competency exam, which combines a written or oral knowledge test with a hands-on skills evaluation. 5 skills tasks, 30-minute time limit
Texas requires 100 hours (60 classroom / 40 clinical) of state-approved nurse aide training before you're eligible to sit the competency exam.
Texas CNA certification must be renewed every 2 years, typically by logging a minimum number of paid nursing-related hours within that period. Check with the Texas Health and Human Services Commission (HHSC) for the exact renewal process.

Study Guide: Texas

How to Prepare for the CNA (Nursing Assistant) in Texas

60
written questions
Prometric
testing vendor
Every 2 years
renewal

About the real test in Texas

60 questions, 70% to pass, administered by Prometric. Certification renews every 2 years.

About the CNA (Nursing Assistant), nationwide

The CNA written competency exam is administered state by state, most commonly through Credentia (NNAAP), Prometric, or D&S/Headmaster, but the underlying content domains, basic nursing skills, personal care skills, residents' rights, and infection control, are set nationally and tested everywhere.

Things that make the biggest difference

Basic Nursing Skills and Personal Care Skills carry the most weight combined

Vital signs, positioning and transfers, and activities of daily living make up the largest share of most state exams. These are also the skills tested again on the hands-on skills portion, so mastering them pays off twice.

Residents' Rights questions have a clear, correct pattern

The right answer almost always favors dignity, privacy, choice, and informed consent. When in doubt between two options, choose the one that respects the resident's autonomy.

Know your state's specific vendor and renewal requirements

Testing vendor, question count, and renewal periods vary by state, some renew every 2 years, others require registry renewal on a different cycle. Confirm your state's specific process before test day.

Why TestReadyUSA works for the CNA (Nursing Assistant)

TestReadyUSA's CNA practice covers the national knowledge domains used by every state nurse aide registry, with real per-state testing-vendor, question-count, and renewal facts for wherever you're getting certified.