Texas CNA skills test list 2026: which skills are on the exam?
Updated · Reviewed against official sources
The Texas Nurse Aide Clinical Skills test (run by Prometric) draws from a list of 20 skills. You are scored on five skills: three assigned skills plus Handwashing and Indirect Care, and you must pass all five. Handwashing is not prompted, the time limit depends on your test form, and you get three attempts in 24 months before you must retrain.
| # | Skill |
|---|---|
| A | Ambulate the resident using a transfer/gait belt |
| B | Assist resident needing to use a bedpan |
| C | Change bed linen while the resident remains in bed |
| D | Change resident's position to a supported side-lying position |
| E | Dress a resident who has a weak arm |
| F | Empty a urinary drainage bag, measure and record urine output on an I&O form |
| G | Feed a resident who is sitting in a chair |
| H | Measure and record a resident's radial pulse |
| I | Measure and record a resident's respirations |
| J | Catheter care for a female resident with an indwelling urinary catheter |
| K | Foot care for a resident sitting in a chair |
| L | Mouth care for a resident who has a denture |
| M | Mouth care for a resident who has teeth |
| N | Perineal care for a female resident who is incontinent of urine |
| O | Hand and nail care |
| P | Partial bed bath and back rub |
| Q | Passive ROM to one elbow and wrist |
| R | Passive ROM to one shoulder |
| S | Passive ROM to one hip, knee and ankle |
| T | Bed-to-wheelchair transfer using a pivot technique and a transfer/gait belt |
How the Texas skills test is scored
- Five scored skills: three assigned skills from the list above, plus Handwashing and Indirect Care (resident rights, communication, safety and comfort, infection control) scored across the whole test.
- Pass all five to pass the Clinical Skills test. The bulletin says you don't have to be perfect, but you must show competency on each skill's checkpoints.
- Handwashing is unprompted. Nobody will tell you to wash your hands; it is evaluated at the beginning of the test and you're expected to wash before and after touching the resident.
- Time limit varies by test form. Your instruction card tells you how long you have for your combination of skills.
- Resident: someone acting as a resident, or a mannequin, in a clinical lab.
What's not on the Texas list
Unlike Credentia's NNAAP list used in states such as North Carolina and Virginia, the Texas list has no blood pressure and no weight skill. The measurement skills are radial pulse, respirations and urine output on an I&O form. Don't skip learning BP for your job, but on this exam spend your skills time on the 20 listed skills.
Fees, attempts and attire
- Clinical Skills Test fee: $92 (paid to Prometric; nonrefundable). Check the current fee in the bulletin.
- Three attempts at the skills test and three at the written/oral test within 24 months; then retraining is required.
- The skills exam is offered in English only.
- Wear flat, nonskid, closed-toed shoes; a uniform or scrubs is suggested, plus a watch with a second hand.
- Score reports are emailed the next day.
Quick answers
- Texas CNA skills list 2026: how many skills are there?
- The current Prometric bulletin lists 20 skills (A–T). You perform three of them and are also scored on Handwashing and Indirect Care.
- Is the Texas skills test in Spanish?
- No. The bulletin says the Clinical Skills exam is offered in English only; the written test is offered in English and Spanish.
- Can I fix a mistake on the Texas skills test?
- Yes, while you are still performing that skill: tell the evaluator you are making a correction. Once you say you're done with a skill, you can't go back. See correcting mistakes.
- Where is the official Texas skills checklist?
- Prometric posts the Clinical Skills Checklist on its Texas nurse aide page (linked in Sources).
What to do next
Learn how Prometric's Handwashing and Indirect Care scoring works, then cover the written half of the exam.
You must pass the written test too. Take the free 20-question practice test, or unlock the timed 60-question exam simulator, the full question bank and every skill checklist for $29 one-time (or $9/month).
Related guides
- Florida CNA skills checklist: what's on the Prometric skills test?
- How does the Prometric CNA clinical skills test work?
- What is indirect care on the CNA skills test?
- Is handwashing always on the CNA skills test?
- What skills are tested on the California CNA skills exam?
- PA CNA skills test: is hand washing always on it, and which skills are tested?
- North Carolina Nurse Aide I skills test: which skills are on it?
- Virginia CNA skills test: which skills, how long, and how is it scored?
Sources
- Texas Nurse Aide Candidate Information Bulletin (Prometric, PDF)
- Prometric — Texas Nurse Aide (skills checklist and portal)
- Texas HHSC — Become a certified nurse aide in Texas
Checked: . Rules, fees and vendors change — always confirm with your state's official page and candidate handbook.