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Texas Nurse Aide Practice Test

Texas Nurse Aide Practice Test

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Questions updated at Aug 18, 2026, 7:55 PM CDT

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Today's 10 Texas Nurse Aide questions

Use this Texas Nurse Aide practice test to review Texas Nurse Aide Competency Examination. Questions rotate daily and each answer links back to the source used to write it.

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200 verified questions are in the live bank. Free daily questions are selected from a rotating sample set. Unlock Pro to access the full question bank.

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Question 1 of 10
Objective Infection prevention and control — Practices that decrease the risk of exposure to disease-causing organisms II. Promotion of Safety (22%)

A resident is vomiting and the nurse aide may be splashed while helping. Which action is best?

Concept tested:
Question 2 of 10
Objective Nurse aide as a member of the health care team — Responsibility to provide care according to the care plan I. Role of the Nurse Aide (20%)

Ms. Chen’s care plan calls for regular repositioning to protect her skin. She is sleeping when the scheduled time arrives. What should the nurse aide do?

Concept tested:
Question 3 of 10
Objective Personal care skills — Toileting III. Promotion of Function and Health of Residents (20%)

Mr. Williams can use the toilet with standby assistance. What should the nurse aide do?

Concept tested:
Question 4 of 10
Objective Routine, chronic, non-life-threatening situations — Observation and reporting of physical changes IV. Basic Nursing Care Provided by the Nurse Aide (24%)

Mr. Ortiz tells the nurse aide that his shoulder started hurting during dressing. What should the aide do?

Concept tested:
Question 5 of 10
Objective Personal responsibility — Workplace standards, including ethical and unethical behaviors I. Role of the Nurse Aide (20%)

A resident offers the nurse aide an expensive watch as a thank-you gift. What is the best action?

Concept tested:
Question 6 of 10
Objective Psychological problems — Common psychological impairments and related care V. Providing Specialized Care for Residents with Changes in Health (14%)

Ms. Thompson with dementia carries a stuffed animal and becomes upset when she cannot find it. What should the nurse aide do?

Concept tested:
Question 7 of 10
Objective Personal care skills — Skin care III. Promotion of Function and Health of Residents (20%)

During morning care, the nurse aide sees a red area over Mr. Smith’s tailbone that does not turn pale when light pressure is applied. The skin is still intact, and his care plan includes pressure relief. What should the aide do?

Concept tested:
Question 8 of 10
Objective Acute emergency situations — Changes in mobility, speech, or other potential signs of stroke IV. Basic Nursing Care Provided by the Nurse Aide (24%)

Ms. Thompson suddenly develops slurred speech. While help is being called, she asks for water. What should the nurse aide do?

Concept tested:
Question 9 of 10
Objective Safety and comfort — Accident prevention including fall prevention protocols II. Promotion of Safety (22%)

Ms. Patel is ready to transfer from bed to wheelchair. What should the nurse aide check before she stands?

Concept tested:
Question 10 of 10
Objective Care of the dying resident and post-mortem care — Physical changes and needs as death approaches V. Providing Specialized Care for Residents with Changes in Health (14%)

A dying resident’s mouth is dry and the care plan calls for frequent mouth care. What should the nurse aide do?

Concept tested:
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The free daily Texas Nurse Aide set includes crawlable question text, answer choices, correct answer labels, objective mapping, and source links. Only the first SEO card includes answer explanations and any extra learning features. Pro-only bank questions stay locked; this section mirrors only the 10 free daily questions already shown on this page.

Question 1 A resident is vomiting and the nurse aide may be splashed while helping. Which action is best?

Answer choices

  1. A. Use no PPE because the resident has no known infection.
  2. B. Use the PPE required by Standard Precautions and facility policy for the expected exposure.
  3. C. Wear gloves only after the vomiting stops.
  4. D. Use another resident’s reusable gloves.

Correct answer

Use the PPE required by Standard Precautions and facility policy for the expected exposure.

Standard Precautions apply to all patient care and PPE selection is based on the expected exposure. The tested principle is to break the chain of transmission with hand hygiene, clean technique, and task-appropriate PPE.

Wrong-answer review

  • A. Use no PPE because the resident has no known infection.: “Use no PPE because the resident has no known infection” is a weaker response because it breaks the clean-to-dirty sequence, hand-hygiene timing, or PPE selection used in Standard Precautions. The safer step prevents organisms from moving to the resident, aide, or environment.
  • C. Wear gloves only after the vomiting stops.: “Wear gloves only after the vomiting stops” misses the key distinction because it breaks the clean-to-dirty sequence, hand-hygiene timing, or PPE selection used in Standard Precautions. The safer step prevents organisms from moving to the resident, aide, or environment.
  • D. Use another resident’s reusable gloves.: Choosing “Use another resident’s reusable gloves” would be inappropriate because it breaks the clean-to-dirty sequence, hand-hygiene timing, or PPE selection used in Standard Precautions. The safer step prevents organisms from moving to the resident, aide, or environment.

Extra learning features

Why candidates miss this

The distractors ‘Use no PPE because the resident has no known infection’ and ‘Wear gloves only after the vomiting stops’ are tempting because they represent a simplified approach to infection control. However, they fail to account for the potential for exposure and the importance of a proactive, clean-to-dirty technique. The decisive clue is the requirement for ‘Standard Precautions’ in the correct answer, which emphasizes a comprehensive approach to preventing infection. Likely wrong answer: Wear gloves only after the vomiting stops. Review focus: Texas Certified Nurse Aide Candidate Information Bulletin

Objective/domain: II. Promotion of Safety (22%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 2 Ms. Chen’s care plan calls for regular repositioning to protect her skin. She is sleeping when the scheduled time arrives. What should the nurse aide do?

Answer choices

  1. A. Let her sleep through this turn and document that she was resting.
  2. B. Follow the care plan and reposition her gently unless the nurse directs otherwise.
  3. C. Wait to reposition until a skin check shows redness so unnecessary sleep interruption is avoided.
  4. D. Delay the turn for an hour, then perform the next two repositionings closer together.

Correct answer

Follow the care plan and reposition her gently unless the nurse directs otherwise.

Objective/domain: I. Role of the Nurse Aide (20%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 3 Mr. Williams can use the toilet with standby assistance. What should the nurse aide do?

Answer choices

  1. A. Make him use a bedpan so staff can watch him.
  2. B. Keep the bathroom door wide open for convenience.
  3. C. Provide the planned assistance, give privacy, and stay close enough to respond safely.
  4. D. Leave the unit while he is on the toilet.

Correct answer

Provide the planned assistance, give privacy, and stay close enough to respond safely.

Objective/domain: III. Promotion of Function and Health of Residents (20%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 4 Mr. Ortiz tells the nurse aide that his shoulder started hurting during dressing. What should the aide do?

Answer choices

  1. A. Continue dressing so the joint does not become stiff.
  2. B. Move the shoulder through full range of motion to test it.
  3. C. Tell him pain is expected with age.
  4. D. Stop the movement causing pain, make him comfortable, and report the new pain.

Correct answer

Stop the movement causing pain, make him comfortable, and report the new pain.

Objective/domain: IV. Basic Nursing Care Provided by the Nurse Aide (24%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 5 A resident offers the nurse aide an expensive watch as a thank-you gift. What is the best action?

Answer choices

  1. A. Politely decline the gift and follow facility policy.
  2. B. Trade it for a less expensive gift.
  3. C. Take it home and tell no one.
  4. D. Accept it because the resident offered it freely.

Correct answer

Politely decline the gift and follow facility policy.

Objective/domain: I. Role of the Nurse Aide (20%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 6 Ms. Thompson with dementia carries a stuffed animal and becomes upset when she cannot find it. What should the nurse aide do?

Answer choices

  1. A. Redirect her to breakfast and look for the stuffed animal later if she remains upset.
  2. B. Tell her the item can be replaced and reassure her that she does not need to worry about it.
  3. C. Comfort her and help look for the item.
  4. D. Search the room without including her because talking about the item may reinforce the concern.

Correct answer

Comfort her and help look for the item.

Objective/domain: V. Providing Specialized Care for Residents with Changes in Health (14%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 7 During morning care, the nurse aide sees a red area over Mr. Smith’s tailbone that does not turn pale when light pressure is applied. The skin is still intact, and his care plan includes pressure relief. What should the aide do?

Answer choices

  1. A. Massage the red area with lotion to increase circulation.
  2. B. Place a ring-shaped cushion under the area and keep him seated.
  3. C. Cover the intact area with a tight dressing and wait until the next skin-care round.
  4. D. Relieve pressure according to the care plan, keep the area clean and dry, and report the skin change promptly.

Correct answer

Relieve pressure according to the care plan, keep the area clean and dry, and report the skin change promptly.

Objective/domain: III. Promotion of Function and Health of Residents (20%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 8 Ms. Thompson suddenly develops slurred speech. While help is being called, she asks for water. What should the nurse aide do?

Answer choices

  1. A. Do not give food or fluid until swallowing safety is assessed; stay with her and follow the emergency plan.
  2. B. Offer crackers instead of water.
  3. C. Give a large drink to see if the speech improves.
  4. D. Have her walk to the nurses’ station.

Correct answer

Do not give food or fluid until swallowing safety is assessed; stay with her and follow the emergency plan.

Objective/domain: IV. Basic Nursing Care Provided by the Nurse Aide (24%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 9 Ms. Patel is ready to transfer from bed to wheelchair. What should the nurse aide check before she stands?

Answer choices

  1. A. The wheels can roll freely during the transfer.
  2. B. The wheelchair is several feet away to give her room.
  3. C. The wheelchair is close, positioned correctly, and its brakes are locked.
  4. D. The wheelchair footrests are under her feet while she stands.

Correct answer

The wheelchair is close, positioned correctly, and its brakes are locked.

Objective/domain: II. Promotion of Safety (22%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 10 A dying resident’s mouth is dry and the care plan calls for frequent mouth care. What should the nurse aide do?

Answer choices

  1. A. Offer frequent sips of water instead of mouth care because swallowing fluid will keep the mouth moist longer.
  2. B. Provide mouth care only when the resident asks for it so sleep is not interrupted.
  3. C. Provide gentle mouth care as directed and report any new distress.
  4. D. Wait until the next scheduled full bath to provide mouth care unless the resident becomes fully alert.

Correct answer

Provide gentle mouth care as directed and report any new distress.

Objective/domain: V. Providing Specialized Care for Residents with Changes in Health (14%)

Source: Texas Certified Nurse Aide Candidate Information Bulletin

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