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Texas Nurse Aide Practice Test

Texas Nurse Aide Practice Test

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Questions updated at Aug 23, 2026, 8:12 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 Acute emergency situations — Choking/aspirations IV. Basic Nursing Care Provided by the Nurse Aide (24%)

Ms. Nguyen is responsive but cannot speak, cough, or breathe after food blocks her airway. The nurse aide is trained in current adult first aid. Which response is correct?

Concept tested:
Question 3 of 10
Objective Age-related changes — Psychosocial changes III. Promotion of Function and Health of Residents (20%)

Mr. Williams says he misses friends who no longer visit. What is the best nurse aide response?

Concept tested:
Question 4 of 10
Objective Personal responsibility — Reporting requirements I. Role of the Nurse Aide (20%)

During morning care, Ms. Allen says she feels dizzy when she stands. This is new for her. What should the nurse aide do first?

Concept tested:
Question 5 of 10
Objective Physical problems — Common physical impairments and related care V. Providing Specialized Care for Residents with Changes in Health (14%)

Mr. Brown has Parkinson’s disease and moves slowly. His care plan says he should walk with a walker and one-person assist. What should the nurse aide do?

Concept tested:
Question 6 of 10
Objective Acute emergency situations — Chest pain IV. Basic Nursing Care Provided by the Nurse Aide (24%)

While walking in the hall, Ms. Allen develops sudden chest pressure and looks pale. She asks to keep walking to her room so she can lie down. What should the nurse aide do?

Concept tested:
Question 7 of 10
Objective Infection prevention and control — Factors that contribute to spread of disease-causing organisms II. Promotion of Safety (22%)

The nurse aide removes gloves after perineal care and then touches the next resident’s call light without cleaning the hands. What risk does this create?

Concept tested:
Question 8 of 10
Objective Psychosocial needs — Coping with losses and adjustment to nursing home placement III. Promotion of Function and Health of Residents (20%)

Mr. Davis recently moved into the facility and says, “Nothing is mine anymore.” What is the best response?

Concept tested:
Question 9 of 10
Objective Personal responsibility — Promotion and protection of resident rights I. Role of the Nurse Aide (20%)

A neighbor asks the nurse aide why Mr. Martin was sent to the hospital yesterday. What is the best response?

Concept tested:
Question 10 of 10
Objective Physical problems — Providing for safety, care, and comfort of residents with physical impairments V. Providing Specialized Care for Residents with Changes in Health (14%)

Ms. Harris has poor sensation in her feet. What should the nurse aide do before washing them?

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, within the described operational context.
  2. B. Use the PPE required by Standard Precautions and facility policy for the expected exposure, under the documented operational and governance requirements.
  3. C. Wear gloves only after the vomiting stops, for the stated ii. promotion of safety (22%) requirement.
  4. D. Use another resident’s reusable gloves, for the described technical objective and its associated operational control requirements, as configured.

Correct answer

Use the PPE required by Standard Precautions and facility policy for the expected exposure, under the documented operational and governance requirements.

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, within the described operational context.: “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, for the stated ii. promotion of safety (22%) requirement.: “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, for the described technical objective and its associated operational control requirements, as configured.: 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. Nguyen is responsive but cannot speak, cough, or breathe after food blocks her airway. The nurse aide is trained in current adult first aid. Which response is correct?

Answer choices

  1. A. Give 5 back blows followed by 5 chest thrusts for every adult with severe choking, for the specified implementation requirement.
  2. B. Activate emergency help and give repeated cycles of 5 back blows followed by 5 abdominal thrusts, following facility protocol, as the organization’s selected response.
  3. C. Use abdominal thrusts only until the object comes out because back blows are no longer recommended, under the documented operational and governance requirements.
  4. D. Begin CPR while Ms. Nguyen is still responsive and standing, for the described technical objective and its associated operational control requirements.

Correct answer

Activate emergency help and give repeated cycles of 5 back blows followed by 5 abdominal thrusts, following facility protocol, as the organization’s selected response.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 3 Mr. Williams says he misses friends who no longer visit. What is the best nurse aide response?

Answer choices

  1. A. Listen to him and help him take part in social contact he chooses.
  2. B. Choose new friends for him without asking, under the documented operational and governance requirements.
  3. C. Tell him loneliness is a normal part of aging, under the stated technical, operational, and governance constraints.
  4. D. Tell him to stop talking about the past, for the stated security, delivery, and accountability requirements.

Correct answer

Listen to him and help him take part in social contact he chooses.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 4 During morning care, Ms. Allen says she feels dizzy when she stands. This is new for her. What should the nurse aide do first?

Answer choices

  1. A. Tell her dizziness is common with age and continue the bath, in practice.
  2. B. Help her sit safely and report the new dizziness to the nurse.
  3. C. Ask her to walk a short distance to see whether it improves, under this approach.
  4. D. Write a note about it at the end of the shift, within the described operational context.

Correct answer

Help her sit safely and report the new dizziness to the nurse.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 5 Mr. Brown has Parkinson’s disease and moves slowly. His care plan says he should walk with a walker and one-person assist. What should the nurse aide do?

Answer choices

  1. A. Leave the walker behind so he can move faster, under the stated decision criteria.
  2. B. Allow extra time, use the planned assistance, and avoid rushing him, for the affected environment.
  3. C. Pull him forward by both arms to start each step, within the defined security and accountability boundaries.
  4. D. Do all walking for him in a wheelchair even when he wants to walk, under end-to-end security-and-governance requirements.

Correct answer

Allow extra time, use the planned assistance, and avoid rushing him, for the affected environment.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 6 While walking in the hall, Ms. Allen develops sudden chest pressure and looks pale. She asks to keep walking to her room so she can lie down. What should the nurse aide do?

Answer choices

  1. A. Walk her to the room first, then report the chest pressure if it continues, for the required operational result and control objective.
  2. B. Seat her safely and obtain a complete set of routine measurements before calling anyone, within the documented operational, security, ownership, and validation requirements.
  3. C. Stop the activity, keep her safely at rest, and activate the nurse/emergency response immediately according to facility protocol.
  4. D. Ask another resident to stay with her while the aide looks for her chart, for the described technical objective and its associated operational control requirements, in context.

Correct answer

Stop the activity, keep her safely at rest, and activate the nurse/emergency response immediately according to facility protocol.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 7 The nurse aide removes gloves after perineal care and then touches the next resident’s call light without cleaning the hands. What risk does this create?

Answer choices

  1. A. Organisms can be carried from one resident or surface to another.
  2. B. Only airborne infections can spread this way, for the required business outcome.
  3. C. The gloves make hand hygiene unnecessary, as the primary implementation for the described business requirement.
  4. D. The call light becomes safer because gloves were worn, under the stated decision criteria.

Correct answer

Organisms can be carried from one resident or surface to another.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 8 Mr. Davis recently moved into the facility and says, “Nothing is mine anymore.” What is the best response?

Answer choices

  1. A. Tell him he must get used to the facility rules, for the required operational result and control objective.
  2. B. Remove personal items so the room stays uniform, as the recommended response to this scenario.
  3. C. Plan his day without asking because choices may confuse him, as the primary implementation for the described business requirement.
  4. D. Offer choices about his daily routine and help arrange personal items as he prefers.

Correct answer

Offer choices about his daily routine and help arrange personal items as he prefers.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 9 A neighbor asks the nurse aide why Mr. Martin was sent to the hospital yesterday. What is the best response?

Answer choices

  1. A. “Ask another aide because I was not here.”, for the described technical objective.
  2. B. “He had chest pain, but please do not tell anyone.”, for the required business outcome.
  3. C. “I cannot share private health information about a resident.”, for this task.
  4. D. “I can tell you if you promise to keep it private.”, within the described operational context.

Correct answer

“I cannot share private health information about a resident.”, for this task.

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

Source: Texas Certified Nurse Aide Candidate Information Bulletin

Question 10 Ms. Harris has poor sensation in her feet. What should the nurse aide do before washing them?

Answer choices

  1. A. Check that the water is at a safe temperature instead of relying on her sensation, as proposed.
  2. B. Use extra-hot water so she can feel it, for the described technical objective and its associated operational control requirements.
  3. C. Add ice directly to her feet after washing, as the proposed design for the complete governed operational workflow.
  4. D. Ask her to test the water with the numb foot, as the organization’s selected response.

Correct answer

Check that the water is at a safe temperature instead of relying on her sensation, as proposed.

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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