Texas CNA Skills Exam Guide (Prometric)

After completing the required class hours at a CNA training school, students become eligible to take the certification exam. Once the school confirms that the student has successfully completed the program, the testing organization called Prometric allows the student to schedule the exam.

The total cost of the exam, including both the written and skills portions, is $125.

The skills exam consists of 22 possible skill topics. During the exam, you will be required to perform three randomly selected skills.

However, scoring is based on five items because hand hygiene and professional behavior are always included in the evaluation.

22 CNA Skills Exam Tasks

• Hand Hygiene (Hand Washing)
• Applying One Knee-High Elastic Stocking
• Assisting to Ambulate Using Transfer Belt
• Assisting with Use of Bedpan
• Cleaning of Upper or Lower Dentures
• Consulting and Recording Radial Pulse
• Counting and Recording Respirations
• Donning and Removing PPE
• Dressing Someone with Weak Right Arm
• Feeding Someone Who Cannot Self Feed
• Giving Modified Bed Bath
• Measuring and Recording Urinary Output
• Measuring and Recording Weight of Ambulatory Client
• Performing Passive Range of Motion for One Knee and One Ankle
• Performing Passive Range of Motion for One Shoulder
• Positioning on Side
• Providing Catheter Care for a Female
• Providing Foot Care for One Foot
• Providing Mouth Care
• Providing Perineal Care for Females
• Transferring From Bed to Wheelchair Using Transfer Belt
• Measuring and Recording Manual Blood Pressure

Items to Bring for the Skills Exam

1. Exam authorization letter. Prometric will email the authorization letter after you schedule your exam.
2. One valid government-issued photo ID (driver’s license, state ID, passport, or military ID).
3. A second photo ID (for example, a library card or student ID).
4. Flat, non-slip, closed-toe shoes.
5. Wearing scrubs (uniform) is recommended but not required.
6. A wristwatch with a second hand.

Important Information at the Testing Center

When You Arrive

• You must present a government-issued ID with photo and signature.
• You will be asked to empty your pockets and store personal belongings.
• You will have the opportunity to look around the testing room and locate supplies and materials.

Before the Exam Begins

• You will receive a card listing the three skills you must perform.
• Review the instructions for each skill carefully before beginning.

Additional Rules for the Clinical Skills Exam

• You may look for supplies before the exam begins, but do not gather them until the test starts.
• You must speak only English during the exam.
• You must physically perform each skill during the test.
• The skills must be performed in the order listed on the card.
• You may review the skill instruction card at any time during the exam.
• When beginning a new skill, treat the actor or mannequin as if they are a real patient.
• All necessary supplies and equipment are available in the testing room. Ask the evaluator if something cannot be found.
• If a correction is needed during a skill, inform the evaluator before correcting it.
• One skill will require recording a measurement using the provided form.
• When you finish a skill, say “I am done.”
• You may only correct the skill you are currently performing.
• Side rails are not scored. If the bed has side rails, you may use them as you wish.
• If a serious safety issue occurs, the evaluator may stop the skill.

After Your Test Is Finished

• You may be asked to act as a patient for another test taker.
• You will play the role of a cooperative and mobile patient.
• You should only move or speak when requested by the examinee.
• Giving hints or signals is considered cheating and may result in dismissal from the exam.
• The incident may also be reported to the state authority.

Additional Rules

• Recording devices, cell phones, pagers, PDAs, or cameras must be turned off and stored away.
• The only personal items allowed in the testing room are your wallet, identification, keys, pen, or pencil.
• Because the clinical skills exam is short, no break time is provided.
• Disruptive or inappropriate behavior may result in dismissal from the testing center.

All official information is available on the Prometric website:

Texas Nurse Aide | Prometric

General exam information:
Clinical Skills Instructions

Important clinical skills checklist:
Generic Nurse Aide Clinical Skills Checklist