CNA Study Guide
Texas CNA Skills Test: Prometric Clinical Skills Method
Texas CNA clinical skills: five scored skills, handwashing, Indirect Care, Prometric checklist links, and a short rehearsal method that does not replace the Candidate Information Bulletin.
By MedCertPrep Team · Updated September 15, 2026
This short guide is for Texas nurse aide candidates preparing for the Prometric Clinical Skills Test. It covers how the Texas skills exam is typically structured, how to rehearse without copying the official checklist, and where to open live HHSC and Prometric pages. For the state landing and official resource cards, start at Texas CNA. For a longer national skills rehearsal method, use CNA skills test.
Texas testing is not the Credentia California pathway. Confirm fees, attempt limits, and skill checkpoints in the Texas Candidate Information Bulletin (PDF) and the Prometric Texas Nurse Aide hub. Eligibility and registry steps begin with HHSC Become a CNA and the TULIP portal. For written CIB weights mapped to MedCertPrep hubs, see Texas CNA written exam.

What is the Texas CNA skills test?
The Clinical Skills Test is the hands-on half of Texas certification. A Nurse Aide Evaluator watches you perform skills and marks checkpoints. You must also pass the Written or Oral Test. A strong written score does not offset a failed skills demonstration.
Per the Texas CIB (verify live wording before exam day):
| Detail | Typical Texas Prometric rule |
|---|---|
| Scored skills | Five skills total |
| Assigned skills | Usually three skills from the clinical skills list |
| Also scored | Handwashing and Indirect Care |
| Handwashing cue | Often evaluated at the start; may not be separately prompted |
| Indirect Care | Rights, communication, safety/comfort, infection control across the exam |
| Passing bar | Pass all five scored skills |
| Timing | Timed; your instruction card lists the time limit for that form |
| Official checkpoints | Prometric clinical skills checklist (PDF) (also linked from the Texas Nurse Aide hub) |
This page does not reprint the full skills checklist. Memorize steps only from Prometric / the CIB.
Pro Tip: Practice washing your hands before you touch the resident, even if nobody says "wash your hands." Texas materials emphasize that this skill may not be prompted.
Where do Texas candidates get the official checklist?
- Open the Prometric Texas Nurse Aide hub
- Download the Texas CIB PDF and read the Clinical Skills overview
- Rehearse from the clinical skills checklist (PDF) linked from the Texas hub
- Keep HHSC Become a CNA open for TULIP and registry context
If a blog conflicts with Prometric or HHSC, the official documents win. Deep links (PDFs and portals) can move; if one does not open, start from the Prometric Texas Nurse Aide hub, the HHSC Nurse Aide Registry, or the TULIP portal home and find the current file there.
How should you rehearse Texas skills without copying the list?
Use a short three-layer plan:
- Shell habits: introduce yourself, explain, protect privacy, keep the call light in reach, and protect safety before every transfer. Details: CNA skills test.
- Always-on skills: drill handwashing and Indirect Care as continuous behaviors, not one isolated "station."
- Timed mocks: pick three assigned skills from the official list, plus handwashing and Indirect Care scoring. Grade only against the Prometric checklist.
Support themes with written practice (overlapping nurse aide topics, not a Texas clone bank):
- Physical Care
- Role of the Nurse Aide
- Free diagnostic: Try CNA
What else matters on Texas skills day?
- Arrive early (CIB commonly asks about 30 minutes before the appointment)
- Wear flat, nonskid, closed-toe shoes; bring a watch with a second hand when measurement skills are possible
- You may correct a skill while you are still performing it if you tell the evaluator you are correcting. After you say you are done with a skill, you usually may not go back
- The evaluator will not coach you or discuss results during the test
- Score reports are typically emailed; results are not given by phone
Attempt limits and the 24-month training window are handbook-specific. Confirm them in the Texas CIB before you schedule.
How this guide connects to MedCertPrep
| Need | Link |
|---|---|
| Texas state landing | Texas CNA |
| National skills method | CNA skills test |
| Transfers / gait belt themes | CNA transfers and gait belt |
| Infection / hand hygiene themes | CNA infection control |
| ADLs / personal care | CNA ADLs |
| Free diagnostic | Try CNA |
| Prometric TX hub | prometric.com/exams/nurseaide-tx |
| Texas CIB PDF | Candidate Information Bulletin |
| Skills checklist | Prometric checklist (PDF) |
| HHSC Become a CNA | hhs.texas.gov |
Frequently Asked Questions
Is the Texas skills exam the same as California Credentia?
No. Texas uses Prometric clinical skills with handwashing and Indirect Care scoring rules described in the Texas CIB. California Credentia uses a different Skills Listing and Critical Element wording. Do not mix checklists across states.
Do I need to memorize every skill on the Texas list?
Cover the full official list in rehearsal. On test day you perform a subset, but the remaining assigned skills are drawn from that list. Always use the Prometric checklist for checkpoints.
Can MedCertPrep replace the Prometric checklist?
No. MedCertPrep teaches method and overlapping themes. Scored steps come only from Prometric / the Texas CIB.
Next step for Texas skills week
- Open Texas CNA and download the CIB plus skills checklist.
- Drill unprompted handwashing and Indirect Care habits.
- Run two timed mocks graded only against Prometric.
- Support weak written themes in Physical Care while you keep the Texas CIB outline nearby.
Texas skills success is checklist fidelity under time pressure. Rehearse from Prometric, protect handwashing and Indirect Care, and use MedCertPrep for study structure around that official core.
Practice what you just read
Use blueprint-aligned questions and timed mocks for CNA to turn this guide into exam-day readiness.