CNA Study Guide
Texas CNA Written Exam: Prometric CIB Outline and Practice Map
Texas CNA written exam guide: 60-question Prometric CIB outline weights, how they differ from NNAAP, and a map from each CIB area to MedCertPrep practice hubs.
By MedCertPrep Team · Updated September 15, 2026
This short guide helps Texas candidates use MedCertPrep for the Prometric Written/Oral Test without treating our bank as a Texas-labeled clone. Official domain weights and wording live in the Texas Candidate Information Bulletin (PDF). For the state landing, start at Texas CNA. For skills, use Texas CNA skills test.
How does the Texas written exam differ from NNAAP?
Texas uses Prometric. Many Credentia states (including California) use the 2024 NNAAP written outline. MedCertPrep's national CNA bank is organized around NNAAP-style domains.
| Item | Texas Prometric (CIB) | NNAAP / many Credentia states |
|---|---|---|
| Typical form | About 60 questions, 90 minutes | 70 items (60 scored + 10 pretest on written) |
| Outline source | Texas CIB written content outline | 2024 NNAAP Written Content Outline PDF |
| Domain labels | Role, Safety, Function/Health, Basic Nursing Care, Specialized Care | Physical Care, Psychosocial Care, Role of the Nurse Aide |
Themes still overlap heavily (ADLs, infection control, rights, reporting, emergencies). The map below shows how to allocate MedCertPrep practice against Texas weights.
Pro Tip: Keep the Texas CIB PDF open while you practice. When a question feels "Role vs Safety," check which CIB section owns that topic before you decide what to drill next.
Texas CIB outline → MedCertPrep practice
Confirm percentages in the live CIB. Use our hubs for theme volume, not as a claim that every item is Texas-blueprint tagged. Official deep links can change; if a PDF does not open, start from the Prometric Texas Nurse Aide hub and download the current Candidate Information Bulletin there.
| Texas CIB area | Weight | What to drill | MedCertPrep hub |
|---|---|---|---|
| I. Role of the Nurse Aide | 20% | Scope, teamwork, care plan, reporting, ethics, communication | Role of the Nurse Aide |
| II. Promotion of Safety | 22% | Falls, restraint alternatives, infection control, emergencies, fire safety | Physical Care |
| III. Promotion of Function and Health | 20% | ADLs, hydration, mobility, psychosocial support | Physical Care (+ Psychosocial Care for coping/support stems) |
| IV. Basic Nursing Care | 24% | Observe/report changes; acute cues (choking, chest pain, stroke signs, falls) | Physical Care |
| V. Specialized Care / Changes in Health | 14% | Impairment safety, confusion/anxiety themes, dying resident and comfort | Psychosocial Care (+ Physical Care for impairment safety) |
Suggested weekly split when Texas is your target: spend the largest blocks on Physical Care (covers Safety + Function + Basic Nursing Care), then protect Role, then shorter Psychosocial sets for specialized-care themes.
What MedCertPrep does and does not do for Texas
Does: supplemental scenario practice on overlapping nurse aide themes; timed mocks for stamina; explanations for why an answer is safer.
Does not: replace the Texas CIB; guarantee Prometric domain percentages inside our bank; replace the clinical skills checklist.
Free start: Try CNA. Pricing: Pricing.
How this guide connects to MedCertPrep
| Need | Link |
|---|---|
| Texas state landing | Texas CNA |
| Texas skills method | Texas CNA skills test |
| National NNAAP study guide | CNA study guide |
| Texas CIB PDF | Candidate Information Bulletin |
| Prometric TX hub | prometric.com/exams/nurseaide-tx |
| HHSC Become a CNA | hhs.texas.gov |
Frequently Asked Questions
Should I ignore MedCertPrep because Texas is not NNAAP?
No. Use it for theme practice, and use the CIB for Texas weights and exact topic lists. Do not skip the official outline.
Is California practice advice wrong for Texas?
California advice that cites NNAAP percentages is not Texas-accurate. Skills checklists also differ. Use Texas CNA and this map when Texas is your exam path.
Where do I study skills for Texas?
Texas CNA skills test and the Prometric checklist linked from the CIB.
Next step
- Download the Texas CIB and highlight the five written areas.
- Run a Physical Care set, then a Role set, then a short Psychosocial protect set.
- Rehearse skills from the official Prometric checklist via Texas CNA skills test.
- Return to Texas CNA whenever you need official HHSC / Prometric links.
Practice what you just read
Use blueprint-aligned questions and timed mocks for CNA to turn this guide into exam-day readiness.