Free Texas HHA Practice Test 2026
Study for the Texas Home Health Aide competency exam with questions aligned to Texas Health and Human Services requirements.
Start Free Practice — No Account RequiredTexas HHA Exam Facts
- Training Hours Required: 75 hours (16 hours clinical)
- Written Exam Questions: 75 multiple-choice questions
- Time Limit: 90 minutes
- Passing Score: 70% or higher
- Exam Fee: Varies by approved training program
- Retake Policy: 3 attempts allowed; must repeat training after 3rd failure
- Certification Validity: Active as long as employed; 12 in-service hours annually
- Governing Body: Texas Health and Human Services (HHSC)
Official registry: Texas Nurse Aide Registry
Texas HHA Exam FAQ
What are the HHA training requirements in Texas?
Texas requires 75 hours of HHA training through a state-approved program under Texas Health and Human Services oversight, including at least 16 hours of supervised clinical training in a nursing facility or home health setting.
How many questions are on the Texas HHA competency exam?
The Texas HHA written competency exam has 75 multiple-choice questions covering all 8 CMS-required domains. A separate skills evaluation component is also required.
What score do I need to pass the Texas HHA exam?
You must score at least 70% on the written exam and pass the clinical skills evaluation by correctly demonstrating at least 5 randomly selected skills.
Can I retake the Texas HHA exam if I fail?
Yes. Texas allows up to 3 attempts. If you fail both portions (written and skills) all 3 times, you must complete the HHA training program again before retesting.
How do I find my certification on the Texas Nurse Aide Registry?
The Texas Nurse Aide Registry is maintained by HHSC. Once you pass your competency evaluation, your employer will submit your information for registry listing. You can verify your certification status on the HHSC website.
Does Texas accept out-of-state HHA certifications?
Texas may accept out-of-state HHA certifications if they meet HHSC and CMS requirements. Contact Texas HHSC directly to verify whether your prior training and competency evaluation qualify for recognition in Texas.