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Texas Athletic Trainer Licensing Exam ACTUAL EXAM
COMPLETE QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
Texas Athletic Trainer Licensing Exam, the following questions are based on the Texas
Advisory Board of Athletic Trainers rules, the NATA (National Athletic Trainers'
Association) Position Statements, and BOC (Board of Certification) domains.
Exam Coverage: Texas Athletic Trainer License
The Texas exam focuses on both clinical proficiency and state-specific legalities:
• Texas Occupations Code Chapter 451: State laws governing the practice of athletic
training in Texas.
• Injury Prevention & Wellness: Taping, bracing, nutrition, and environmental safety
(heat illness).
• Examination, Assessment & Diagnosis: Orthopedic special tests and cranial nerve
assessments.
• Immediate & Emergency Care: CPR, AED, spine boarding, and wound care.
• Therapeutic Intervention: Modalities (ultrasound, e-stim) and rehabilitation
progressions.
• Healthcare Administration: Insurance (ICD-10/CPT codes), EAPs, and Texas-specific CEU
requirements.
Texas Athletic Trainer Questions 1–100
1. According to the Texas Occupations Code Chapter 451, an athletic trainer must practice
under the direction of which specific healthcare professional?
A. A Physical Therapist
B. A Licensed Chiropractor
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C. A Physician licensed by the Texas Medical Board
D. A School Principal
Answer: C. A Physician licensed by the Texas Medical Board
Rationale: Texas law explicitly requires athletic trainers to act under the advice and consent of
a licensed physician to ensure medical oversight of athlete care.
2. Which of the following special tests is most appropriate for assessing a suspected tear of
the Anterior Talofibular Ligament (ATFL) in the ankle?
A. Talar Tilt Test
B. Anterior Drawer Test of the ankle
C. Kleiger’s Test
D. Thompson Test
Answer: B. Anterior Drawer Test of the ankle
Rationale: The Anterior Drawer test specifically assesses the integrity of the ATFL by pulling the
calcaneus anteriorly while stabilizing the tibia.
3. When managing an athlete with suspected heat stroke, what is the gold standard for
verifying the athlete's core body temperature?
A. Oral thermometer
B. Tympanic (ear) thermometer
C. Rectal thermometry
D. Axillary (armpit) temperature
Answer: C. Rectal thermometry
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Rationale: NATA and Texas UIL guidelines state that rectal temperature is the only accurate
measure of core heat during an exertional heat stroke emergency.
4. A Texas licensed athletic trainer must complete how many hours of continuing education
(CEUs) during each two-year license renewal period?
A. 10 hours
B. 20 hours
C. 40 hours
D. 50 hours
Answer: C. 40 hours
Rationale: The Texas Advisory Board of Athletic Trainers requires 40 hours of CEUs every two
years, which must include a current CPR/AED certification.
5. During a cranial nerve assessment, asking an athlete to track your finger in an "H" pattern
evaluates the function of which specific nerves?
A. CN I, II, and III
B. CN III, IV, and VI
C. CN V, VII, and IX
D. CN X and XII
Answer: B. CN III, IV, and VI
Rationale: The Oculomotor (III), Trochlear (IV), and Abducens (VI) nerves control the
extraocular muscles responsible for coordinated eye movement.
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6. Which therapeutic modality uses sound waves to create "cavitation" and acoustic
streaming within deep tissues to promote healing?
A. Transcutaneous Electrical Nerve Stimulation (TENS)
B. Therapeutic Ultrasound
C. Shortwave Diathermy
D. Intermittent Compression
Answer: B. Therapeutic Ultrasound
Rationale: Ultrasound creates high-frequency vibrations that produce thermal and non-thermal
(cavitation) effects to increase tissue extensibility and blood flow.
7. An athlete presenting with "burning" pain down the medial arm and weakness in finger
adduction likely has an injury to which nerve root?
A. C5
B. C6
C. C8
D. T1
Answer: C. C8
Rationale: The C8 nerve root supplies the sensation to the medial hand/fingers and the motor
function for the interossei muscles used in finger adduction.
8. What is the primary legal defense for an athletic trainer who provides care to a minor in a
life-threatening emergency when the parents are not present?
A. Sovereign Immunity
Texas Athletic Trainer Licensing Exam ACTUAL EXAM
COMPLETE QUESTIONS AND VERIFIED SOLUTIONS
LATEST UPDATE THIS YEAR
Texas Athletic Trainer Licensing Exam, the following questions are based on the Texas
Advisory Board of Athletic Trainers rules, the NATA (National Athletic Trainers'
Association) Position Statements, and BOC (Board of Certification) domains.
Exam Coverage: Texas Athletic Trainer License
The Texas exam focuses on both clinical proficiency and state-specific legalities:
• Texas Occupations Code Chapter 451: State laws governing the practice of athletic
training in Texas.
• Injury Prevention & Wellness: Taping, bracing, nutrition, and environmental safety
(heat illness).
• Examination, Assessment & Diagnosis: Orthopedic special tests and cranial nerve
assessments.
• Immediate & Emergency Care: CPR, AED, spine boarding, and wound care.
• Therapeutic Intervention: Modalities (ultrasound, e-stim) and rehabilitation
progressions.
• Healthcare Administration: Insurance (ICD-10/CPT codes), EAPs, and Texas-specific CEU
requirements.
Texas Athletic Trainer Questions 1–100
1. According to the Texas Occupations Code Chapter 451, an athletic trainer must practice
under the direction of which specific healthcare professional?
A. A Physical Therapist
B. A Licensed Chiropractor
,Page 2 of 113
C. A Physician licensed by the Texas Medical Board
D. A School Principal
Answer: C. A Physician licensed by the Texas Medical Board
Rationale: Texas law explicitly requires athletic trainers to act under the advice and consent of
a licensed physician to ensure medical oversight of athlete care.
2. Which of the following special tests is most appropriate for assessing a suspected tear of
the Anterior Talofibular Ligament (ATFL) in the ankle?
A. Talar Tilt Test
B. Anterior Drawer Test of the ankle
C. Kleiger’s Test
D. Thompson Test
Answer: B. Anterior Drawer Test of the ankle
Rationale: The Anterior Drawer test specifically assesses the integrity of the ATFL by pulling the
calcaneus anteriorly while stabilizing the tibia.
3. When managing an athlete with suspected heat stroke, what is the gold standard for
verifying the athlete's core body temperature?
A. Oral thermometer
B. Tympanic (ear) thermometer
C. Rectal thermometry
D. Axillary (armpit) temperature
Answer: C. Rectal thermometry
,Page 3 of 113
Rationale: NATA and Texas UIL guidelines state that rectal temperature is the only accurate
measure of core heat during an exertional heat stroke emergency.
4. A Texas licensed athletic trainer must complete how many hours of continuing education
(CEUs) during each two-year license renewal period?
A. 10 hours
B. 20 hours
C. 40 hours
D. 50 hours
Answer: C. 40 hours
Rationale: The Texas Advisory Board of Athletic Trainers requires 40 hours of CEUs every two
years, which must include a current CPR/AED certification.
5. During a cranial nerve assessment, asking an athlete to track your finger in an "H" pattern
evaluates the function of which specific nerves?
A. CN I, II, and III
B. CN III, IV, and VI
C. CN V, VII, and IX
D. CN X and XII
Answer: B. CN III, IV, and VI
Rationale: The Oculomotor (III), Trochlear (IV), and Abducens (VI) nerves control the
extraocular muscles responsible for coordinated eye movement.
, Page 4 of 113
6. Which therapeutic modality uses sound waves to create "cavitation" and acoustic
streaming within deep tissues to promote healing?
A. Transcutaneous Electrical Nerve Stimulation (TENS)
B. Therapeutic Ultrasound
C. Shortwave Diathermy
D. Intermittent Compression
Answer: B. Therapeutic Ultrasound
Rationale: Ultrasound creates high-frequency vibrations that produce thermal and non-thermal
(cavitation) effects to increase tissue extensibility and blood flow.
7. An athlete presenting with "burning" pain down the medial arm and weakness in finger
adduction likely has an injury to which nerve root?
A. C5
B. C6
C. C8
D. T1
Answer: C. C8
Rationale: The C8 nerve root supplies the sensation to the medial hand/fingers and the motor
function for the interossei muscles used in finger adduction.
8. What is the primary legal defense for an athletic trainer who provides care to a minor in a
life-threatening emergency when the parents are not present?
A. Sovereign Immunity
