Coverage by content domain
Lessons and questions are organized around the exam’s content areas so your preparation reflects the structure of the assessment.
Pass your exam—or get your money back. Explore the 240 Guarantee ↗
Praxis test alignment
240's Praxis Health Education study guide is built around the official exam framework so you can study what is actually tested. This page shows exactly how the guide maps to the real exam — SMR by SMR and competency by competency.
Based on a competency-by-competency review of the official framework and the lessons, practice questions, flashcards, videos, and study materials included in this guide.
Transparent coverage
Our curriculum team begins with the official test framework, identifies the knowledge and skills candidates are expected to demonstrate, and maps instruction and practice to those expectations.
Lessons and questions are organized around the exam’s content areas so your preparation reflects the structure of the assessment.
Every competency is marked covered, partially covered, or a gap, so you can see where the guide is strongest and where to add your own review.
Alignment records provide a maintainable source of truth when exam frameworks, names, or objectives are updated.
Certification test standards are broad, but the exam questions are very specific. Our team of curriculum experts uses the 240 Study Guide Creation Process to ensure the most aligned, specific content for your Praxis Health Education (5551) test — so you are not wasting time on broad subject review that may not show up on exam day.
Transparent coverage is a strength. We show where the guide is strong, where depth is partial, and where a gap has been identified so you can make an informed study decision.
5Domains
54Competencies reviewed
95%Test-aligned
49Covered
5Partially covered
0Gaps
This study guide is based on the current official exam framework. We review and update alignment whenever the official framework changes so candidates are always studying current, accurate material.
157 questions · 13 materials · 41 cards · 1 videosPartially covered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| A. Major health behavior theories (e.g., stages of change, behavioral change theory, transtheoretical model, health belief model) | PE.Influences on Health Behaviors; PE.Behavior Change Theories | Covered | 17 | 2 | 4 | 0 | Covered by 2 topics (17 questions, 2 materials, 4 cards, 0 videos). |
| B. Health-related data using appropriate research methods (e.g., surveys, observations, questionnaires, use data to draw conclusions) | PE.Relationship Between Calories and Exercise; PE.Teaching Health | Covered | 25 | 2 | 9 | 0 | Covered by 2 topics (25 questions, 2 materials, 9 cards, 0 videos). |
| C. Valid and reliable data sources and databases (e.g., YRBSS, NIH, CDC, SHAPE America, AMA, WHO, peer-reviewed journals) | PE.Health Education Programs | Covered | 15 | 1 | 5 | 0 | Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos). |
| D. Tools for conducting an assessment of school health needs (e.g., comprehensive school health plan, surveys, needs assessment, The Whole School, Whole Community, Whole Child (WSCC) model) | PE.Health Education Programs | Covered | 15 | 1 | 5 | 0 | Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos). |
| E. Curricular and extracurricular programs for student health needs | PE.Health Education Programs | Covered | 15 | 1 | 5 | 0 | Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos). |
| F. Appropriate educational materials from professional organizations, agencies, and associations that meet the needs of diverse audiences | PE.Health Education Professional Development | Covered | 8 | 1 | 5 | 0 | Covered by 1 topic (8 questions, 1 materials, 5 cards, 0 videos). |
| G. Resources involved in a coordinated approach to school health | PE.Health Education Programs | Covered | 15 | 1 | 5 | 0 | Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos). |
| H. Effective communication with school staff, students, parents, and community (e.g., listening, mediating, negotiating) | PE.Health Education Communication | Partially covered | 3 | 1 | 0 | 0 | Partial coverage by 1 topic (3 questions, 1 materials, 0 cards, 0 videos); limited supporting content. |
| I. Professional, legal, and ethical practices regarding sensitive issues (e.g., privacy laws, confidentiality policy, permission forms, responsibility to report) | P.Privacy Guidelines; P.Duty to Report | Covered | 34 | 2 | 4 | 0 | Covered by 2 topics (34 questions, 2 materials, 4 cards, 0 videos). |
| J. Models for responsible decision making | PE.Goal Setting and Decision Making | Covered | 23 | 1 | 9 | 0 | Covered by 1 topic (23 questions, 1 materials, 9 cards, 0 videos). |
| K. Concepts of character education | PE.Teaching Healthy Communication Skills | Covered | 13 | 1 | 5 | 0 | Covered by 1 topic (13 questions, 1 materials, 5 cards, 0 videos). |
| L. Physical growth and development | P.Physical Development; PE.Physical Development Stages | Covered | 19 | 2 | 1 | 1 | Covered by 2 topics (19 questions, 2 materials, 1 cards, 1 videos). |
| M. Continuing education and professional development as a health educator | PE.Health Education Professional Development | Covered | 8 | 1 | 5 | 0 | Covered by 1 topic (8 questions, 1 materials, 5 cards, 0 videos). |
408 questions · 28 materials · 185 cards · 1 videosPartially covered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| A. Disease etiology, prevention practices, treatment, and management | PE.Disease Prevention | Covered | 17 | 1 | 7 | 0 | Covered by 1 topic (17 questions, 1 materials, 7 cards, 0 videos). |
| B. Communicable and noncommunicable diseases (e.g., infectious, congenital, hereditary, lifestyle) | PE.Common Health Conditions; PE.Common Diseases; PE.Sexually Transmitted Diseases | Covered | 61 | 3 | 39 | 0 | Covered by 3 topics (61 questions, 3 materials, 39 cards, 0 videos). |
| C. Research on practices that prevent chronic and communicable diseases | PE.Disease Prevention | Covered | 17 | 1 | 7 | 0 | Covered by 1 topic (17 questions, 1 materials, 7 cards, 0 videos). |
| D. Goal setting and decision making for healthy lifestyles | PE.Healthy Lifestyles | Covered | 12 | 1 | 0 | 0 | Covered by 1 topic (12 questions, 1 materials, 0 cards, 0 videos). |
| E. Concepts of physical fitness and health-related fitness (e.g., body composition, cardiorespiratory endurance, flexibility, muscular strength, and endurance, FITT) | PE.Principles of Fitness Training; PE.Personal Fitness Programs; PE.Monitoring Fitness Levels; PE.Aerobic Conditioning; PE.Muscle Strength and Flexibility | Covered | 106 | 5 | 47 | 0 | Covered by 5 topics (106 questions, 5 materials, 47 cards, 0 videos). |
| F. Nutrition | PE.Healthy Diet; PE.Evaluating Nutritional Information; PE.Special Nutritional Needs | Covered | 44 | 3 | 16 | 0 | Covered by 3 topics (44 questions, 3 materials, 16 cards, 0 videos). |
| G. Stress management and coping skills | PE.Stress and Relaxation | Covered | 11 | 1 | 2 | 0 | Covered by 1 topic (11 questions, 1 materials, 2 cards, 0 videos). |
| H. Reduce and prevent health risks | PE.Healthy Lifestyles; PE.Negative Impacts on Health | Covered | 19 | 2 | 0 | 0 | Covered by 2 topics (19 questions, 2 materials, 0 cards, 0 videos). |
| I. Anatomy, physiology, and body system interrelationships | S.Human Body Systems; S.Movement and Support; S.Control Systems; S.Exchange; S.Digestion and Excretory; S.Reproduction and Development; PE.Physique Types | Covered | 57 | 7 | 39 | 1 | Covered by 7 topics (57 questions, 7 materials, 39 cards, 1 videos). |
| J. Personal hygiene | PE.Personal Hygiene | Partially covered | 5 | 1 | 3 | 0 | Partial coverage by 1 topic (5 questions, 1 materials, 3 cards, 0 videos); limited supporting content. |
| K. Behaviors that can compromise health or safety | PE.Leading Causes of Injury | Partially covered | 6 | 1 | 2 | 0 | Partial coverage by 1 topic (6 questions, 1 materials, 2 cards, 0 videos); limited supporting content. |
| L. Relationship between lifestyle choices and health outcomes | PE.Healthy Lifestyles; PE.Weight Management | Covered | 40 | 2 | 4 | 0 | Covered by 2 topics (40 questions, 2 materials, 4 cards, 0 videos). |
| M. Effects of substance use and abuse (e.g., physiological, psychological, legal, societal impact) | PE.Drug Abuses; PE.Drug Classifications | Covered | 33 | 2 | 23 | 0 | Covered by 2 topics (33 questions, 2 materials, 23 cards, 0 videos). |
| N. Care for injuries and sudden illnesses (e.g., first aid, CPR, AED use, 911 and emergency services) | PE.First Aid | Covered | 21 | 1 | 4 | 0 | Covered by 1 topic (21 questions, 1 materials, 4 cards, 0 videos). |
207 questions · 15 materials · 56 cards · 1 videosCovered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| A. Factors affecting healthy and unhealthy relationships (e.g., socioeconomics, family dynamics, personality traits, environment, culture, tolerance/acceptance) | PE.Family Roles and Structures; PE.Parenting and Family Communication | Covered | 24 | 2 | 1 | 0 | Covered by 2 topics (24 questions, 2 materials, 1 cards, 0 videos). |
| B. How decision-making skills affect relationships | PE.Dating Relationships; PE.Preventing and Treating Substance Abuse | Covered | 44 | 2 | 11 | 0 | Covered by 2 topics (44 questions, 2 materials, 11 cards, 0 videos). |
| C. Psychosocial development throughout life stages (e.g., intellect, relationships, independence, emotions) | P.Psychosocial Development | Covered | 10 | 1 | 1 | 1 | Covered by 1 topic (10 questions, 1 materials, 1 cards, 1 videos). |
| D. Interpersonal communication (e.g., listening, feedback, verbal and non-verbal communication, group dynamics) | PE.Teaching Healthy Communication Skills | Covered | 13 | 1 | 5 | 0 | Covered by 1 topic (13 questions, 1 materials, 5 cards, 0 videos). |
| E. Skills that promote healthy interactions (e.g., conflict resolution, assertiveness, refusal skills) | PE.Peer Relationships; PE.Conflict Resolution | Covered | 34 | 2 | 3 | 0 | Covered by 2 topics (34 questions, 2 materials, 3 cards, 0 videos). |
| F. Concepts and issues related to human sexuality (e.g., sexual maturation, sexual identity, media messages, sexual behavior and attitudes, pregnancy and childbirth, sexual orientation, contraception) | PE.Levels of Commitment in Relationships; PE.Teaching Sexual Health; PE.Prenatal Health | Covered | 27 | 3 | 11 | 0 | Covered by 3 topics (27 questions, 3 materials, 11 cards, 0 videos). |
| G. Causes, consequences, and prevention of different types of abuse and violence | PE.Preventing Violence; PE.Eating Disorders; PE.Types of Abuse | Covered | 24 | 3 | 14 | 0 | Covered by 3 topics (24 questions, 3 materials, 14 cards, 0 videos). |
| H. Causes and consequences of various mental and emotional health issues and prevention strategies | PE.Mental Health | Covered | 31 | 1 | 10 | 0 | Covered by 1 topic (31 questions, 1 materials, 10 cards, 0 videos). |
89 questions · 8 materials · 50 cards · 0 videosPartially covered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| A. Understands the concepts of individual responsibility to society and the environment | PE.Environmental Health | Covered | 12 | 1 | 6 | 0 | Covered by 1 topic (12 questions, 1 materials, 6 cards, 0 videos). |
| B. Laws and regulations governing health and safety (e.g., disease reporting, immunizations, infectious disease control, consumer safety) | PE.Health and Safety Laws | Covered | 6 | 1 | 5 | 0 | Covered by 1 topic (6 questions, 1 materials, 5 cards, 0 videos). |
| C. Environmental health issues (e.g., reduce/reuse/recycle, pollution, energy conservation, sustainable living) | PE.Environmental Health | Covered | 12 | 1 | 6 | 0 | Covered by 1 topic (12 questions, 1 materials, 6 cards, 0 videos). |
| D. Consumer health issues (e.g., health myths and quackery, affordability, access, health trends, health literacy, managing personal health care) | PE.Sources for Health Information | Covered | 18 | 1 | 6 | 0 | Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos). |
| E. Valid sources of health information, products, and services | PE.Sources for Health Information | Covered | 18 | 1 | 6 | 0 | Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos). |
| F. Health careers that are available | PE.Health Care Providers | Covered | 15 | 1 | 13 | 0 | Covered by 1 topic (15 questions, 1 materials, 13 cards, 0 videos). |
| G. Community health agencies available for assistance and referral (e.g., American Red Cross and other national agencies, Planned Parenthood, health departments, social service agencies, school-based health clinics) | PE.Health Agencies | Covered | 10 | 1 | 7 | 0 | Covered by 1 topic (10 questions, 1 materials, 7 cards, 0 videos). |
| H. Factors that influence decision making in health policies (e.g., demographic, political, economic, available resources) | PE.Health Agencies | Covered | 10 | 1 | 7 | 0 | Covered by 1 topic (10 questions, 1 materials, 7 cards, 0 videos). |
| I. Factors that influence the content of school health education (e.g., demographic, political, media, content standards) | PE.Health Education Programs | Covered | 15 | 1 | 5 | 0 | Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos). |
| J. Methods for delivering appropriate health-promoting messages (e.g., verbal, electronic, printed material, community/school events) | PE.Communicating Health Information | Partially covered | 3 | 1 | 4 | 0 | Partial coverage by 1 topic (3 questions, 1 materials, 4 cards, 0 videos); limited supporting content. |
| K. Opportunities available for health education advocacy (e.g., health fairs, assemblies, professional meetings and conferences, community and school events) | PE.Communicating Health Information | Partially covered | 3 | 1 | 4 | 0 | Partial coverage by 1 topic (3 questions, 1 materials, 4 cards, 0 videos); limited supporting content. |
| L. Role of the health educator as a liaison between school staff, students, parents, and the community | PE.Community Health | Covered | 10 | 1 | 5 | 0 | Covered by 1 topic (10 questions, 1 materials, 5 cards, 0 videos). |
173 questions · 5 materials · 37 cards · 2 videosCovered
| Official competency | Matching 240 topics | Alignment | Qs | Mats | Cards | Vids | Notes |
|---|---|---|---|---|---|---|---|
| A. Assess learning needs for individuals and diverse groups (e.g., identify developmentally appropriate instruction, cognitive abilities, multiple learning styles, purposes of pre-testing) | PE.Instructional Strategies (Health); P.Multiple Intelligences | Covered | 34 | 2 | 14 | 0 | Covered by 2 topics (34 questions, 2 materials, 14 cards, 0 videos). |
| B. Sequential instruction planning using performance-based objectives (e.g., identify measurable objectives, performance indicators, elements of effective lesson and unit plans, apply scope and sequence) | PE.Instructional Strategies (Health) | Covered | 26 | 1 | 9 | 0 | Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos). |
| C. Curriculum aligning with national, state, and district standards | PE.Instructional Strategies (Health) | Covered | 26 | 1 | 9 | 0 | Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos). |
| D. Effective methods, strategies, and techniques to implement instruction (e.g., direct instruction, cooperative learning, guided discovery, brainstorming, role playing) | PE.Instructional Strategies (Health) | Covered | 26 | 1 | 9 | 0 | Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos). |
| E. Reflective process of teaching | PE.Instructional Strategies (Health) | Covered | 26 | 1 | 9 | 0 | Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos). |
| F. Assessment of student learning (e.g., formative assessments, summative assessments, rubrics) | P.Types of Assessment | Covered | 108 | 1 | 15 | 1 | Covered by 1 topic (108 questions, 1 materials, 15 cards, 1 videos). |
| G. Classroom-management strategies | P.Managing Student Behavior; P.Challenging Behavior | Covered | 31 | 2 | 8 | 1 | Covered by 2 topics (31 questions, 2 materials, 8 cards, 1 videos). |
Every 240 study guide starts with the official exam framework. From there, we organize lessons, practice, and study tools around the categories the exam uses to measure candidate knowledge.
We begin with the standards, domains, competencies, objectives, or content categories published by the testing authority.
We map every major area the exam is designed to cover so the guide reflects the real structure of the test.
We create study materials to support the official blueprint, not broad filler content.
We review practice content against the framework and real exam patterns so preparation stays targeted.
When official frameworks change, we review guides and update alignment as needed.
Reviewed by subject-matter experts and maintained to reflect current standards.
Not all study guides are built the same way. Here is what separates a test-aligned guide from a generic one — and why it matters when you are preparing for the Praxis Health Education.
The questions teacher candidates ask us most often about the Praxis Health Education study guide.
240 is a strong option because the guide is built around the official exam framework and shows detailed alignment by SMR and competency.
This guide is 95% aligned based on a competency-by-competency review of the official framework and the study resources included in the guide.
This page shows coverage transparently across covered, partially covered, and identified gaps so candidates can see exactly how the guide maps to the exam.
Partially covered means the guide addresses the core parts of a competency, but some depth or subtopics may still be limited.
Start with your exam
Accessibility