Is 240 a good study guide for the TExES Health EC-12 (157)?

Yes. The 240 study guide is built around the official exam framework and this page shows detailed alignment domain by domain and competency by competency.

TExES Health EC-12 (157) Study Guide Test Alignment

Q: How closely does 240 align to the TExES Health EC-12 (157) exam?

This guide is 93% test-aligned based on a competency-by-competency review of the official framework and the study resources included in the guide.

Q: Does 240 cover every competency?

Coverage is shown transparently across covered, partially covered, and identified gaps: 102 covered, 10 partially covered, and 3 gaps across 115 competencies.

Q: What does "partially covered" mean?

Partially covered means the guide addresses the core parts of a competency, but some depth or subtopics may still be limited.

Why Test Alignment Matters for Your TExES Health EC-12 Study Guide

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 TExES Health EC-12 (157) test — so you are not wasting time on broad subject review that may not show up on exam day.

Why 240 Is the Best Choice for the TExES 157 Study Guide

✓Built around the official exam framework
✓Organized by the competencies actually used on the exam
✓Shows exactly what is covered and where depth is partial
✓Includes aligned questions, flashcards, study materials, and videos
✓Helps candidates study what is actually tested instead of broad generic content

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.

How to Read This Alignment Review

5 domains · 115 competencies reviewed · 93% test-aligned

Covered— competency is comprehensively supported by the guide

Partially covered— core content is covered, but some depth gaps remain

Coverage gap identified— a content gap has been identified

✓

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.

PERSONAL HEALTH (DOMAIN I) Partially covered

SMR I.001 The teacher understands human body systems and the processes of human growth and development.

72 Qs7 Materials24 Cards3 VideosCovered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Vids	Notes
A. Demonstrates an understanding of the structures, functions and interactions of body systems and of factors (e.g., heredity, environment, behavior) that influence the functioning of body systems.	S.Human Body Systems	Covered	25	1	11	1	Covered by 1 topic (25 questions, 1 materials, 11 cards, 1 videos).
B. Analyzes the roles of various body systems in maintaining health and knows strategies for maintaining the healthy status of body systems.	S.Human Body Systems	Covered	25	1	11	1	Covered by 1 topic (25 questions, 1 materials, 11 cards, 1 videos).
C. Demonstrates knowledge of typical patterns and processes of human growth and development, including physical, cognitive and emotional development and understands individual variation in rates and patterns of development.	P.Physical Development; P.Types of Processing; P.Emotional Development	Covered	13	3	7	2	Covered by 3 topics (13 questions, 3 materials, 7 cards, 2 videos).
D. Analyzes factors affecting growth and development and knows personal health behaviors (e.g., nutrition, exercise, sleep) required to maintain health throughout the life cycle.	PE.Healthy Lifestyles	Covered	12	1	0	0	Covered by 1 topic (12 questions, 1 materials, 0 cards, 0 videos).
E. Demonstrates knowledge of physical and emotional changes associated with puberty and how these changes may affect personal health.	PE.Physical Development Stages	Covered	14	1	0	0	Covered by 1 topic (14 questions, 1 materials, 0 cards, 0 videos).
F. Identifies practices that promote or impede development of a healthy embryo and fetus (e.g., prenatal care; proper nutrition; use of alcohol, tobacco or other drugs; exposure to disease).	PE.Prenatal Health	Covered	8	1	6	0	Covered by 1 topic (8 questions, 1 materials, 6 cards, 0 videos).

SMR I.002 The teacher understands nutrition, exercise and physical fitness and their role in maintaining and enhancing health.

110 Qs7 Materials50 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Identifies types of nutrients, their sources in food and their uses in the body (e.g., the importance of calcium for bone growth, iron for red blood cells and vitamin A for vision).	PE.Healthy Diet	Covered	19	1	10	Covered by 1 topic (19 questions, 1 materials, 10 cards, 0 videos).
B. Demonstrates knowledge of scientifically proven principles of nutrition, the components of a balanced diet and how to apply these principles of nutrition to ensure a balanced diet.	PE.Healthy Diet	Covered	19	1	10	Covered by 1 topic (19 questions, 1 materials, 10 cards, 0 videos).
C. Analyzes healthy and unhealthy dietary practices, including eating disorders and fad diets, and ways in which diet influences personal health.	PE.Eating Disorders	Covered	8	1	10	Covered by 1 topic (8 questions, 1 materials, 10 cards, 0 videos).
D. Applies skills and strategies for reading, interpreting and evaluating nutritional information (e.g., food pyramids, food labels, promotional claims) and for using this information to make healthy food choices.	PE.Evaluating Nutritional Information	Covered	11	1	7	Covered by 1 topic (11 questions, 1 materials, 7 cards, 0 videos).
E. Applies knowledge of factors that influence nutritional and caloric requirements (e.g., age, activity level, pregnancy) and factors that influence food choices (e.g., cultural background, family eating patterns, advertising, peer behaviors).	None	Coverage gap identified	0	0	0	No matching topic found in the study guide.
F. Demonstrates knowledge of skills and motivational strategies for making healthy food choices and for planning a healthy diet.	PE.Healthy Diet	Covered	19	1	10	Covered by 1 topic (19 questions, 1 materials, 10 cards, 0 videos).
G. Analyzes relationships between dieting, exercising and maintaining a healthy weight.	PE.Weight Management	Covered	28	1	4	Covered by 1 topic (28 questions, 1 materials, 4 cards, 0 videos).
H. Demonstrates knowledge of the components of fitness (e.g., cardiovascular fitness, flexibility, muscle strength) and methods for assessing fitness.	PE.Monitoring Fitness Levels; PE.Personal Fitness Programs	Covered	24	2	17	Covered by 2 topics (24 questions, 2 materials, 17 cards, 0 videos).
I. Identifies types of exercise and analyzes the effects of exercise on different body systems (e.g., cardiovascular, musculoskeletal).	PE.Personal Fitness Programs	Covered	18	1	12	Covered by 1 topic (18 questions, 1 materials, 12 cards, 0 videos).
J. Demonstrates an understanding of the health benefits of physical activity throughout the life span, including weight control, and strategies for maintaining and improving fitness.	PE.Personal Benefits of Physical Activity	Covered	20	1	6	Covered by 1 topic (20 questions, 1 materials, 6 cards, 0 videos).
K. Identifies strategies for developing and following a personal health plan that stresses good nutrition, exercise and appropriate body weight.	PE.Weight Management; PE.Personal Fitness Programs	Covered	46	2	16	Covered by 2 topics (46 questions, 2 materials, 16 cards, 0 videos).

SMR I.003 The teacher understands how diseases and disorders affect health.

106 Qs8 Materials60 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates knowledge of types and characteristics of communicable diseases and noncommunicable diseases.	PE.Common Health Conditions; PE.Common Diseases	Covered	51	2	32	Covered by 2 topics (51 questions, 2 materials, 32 cards, 0 videos).
B. Demonstrates knowledge of types of pathogens (e.g., viruses, bacteria, fungi) that cause communicable disease, how they cause disease and how they are transmitted.	S.Infectious Agents	Covered	12	1	6	Covered by 1 topic (12 questions, 1 materials, 6 cards, 0 videos).
C. Analyzes risk factors for contracting common communicable diseases.	PE.Common Diseases; PE.Personal Hygiene	Covered	36	2	24	Covered by 2 topics (36 questions, 2 materials, 24 cards, 0 videos).
D. Demonstrates an understanding of methods for treating different types of communicable diseases (e.g., viral, bacterial) and preventive measures (e.g., washing hands, avoiding stress, quarantine, vaccination) that limit the spread of communicable disease.	PE.Common Diseases	Covered	31	1	21	Covered by 1 topic (31 questions, 1 materials, 21 cards, 0 videos).
E. Recognizes causes of common noncommunicable diseases (e.g., asthma, diabetes, cancer, heart disease) and analyzes risk factors for contracting these diseases (e.g., heredity, smoking, sedentary lifestyle).	PE.Common Health Conditions	Covered	20	1	11	Covered by 1 topic (20 questions, 1 materials, 11 cards, 0 videos).
F. Demonstrates knowledge of methods for early detection of noncommunicable diseases (e.g., genetic counseling, Pap smear) and for preventing noncommunicable diseases (e.g., exercising, losing weight, reducing air pollution).	PE.Disease Prevention	Covered	17	1	7	Covered by 1 topic (17 questions, 1 materials, 7 cards, 0 videos).
G. Demonstrates an understanding of immune system responses to disease (e.g., fever, antibody formation, asthma).	S.Immune Systems	Covered	8	1	4	Covered by 1 topic (8 questions, 1 materials, 4 cards, 0 videos).
H. Analyzes the effects of environmental factors on health and disease.	PE.Health and the Economically Disadvantaged	Partially covered	3	1	1	Partial coverage by 1 topic (3 questions, 1 materials, 1 cards, 0 videos); limited supporting content.
J. Analyzes the influence of laws and policies on disease prevention and health-related issues.	PE.Health Agencies	Covered	10	1	7	Covered by 1 topic (10 questions, 1 materials, 7 cards, 0 videos).

SMR I.004 The teacher understands mental and emotional health and factors that influence mental and emotional health.

73 Qs5 Materials24 Cards1 VideosCovered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Vids	Notes
A. Analyzes interrelationships among physical, mental, emotional and social health (e.g., child abuse and neglect, substance abuse).	PE.Drug Abuses; PE.Types of Abuse	Covered	21	2	11	0	Covered by 2 topics (21 questions, 2 materials, 11 cards, 0 videos).
B. Demonstrates knowledge of how emotional health needs change throughout the life span (e.g., emotional attachment, decision making, life and death issues).	P.Psychosocial Development	Covered	10	1	1	1	Covered by 1 topic (10 questions, 1 materials, 1 cards, 1 videos).
C. Analyzes factors (e.g., heredity, personal experience, environmental factors) that affect mental and emotional health.	PE.Mental Health	Covered	31	1	10	0	Covered by 1 topic (31 questions, 1 materials, 10 cards, 0 videos).
D. Identifies types, causes and symptoms of mental and emotional health disorders (e.g., anxiety, depression, eating disorders, suicidal tendencies) and methods for obtaining assistance for mental and emotional problems.	PE.Mental Health	Covered	31	1	10	0	Covered by 1 topic (31 questions, 1 materials, 10 cards, 0 videos).
E. Applies knowledge of causes of stress (e.g., family, social situations, academic pressure), effects of stress on individual and family health and strategies for coping with and managing stress (e.g., counseling, exercise).	PE.Stress and Relaxation	Covered	11	1	2	0	Covered by 1 topic (11 questions, 1 materials, 2 cards, 0 videos).
F. Demonstrates an understanding of strategies for managing anxiety and grief, preventing suicides and maintaining good mental and emotional health.	PE.Mental Health	Covered	31	1	10	0	Covered by 1 topic (31 questions, 1 materials, 10 cards, 0 videos).

HEALTHY INTERPERSONAL RELATIONSHIPS (DOMAIN II) Partially covered

SMR II.005 The teacher understands family relationships and their significance for health.

39 Qs4 Materials7 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates knowledge of diverse family structures and factors that influence relationships within families.	PE.Family Roles and Structures	Covered	14	1	1	Covered by 1 topic (14 questions, 1 materials, 1 cards, 0 videos).
B. Applies strategies that demonstrate an understanding of individual roles and responsibilities within a family and of behaviors that show consideration and respect for self and other family members (e.g., expressing needs and wants appropriately, practicing self-control).	PE.Parenting and Family Communication	Covered	10	1	0	Covered by 1 topic (10 questions, 1 materials, 0 cards, 0 videos).
C. Applies knowledge of strategies for promoting healthy interactions among family members (e.g., building trust, expressing affection, setting limits).	PE.Parenting and Family Communication	Covered	10	1	0	Covered by 1 topic (10 questions, 1 materials, 0 cards, 0 videos).
D. Analyzes ways in which family relationships and family problems (e.g., abuse, divorce, death) can influence an individual’s emotional, physical and mental health.	PE.Emotional Responses	Covered	9	1	2	Covered by 1 topic (9 questions, 1 materials, 2 cards, 0 videos).
E. Analyzes the nature, causes and consequences of conflict in families.	PE.Emotional Responses	Covered	9	1	2	Covered by 1 topic (9 questions, 1 materials, 2 cards, 0 videos).
F. Identifies strategies for coping with unhealthy behaviors in the family (e.g., abuse, alcoholism, neglect) and knows how to seek help in dealing with family problems.	PE.Types of Abuse	Partially covered	6	1	4	Partial coverage by 1 topic (6 questions, 1 materials, 4 cards, 0 videos); limited supporting content.

SMR II.006 The teacher understands interpersonal relationships and healthy ways of interacting with others and avoiding conflict.

54 Qs4 Materials19 Cards0 VideosCovered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Analyzes characteristics of healthy and unhealthy friendships and other interpersonal relationships.	PE.Peer Relationships	Covered	18	1	2	Covered by 1 topic (18 questions, 1 materials, 2 cards, 0 videos).
B. Demonstrates an understanding of skills and strategies for building and maintaining healthy interpersonal relationships.	PE.Teaching Healthy Communication Skills	Covered	13	1	5	Covered by 1 topic (13 questions, 1 materials, 5 cards, 0 videos).
C. Analyzes peer relationships, the role of peers and peer pressure in influencing behavior and health and healthy/positive strategies for responding to peer pressure.	PE.Peer Relationships	Covered	18	1	2	Covered by 1 topic (18 questions, 1 materials, 2 cards, 0 videos).
D. Demonstrates an understanding of characteristics of groups and social support networks, group dynamics and the health consequences of various types of group interactions.	PE.Peer Relationships	Covered	18	1	2	Covered by 1 topic (18 questions, 1 materials, 2 cards, 0 videos).
E. Knows the role of social and communication skills (e.g., showing tolerance, empathy, consideration and respect; responding appropriately to criticism; using listening skills; discussing problems; using conflict resolution skills) in building and maintaining healthy interpersonal relationships.	PE.Teaching Healthy Communication Skills	Covered	13	1	5	Covered by 1 topic (13 questions, 1 materials, 5 cards, 0 videos).
F. Analyzes the use of various communication strategies (e.g., assertiveness, refusal skills) in situations involving interpersonal interactions.	PE.Conflict Resolution	Covered	16	1	1	Covered by 1 topic (16 questions, 1 materials, 1 cards, 0 videos).
G. Applies knowledge of steps and procedures for mediating and resolving conflict.	PE.Conflict Resolution	Covered	16	1	1	Covered by 1 topic (16 questions, 1 materials, 1 cards, 0 videos).
H. Demonstrates knowledge of strategies for avoiding unsafe situations and for responding to negative behaviors exhibited by others (e.g., bullying, ridicule, harassment).	PE.Harassment and Discrimination	Covered	7	1	11	Covered by 1 topic (7 questions, 1 materials, 11 cards, 0 videos).

SMR II.007 The teacher understands human sexuality and its significance for health.

40 Qs3 Materials17 Cards0 VideosCovered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates knowledge of potential consequences of sexual activity (e.g., pregnancy, sexually transmitted diseases) and the benefits of abstaining from sexual activity outside of a committed relationship.	PE.Teaching Sexual Health	Covered	16	1	1	Covered by 1 topic (16 questions, 1 materials, 1 cards, 0 videos).
B. Analyzes factors that influence decisions about sexual activity (e.g., peer pressure, personal values, media messages) and strategies for making responsible decisions about sexual activity.	PE.Teaching Sexual Health	Covered	16	1	1	Covered by 1 topic (16 questions, 1 materials, 1 cards, 0 videos).
C. Demonstrates knowledge of appropriate ways to express affection in a caring relationship and strategies for refusing sexual advances.	PE.Dating Relationships	Covered	14	1	8	Covered by 1 topic (14 questions, 1 materials, 8 cards, 0 videos).
D. Analyzes roles and responsibilities of individuals involved in dating relationships.	PE.Dating Relationships	Covered	14	1	8	Covered by 1 topic (14 questions, 1 materials, 8 cards, 0 videos).
E. Identifies the legal and ethical implications of unacceptable behaviors (e.g., sexual harassment, acquaintance rape, statutory rape, sexual abuse).	PE.Dating Relationships	Covered	14	1	8	Covered by 1 topic (14 questions, 1 materials, 8 cards, 0 videos).
F. Demonstrates an understanding of sexually transmitted diseases (e.g., chlamydia, gonorrhea, HIV) and methods for preventing the spread of these diseases.	PE.Sexually Transmitted Diseases	Covered	10	1	8	Covered by 1 topic (10 questions, 1 materials, 8 cards, 0 videos).
G. Demonstrates an understanding of the types, characteristics, effectiveness, advantages and disadvantages of various methods of contraception.	PE.Teaching Sexual Health	Covered	16	1	1	Covered by 1 topic (16 questions, 1 materials, 1 cards, 0 videos).

COMMUNITY AND ENVIRONMENTAL HEALTH AND SAFETY (DOMAIN III) Partially covered

SMR III.008 The teacher understands methods and procedures for promoting safety, preventing accidents and responding to emergencies.

53 Qs5 Materials11 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates knowledge of hazards to health and safety in the home, school and community.	PE.Teaching Safety	Covered	9	1	0	Covered by 1 topic (9 questions, 1 materials, 0 cards, 0 videos).
B. Knows basic safety rules and procedures for reducing hazards, avoiding unintentional injuries and preventing injuries in various situations (e.g., driving an automobile, bicycling, swimming).	PE.Teaching Safety	Covered	9	1	0	Covered by 1 topic (9 questions, 1 materials, 0 cards, 0 videos).
C. Identifies personal behaviors that increase the risk of injury (e.g., fatigue, risk taking, use of alcohol and other drugs) and recognizes the importance of personal responsibility in preventing injury.	PE.Leading Causes of Injury	Partially covered	6	1	2	Partial coverage by 1 topic (6 questions, 1 materials, 2 cards, 0 videos); limited supporting content.
D. Relates different types of safe and unsafe behavior to positive and negative health effects throughout the life span.	None	Coverage gap identified	0	0	0	No matching topic found in the study guide.
E. Knows strategies for recognizing and avoiding potentially dangerous situations and for preventing and responding to different types of violence (e.g., dating violence, gang violence, hate crimes).	PE.Preventing Violence	Covered	10	1	0	Covered by 1 topic (10 questions, 1 materials, 0 cards, 0 videos).
F. Demonstrates knowledge of home safety and emergency response plans, their components and their benefits.	PE.Emergency Plans	Covered	7	1	5	Covered by 1 topic (7 questions, 1 materials, 5 cards, 0 videos).
G. Demonstrates knowledge of principles and procedures related to safety, unintentional-injury prevention and response to emergencies, including first aid procedures (e.g., CPR, conscious choking technique).	PE.First Aid	Covered	21	1	4	Covered by 1 topic (21 questions, 1 materials, 4 cards, 0 videos).

SMR III.009 The teacher understands the use and abuse of alcohol, tobacco and other drugs, including prescription drugs, and the effects of alcohol, tobacco and other drugs on health.

81 Qs4 Materials28 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Identifies types of legal and illegal drugs (e.g., alcohol, tobacco, steroids, stimulants, depressants, narcotics, hallucinogens, herbal supplements, over-the-counter medications), their characteristics and laws related to their use.	PE.Drug Classifications	Covered	18	1	16	Covered by 1 topic (18 questions, 1 materials, 16 cards, 0 videos).
B. Analyzes short-term and long-term effects (e.g., physical, psychological, social) of the use and abuse of alcohol, tobacco and other legal and illegal drugs, including effects on individuals with given characteristics (e.g., pregnant women, adolescents).	None	Coverage gap identified	0	0	0	No matching topic found in the study guide.
C. Demonstrates knowledge of different types of addiction (e.g., physical, psychological) and factors contributing to chemical dependency on and addiction to alcohol, tobacco and other drugs.	PE.Preventing and Treating Substance Abuse	Covered	30	1	3	Covered by 1 topic (30 questions, 1 materials, 3 cards, 0 videos).
D. Analyzes factors in the home, school and community that can influence an individual’s use and abuse of alcohol, tobacco and other legal and illegal drugs.	PE.Preventing and Treating Substance Abuse	Covered	30	1	3	Covered by 1 topic (30 questions, 1 materials, 3 cards, 0 videos).
E. Applies knowledge of strategies for preventing the use and abuse of alcohol, tobacco and other legal and illegal drugs and of strategies for promoting individual responsible drug use (e.g., designated driver programs).	PE.Preventing and Treating Substance Abuse	Covered	30	1	3	Covered by 1 topic (30 questions, 1 materials, 3 cards, 0 videos).
F. Knows methods of intervention and treatments for abuse of alcohol, tobacco and other drugs and age-appropriate strategies for dealing with another person’s substance abuse.	PE.Preventing and Treating Substance Abuse	Covered	30	1	3	Covered by 1 topic (30 questions, 1 materials, 3 cards, 0 videos).
G. Demonstrates knowledge of how the use and abuse of alcohol, tobacco and other drugs may lead to health and safety problems (e.g., unplanned pregnancies, motor vehicle crashes or injuries, drownings).	PE.Drug Abuses	Covered	15	1	7	Covered by 1 topic (15 questions, 1 materials, 7 cards, 0 videos).
H. Analyzes the role of assertiveness, refusal skills and peer pressure in decision making and problem solving related to the use of alcohol, tobacco and other legal and illegal drugs.	PE.Peer Relationships	Covered	18	1	2	Covered by 1 topic (18 questions, 1 materials, 2 cards, 0 videos).
I. Applies knowledge of types of school-based and community-based efforts to address health-risk behaviors related to the use and abuse of alcohol, tobacco and other legal and illegal drugs and strategies for promoting student participation in such efforts.	PE.Preventing and Treating Substance Abuse	Covered	30	1	3	Covered by 1 topic (30 questions, 1 materials, 3 cards, 0 videos).

SMR III.010 The teacher understands issues and factors related to community and environmental health.

54 Qs6 Materials30 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates knowledge of community health care agencies, programs and services and their roles and responsibilities (e.g., primary, preventive and emergency care).	PE.Health Care Providers	Covered	15	1	13	Covered by 1 topic (15 questions, 1 materials, 13 cards, 0 videos).
B. Analyzes community and national health care needs and goals and demonstrates knowledge of health-related social, political and economic issues (e.g., organ donation, rising medical costs, uninsured and underinsured families).	PE.Health Care Issues and Trends	Partially covered	2	1	1	Partial coverage by 1 topic (2 questions, 1 materials, 1 cards, 0 videos); limited supporting content.
C. Analyzes individual factors (e.g., socioeconomic status, cultural background, age, attitudes) and societal factors (e.g., economic trends, government policies) that influence the cost, availability, accessibility and use of health care for different individuals and communities.	PE.Community Health	Covered	10	1	5	Covered by 1 topic (10 questions, 1 materials, 5 cards, 0 videos).
D. Demonstrates an understanding of community health problems (e.g., poor nutrition, violence, unplanned pregnancy), their causes (e.g., poverty, inadequate access to health care) and strategies for addressing them (e.g., violence-prevention awareness, drug-abuse prevention and treatment programs).	PE.Community Health	Covered	10	1	5	Covered by 1 topic (10 questions, 1 materials, 5 cards, 0 videos).
E. Analyzes the influence of various factors (e.g., media messages, technological advances) on individual and community health.	PE.Health and Media	Covered	9	1	0	Covered by 1 topic (9 questions, 1 materials, 0 cards, 0 videos).
F. Demonstrates knowledge of major types of health-related laws, regulations and policies (e.g., mandatory vaccinations, workplace safety regulations) and their effects on community health.	PE.Health and Safety Laws	Covered	6	1	5	Covered by 1 topic (6 questions, 1 materials, 5 cards, 0 videos).
G. Demonstrates knowledge of environmental problems (e.g., air and water pollution, noise, overcrowding, hazardous waste), their causes and their effects on individual, community and world health.	PE.Environmental Health	Covered	12	1	6	Covered by 1 topic (12 questions, 1 materials, 6 cards, 0 videos).
H. Identifies strategies for reducing environmental hazards (e.g., water purification, emission control, waste management) and analyzes ways in which protecting the environment promotes individual, community and world health.	PE.Environmental Health	Covered	12	1	6	Covered by 1 topic (12 questions, 1 materials, 6 cards, 0 videos).
I. Demonstrates an understanding of ways in which individuals can contribute to improving community and environmental health (e.g., advocacy, volunteerism).	PE.Environmental Health	Covered	12	1	6	Covered by 1 topic (12 questions, 1 materials, 6 cards, 0 videos).

HEALTH-RELATED SKILLS AND RESOURCES (DOMAIN IV) Partially covered

SMR IV.011 The teacher understands the use of decision-making and other skills in making informed choices that influence health.

44 Qs3 Materials10 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Analyzes the multiple influences (e.g., beliefs, knowledge, skills, attitudes, peers, role models) on health decisions and behaviors.	PE.Influences on Health Behaviors	Covered	14	1	1	Covered by 1 topic (14 questions, 1 materials, 1 cards, 0 videos).
B. Applies knowledge of steps and procedures for using decision-making and problem-solving skills in various health-related contexts.	PE.Goal Setting and Decision Making	Covered	23	1	9	Covered by 1 topic (23 questions, 1 materials, 9 cards, 0 videos).
C. Demonstrates an understanding of risk assessment and ways to reduce health risks and enhance and maintain health.	PE.Negative Impacts on Health	Partially covered	7	1	0	Partial coverage by 1 topic (7 questions, 1 materials, 0 cards, 0 videos); limited supporting content.
D. Applies knowledge of how to use planning and goal-setting, decision-making and problem-solving skills and procedures to enhance personal, family and community health.	PE.Goal Setting and Decision Making	Covered	23	1	9	Covered by 1 topic (23 questions, 1 materials, 9 cards, 0 videos).
E. Recognizes the importance of seeking advice and guidance from others (e.g., health care professionals, family members) in making decisions about personal health.	PE.Goal Setting and Decision Making	Covered	23	1	9	Covered by 1 topic (23 questions, 1 materials, 9 cards, 0 videos).
F. Recognizes benefits of and procedures for developing personal plans for maintaining and enhancing health.	PE.Goal Setting and Decision Making	Covered	23	1	9	Covered by 1 topic (23 questions, 1 materials, 9 cards, 0 videos).

SMR IV.012 The teacher understands sources of health-related information and strategies for accessing, evaluating and using health-related information.

18 Qs1 Materials6 Cards0 VideosCovered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates knowledge of sources of valid health-related information (e.g., health professionals, government agencies, private nonprofit agencies, Internet resources) and how to access and use different types of health-related information.	PE.Sources for Health Information	Covered	18	1	6	Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos).
B. Applies knowledge of strategies for researching health-related information and products and for synthesizing information from various sources to make informed health decisions.	PE.Sources for Health Information	Covered	18	1	6	Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos).
C. Distinguishes between valid and invalid sources of health information.	PE.Sources for Health Information	Covered	18	1	6	Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos).
D. Applies critical-thinking skills to evaluate the validity of health information and recognizes fraud and quackery.	PE.Sources for Health Information	Covered	18	1	6	Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos).
E. Evaluates health-related advertising/ marketing claims about health care services and products and knows how such claims may influence behavior.	PE.Sources for Health Information	Covered	18	1	6	Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos).
F. Knows how to use health information to make decisions about health services, products and behaviors.	PE.Sources for Health Information	Covered	18	1	6	Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos).

SMR IV.013 The teacher demonstrates knowledge of health-related products and services and the skills and strategies needed to be an informed consumer of health-related products and services.

75 Qs6 Materials37 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates an understanding of the characteristics and roles of different types of health care delivery systems (e.g., hospitals, clinics) and health care professionals.	PE.Health Care Providers	Covered	15	1	13	Covered by 1 topic (15 questions, 1 materials, 13 cards, 0 videos).
B. Identifies health maintenance activities (e.g., regular medical and dental checkups) and their benefits.	PE.Health Check-Ups	Partially covered	3	1	0	Partial coverage by 1 topic (3 questions, 1 materials, 0 cards, 0 videos); limited supporting content.
C. Analyzes how specific factors (e.g., cultural background, socioeconomic status, access to information) influence the selection and use of health care services and products.	PE.Influences on Health Behaviors	Covered	14	1	1	Covered by 1 topic (14 questions, 1 materials, 1 cards, 0 videos).
D. Demonstrates knowledge of advertising/ marketing techniques used in health product and health service promotion and applies skills for determining whether advertising claims are accurate, misleading, or deceptive.	ELA.Advertising Techniques	Covered	15	1	10	Covered by 1 topic (15 questions, 1 materials, 10 cards, 0 videos).
E. Applies knowledge of skills and criteria for evaluating and selecting health-related treatments, products, providers and services.	PE.Sources for Health Information	Covered	18	1	6	Covered by 1 topic (18 questions, 1 materials, 6 cards, 0 videos).
F. Demonstrates knowledge of local, state and federal laws, regulations and agencies related to consumer health and how they protect consumers of health care products and services.	PE.Health Agencies	Covered	10	1	7	Covered by 1 topic (10 questions, 1 materials, 7 cards, 0 videos).

THE SCHOOL HEALTH EDUCATION PROGRAM (DOMAIN V) Partially covered

SMR V.014 The teacher knows how to plan, implement and evaluate a school health education program and understands the role of the school health educator.

33 Qs4 Materials15 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates knowledge of a coordinated school health model and the role of the teacher within a coordinated school health education program.	PE.Health Education Programs	Covered	15	1	5	Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos).
B. Analyzes the interdependence of health education and other components of a coordinated school health program.	PE.Health Education Programs	Covered	15	1	5	Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos).
C. Applies knowledge of procedures for planning and implementing a school health education program and for involving others (e.g., faculty, administrators, health care professionals) in planning, implementing and supporting the program.	PE.Health Education Programs	Covered	15	1	5	Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos).
D. Demonstrates awareness of the need to use procedures that are compatible with school policy when implementing curricula.	PE.Health Education Programs	Covered	15	1	5	Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos).
E. Knows the role of local health advisory councils in the implementation of health education, including the role of a School Health Advisory Council (SHAC) as mandated by the Texas Education Code.	PE.Health Education Programs (TX)	Covered	11	1	2	Covered by 1 topic (11 questions, 1 materials, 2 cards, 0 videos).
F. Applies knowledge of factors and procedures involved in planning an effective school health education program that involves parents/guardians and takes into consideration local culture, needs and interests.	PE.Health Education Programs	Covered	15	1	5	Covered by 1 topic (15 questions, 1 materials, 5 cards, 0 videos).
G. Applies knowledge of strategies for communicating the importance of health education to students, parents/guardians and the community and for being an advocate for health-related issues in the school and the community.	PE.Communicating Health Information	Partially covered	3	1	4	Partial coverage by 1 topic (3 questions, 1 materials, 4 cards, 0 videos); limited supporting content.
H. Demonstrates an understanding of the role of the health education teacher as a source of health-related information within the school community.	PE.Communicating Health Information	Partially covered	3	1	4	Partial coverage by 1 topic (3 questions, 1 materials, 4 cards, 0 videos); limited supporting content.
I. Applies procedures for evaluating the school health education program and for making program modifications based on evaluation results.	PE.Evaluating Health Programs	Partially covered	4	1	4	Partial coverage by 1 topic (4 questions, 1 materials, 4 cards, 0 videos); limited supporting content.

SMR V.015 The teacher knows how to plan and implement effective school health instruction

49 Qs3 Materials9 Cards0 VideosPartially covered

Official Competency	Matching 240 Topics	Alignment	Qs	Mats	Cards	Notes
A. Demonstrates an understanding of the major content areas of health instruction (e.g., community health, nutrition, mental health, sexuality education) and the purposes and components of a scope and sequence plan for school health instruction.	PE.Teaching Health	Covered	19	1	0	Covered by 1 topic (19 questions, 1 materials, 0 cards, 0 videos).
B. Knows how to integrate the school health education curriculum with other content areas (e.g., language arts, science, social studies).	PE.Integrating Health	Partially covered	4	1	0	Partial coverage by 1 topic (4 questions, 1 materials, 0 cards, 0 videos); limited supporting content.
C. Applies knowledge of strategies for planning health instruction that reflects the abilities, needs, interests, developmental levels and cultural backgrounds of all students.	PE.Teaching Health	Covered	19	1	0	Covered by 1 topic (19 questions, 1 materials, 0 cards, 0 videos).
D. Demonstrates knowledge of strategies for effectively implementing and integrating a school health education curriculum.	PE.Instructional Strategies (Health)	Covered	26	1	9	Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos).
E. Demonstrates knowledge of accurate and age-appropriate sources of information about health and knows how to incorporate appropriate resources and materials into school health instruction.	PE.Instructional Strategies (Health)	Covered	26	1	9	Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos).
F. Analyzes factors that shape students’ patterns of health behavior (e.g., knowledge, skills, attitudes) and knows effective strategies for helping students learn skills for health maintenance and apply this knowledge in their daily lives.	PE.Teaching Health	Covered	19	1	0	Covered by 1 topic (19 questions, 1 materials, 0 cards, 0 videos).
G. Knows how to help students develop and apply skills for locating, reading, comprehending and retaining content-related information from a range of texts and technologies.	PE.Instructional Strategies (Health)	Covered	26	1	9	Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos).
H. Applies strategies for addressing sensitive or controversial health issues appropriately and in ways that are compatible with state and school policies.	PE.Teaching Health	Covered	19	1	0	Covered by 1 topic (19 questions, 1 materials, 0 cards, 0 videos).
I. Understands the importance of modeling positive health behaviors and knows how to use communication skills and strategies effectively in health education contexts.	PE.Teaching Health	Covered	19	1	0	Covered by 1 topic (19 questions, 1 materials, 0 cards, 0 videos).
J. Demonstrates knowledge of criteria and methods for evaluating student learning about health and for applying student assessment results to enhance health instruction.	PE.Instructional Strategies (Health)	Covered	26	1	9	Covered by 1 topic (26 questions, 1 materials, 9 cards, 0 videos).

How 240 Creates The TExES Health EC-12 (157) Study Guide

Learn more →

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.

1

Review the official exam framework

We begin with the standards, domains, competencies, objectives, or content categories published by the testing authority.

2

Map the tested categories

We map every major area the exam is designed to cover so the guide reflects the real structure of the test.

3

Build lessons around tested content

We create study materials to support the official blueprint, not broad filler content.

4

Cross-check practice against exam expectations

We review practice content against the framework and real exam patterns so preparation stays targeted.

5

Review and update as standards change

When official frameworks change, we review guides and update alignment as needed.

Reviewed by subject-matter experts and maintained to reflect current standards.

Why 240 Is Better Than Other Generic Study Guides

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 TExES Health EC-12.

Generic

Generic Prep

✕Covers broad subject areas without structure

✕No clear connection to the official exam framework

✕Practice questions may not reflect the real test format

✕May not update when official standards change

~Can be helpful for quick, broad review

Test-aligned

240 Test-Aligned TExES 157 Prep

✓Every lesson maps to an official domain or competency

✓Built directly from the official exam framework

✓Practice questions aligned to what the exam actually measures

✓A clear study path by tested category

✓Study smarter and enter test day more prepared

FAQs About the TExES Health EC-12 Study Guide

The questions teacher candidates ask us most often about the TExES Health EC-12 study guide.

1

Is 240 a good study guide for TExES Health EC-12?

240 is a strong option because the guide is built around the official exam framework and shows detailed alignment by SMR and competency.

2

How closely does 240 align to the TExES 157 exam?

This guide is 93% aligned based on a competency-by-competency review of the official framework and the study resources included in the guide.

3

Does 240 cover every competency?

This page shows coverage transparently across covered, partially covered, and identified gaps so candidates can see exactly how the guide maps to the exam.

4

What does “partially covered” mean?

Partially covered means the guide addresses the core parts of a competency, but some depth or subtopics may still be limited.

240's TExES Health EC-12 Study Guide Is 93% Test-Aligned