ATI TEAS
(Test of Essential Academic Skills)
Complete Exam Format and English &
Language Usage Guide
TEAS Version 7
The ATI TEAS
(Test of Essential Academic Skills) assesses whether you have the foundational
academic knowledge needed to succeed in nursing or allied health programs.
This guide
explains the official TEAS Version 7 exam structure, timing, and the
exact English & Language Usage question types you will face.
1. General Exam Format
Total Questions
170
Questions
Time Limit
209
Minutes
(3 Hours and 29 Minutes)
Scoring
- 150
questions
count toward your score
- 20 questions are pretest
(unscored)
These pretest
questions are used for future exam development.
Important:
You will not know which questions are unscored.
Treat every
question as if it counts.
There is no
penalty for guessing.
Question Types
The ATI TEAS
includes several question formats.
A. Multiple Choice
The most common
type.
- 4 answer
options
- Choose one
correct answer
B. Multiple Select
Select all correct
answers.
You must choose
every correct option.
C. Fill in the Blank
Type the correct
answer.
Usually used for:
- Math
calculations
- Vocabulary
- Scientific
terms
D. Ordered Response
Arrange steps or
items in the correct sequence.
Common in:
- Science
processes
- Math steps
- Logical
order questions
E. Hot Spot Questions
Click on a
specific part of:
- Diagram
- Graph
- Illustration
- Body system
image
2. Section-by-Section
Breakdown
|
Section |
Total Questions |
Time Allowed |
Main Topics |
|
Reading |
45 |
55 Minutes |
Key Ideas,
Details, Craft & Structure |
|
Mathematics |
38 |
57 Minutes |
Numbers,
Algebra, Measurement, Data |
|
Science |
50 |
60 Minutes |
Anatomy,
Biology, Chemistry |
|
English &
Language Usage |
37 |
37 Minutes |
Grammar,
Language Use, Vocabulary |
Total Exam Time
209
Minutes
3. English &
Language Usage Section
The Grammar Section
This section
contains:
37
Questions
37 Minutes
You have
approximately:
45
seconds to 1 minute per question
Speed and
accuracy are critical.
English Section
Breakdown
A. Conventions of Standard English
Approximately 12 Questions
This section
tests grammar rules.
1. Subject-Verb Agreement
You must identify
correct agreement between subject and verb.
Example:
Correct:
The nurse runs.
Correct:
The nurses run.
Incorrect:
The nurses runs.
2. Pronoun-Antecedent Agreement
Pronouns must
match their antecedents.
Example:
Correct:
Everyone brought his or her pen.
Incorrect:
Everyone brought their pen.
(Traditional TEAS
grammar rule)
3. Punctuation
You must know
correct use of:
Commas
Used for:
- Lists
- Introductory
phrases
- Dates
- Dependent
clauses
Example:
After lunch, the nurse reviewed charts.
Semicolons
Join closely
related independent clauses.
Example:
The patient was stable; however, monitoring continued.
Colons
Introduce lists
or explanations.
Example:
Bring these supplies: gloves, gauze, and tape.
Apostrophes
Possession:
The nurse’s chart
Contraction:
It’s = It is
Quotation Marks
Correct:
The doctor said, “Please sit down.”
4. Sentence Structure
You must
identify:
Simple Sentences
One independent
clause
Example:
The nurse checked vitals.
Compound Sentences
Two independent
clauses joined correctly
Example:
The nurse checked vitals, and the doctor reviewed results.
Complex Sentences
One independent +
one dependent clause
Example:
Because the patient was ill, treatment began immediately.
Compound-Complex Sentences
Two independent
clauses + one dependent clause
Example:
Because the patient was stable, the nurse smiled, and the family relaxed.
5. Fragments
Incomplete
thoughts
Incorrect:
Because she was tired.
6. Run-On Sentences
Two complete
thoughts joined incorrectly
Incorrect:
She studied all night she passed.
7. Spelling
Common tested
words:
- Separate
- Accommodate
- Necessary
- Privilege
- Febrile
B. Knowledge of
Language
Approximately 11 Questions
Tests your
ability to improve writing.
1. Formal vs. Informal Language
You must identify
professional writing.
Informal:
The nurse ain’t
ready.
Formal:
The nurse is not
ready.
2. Sentence Clarity
Remove awkward or
unclear wording.
3. Misplaced Modifiers
Incorrect:
Running down the hall, the chart fell.
(Cart cannot run)
Correct:
Running down the hall, she dropped the chart.
4. Parallel Structure
Sentence parts
must match.
Correct:
She likes reading, writing, and jogging.
Incorrect:
She likes reading, to write, and jogging.
5. Organization
You may be asked
to identify:
- Best topic
sentence
- Logical
order
- Best
transition
Common
transitions:
- However
- Therefore
- Consequently
- Furthermore
- In addition
C. Using Language and
Vocabulary
Approximately 10 Questions
Tests word
meaning and usage.
1. Context Clues
Determine meaning
using surrounding words.
2. Prefixes
|
Prefix |
Meaning |
|
pre- |
before |
|
post- |
after |
|
anti- |
against |
|
hyper- |
excessive |
|
hypo- |
below |
3. Suffixes
|
Suffix |
Meaning |
|
-itis |
inflammation |
|
-ology |
study of |
|
-ectomy |
removal |
|
-algia |
pain |
Example:
Carditis
Cardi = heart
Itis = inflammation
Meaning:
Inflammation of the heart
4. Synonyms and Antonyms
Synonym
Temporary = Brief
Antonym
Temporary =
Permanent
5. Homophones
Frequently
tested:
- There /
Their / They’re
- Affect /
Effect
- Accept /
Except
- Its / It’s
- Whose /
Who’s
4. English Section
Study Checklist
Punctuation
Know:
✓ Commas
✓ Apostrophes
✓ Semicolons
✓ Colons
✓ Quotation marks
Grammar
Know:
✓ Subject-verb agreement
✓ Pronoun case
✓ Verb tense consistency
Sentence Structure
Know:
✓ Fragments
✓ Run-ons
✓ Parallel structure
✓ Misplaced modifiers
Vocabulary
Know:
✓ Homophones
✓ Prefixes
✓ Suffixes
✓ Context clues
Writing Logic
Know:
✓ Formal tone
✓ Topic sentences
✓ Supporting details
✓ Transition words
Important Timing
Strategy
The English
section comes last.
By then, many
students are mentally tired.
Your Time Limit
37 minutes
Your Pace
Approximately 1
minute per question
Recommended Strategy
First Pass
Answer easy
questions quickly.
Target:
30–40 seconds each
Second Pass
Return to
difficult questions.
Final Minute
Guess on
unanswered questions.
Never leave
blanks.
Study Recommendation
Use your ATI TEAS
practice questions to identify weak areas.
Example:
If you miss:
- Subject-verb
agreement → Review Grammar
- Comma rules
→ Review Punctuation
- Parallel
structure → Review Sentence Structure
- Vocabulary
questions → Review Prefixes/Suffixes
Final Success Tip
Focus heavily on:
1.
Subject-Verb
Agreement
2.
Pronouns
3.
Punctuation
4.
Sentence
Structure
5.
Common
Medical Vocabulary
These are the
most frequently tested English concepts on ATI TEAS Version 7.
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