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Nursing School Prep

TEAS Test Study Guide: How to Pass the ATI TEAS on Your First Try

Jennifer Jones
12 min read
November 18, 2025
TEAS test study guide showing all four sections of the ATI TEAS exam

Getting into nursing school starts with one critical hurdle: the TEAS test. This comprehensive TEAS test study guide shows you exactly how to pass the ATI TEAS on your first attempt, with proven strategies for all four sections and a realistic study plan that actually works.

Look, the TEAS exam isn't something you can just wing. Every year, thousands of aspiring nurses underestimate this test and end up delaying their nursing school applications by months - or even a full year. The good news? With the right TEAS exam prep approach, you can walk into that testing center confident and ready to score in the top percentiles.

Whether you're wondering "is the TEAS test hard?" or trying to figure out how to study for the TEAS test efficiently, this guide has you covered. We'll break down each section, share insider strategies that actually work, and give you a realistic timeline for preparation - no fluff, just actionable advice from someone who's helped hundreds of nursing students ace this exam.

What Is the TEAS Test?

The TEAS (Test of Essential Academic Skills) is a standardized exam created by ATI (Assessment Technologies Institute) to measure your academic readiness for nursing school. Think of it as the gatekeeper - nursing programs use your TEAS score to determine whether you're academically prepared for the rigor of their curriculum.

The current version, ATI TEAS 7, consists of 170 multiple- choice questions divided across four sections: Reading, Math, Science, and English & Language Usage. You'll have 209 minutes (about 3.5 hours) to complete the entire exam, including a short tutorial and survey at the beginning.

Here's what matters - nursing schools don't just look at whether you pass or fail. They compare your scores against other applicants, so simply "passing" isn't always enough for competitive programs. Most schools set their minimum TEAS score requirements somewhere between 60-80% depending on how selective they are, but you'll want to aim higher if you're applying to competitive programs.

Is the TEAS Test Hard?

Honestly? It depends on your academic background and how well you prepare. The TEAS isn't impossibly difficult, but it's not easy either. Here's the reality: the test covers four years of high school academics plus some college-level science concepts, and you need to demonstrate proficiency across all these areas in less than four hours.

The science section trips up most students, especially the anatomy and physiology questions. If it's been a few years since you took biology, you'll need to relearn concepts like the cardiovascular system, cell structure, and human body systems. The math section isn't calculus-level, but it moves quickly and requires both speed and accuracy.

What makes the TEAS challenging isn't just the content - it's the combination of breadth, time pressure, and the high stakes involved. You're essentially being tested on your general academic ability, your test-taking stamina, and your capacity to retain information under pressure. That's a lot for one sitting.

But here's the thing: thousands of students pass this exam every year on their first attempt. The difference between those who succeed and those who don't usually comes down to preparation strategy, not raw intelligence. With focused study using an effective TEAS test study guide, you can absolutely be one of those first-time passers.

Understanding the Four TEAS Test Sections

Before diving into study strategies, let's break down exactly what you're up against. Each section tests different skills and requires different preparation approaches.

Reading Section (53 questions, 64 minutes)

This section assesses your ability to comprehend written passages, identify main ideas, make inferences, and understand different types of texts. You'll encounter passages from various genres - medical texts, historical documents, persuasive essays, and informational articles. The questions test both literal comprehension and deeper analytical skills like identifying author's purpose or recognizing bias.

Mathematics Section (36 questions, 54 minutes)

Don't let the relatively small number of questions fool you - this section covers a lot of ground. You'll need to demonstrate proficiency in numbers and algebra, measurement and data interpretation. Topics include fractions, decimals, percentages, ratios, basic algebra, metric conversions, and reading charts and graphs. The good news? Calculators are allowed (there's an on-screen calculator provided).

Science Section (53 questions, 63 minutes)

This is typically the most challenging section for many students. It covers human anatomy and physiology (32 questions), biology (9 questions), chemistry (8 questions), and scientific reasoning (4 questions). You'll need to know body systems in detail - cardiovascular, respiratory, digestive, nervous, skeletal, muscular, endocrine, and more. The biology and chemistry components test your understanding of cells, genetics, chemical reactions, and periodic table basics.

English and Language Usage Section (28 questions, 28 minutes)

The shortest section tests your grammar, punctuation, sentence structure, and word usage. You'll identify errors in sentences, choose correct word forms, apply punctuation rules, and demonstrate understanding of conventions of standard English. It's fast-paced - essentially one question per minute - so you need to know your grammar rules cold.

How to Study for the TEAS Test: A Strategic Approach

Here's where most students mess up: they treat the TEAS like a high school final exam and try to cram everything in a week or two. That rarely works. The TEAS covers too much content to effectively cram, and nursing schools can tell when your scores are artificially inflated by short-term memorization versus solid understanding.

The smart approach? Start preparing at least 4-6 weeks before your test date. This gives you time to assess your baseline, identify weak areas, systematically review content, and practice enough to build both competence and confidence.

Step 1: Take a Diagnostic Test

Before you crack open a single study guide, take a full-length practice test under timed conditions. This diagnostic gives you crucial information: which sections are your strengths, which need the most work, and what your current scoring baseline looks like. You can't create an effective study plan without knowing where you actually stand.

If you want to skip the guesswork and get a precise diagnostic of your TEAS readiness, our Fast TEAS Pass Tutoring service uses AI-powered diagnostics to pinpoint exactly where you need improvement - then our expert tutors help you fix those gaps quickly and efficiently.

Step 2: Create Your Study Schedule

Once you know your weak areas, allocate your study time accordingly. If science is your struggle (as it is for most people), dedicate 50% of your study time there. If math is solid but reading needs work, adjust your schedule. Don't waste time reviewing what you already know well - focus on closing knowledge gaps.

A realistic schedule looks something like this: Week 1 focus on your weakest section, Week 2 on your second-weakest, Week 3 on comprehensive review of all sections, and Week 4 on practice tests and timing drills. We'll give you a more detailed timeline later in this guide.

Step 3: Use Quality Study Materials

Not all TEAS test study guides are created equal. Look for materials that include comprehensive content review, plenty of practice questions, and full-length practice tests. The official ATI study materials are solid but can be expensive. There are good third-party options too, but make sure they're updated for the TEAS 7 (not older versions).

TEAS Reading Section: Key Strategies

The reading section tests more than just your ability to read - it assesses whether you can quickly comprehend, analyze, and interpret written information. Here's how to tackle it effectively.

Master Active Reading Techniques

You don't have time to casually read passages like you're enjoying a novel. Practice active reading: as you read, identify the main idea immediately, note the author's purpose, and mentally summarize each paragraph. Underline key points if the testing interface allows it (many digital tests do).

Question Types to Know

Main idea questions ask you to identify the central point of a passage. Supporting detail questions test whether you caught specific information. Inference questions require you to draw conclusions from context. Author's purpose questions ask why the text was written. Practice recognizing these question types so you know exactly what you're looking for.

Time Management Tips

You have roughly 72 seconds per question in this section. Some passages will have multiple questions associated with them, so you'll spend several minutes on longer passages but need to move quickly through vocabulary and sentence completion questions. If you're stuck, flag it and move on - don't let one difficult question eat up time you need for easier points.

TEAS Math Section: Essential Concepts

Math anxiety is real, and the TEAS math section triggers it in many students. But here's the good news: you don't need to be a calculus whiz. The math section tests practical, everyday math that nurses actually use.

Core Topics to Master

Start with fractions, decimals, and percentages - these appear constantly in nursing (medication dosages, IV drip rates, etc.) You'll also need to handle ratios and proportions, basic algebra (solving for x), measurement conversions (especially metric system), and reading data from charts, graphs, and tables.

The Calculator Advantage

Since you can use the on-screen calculator, you don't need to memorize complex multiplication tables. However, don't become dependent on it for basic arithmetic - using the calculator for simple calculations slows you down. Save it for multi-step problems and complex decimals.

Word Problems Strategy

Many TEAS math questions are presented as word problems. Practice translating words into mathematical expressions: "what is" means equals, "of" usually means multiply, "per" indicates division or rates. Underline the question being asked so you don't solve for the wrong variable.

TEAS Science Section: What You Need to Know

This section separates the prepared students from the unprepared. The science content is extensive, and you can't fake your way through it. You need actual knowledge of human body systems, basic chemistry, and biological processes.

Anatomy and Physiology Deep Dive

This makes up more than half the science questions, so prioritize it. You need to know all major body systems: circulatory (heart structure, blood flow), respiratory (gas exchange, lung function), digestive (organs, nutrient absorption), nervous (brain regions, neuron function), skeletal (bone structure, joint types), muscular (muscle types, contraction), endocrine (glands and hormones), and more.

Don't just memorize facts - understand processes. How does the heart pump blood through the body? What happens during digestion from mouth to intestine? How do neurons transmit signals? The TEAS asks conceptual questions, not just definitions.

Biology and Chemistry Essentials

For biology, focus on cell structure and function, DNA and genetics, and basic evolutionary concepts. For chemistry, know the periodic table basics, chemical bonding, acids and bases, and common chemical reactions. You won't need to balance complex equations, but you should understand chemical principles at a basic level.

Scientific Reasoning Questions

A small portion of the science section tests your ability to interpret scientific information, analyze experiments, and draw conclusions from data. Practice reading scientific passages and identifying hypotheses, variables, and conclusions.

Struggling with the science section? You're not alone. Our TEAS tutoring service specializes in breaking down complex anatomy and physiology concepts into understandable chunks, with targeted practice on the exact body systems the TEAS tests most frequently.

TEAS English Section: Grammar and Usage

The English and Language Usage section is the shortest, but don't underestimate it. It moves fast (one minute per question), and grammar rules can be tricky if you're not confident with them.

Key Grammar Rules to Review

Subject-verb agreement is huge - make sure subjects and verbs match in number. Pronoun-antecedent agreement matters too. Review comma rules (between independent clauses, after introductory phrases, in lists). Know when to use apostrophes (possessives and contractions, not plurals). Understand sentence fragments versus complete sentences.

Common Tricky Areas

Watch out for commonly confused words: their/there/they're, your/you're, its/it's, affect/effect, then/than. These trip up many test-takers. Also review verb tenses - questions often test whether you can maintain consistent tense throughout a passage.

Punctuation Rules

Beyond commas, review semicolons (connecting related independent clauses), colons (introducing lists or explanations), and dashes (emphasizing information). Know when periods create sentence fragments versus complete sentences.

Your 4-Week TEAS Study Plan

Here's a realistic, actionable study plan that balances content review with practice. Adjust the timing based on your diagnostic results and available study time.

Week 1: Diagnostic and Weak Area Focus

  • Day 1: Take full-length diagnostic test under timed conditions
  • Day 2: Review diagnostic results, identify weakest section
  • Days 3-5: Deep content review of weakest section
  • Days 6-7: Practice questions in weak area, track improvement

Week 2: Second Priority Area

  • Days 1-4: Focused review of second-weakest section
  • Days 5-6: Practice tests for both weak areas
  • Day 7: Rest day or light review (preventing burnout matters)

Week 3: Comprehensive Review

  • Days 1-2: Review all four sections systematically
  • Day 3: Full-length practice test
  • Day 4: Analyze practice test, note recurring mistakes
  • Days 5-7: Targeted review of concepts you missed

Week 4: Practice and Polish

  • Days 1-2: Final content review of remaining gaps
  • Day 3: Full-length practice test
  • Days 4-5: Timing drills, speed practice
  • Day 6: Light review, test-taking strategies, relaxation
  • Day 7: Test day preparation, rest well

This timeline assumes you can dedicate 2-3 hours per day to studying. If you have more or less time, adjust accordingly - but don't try to cram everything into a week or two. The TEAS rewards systematic preparation over frantic last-minute studying.

TEAS Test Day: What to Expect

You've studied hard. You've practiced. Now it's time to execute. Here's what to know about test day logistics and strategy.

What to Bring

Bring two forms of ID (one must be government-issued with photo). Don't bring phones, smartwatches, or any electronic devices - they're not allowed in the testing room. The testing center provides scratch paper and pencils. You can't bring your own calculator since there's an on-screen one provided.

Pacing Strategy

Keep track of time throughout each section. Quick math: in Reading, you have about 72 seconds per question. In Math, 90 seconds. In Science, 71 seconds. In English, 60 seconds. If you're spending double that on any question, flag it and move on - you can come back if time permits.

Educated Guessing

There's no penalty for wrong answers, so never leave a question blank. If you're stuck, eliminate obviously wrong answers and make your best guess among the remaining options. Sometimes you can eliminate 2-3 wrong answers even if you don't know the right one with certainty.

Managing Test Anxiety

Deep breathing helps. If you feel panic rising, pause for 10-15 seconds, take three deep breaths, and remind yourself that you've prepared for this. One difficult question doesn't determine your entire score. Stay focused on the current question, not the ones you're worried about.

Frequently Asked Questions About the TEAS Test

How long should I study for the TEAS test?

Most students need 4-6 weeks of focused preparation, studying 2-3 hours per day. If you're strong in science and math, you might get away with 3-4 weeks. If it's been years since you studied anatomy or algebra, plan for 6-8 weeks. The key is consistent, focused study - not the length of time, but the quality of your preparation.

What is a good TEAS score for nursing school?

Most nursing programs require a minimum score of 60-70%, but competitive programs often expect 75% or higher. Some schools look at your total score, others focus on individual section scores. Research your specific programs to know their requirements. Generally, aiming for 80%+ on each section gives you a competitive application.

Can you use a calculator on the TEAS test?

Yes, the TEAS provides an on-screen calculator for the Math section only. You can't bring your own calculator, and you can't use the calculator in other sections. The on-screen calculator is a basic four-function calculator (addition, subtraction, multiplication, division) - nothing fancy, but it gets the job done for most TEAS math problems.

How many times can you take the TEAS test?

ATI doesn't limit the number of times you can take the TEAS, but individual nursing schools often have policies about retakes. Many schools require a waiting period (30 days is common) between attempts. Some schools only accept your first attempt or average multiple scores, so check your program's specific policies before scheduling a retake.

Is the TEAS test harder than the HESI?

The TEAS and HESI are comparable in difficulty but test content slightly differently. TEAS focuses more heavily on reading comprehension and includes more detailed anatomy and physiology. HESI tends to have more straightforward science questions but includes vocabulary and grammar components that some find trickier. Neither is definitively "harder" - it depends on your strengths.

Can I take the TEAS test online at home?

Currently, ATI offers both in-person testing at PSI centers and remote proctored testing (ATI TEAS Remote Proctored exam). The remote option lets you take the test from home with a webcam and reliable internet connection. Check with your nursing schools first - some accept remote testing, others require in-person testing. Technical requirements include a computer with webcam, stable internet, and quiet testing environment.

What's the difference between TEAS 6 and TEAS 7?

TEAS 7, released in 2022, updated the content and question distribution. The overall structure remains similar (four sections, same time limits), but TEAS 7 adjusted the number of questions per section and updated some content areas to reflect current nursing education standards. If you're studying now, make sure your materials are specifically for TEAS 7 - older TEAS 6 materials won't perfectly align.

Do I need to take a TEAS prep course?

Not everyone needs a formal prep course - it depends on your self-discipline, baseline knowledge, and learning style. Self-study with quality materials works for many students. However, if you're struggling to stay motivated, need structure, or consistently score low on practice tests, targeted tutoring can dramatically improve your results. Our Fast TEAS Pass Tutoring service focuses specifically on your weak areas rather than making you sit through generic lectures.

Your Path to TEAS Success Starts Now

Passing the TEAS test on your first try isn't about being a genius - it's about having a smart study plan and actually following through. You now have the blueprint: understand what each section tests, focus on your weak areas, practice consistently, and walk into that testing center confident in your preparation.

The students who succeed aren't necessarily the ones who studied longest - they're the ones who studied smartest. They identified their gaps early, used quality study materials, practiced enough to build confidence, and didn't waste time on content they already knew well.

If you're serious about getting into nursing school, don't leave your TEAS score to chance. Start preparing now, give yourself enough time, and consider getting expert help for your weakest areas. Your nursing career is waiting - the TEAS is just the first step toward making it happen.

Need personalized help to maximize your TEAS score? Our Fast TEAS Pass Tutoring service uses AI diagnostics to identify your specific weak areas, then expert tutors help you improve those exact skills. Many of our students see dramatic score improvements in just a few focused sessions. And if you're looking for alternative options, check out our professional TEAS test-taking service for guaranteed results.

J

Jennifer Jones

Jennifer is a registered nurse and nursing education consultant with 10+ years of experience helping aspiring nurses pass the TEAS exam. She has personally tutored over 800 nursing students through their TEAS preparation and maintains a 92% first-time pass rate among her students. Jennifer holds a BSN from Johns Hopkins and an MSN in Nursing Education.

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