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THE
TEAS
ENGLISH
STUDY GUIDE
+ Practice Questions
English & Language Usage for the ATI TEAS 7
Complete coverage of grammar, punctuation, vocabulary, spelling, and sentence structure
with 60 practice questions, full rationales, and a complete answer key.
— What's Inside: — — You Will Master: —
+ Parts of speech & sentence structure + Identify nouns, verbs, adjectives, and more
+ Punctuation rules & common errors + Use commas, semicolons, and colons correctly
+ Subject-verb & pronoun agreement + Match subjects with verbs in any sentence
+ Commonly confused words & spelling + Distinguish affect/effect, their/there, and more
+ Vocabulary in context & word roots + Use prefixes, suffixes, and roots to decode words
+ Writing structure & paragraph skills + Identify topic sentences and supporting details
English is not about rules to memorise — it is about patterns to recognise and apply confidently.
Grammar Vocabulary Spelling/Structure
~38% ~37% ~25%
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PARTS OF SPEECH & SENTENCE STRUCTURE
Grammar is the foundation — every other English topic builds on these concepts.
THE EIGHT PARTS OF SPEECH
Part of Speech Definition Examples
Noun Person, place, thing, or idea doctor, hospital, justice, love
Pronoun Replaces a noun he, she, they, it, we, I, who
Verb Action or state of being run, is, became, study, were
Adjective Describes or modifies a noun careful, red, three, thorough
Adverb Modifies a verb, adj., or adverb quickly, very, well, never, too
Preposition Shows relationship between word in, on, at, by, with, before, after
Conjunction Joins words, phrases, clauses and, but, or, nor, for, yet, so
Interjection Expresses emotion (not testable) Wow! Oh! Hey!
SENTENCE STRUCTURE — Types, Clauses & Phrases
Sentence Types by Structure: Clauses vs. Phrases:
Type Definition Example Type Definition Example
Simple One independent clause The nurs Independent Clause Has a subject AND verb; can stan She s
Compound Two independent clauses joined b The doct Dependent Clause Has subject and verb but CANNO Beca
Relative Clause Modifies a noun; begins with who, The n
Complex One independent + one dependen Because
Noun Phrase A noun + modifiers (no verb). The ti
Compound-Complex 2+ independent + 1+ dependent cl She stud
Verb Phrase Verb + its objects/modifiers. was s
Prepositional Phrase Preposition + object. in the
SUBJECT-VERB AGREEMENT — Rules & Tricky Cases
Core Rules: Common TEAS Traps:
Situation Rule & Example Trap Correct Usage
Singular subject Singular verb (adds -s): The nurse runs. Prepositional phrase The bouquet of flowers IS (not are) beautif
Plural subject Plural verb (no -s): The nurses run. Inverted sentences Here ARE the test results. — subject is 're
Compound (and) Usually plural: Jack and Jill are here. Relative clauses The doctor who treats patients IS skilled.
Either/or, neither/nor Verb agrees with CLOSER subject: Neither th There is/are There ARE many nurses here. — 'nurses' i
Collective nouns Usually singular: The team is ready. The com None None IS or ARE? — use singular when 'no
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Indefinite pronouns Each, every, anyone, everyone, nobody = SI Data/Criteria Data ARE (plural); criterion IS (singular); c
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PUNCTUATION, MODIFIERS & PRONOUN AGREEMENT
Punctuation questions appear throughout the TEAS English section — know every rule.
PUNCTUATION RULES — Comma, Semicolon, Colon, Apostrophe & More
Commas: Semicolons, Colons & Other Marks:
Use Case Rule & Example Punctuation Rule & Example
Before FANBOYS Joining two independent clauses: She stud Semicolon ( ; ) Joins two related independent clauses wit
After intro elements After intro phrase/clause: After class, she r Semicolon in lists When items in a list contain commas: Bost
Series (Oxford comma) Listing 3+ items: apples, oranges, and gra Colon ( : ) Introduces a list, explanation, or quotation
Non-restrictive clauses Around extra info: Dr. Smith, who is kind, h Apostrophe — Poss. Add 's to singular: doctor's | add ' to plural:
Apostrophe — Contr. Replaces missing letters: don't = do not; it'
Coordinate adjectives Between adjectives of equal rank: a long,
Its vs. It's Its = possessive pronoun (no apostrophe).
Direct address Setting off names: Thank you, Doctor.
Hyphen ( - ) Joins compound adjectives before nouns:
Dates & addresses June 14, 2024 | Dallas, Texas, USA
Dash ( — ) Adds emphasis or inserts parenthetical inf
Quotation marks Around direct speech: He said, "I understa
PRONOUNS & MODIFIERS — Agreement, Case & Dangling Modifiers
Pronoun Rules: Modifier Errors (TEAS Favourite!):
Pronoun Rule Explanation & Example Error Type Error & Correction
Agreement Pronoun must agree with its antecedent in numb Dangling modifier ERROR: Running late, the bus was missed. FIX
Ambiguous refere Avoid unclear pronoun reference: 'Maria told Ja Misplaced modifie ERROR: She almost drove her children to scho
Pronoun case Subject case: I, he, she, we, they. Object case: Squinting modifier ERROR: Students who study often pass. (Often
Who vs. Whom Who = subject (who ran?). Whom = object (to w Double negative ERROR: She didn't do nothing. FIX: She didn't d
Who vs. That Who refers to people. That refers to things. Comparative adj. Use -er or 'more' for two items: She is smarter th
Reflexive pronoun Myself, himself — only used when subject and o Superlative adj. Use -est or 'most' for 3+ items: She is the smart
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VOCABULARY IN CONTEXT, WORD ROOTS & USAGE
~37% of TEAS English is vocabulary — context clues and word analysis are your tools.
CONTEXT CLUES — 4 Types to Decode Unknown Words
Clue Type How to Use It Example
Definition Clue The word is directly defined in the The patient was febrile, meaning she had a fever.
Synonym Clue A similar word nearby provides th She was lethargic, tired and sluggish all day.
Antonym Clue An opposite word signals what the Unlike his calm colleague, the surgeon was irascible.
Inference Clue The overall context of the sentenc After the surgery, she was given analgesics to control her pain.
PREFIXES — High-Yield TEAS List
Meaning-Changing Prefixes: More Essential Prefixes:
Prefix Meaning Medical Example Prefix Meaning Example
anti- against antibiotic, antiseptic micro- small microscope, microbiology
bi- two bilateral, biannual mono- one monotherapy, monologue
contra- against contraindicate, contradict poly- many polypharmacy, polyuria
de- remove, reverse dehydrate, decompose post- after postoperative, postnatal
dis- not, away disagree, displace pre- before preoperative, prenatal
hyper- above, excessive hypertension, hyperglycemia sub- under, below subcutaneous, sublingual
hypo- below, under hypotension, hypoglycemia super-/supra- above superscript, supraclavicular
inter- between interact, intercostal tachy- rapid tachycardia, tachypnea
intra- within intravenous, intramuscular trans- across, through transdermal, transfusion
mal- bad, abnormal malnutrition, malignant un-/non- not unconscious, noncompliant
SUFFIXES & WORD ROOTS
Key Suffixes: Essential Word Roots:
Suffix Meaning Example Root Meaning Example
-algia pain neuralgia, myalgia cardi- heart cardiovascular, cardiology
-ectomy surgical remova appendectomy, tonsillectomy cerebr- brain cerebral, cerebrovascular
-emia blood condition anaemia, hypoglycemia derm- skin dermatitis, dermatology
-itis inflammation appendicitis, arthritis gastr- stomach gastritis, gastroenterology
-logy/-ology study of cardiology, pathology hemat- blood hematology, hematoma
-oma tumour, mass carcinoma, lymphoma hepat- liver hepatitis, hepatocellular
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-ostomy surgical openin colostomy, tracheostomy nephr- kidney nephrology, nephritis
-otomy cutting into craniotomy, phlebotomy neur- nerve neurology, neuropathy