If you’re planning to apply to nursing or allied health programs, you’ve probably heard of the TEAS exam. Short for the Test of Essential Academic Skills, the TEAS is a standardized test administered by ATI (Assessment Technologies Institute) and is required by most nursing schools in the United States. Think of it as the SAT or ACT for nursing—it’s designed to measure your academic readiness for rigorous nursing coursework.
In this article, we’ll break down what the TEAS exam is, why it’s important, its structure, scoring, and how you can prepare to excel.
Why the TEAS Exam Matters
Nursing schools are competitive. Programs use TEAS scores to ensure applicants have the foundational skills needed to succeed in courses like anatomy, pharmacology, and clinical practice. A strong TEAS score can:
- Improve your chances of being admitted into a nursing program.
- Qualify you for merit-based scholarships in some schools.
- Help you stand out in competitive applicant pools.
In short, the TEAS is more than just a test—it’s a gateway to your nursing career.
Structure of the TEAS Exam
The current version is TEAS 7, launched in June 2022. It takes 209 minutes (about 3.5 hours) and contains 170 questions (150 scored and 20 unscored “trial” questions).
Here’s a section-by-section breakdown:
1. Reading
- 45 questions, 55 minutes
- Focuses on passage comprehension, identifying themes, and analyzing arguments.
- Skills tested: Key ideas, integration of knowledge, craft, and structure.
2. Mathematics
- 38 questions, 57 minutes
- Topics: Algebra, measurement, data interpretation, ratios, and basic arithmetic.
- Calculators are built into the testing software (you cannot bring your own).
3. Science
- 50 questions, 60 minutes
- The largest section, covering human anatomy & physiology, biology, chemistry, and scientific reasoning.
- Nursing programs often weigh this section heavily.
4. English and Language Usage
- 37 questions, 37 minutes
- Tests grammar, punctuation, sentence structure, and vocabulary.
- Demonstrates your ability to communicate effectively as a future healthcare professional.
Question Types
TEAS 7 introduced more variety in question styles to reflect real-world problem-solving. Expect:
- Multiple-choice (one correct answer).
- Multiple-select (choose all correct answers).
- Fill-in-the-blank (short answers).
- Ordered response (rank steps in the correct sequence).
- Hot-spot (clicking areas on an image).
How the TEAS Exam Is Scored
Your score report will include:
- Overall score (the main score schools look at).
- Sub-content area scores (Reading, Math, Science, English).
- National and program percentiles (how you compare to other test-takers).
Most nursing schools set a minimum required score, typically ranging from 60% to 75%. The higher your score, the better your chances.
Registration and Test Option
You can take the TEAS in several formats:
- At a testing center (proctored in person).
- At your school (scheduled by your institution).
- Online remote proctored (through ATI’s system at home, with strict security).
To register, create an account at ATI Testing, select your preferred option, and pay the testing fee (around $120).
Tips for Preparing for the TEAS Exam
Preparation is the key to a competitive score. Here are strategies that work:
- Start early – Give yourself at least 6–8 weeks of study time.
- Use official ATI practice tests – These mimic the real exam’s timing and difficulty.
- Focus on weak areas – If math is your struggle, spend extra time drilling ratios and algebra.
- Take timed practice exams – Builds stamina and pacing for the 3.5-hour test.
- Review science thoroughly – Anatomy and physiology questions make or break many test-takers.
Final Thoughts
The TEAS exam may seem intimidating, but with the right preparation, it’s completely manageable. It’s designed to test your readiness for nursing school—not trick you. Think of it as your first step in proving you’re ready for a rewarding healthcare career.
Whether you’re taking the exam for the first time or retesting to boost your score, remember: preparation, strategy, and practice will set you apart.