What Is the ATI TEAS English & Language Usage Test? 

The ATI Nursing English and Language Usage Section is one of the four sections of the TEAS exam – and includes questions that will assess your knowledge of proper English.

The section includes a total of 37 questions to be answered in 37 minutes. The section includes three types of questions:

  • Convention of Standard English
  • Knowledge of Language
  • Using Language and Vocabulary to Express Ideas in Writing.

Let's look below at each individual question type.

Free Teas English & Language Usage Practice Questions

Convention of Standard English:

These questions test your understanding of grammar, punctuation, sentence structure, and spelling.

Q1: As the journalist was proofreading her article, she realized that some words were incorrecty spelled and needed correction before submission.

Which of the following corrects a misspelling in the sentence above?

a. "Proofreading" should be "proof-reading."

b. "Incorrecty" should be "incorrectly."

c. "Realized" should be "realised."

d. "Correction" should be "correktion."

A1: The correct answer is B.
The word "incorrectly" is misspelled as "incorrecty" in the original sentence. The proper spelling includes an 'l' before the 'y'. The other options are either correctly spelled in the original sentence (A and D), or represent a variant spelling that is correct in other forms of English (C, which is the British spelling).

TEAS English and Language Usage Tip – Convention of Standard English:

The questions in the section mostly require you to identify either errors in sentences or proper ways of writing. Since it may be challenging sometimes to notice small mistakes – use the minute you have for each question to speak (either out loud or quietly using your lips) the text – to have an idea not only of how the sentence is written but also of how it is heard.
Many times, by speaking the text carefully – small errors may come easily, and allow you to notice the fine details.


Q2: Which of the following are dependent clauses? (Select all that apply.)

a. Since the book was overdue.

b. The sun sets earlier during the winter months.

c. Because she practiced daily.

d. They went to the park to play soccer.

e. While the cake was baking in the oven, the children were playing in the yard.

Answer & Explanation

A2: The correct answers are A and C.
Dependent clauses are groups of words with a subject and a verb that do not express a complete thought and cannot stand alone as a sentence. They typically begin with subordinating conjunctions like "because," "since," "while," "although," etc.

A. "Since the book was overdue." - This is a dependent clause because it cannot stand alone as a complete sentence without additional information. It starts with the subordinating conjunction "since," which signals that it's dependent.

C. "Because she practiced daily." - This is a dependent clause. It has a subject ("she") and a verb ("practiced"), but the sentence doesn't express a complete thought and relies on something else to make it complete. It begins with "because," a subordinating conjunction.

E. "While the cake was baking in the oven, the children were playing in the yard." - This sentence is a complex sentence, which contains a dependent clause ("While the cake was baking in the oven") and an independent clause ("the children were playing in the yard"). The dependent clause starts with "while," a subordinating conjunction, and cannot stand alone as a complete thought.

Options B and D remain independent clauses because they can stand alone as complete sentences.

The ATI TEAS English and Language Usage section section is comprised of 37 questions to be answered in 37 minutes – that’s 1 minute per question! Here are the following subjects:

· Convention of Standard English (40% of the section)

· Knowledge of language, (37% of the section)

· Using Language and Vocabulary to Express Ideas in Writing (33% of the section)

Included in our practice course are different questions resembling all question types of the section, including detailed explanations and tips to succeed in your upcoming test.

Start Practicing our TEAS 7 English and Language Usage Pack!


The first question type is variable and will ensure you can effectively communicate by adhering to the rules of standard English.

Let's look at another question type, which will focus more on the logical part of the English language, and your ability not only to know proper English but also how to use it to emphasize statements, arguments, etc.

Knowledge of Language:

These questions assess your ability to choose effective and precise language and to alter sentence structure for clarity and effect

Q3: Despite extensive preparations, Jane's presentation did not go as planned, ______ she forgot some of her main points.

Which of the following transition words or phrases best completes the sentence?

a. furthermore

b. for example

c. because

d. however

A3: The correct answer is C.
In the given sentence, the transition is needed to show causation or reason between Jane's extensive preparations and her presentation not going as planned due to forgetting some of her main points.

The word "because" effectively indicates that her forgetting the points is the reason the presentation did not go well, despite her preparations.

Option A, "furthermore," is used to add more information, not to show a cause. Option B, "for example," is used when providing a specific instance or illustration, which is not the context here.

Option D, "however," indicates a contrast and would not be appropriate as there is no contrast between the two parts of the sentence — they are causally connected.

Q4: Which of the following sentences would indicate that the setting is in medieval Europe?

a. The knights jousted valiantly in the tournament, vying for the king's favor.

b. The citizens gathered to watch the rocket launch at the newly built space center.

c. In the emperor's court, the scholars debated using wisdom from the ancient texts of Confucius.

d. The crowd swayed to the jazz rhythms, and flappers danced the night away in the speakeasy.

A4: The correct answer is A.

Option A suggests a setting in medieval Europe, as it mentions "knights," "jousting," and "the king's favor," which are indicative of the feudal societies and chivalric culture prevalent in Europe during the Middle Ages.

Option B hints at a contemporary or futuristic setting, likely the 20th century or later, because it involves a rocket launch and a space center, which did not exist in medieval times.

Option C suggests a setting in ancient or imperial China, as it references scholars debating using Confucian texts, which are associated with Chinese philosophy and imperial scholarship.

Option D evokes the 1930s, specifically in the United States during the Prohibition era, indicated by the mention of "jazz rhythms" and "flappers," which were cultural icons of that time, along with "speakeasy," an establishment that illegally sold alcoholic drinks during Prohibition.

TEAS English and Language Usage Tip – Knowledge of Language:

The previous question requires the ability to identify the intentions of a narrator using details. While general knowledge is key to identifying settings or scenarios – you can narrow down options and make calculated guesses. I.e., if you do not know the origin of Confucius, and may mistake him for living in medieval Europe, you can start by narrowing down obvious options like rockets, and apply common logic for the tone of option D, being set somewhere around the 20th century.

Then, even if you are not sure about Confucius, take a calculated guess regarding knights and kings, as sometimes the "obvious" options – are just correct, since your intuition in these questions is key.


The emphasis in these questions is on your ability to use language creatively and efficiently to convey information or an argument.

Let's move on to the final question type in this section - Using Language and Vocabulary to Express Ideas in Writing

Using Language and Vocabulary to Express Ideas in Writing:

These questions examine your ability to understand and use various words and phrases appropriately.

Q5: In which of the following scenarios must the author provide a citation?

a. The author is presenting an argument for reducing carbon emissions.

b. The author believes the statistical data presented supports their hypothesis.

c. The author is summarizing the plot of a novel they are reviewing.

d. The author is using a direct quote from a research study to emphasize a point.

A5: The correct answer is D.

A citation is required when an author is directly quoting or paraphrasing someone else's work, ideas, or data. This gives credit to the original source and allows readers to locate the original information.

In option D, the author is using a direct quote from a research study, which is a clear case where a citation is necessary to attribute the original source of the words.

Options A, B, and C do not necessarily require citations as they describe situations where the author is presenting their own argument, stating their belief about data (assuming the data is common knowledge or the author's own findings), or summarizing a plot (common knowledge, provided that the summary is in the author's own words and not a unique interpretation or analysis taken from another source).


Q6: Which of the following means "a person who advocates for something"?

a. Advocate

b. Advocation

c. Advocatee

d. Advocator

A6: The correct answer is D.

An "advocator" is a person who supports or argues for a cause or policy. The word part "advocate" means to support or argue for, and the suffix "-or" typically turns a verb into a noun, indicating a person who performs the action of the verb. In this case, "advocator" means a person who advocates.

Option A, "advocate," while it can be used to describe a person who advocates for something, is primarily used as a verb. Option B, "advocation," refers to the act or process of advocating. Option C, "advocatee," is not a commonly used term and does not fit the definition provided.

How To Prepare For the TEAS English & Language Usage Exam

Preparing for the TEAS English & Language Usage section requires a focused approach, as this part of the exam evaluates your proficiency in English language conventions, grammar, vocabulary, and sentence structure. Here are specific tips to help you prepare effectively:

1. Brush Up on Grammar and Syntax

Review basic grammar rules, including parts of speech, verb tenses, subject-verb agreement, and sentence construction. Understanding these fundamentals is crucial for answering many of the questions in this section.

2. Expand Your Vocabulary

Enhance your vocabulary by reading widely and learning new words daily. Use flashcards, apps, or word lists to memorize definitions and practice using new words in sentences. Pay special attention to words that are commonly confused (e.g., there/their/they’re).

3. Practice Reading Comprehension

The exam may include passages followed by questions about the text. Improve your reading comprehension skills by practicing with diverse materials, such as fiction, non-fiction, and scholarly articles. Focus on identifying main ideas, supporting details, and authors' purposes.

4. Study Punctuation and Capitalization Rules

Review the rules for using commas, semicolons, colons, apostrophes, and quotation marks. Proper punctuation is essential for clear communication and is often tested in the exam.

5. Work on Sentence Structure

Practice identifying and correcting errors in sentence structure, such as run-ons, fragments, and awkward constructions. Understanding how to construct clear and coherent sentences is key.

6. Use Practice Tests and Prep Materials

Take advantage of practice tests and prep materials specifically designed for the TEAS English & Language Usage section. These resources can help you identify areas of strength and weakness, and familiarize you with the test format and question types.

Click here to get access to our detailed TEAS 7 Preparation!


How Many Questions are on the TEAS English & Language Usage Section?

The TEAS English and Language Usage section consists of 37 questions (with 9 pre-test questions).

What Duration is Allotted for Completing the TEAS English & Language Usage Section?

Participants are given 37 minutes to complete this section of the TEAS exam.

What is Considered a Good Score on the TEAS English & Language Usage Section?

A good score on the TEAS English & Language Usage section varies by program, but generally, programs look for scores in the range of 60% to 80% (Overall TEAS 7 score which constitutes all the sections together). Competitive programs may require scores at the higher end or above. Aiming for a score in the 70th percentile and above is considered a high score.

However, it's crucial to check the specific score requirements of the programs you're applying to, as these will provide the most accurate target. Essentially, a "good" score is one that meets or exceeds the minimum requirement of your targeted nursing or allied health program.

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