The TEAS 7 is the gate between you and nursing school. Most ADN programs want Proficient (~65-78%). Most BSN programs want Advanced (~79-91%). Score below cutoff and the door stays closed, for the next admissions cycle, six to twelve months away. The good news: of every input on your application, the TEAS is the most controllable. GPA takes semesters to move. Recommendations take relationships. The TEAS can be cracked in a 6-to-10 week sprint if you study the right things. Anatomy & physiology, unit conversions, and the four new item types (multiple-select, supply-answer, ordered-response, hot-spot), that's where points hide.
ATI TEAS 7
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At a glance
ATI TEAS 7 exam facts
- Questions
- 170 (150 scored + 20 unscored pretest)
- Duration
- 209 minutes (3 hours 29 minutes) of testing time
- Passing score
- Varies by program, competitive programs require Proficient (65-78%) or Advanced (79-91%)
- Cost
- $70-$140 depending on delivery (online proctored, at-school, or PSI testing center)
- Format
- Multiple-choice plus four new item types: multiple-select, supply-answer, ordered-response, hot-spot
- When offered
- Year-round; online proctored option available
Most candidates who land above Advanced (79%+) study 6 to 10 weeks and complete at least two full-length timed simulations. The TEAS is winnable on a deadline.
Live practice bank
912
ATI TEAS 7 questions in our database right now, with full rationales on every choice.
Exam blueprint
What the ATI TEAS 7 tests
The categories below come from the current ATI Nursing Education test plan. Weights are the published ranges; the actual percentage varies slightly between exam forms.
Reading
31% (45 scored questions)Roughly one third of the exam. Key ideas, craft and structure, integration of knowledge, pulled from informational texts that resemble drug inserts and patient handouts.
- Summarizing and main idea
- Author's purpose and point of view
- Following multi-step written directions
- Interpreting graphics and printed communications
Mathematics
25% (38 scored questions)Numbers and algebra; measurement and data. Calculators are permitted on TEAS 7, but you still get ~90 seconds per question.
- Operations with fractions, decimals, and percentages
- Algebraic equations and ratios/proportions
- Unit conversions (US standard and metric)
- Interpretation of charts, tables, and graphs
Science
31% (50 scored questions)The decisive section. Half or more of these questions test human anatomy and physiology. Cell biology, chemistry, and scientific reasoning fight for the rest.
- Anatomy and physiology of body systems (heavily weighted)
- Biology: cellular processes, genetics, macromolecules
- Chemistry: atomic structure, chemical reactions, solutions
- Scientific reasoning and the scientific method
English and Language Usage
13% (37 scored questions)Smallest weight by far. Grammar, punctuation, vocabulary in context, word parts. Don't over-invest, gains here cap quickly.
- Grammar and sentence structure
- Punctuation and capitalization
- Vocabulary in context
- Word parts (prefixes, roots, suffixes)
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How the TEAS 7 is structured
The TEAS 7 runs in four sections, fixed order: Reading, Mathematics, Science, English and Language Usage. Total testing time: 209 minutes of seated content, plus a brief tutorial and short optional breaks between sections. Each section is timed independently, you can't borrow time.
170 questions total. 150 are scored. 20 are unscored 'pretest' items ATI uses to calibrate future questions, and you can't tell which is which, so answer every one. There's no penalty for guessing.
TEAS 7 added four item types beyond standard multiple choice: multiple-select ('choose all that apply', partial credit applies, but missing one wrong choice nukes the whole question), supply-answer (type a numeric or one-word response), ordered-response (drag steps into the right order), and hot-spot (click a region on an image). These are a small minority of items but they're the ones unprepared candidates fumble.
How TEAS scores work
Your score report returns three numbers: a composite score, four section scores, and an academic preparedness level, Developmental, Basic, Proficient, Advanced, or Exemplary.
Most ADN programs want Proficient (typically 65-78%). Most BSN programs want Advanced (79-91%). Some accelerated programs require Exemplary (92%+). Check your target program's published cutoff, they vary by 20 percentage points between schools.
Scores are scaled, not raw percentages. Your composite is weighted by the number of scored items per section, which means Reading and Science each carry roughly twice the weight of English and Language Usage. Spend study time in proportion.
Why anatomy and physiology dominates the Science section
Of the 50 scored Science questions, the majority test human anatomy and physiology. Every major system gets attention, cardiovascular, respiratory, renal, nervous, endocrine, musculoskeletal, integumentary, reproductive, digestive, immune. TEAS doesn't ask you to recall pathophysiology or pharmacology, you'll get that in nursing school, but it does demand you can name structures, describe normal function, and trace processes: nephron filtration, action potential propagation, cardiac conduction.
If you haven't taken an A&P course, plan to spend at least half your Science study time on body systems. The remainder splits across cell biology, chemistry, and scientific reasoning. Skip A&P and you cap your composite score, there's no other section where you can make those points back.

Mathematics: calculators are allowed, but speed still matters
TEAS 7 gives you an on-screen four-function calculator. You can't bring your own. Despite the calculator, time pressure is real, 38 questions in 57 minutes is roughly 90 seconds per question, and many require multiple steps.
The most under-practiced topic: unit conversion, especially US-to-metric. Memorize core conversions cold:
- 1 inch = 2.54 cm
- 1 kg = 2.2 lb
- 1 L = 33.8 fl oz
- 1 mile = 1.61 km
Ratios, proportions, and percent change appear on nearly every form. Algebra caps at single-variable equations, no trig, no pre-calc. The math is high school. The speed is what gets you.
A 6-to-10 week TEAS study plan
The TEAS rewards consistent, daily practice, not weekend cramming.
- Weeks 1-2: Diagnostic full-length practice test. Identify your weakest section. Begin daily content review (1-2 hours) on that section.
- Weeks 3-6: Rotate through all four sections with 30-50 practice questions per section per day. Read every rationale.
- Weeks 7-8: Two more full-length timed simulations. Compare to your diagnostic; the gain typically comes from one or two specific topics (often anatomy or unit conversion).
- Final week: Light review of formula sheets and notes. Sleep. Hydrate. Don't cram.

Sample questions
Practice ATI TEAS 7 questions
Reveal each answer and rationale to see how Precision Nursing teaches the reasoning behind every question.
A nurse is reviewing a patient's lab report that reads, "The patient's potassium level is 5.8 mEq/L, slightly above the normal upper limit of 5.0 mEq/L." What is the author's primary purpose?
- A.To persuade the reader to begin treatment
- B.To inform the reader of a clinical finding
- C.To entertain the reader with a medical anecdote
- D.To express the author's personal opinion
Show answer & rationale
Correct answer: B
The sentence states a fact about a lab value and gives reference context. There is no call to action (not persuading), no narrative (not entertaining), and no first-person stance (not expressing opinion). This is the informational purpose category tested in TEAS Reading.
A patient must take a medication at a dose of 0.5 mg per kilogram of body weight. The patient weighs 154 lb. How many milligrams should the patient receive? (Round to the nearest whole mg.)
- A.35 mg
- B.70 mg
- C.77 mg
- D.154 mg
Show answer & rationale
Correct answer: A
Convert 154 lb to kg using 1 kg = 2.2 lb: 154 / 2.2 = 70 kg. Multiply by the dose: 70 kg x 0.5 mg/kg = 35 mg. Choice B reflects skipping the conversion. Choice C is 70 x 1.1. Choice D ignores both conversion and dose.
Which structure is responsible for filtering blood plasma in the nephron?
- A.Loop of Henle
- B.Collecting duct
- C.Glomerulus
- D.Proximal convoluted tubule
Show answer & rationale
Correct answer: C
The glomerulus is a tuft of capillaries inside Bowman's capsule that performs the initial filtration of blood plasma. The loop of Henle concentrates urine; the collecting duct adjusts final water reabsorption; the proximal convoluted tubule reabsorbs nutrients. Filtration specifically happens at the glomerulus.
Study tips
What works for ATI TEAS 7 prep
Open with a diagnostic full-length test. Knowing your weakest section is worth a week of guessing.
Spend half your Science study time on anatomy and physiology by body system, that's where the points are.
Drill US-to-metric unit conversions until they're automatic. These show up in Math AND Science.
Practice the new item types (multiple-select, ordered-response) on their own. They trip people up.
Use the on-screen calculator during practice so you're not learning its quirks on test day.
Time every practice section. Speed matters even with a calculator, 90 seconds per Math question is real.
Reserve the last two weeks for full-length timed simulations. Don't skip them.
FAQ
Common questions about ATI TEAS 7
What is a good TEAS 7 score?
Most competitive ADN programs require Proficient (~65-78%); BSN programs often require Advanced (~79-91%). Check your target program's published cutoff; they vary widely.
How long is the TEAS 7?
209 minutes (3 hours 29 minutes) of testing time, plus a tutorial and short breaks between the four sections.
How many questions are on the TEAS 7?
170 questions: 150 scored and 20 unscored pretest items.
How much does the TEAS 7 cost?
Between $70 and $140, depending on whether you test at your nursing school, at a PSI testing center, or online with remote proctoring through ATI.
Can I use a calculator on the TEAS 7?
Yes. An on-screen four-function calculator is provided. You may not bring your own.
How often can I retake the TEAS 7?
ATI allows multiple attempts, but most nursing programs limit how many scores they will accept (commonly 2-3 attempts per admissions cycle, with a 30-day wait between).
What is the difference between TEAS 6 and TEAS 7?
TEAS 7 (released June 2022) updated content alignment, removed the standalone Anatomy section by merging it into Science, added new item types (multiple select, ordered response, hot spot), and now includes a calculator. TEAS 6 is no longer offered.
Is the TEAS 7 harder than the TEAS 6?
The content is comparable, but the new item types and the calculator change how candidates approach the test. Average scores look similar, harder or easier depends on which item types you handle best.
Honest answers
Before you sign up, three things you're probably wondering
“Is the free tier actually useful, or just a teaser?”
1,000+ full-rationale questions across every ATI TEAS 7 blueprint category. No time limit. No paywall after the first five.
“Is it like the real exam?”
Same format, same difficulty curve, same item types, built directly against the ATI Nursing Education published test plan. We're not the test-makers, but we follow their blueprint.
“Why not use the official free samples?”
Use both. The official samples are small and authoritative. We give you the volume, the rationales, and the weak-area analytics on top.
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