The exam at a glance
The ATI TEAS 7 (Test of Essential Academic Skills) is the entrance exam most U.S. nursing and allied-health programs use to rank applicants. It is a long, four-part academic skills test — not a nursing test — and the format rewards people who know exactly what is coming.
- Four sections, always in this order: Reading, Mathematics, Science, then English and Language Usage. You cannot pick the order, and once you close a section you cannot go back to it.
- 170 questions, 209 minutes (just under 3.5 hours) of testing time:
- Reading — 45 questions, 55 minutes
- Mathematics — 38 questions, 57 minutes
- Science — 50 questions, 60 minutes
- English and Language Usage — 37 questions, 37 minutes
- Only 150 questions are scored. The other 20 are unscored pretest items (6 Reading, 4 Math, 6 Science, 4 English) that you cannot identify — so treat every question as if it counts.
- An optional 10-minute break comes after the Math section. It sits between the independently timed sections, so taking it costs you nothing on the clock.
- Question types go beyond multiple choice: expect multiple select (select all that apply), fill in the blank, ordered response, and hot-spot items.
- A four-function calculator is provided — on-screen for computer exams, handed to you for paper-pencil administrations. Personal calculators are prohibited, and there is no scientific calculator.
- Within a section you can move back and forth and change answers while that section’s time remains. Unused section time does not carry forward.
How it is scored
Your score report shows three layers, all on a 0-100% scale: a total (composite) score, four content-area scores, and sub-content-area scores. The total and content-area scores are adjusted — statistically equated so scores from different exam forms are comparable. Sub-content scores are simple percent-correct and are not equated, so don’t read too much into small differences there.
There is no universal passing score. Each program sets its own cutoff. ATI maps total scores to Academic Preparedness Levels (ATI’s published ranges):
- Developmental: 0.0-40.7%
- Basic: 41.3-58.0%
- Proficient: 58.7-77.3% — the band most schools want applicants to reach
- Advanced: 78.0-90.0%
- Exemplary: 90.7-100%
Calibrate your target with two reference points. First, ATI’s published 2022 national data (Diploma-program cohort) put the mean composite at 62.6% — with Reading at 70.2%, Math at 73.5%, English at 61.2%, and Science far lowest at 49.6%. Second, third-party prep sources report admitted-student averages around 66% for ADN programs and 70% for BSN programs, with competitive programs effectively expecting Advanced (roughly 80%+). The safe strategy: treat Proficient (58.7%+) as a floor and your specific program’s published minimum as nowhere near enough — aim for the middle of the band above it.
Cost, registration, and delivery options
You register through your ATI student account at atitesting.com. There are currently four ways to take the TEAS:
- Online, proctored by ATI (at home) — $120
- Online, proctored by your institution — fee set by the school
- In person at an institution — fee set by the school (most land around $120)
- In person at a PSI testing center — $120
Practical details that catch people out:
- One transcript is free with registration. Every additional school costs a $27 transcript credit (one credit = one school; credits don’t expire).
- Some schools won’t accept remote-exam transcripts or scores from exams taken at other institutions. Confirm your target program’s policy before you pick a delivery option.
- Rescheduling costs $15, must be done at least 48 hours out, and can only move the exam within the same delivery type — you can’t flip an in-person booking to remote.
- ID is strict: a physical, non-expired, government-issued photo ID whose name matches your registration. Photocopies and digital IDs are rejected.
- Remote setup: webcam, microphone, stable internet, a quiet well-lit room, and a 20-30 minute early login for identity and equipment checks. You’re allowed one blank 8.5x11 sheet of paper or a desktop dry-erase whiteboard.
Master the four sections (and how each is weighted)
Science — 44 scored questions (29%), the highest-yield section. The blueprint: human anatomy and physiology (18), biology (9), chemistry (8), scientific reasoning (9). A&P is the single largest sub-area on the whole exam, and Science carries the lowest national mean (49.6% in ATI’s 2022 data) — which means Science improvement moves your composite and your percentile more than anything else. Work body systems until they’re automatic, then layer in cells/genetics/macromolecules, atomic structure, bonds, reactions and acids/bases, and experimental-design vocabulary.
Reading — 39 scored questions (26%). Key ideas and details (15), craft and structure (9), integration of knowledge and ideas (15). You get about 1.2 minutes per question, and passages eat time — practice timed passage sets, and answer from the text, not from what you already believe about the topic.
Mathematics — 34 scored questions (23%). Numbers and algebra (18) plus measurement and data (16). This is the most generous section on time (~1.5 min/question), and the four-function calculator removes arithmetic risk — so the section really tests setup: translating word problems, proportions, percent change, unit conversion, and reading charts. Practice with a basic calculator so you’re not hunting for a square-root key that doesn’t exist.
English and Language Usage — 33 scored questions (22%). Conventions of standard English (12), knowledge of language (11), vocabulary (10). It’s the shortest section — 37 questions in 37 minutes — and it comes last, when you’re tired. Drill the high-frequency rules (sentence structure, agreement, punctuation, commonly confused words) and word roots/affixes so the final stretch runs on reflexes.
A realistic study plan
ATI itself recommends at least 6 weeks of preparation; 6-12 weeks is the consensus among reputable prep providers.
- Week 1 — diagnose. Take a full-length timed practice test cold. Score it by section and sub-area. Your plan is whatever the diagnostic says it is — for most people, that means Science first.
- Weeks 2-4 — rebuild content, heaviest-weight gaps first. Spend daily time on A&P body systems, and rotate your weaker math and English sub-areas behind it. Short, frequent sessions with spaced review beat weekend cramming for retention.
- Week 5 — drill format. Timed section practice: passage sets for Reading, calculator-in-hand word problems for Math, rapid-fire grammar for English. Train at or slightly faster than real pacing.
- Week 6 — simulate and patch. At least one full 3.5-hour simulation under exam conditions (one sheet of scratch paper, four-function calculator only, break after Math). Spend the final days on your missed-question list, not on new material.
Two scheduling levers most candidates miss: the 14-day retake wait for ATI-registered exams (schools commonly require 30 days) means your first attempt should land early enough to allow a retake before your application deadline — and since every completed, scored exam counts as an attempt that schools can see, walk in prepared rather than “just to see the test.”
Test day
- In person: arrive 15-20 minutes early — late arrivals are not admitted. Bring two sharpened No. 2 pencils (the center provides scratch paper). Jackets, hats, sunglasses, bags, phones, smartwatches, and food/drink are all prohibited (religious attire and documented medical items excepted).
- Remote: stay on camera the entire time, keep the room to yourself, and close everything except the testing platform. Phones, extra monitors, headphones, and notes are all prohibited; only a clear water bottle is allowed.
- Pace by section, not by the whole exam. The section clocks are independent: Reading allows ~1.2 min/question, Math ~1.5, Science ~1.2, English exactly 1.0. Flag and move on — within a section you can return to anything while time remains.
- Take the break. Ten minutes after Math costs nothing and resets you before Science, the longest and heaviest section.
Scores for institution and ATI-proctored exams appear in your account immediately (possibly marked ‘Preliminary’ for up to 4 business days); PSI results can take up to 72 business hours. The school where you test gets your transcript automatically — within 48 hours at most.