What Is the TEAS Exam? Everything You Need to Know

A nursing student reading a book and preparing for the TEAS exam surrounded by a stack of study books

If you’re planning to apply to a nursing program, you’ve likely come across the TEAS Exam. The Test of Essential Academic Skills (TEAS) is one of the most commonly required entrance exams for nursing and allied health programs across the United States. Nursing schools use TEAS scores to assess whether applicants possess the foundational academic skills needed to succeed in demanding healthcare education programs.

For many students, the TEAS exam can feel intimidating at first. However, understanding its structure, purpose, and preparation requirements can significantly improve your confidence and performance. This guide explains everything you need to know about the TEAS exam, including its format, subjects, scoring system, and effective preparation strategies.

What Is the TEAS Exam?

The Test of Essential Academic Skills (TEAS) is a standardized entrance examination developed by the Assessment Technologies Institute (ATI). It is designed specifically for students seeking admission to nursing schools and various allied health programs.

The exam evaluates essential academic abilities that nursing students are expected to possess before entering a healthcare education program. Rather than testing advanced nursing concepts, the TEAS focuses on fundamental knowledge and skills in reading, mathematics, science, and English language usage.

Many nursing schools consider TEAS scores alongside GPA, prerequisite coursework, recommendation letters, and other admission requirements when evaluating applicants.

Why Is the TEAS Exam Important?

Nursing programs are academically rigorous and require students to process large amounts of information quickly. Schools use the TEAS exam to determine whether applicants have the foundational skills necessary for success in coursework and clinical training.

The exam helps admissions committees:

  • Assess academic readiness
  • Compare applicants using a standardized measure
  • Predict student success in nursing programs
  • Identify strengths and weaknesses in core subjects
  • Ensure students possess essential healthcare-related academic skills

A strong TEAS score can strengthen your nursing school application and increase your chances of acceptance into competitive programs.

Who Needs to Take the TEAS Exam?

The TEAS exam is commonly required for applicants seeking admission to:

  • Associate Degree in Nursing (ADN) programs
  • Bachelor of Science in Nursing (BSN) programs
  • Licensed Practical Nurse (LPN) programs
  • Vocational Nursing programs
  • Allied Health programs
  • Respiratory Therapy programs
  • Dental Hygiene programs
  • Radiologic Technology programs

Requirements vary by institution, so students should always verify admission criteria with their chosen school.

TEAS Exam Structure

The TEAS exam consists of four major sections that evaluate different academic skills. The exam is designed to measure readiness for healthcare education rather than specialized nursing knowledge.

 Reading

The Reading section evaluates a student’s ability to understand and analyze written information.

Topics include:

  • Key ideas and details
  • Craft and structure
  • Integration of knowledge and ideas
  • Reading comprehension
  • Logical conclusions
  • Evidence-based reasoning

Strong reading skills are essential because nursing students must accurately accurately interpret medical information, patient records, research studies, and healthcare guidelines.

Mathematics

The Mathematics section measures fundamental numerical and problem-solving abilities.

Topics include:

  • Whole numbers
  • Fractions and decimals
  • Percentages
  • Ratios and proportions
  • Algebraic equations
  • Data interpretation
  • Measurement conversions

Healthcare professionals frequently use mathematical calculations for medication dosages, patient care planning, and data analysis.

Science

Science is often considered the most challenging section for many test-takers because it covers several scientific disciplines.

Topics include:

  • Human anatomy and physiology
  • Biology
  • Chemistry
  • Scientific reasoning
  • Life sciences

Students should pay particular attention to anatomy and physiology since these concepts form the foundation of nursing education.

English and Language Usage

This section evaluates communication and writing skills.

Topics include:

  • Grammar
  • Sentence structure
  • Punctuation
  • Vocabulary
  • Spelling
  • Writing conventions

Effective communication is a critical skill in healthcare environments where accuracy and clarity can directly impact patient outcomes.

How Long Is the TEAS Exam?

The TEAS exam contains approximately 170 questions, including both scored and unscored items. Students are given a limited amount of time to complete each section.

The total testing time is approximately three and a half hours, including instructions and section transitions.

Time management is an important aspect of success because students must answer questions efficiently while maintaining accuracy.

TEAS Exam Scoring

TEAS scores are presented as percentages. The scoring system reflects the number of correct answers and converts them into an overall composite score.

Students receive:

  • Reading score
  • Mathematics score
  • Science score
  • English and Language Usage score
  • Overall composite score

Most nursing programs establish minimum score requirements for admission. Competitive programs often expect applicants to achieve higher scores than the minimum requirement.

Generally:

  • 90% and above: Exceptional
  • 80%–89%: Advanced
  • 70%–79%: Proficient
  • 60%–69%: Developing
  • Below 60%: Basic

Admission standards vary significantly among institutions.

What Is a Good TEAS Score?

A good TEAS score depends on the nursing program you are applying to. Some schools may accept students with scores in the 60s or 70s, while highly competitive programs often prefer scores above 80%.

Students should research average admitted student scores at their target institutions.

In general:

  • Above 80% is considered competitive.
  • Above 85% is considered very strong.
  • Above 90% is considered excellent.

Higher scores can improve admission opportunities and strengthen an overall application package.

How to Prepare for the TEAS Exam

Preparation is the key to achieving a strong score. Students who develop a structured study plan typically perform better than those who rely on last-minute review.

  • Create a Study Schedule: Begin studying several weeks or months before your exam date. Divide study sessions among all four subject areas to ensure balanced preparation.
  • Focus on Weak Areas: Take a diagnostic practice test to identify subjects that require additional attention. Spending extra time on weaker topics can significantly improve your overall score.
  • Use Practice Exams: Practice tests help students become familiar with question formats, time limits, and question structure.  Regular practice also helps reduce test anxiety.
  • Review Science Thoroughly: Because science is often the most challenging section, students should dedicate substantial time to concepts in anatomy, physiology, biology, and chemistry.
  • Strengthen Reading Skills: Read academic articles, healthcare content, and educational materials to improve comprehension and analytical thinking skills.
  • Improve Math Fundamentals: Review fractions, percentages, algebra, and measurement conversions until calculations become comfortable and efficient.

Common Challenges Students Face

Many students encounter obstacles while preparing for the TEAS exam.

Common challenges include:

  • Test anxiety
  • Limited study time
  • Difficulty with science concepts
  • Weak math skills
  • Poor time management
  • Lack of familiarity with question formats

Recognizing these challenges early allows students to create targeted strategies for improvement.

Benefits of Scoring Well on the TEAS Exam

Achieving a strong TEAS score can provide several advantages.

These benefits include:

  • Increased admission opportunities
  • Stronger nursing school applications
  • Greater academic confidence
  • Better preparation for nursing coursework
  • Competitive advantage over other applicants

Many students find that disciplined TEAS preparation also strengthens skills that will be valuable throughout nursing school.

Final Thoughts

The TEAS exam is an essential step for many students pursuing nursing and allied health careers. Designed to assess academic readiness, the exam evaluates skills in reading, mathematics, science, and English language usage. While the test can be challenging, proper preparation, consistent practice, and a focused study strategy can significantly improve performance.

Understanding the exam structure and dedicating time to each subject area will help you approach test day with confidence. A strong TEAS score not only enhances your nursing school application but also demonstrates your readiness to succeed in a demanding healthcare education program. By starting your preparation early and using the right resources, you can maximize your chances of achieving the score you need and taking the next step toward a rewarding nursing career.