TEAS 7 English & Language Usage: practice questions and study guide
The TEAS 7 English & Language Usage section has 37 questions in 37 minutes — the fastest-paced section. It tests conventions of standard English (grammar, punctuation, spelling), knowledge of language (sentence structure, tone, formality) and vocabulary acquisition (word parts and meaning from context).
What's tested
Conventions of Standard EnglishGrammar, punctuation, capitalization and spelling — the rules of standard written English.Guide →Knowledge of LanguageUsing language effectively: sentence types, transitions, conciseness, tone and formality for different audiences.Guide →Vocabulary AcquisitionWorking out word meanings from context clues and word parts — including many medical prefixes, roots and suffixes.Guide →How to score higher
- You have about 60 seconds per question — answer quickly and flag only the hardest.
- Know the comma rules for introductory clauses, nonessential clauses and compound sentences.
- Learn common medical prefixes and suffixes (hyper-, hypo-, -itis, -ectomy, -ology).
- For formality questions, choose clear, precise wording without slang or filler.
- Read each answer choice in the sentence — your ear catches many errors.
Free TEAS 7 English & Language Usage practice questions
Pick an answer to see whether you're right and why. These come from our full bank of 159 English & Language Usage questions.
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Answer: D. Use “most” (superlative) when comparing three or more; “more” compares two.
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Answer: A. Active voice identifies who performed the action, making the sentence clearer and more direct.
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Answer: D. Candid means frank and honest.
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Answer: B. Adverbs modify verbs. “Slowly” describes how the patient breathed.
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Answer: D. Informal language suits casual personal communication, not professional or academic writing.
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Answer: A. Scarce means in short supply; abundant means plentiful.
English & Language Usage FAQ
How many English questions are on the TEAS 7?
37 questions in 37 minutes, including a few unscored pretest questions.
What grammar is tested on the TEAS 7?
Subject-verb and pronoun agreement, punctuation (commas, semicolons, colons, apostrophes), sentence fragments and run-ons, verb tense, spelling and capitalization.
Does the TEAS 7 test vocabulary?
Yes — using word parts (prefixes, roots, suffixes) and context clues to work out meanings.