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ATI TEAS 7 Reading Practice Questions with Answers

TEAS Reading is the first section you sit - 45 questions in 55 minutes, with no warm-up. Every answer is in the text, which is exactly why the traps work. These eight questions are worked out step by step, with the evidence shown every time.

The Reading section covers three areas: key ideas and details, craft and structure, and integration of knowledge and ideas. In practice that means finding the main idea and supporting details, working out word meanings from context, recognizing how a passage is built and why, and pulling information out of tables, directions and arguments. You never need outside knowledge - and bringing it in is one of the most common ways to pick a wrong answer. Questions 1 to 4 share a short passage. Try each one before opening the solution.

The passage for Questions 1 to 4

Hand hygiene is the single most effective way to prevent the spread of infection in hospitals, yet studies of health care workers have often found that compliance falls well short of what guidelines require. Part of the problem is time: on a busy unit, a nurse may be expected to clean her hands dozens of times in a single shift. Alcohol-based hand rubs have helped, because they work faster than soap and water and can be mounted beside every doorway. Even so, rubs are not effective against every organism. The spores of Clostridioides difficile, for example, are not reliably killed by alcohol, which is why staff caring for patients with this infection are told to wash with soap and water instead.

Question 1 - Main idea

Which statement best expresses the main idea of the passage?
  • A. Alcohol-based rubs should replace soap and water in hospitals.
  • B. Hand hygiene is the best defense against hospital infection, but time pressure and the limits of alcohol rubs complicate it.
  • C. Nurses do not clean their hands often enough.
  • D. Clostridioides difficile is the most dangerous hospital infection.
Show the solution

A main-idea answer has to cover the whole passage, not one sentence of it.

The passage opens with hand hygiene as the best prevention, explains why compliance is hard, credits alcohol rubs, then names their limit. Only B covers all of that.

C is one detail. D is never claimed - the organism is an example. A contradicts the final sentence, which says soap and water is still needed in some cases.

Answer: B. Hand hygiene is the best defense against hospital infection, but time pressure and the limits of alcohol rubs complicate it.

Test each choice by asking whether the author would sign it as a summary of the whole paragraph. Details and overstatements fail that test fast.

Question 2 - Supporting detail

According to the passage, why are staff caring for patients with C. difficile told to use soap and water?
  • A. Soap and water is faster than an alcohol rub.
  • B. Alcohol rubs are not mounted in those patients' rooms.
  • C. The organism's spores are not reliably killed by alcohol.
  • D. Guidelines no longer recommend alcohol rubs.
Show the solution

The last sentence gives the reason directly, joined by "which is why": the spores are not reliably killed by alcohol.

A reverses the passage, which says rubs are faster. B and D are never stated.

Answer: C. The organism's spores are not reliably killed by alcohol.

Detail questions are answered in the text, not in your head. Find the sentence, then pick the choice that restates it.

Question 3 - Word meaning in context

As used in the first sentence, the word compliance most nearly means
  • A. agreement with an opinion
  • B. following a required practice
  • C. flexibility under pressure
  • D. a formal complaint
Show the solution

The sentence compares compliance with "what guidelines require." The word must describe how well workers do what they are supposed to do.

A is a real meaning of the word in other settings, but it does not fit a sentence about guidelines. C and D do not fit at all.

Answer: B. following a required practice

Substitute each choice back into the sentence. The right one will read naturally; a dictionary meaning that does not fit the context will sound off.

Question 4 - Text structure

Which best describes how the passage is organized?
  • A. It compares two hospitals' infection rates.
  • B. It lists events in the order they happened.
  • C. It states a problem, describes a partial solution, and then notes a limit of that solution.
  • D. It presents an argument and then refutes it.
Show the solution

The problem is poor compliance, partly caused by time. The partial solution is alcohol rubs, which are faster. The limit is that they do not kill every organism.

Nothing is compared, nothing is in time order, and no argument is refuted.

Answer: C. It states a problem, describes a partial solution, and then notes a limit of that solution.

Signal words give structure away. "Part of the problem" flags a problem, "have helped" flags a solution, and "Even so" flags a limitation.

Question 5 - Fact versus opinion

Which of the following sentences expresses an opinion rather than a fact?
  • A. The clinic is open from 8 a.m. to 6 p.m. on weekdays.
  • B. The new waiting room is far more welcoming than the old one.
  • C. The clinic added four exam rooms last year.
  • D. Patients can book appointments online or by phone.
Show the solution

A fact can be checked. Opening hours, the number of rooms added and booking options can all be verified.

"Far more welcoming" is a judgment - two reasonable people could disagree about it.

Answer: B. The new waiting room is far more welcoming than the old one.

Watch for judgment words: best, worst, beautiful, welcoming, should, unfortunately. They almost always mark opinion.

Question 6 - Following directions

Start with the word SPRING. Remove the S. Replace the first vowel with the letter A. Move the last letter to the front. Add an S to the end. What is the result?
  • A. GPRANS
  • B. PRANGS
  • C. GPRINS
  • D. SPRANG
Show the solution

Remove the S: PRING.

Replace the first vowel (I) with A: PRANG.

Move the last letter (G) to the front: GPRAN.

Add S to the end: GPRANS.

Answer: A. GPRANS

Write down the result after every single step. Doing these in your head is how a step gets skipped - choice B is what you get if you forget to move the G.

Question 7 - Reading a table

DayPharmacy counter hours
Monday - Thursday8:00 a.m. - 7:00 p.m.
Friday8:00 a.m. - 5:00 p.m.
Saturday9:00 a.m. - 1:00 p.m.
SundayClosed

The counter closes for lunch from 12:30 to 1:30 p.m., Monday through Friday.

A patient works 9:00 a.m. to 5:30 p.m., Monday through Friday, and can only pick up a prescription outside those hours. Which of these times would work?
  • A. Friday at 6:00 p.m.
  • B. Monday at 12:45 p.m.
  • C. Wednesday at 6:15 p.m.
  • D. Sunday at 11:00 a.m.
Show the solution

Check every choice against both limits - the patient's work hours and the counter's hours.

A: the counter closes at 5:00 on Fridays. B: the patient is at work, and the counter is closed for lunch anyway. D: closed all day Sunday.

C: the patient is off work, and the counter is open until 7:00 on Wednesdays.

Answer: C. Wednesday at 6:15 p.m.

Read the notes under a table before the question. The lunch closure is exactly the kind of detail a wrong answer is built around.

Question 8 - Evaluating evidence

A hospital cafeteria claims that adding calorie counts to its menu board led employees to choose healthier meals. Which evidence would most strongly support this claim?
  • A. Sales of lower-calorie meals rose after the labels were added, compared with the same months the year before.
  • B. Several employees said they liked seeing the calorie counts.
  • C. The new menu board uses larger, easier-to-read print.
  • D. Other hospitals have also added calorie counts to their menus.
Show the solution

The claim is about behavior: what employees actually chose. The strongest evidence measures that behavior before and after the change.

A does exactly that, and comparing with the same months a year earlier rules out seasonal changes in what people eat.

B measures opinions, not choices. C and D do not show any change in what employees bought.

Answer: A. Sales of lower-calorie meals rose after the labels were added, compared with the same months the year before.

Match the evidence to the exact claim. If the claim is about what people did, evidence about what people said or what other places did is weaker.

Bringing it together

Every one of these answers was sitting in the text. The wrong choices worked by being almost right: a true detail offered as a main idea, a real dictionary meaning that did not fit the sentence, an opinion dressed as a fact, a time that ignored the note under the table. With about 73 seconds per question, the habit that pays off most is going back to the exact sentence before you commit - not answering from memory of the passage.

Keep practicing

Want a full set of TEAS practice?

Our ATI TEAS practice course covers all four sections - Reading, Math, Science, and English and Language Usage - with a worked explanation behind every answer, weighted the way the real exam is.

All four TEAS sections - Reading, Math, Science, and English and Language Usage - are covered in the full ATI TEAS practice course, with a worked solution on every question.

Frequently asked questions

How many questions are on the TEAS Reading section and how long is it?
The Reading section has 45 questions with 55 minutes allowed, a little over a minute per question. It is the first section of the exam. Of the 45 items, 39 are scored and 6 are unscored pretest questions you cannot identify.
What skills does TEAS Reading test?
Three areas: key ideas and details, craft and structure, and integration of knowledge and ideas. That covers main idea, supporting details and inference, word meaning in context, author purpose and text structure, fact versus opinion, and reading information from tables, charts, directions and arguments.
Do I need background knowledge for the TEAS Reading passages?
No. Every answer is supported by the passage or graphic in front of you. Passages may touch on health or science topics, but the questions test how you read them, not what you already know - and choosing an answer because it is true in real life rather than stated in the text is a common trap.

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