The main difference between TEAS 6 and TEAS 7 is that TEAS 7 is a newer version of the standardized entrance exam for nursing programs, launched in June 2022, and it features updated content areas, new question types, and a revised structure compared to TEAS 6. These changes were made to better align with current nursing school prerequisites and expectations, as well as to reflect updates in healthcare education.
Background: What Are TEAS 6 and TEAS 7?
The Test of Essential Academic Skills (TEAS) is an exam developed by Assessment Technologies Institute (ATI) and is widely used by nursing schools in the United States as part of their admissions process. The exam measures skills in reading, mathematics, science, and English language usage. TEAS 6 was released in 2016 and was the standard until the launch of TEAS 7 in June 2022. The transition from TEAS 6 to TEAS 7 was intended to ensure that the test content remains current with the prerequisites of modern nursing programs and the evolving demands of healthcare education.
Major Content Changes from TEAS 6 to TEAS 7
TEAS 7 introduced several notable changes in both the structure and content of the exam compared to TEAS 6. Below are the key updates:
- Updated Content Areas: TEAS 7 reflects more recent science and health concepts, aligning with current nursing program curricula.
- New Question Types: While TEAS 6 only used multiple-choice questions, TEAS 7 includes alternative item types such as select-all-that-apply, fill-in-the-blank, ordered response, and hotspot questions.
- Revised Science Section: The science section in TEAS 7 now includes more questions on chemistry and biology, and slightly less emphasis on anatomy and physiology compared to TEAS 6.
- Mathematics Section Updates: TEAS 7 math questions now include more data interpretation and application-based problems, rather than straightforward computation.
- English and Reading Rebalancing: The English and reading sections have been updated for clarity and better reflect academic and workplace expectations.
Exam Structure and Format: TEAS 6 vs TEAS 7
Both TEAS 6 and TEAS 7 are timed, multiple-section exams, but there are some structural differences:
- Number of Questions: TEAS 6 had 170 questions, of which 150 were scored and 20 were unscored pretest items. TEAS 7 maintains 170 questions, but the distribution and types of questions have changed.
- Types of Questions: TEAS 6 used only multiple-choice questions. TEAS 7 includes a mix of multiple-choice and alternative question types (such as select-all-that-apply, fill-in-the-blank, ordered response, and hotspot).
- Section Breakdown:
- TEAS 6: Reading (53 questions), Mathematics (36), Science (53), English & Language Usage (28)
- TEAS 7: Reading (45 questions), Mathematics (38), Science (50), English & Language Usage (37)
- Scoring: Both versions use a similar scaled scoring system, but the inclusion of new question types in TEAS 7 can affect how scores are calculated and interpreted.
How the New Question Types Work
One of the most significant updates in TEAS 7 is the introduction of alternative item types. Here’s how these new question formats work:
- Select-All-That-Apply: Test-takers must select all correct answers from a list. Partial credit is not awarded; all correct options must be chosen.
- Fill-in-the-Blank: Requires entering a specific answer (such as a number or term) rather than choosing from a list.
- Ordered Response: Involves arranging a list of items in the correct sequence.
- Hotspot: Requires test-takers to click on a specific area of an image to indicate their answer.
These new formats are designed to better assess real-world skills and critical thinking, such as prioritizing care steps or interpreting medical diagrams.
Why the Changes? The Rationale Behind TEAS 7
The transition from TEAS 6 to TEAS 7 was prompted by several factors:
- Alignment with Current Curriculum: Nursing programs have updated their prerequisites and learning objectives. TEAS 7 reflects these changes.
- Reflecting Modern Healthcare: The exam now includes more application-based questions, better mirroring the problem-solving required in real nursing practice.
- Improved Validity: New question types allow for a broader range of skills to be assessed, making the test a more accurate predictor of nursing school success.
- Reducing Memorization: By focusing less on rote memorization and more on understanding and application, TEAS 7 aims to support deeper learning.
Preparing for TEAS 7: What Has Changed for Test-Takers?
For students, the shift from TEAS 6 to TEAS 7 means adjusting their study strategies. Here are some key preparation tips tailored for the new exam:
- Practice with New Question Formats: Seek out study materials and practice tests that include the new item types, especially select-all-that-apply and hotspot questions.
- Focus on Application: Expect questions that require applying knowledge to real-world scenarios, not just recalling facts.
- Broaden Science Prep: Spend more time reviewing chemistry and biology fundamentals, as these are more prominent in TEAS 7.
- Review Data Interpretation: In math, practice interpreting graphs, charts, and tables, as these skills are tested more in TEAS 7.
Comparing TEAS 6 and TEAS 7: Similarities and Differences
While TEAS 7 brings many updates, some core aspects remain the same:
- Purpose: Both are used as entrance exams for nursing and allied health programs.
- Test Length: Total testing time remains about 209 minutes (roughly 3.5 hours).
- Sections: Both cover reading, mathematics, science, and English language usage.
However, the key differences include:
- TEAS 7 has a different question distribution and more question variety.
- Content updates reflect current academic standards and job expectations.
- Preparation resources for TEAS 6 may not be fully relevant for TEAS 7, especially regarding new item types.
Costs and Accessibility
The cost to take the TEAS exam is set by ATI and may vary depending on the testing location and whether the test is taken online or in person. Generally, the fees for TEAS 7 are similar to those for TEAS 6, typically ranging from $65 to $120 as of 2024. Some schools may charge additional administrative fees. Both versions have been offered in online and paper-based formats, though most students now take the computer-based version for convenience and faster results.
Common Challenges with TEAS 7
Students have reported several challenges unique to TEAS 7:
- Adjusting to New Question Types: The alternative item types can be unfamiliar and require different strategies than standard multiple-choice questions.
- Broader Science Coverage: The increased emphasis on chemistry and biology means students must review more topics.
- Resource Availability: Some early test-takers found fewer TEAS 7-specific prep materials, though this is improving as more resources are published.
Frequently Asked Questions
- Is TEAS 6 still accepted by nursing schools?
Most nursing programs now require TEAS 7, but a few may have accepted TEAS 6 scores during the initial transition period. Always check with your specific school to confirm which version is required. - Are TEAS 6 and TEAS 7 scores comparable?
While both use a similar scaled scoring system, the content and question types differ. Programs typically do not compare scores across versions and require the version specified in their admissions process. - Can I use TEAS 6 study guides for TEAS 7?
TEAS 6 materials can help with core content review, but they do not cover the new question types or the updated content distribution. For best results, use TEAS 7-specific resources. - How often can I retake the TEAS 7 exam?
ATI does not limit the number of retakes, but individual nursing programs may set their own policies, such as waiting periods or limits on attempts. Check with your school for details. - What is a passing score on TEAS 7?
There is no universal passing score. Each school sets its own minimum requirements, typically ranging from 60% to 75% overall, with some programs having section-specific cutoffs. - Are accommodations available for TEAS 7?
Yes, ATI provides accommodations for test-takers with documented disabilities. Contact ATI or your school’s testing center in advance to arrange accommodations.
Alternatives and Related Exams
While the TEAS is the most widely used entrance exam for nursing programs in the U.S., some schools may accept other assessments, such as the HESI Admission Assessment (A2) or the NLN Pre-Admission Exam (PAX). These exams have different formats and content emphases, so it’s important to check your target program’s requirements before preparing for any particular test.
Summary: Choosing the Right TEAS Exam and Study Approach
The shift from TEAS 6 to TEAS 7 marks a significant change in how nursing program applicants are assessed, with TEAS 7 offering updated content and more varied question types to better reflect the skills needed in healthcare today. When preparing for the TEAS, be sure to use up-to-date materials, familiarize yourself with the new question formats, and check your program’s specific requirements. This will give you the best chance of success as you pursue a nursing career.