TEAS: English and Language Usage • Conventions of Standard English

Identify Correct Grammar

Master the conventions of Standard English grammar essential for success on the TEAS exam and graduate-level academic writing.

TEAS illustration with a checked exam clipboard, healthcare stethoscope, and math symbol
Inside this lesson 10 sections 5 questions 5 figures

SECTION 1

Historical Context & Motivation

The study of grammar—defined as the systematic rules governing the structure of a language—has deep roots stretching back to antiquity. Understanding how prescriptive grammar evolved helps us appreciate why standardized conventions matter in professional and academic contexts today. For aspiring graduate students preparing for the Test of Essential Academic Skills (TEAS), identifying correct grammar is not merely about rote memorization—it reflects the ability to communicate with precision, clarity, and authority in healthcare and scientific fields.

~100 BCE • Greek and Latin Grammarians

Dionysius Thrax authored the first known grammar textbook (Tékhnē Grammatikḗ), establishing foundational concepts such as parts of speech, case, and tense that persist in modern English analysis.

1762 • Lowth's Prescriptive Grammar

Bishop Robert Lowth published A Short Introduction to English Grammar, codifying many prescriptive rules—such as prohibitions against ending sentences with prepositions—that shaped English instruction for centuries.

1957 • Chomsky's Transformational Grammar

Noam Chomsky's Syntactic Structures revolutionized linguistics by proposing that grammar is an innate cognitive capacity, distinguishing competence (knowledge of rules) from performance (actual usage).

2004 • TEAS Standardization

ATI introduced the TEAS exam as a standardized measure for nursing and allied health program admissions, with the English and Language Usage section specifically targeting conventions of Standard English grammar.

The central question the TEAS grammar section addresses is straightforward yet demanding: given a sentence or passage, can you reliably distinguish grammatically correct constructions from incorrect ones? This competency requires fluency with subject-verb agreement, pronoun-antecedent agreement, verb tense consistency, sentence structure, and several other conventions that collectively define Standard Written English.

SECTION 2

Core Principles of Standard English Grammar

Identifying correct grammar on the TEAS requires mastery of a finite set of core principles. These principles govern how words relate to one another within sentences and how sentences combine to form coherent discourse. While the English language is notoriously complex, the exam tests a well-defined subset of conventions that can be organized into five foundational categories. Each category addresses a different dimension of grammatical correctness, from word-level agreement to clause-level logic.

1

Subject-Verb Agreement

A verb must agree with its subject in number (singular or plural) and person (first, second, or third). Intervening phrases, compound subjects, and indefinite pronouns create common traps on the TEAS.
2

Pronoun-Antecedent Agreement

Pronouns must match their antecedents in number, gender, and person. Ambiguous pronoun reference—where a pronoun could refer to more than one noun—is a frequent TEAS error type.
3

Verb Tense & Mood Consistency

Verb tense must remain consistent within a sentence and across related clauses unless a logical shift in time frame is warranted. The subjunctive mood is required in contrary-to-fact and demand clauses.
4

Sentence Structure & Completeness

Every sentence must contain at least one independent clause. Fragments (missing a subject or verb), run-ons, and comma splices violate sentence boundaries. Parallel structure is required in lists, comparisons, and correlative constructions.
5

Modifier Placement

Adjectives, adverbs, and modifying phrases must be positioned to clearly modify their intended targets. Misplaced and dangling modifiers create ambiguity or nonsensical meaning.
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KEY TAKEAWAY

Think of grammar rules as the operating protocol for a hospital unit. Just as standardized procedures ensure that nurses, physicians, and pharmacists communicate patient information without ambiguity—where a misread order could be fatal—Standard English grammar ensures that written communication conveys precisely the intended meaning. Each rule (subject-verb agreement, pronoun clarity, modifier placement) functions like a specific safety checkpoint, and the TEAS tests whether you can identify when one of those checkpoints has been violated.

SECTION 3

Visual Explanation: Sentence Anatomy

The following diagram illustrates how a grammatically correct sentence is constructed from its constituent parts. By visualizing the hierarchical relationship between subjects, verbs, objects, and modifiers, you can develop a systematic approach to identifying grammatical errors on the TEAS. Each layer of the diagram represents a level of syntactic analysis—from the broadest classification (independent clause vs. dependent clause) down to individual word functions.

Anatomy of a Grammatically Correct SentenceSENTENCE (Independent Clause)SUBJECT (Noun Phrase)PREDICATE (Verb Phrase)Determiner/AdjHead NounVerb (agrees w/ S)ObjectModifier(s)EXAMPLE SENTENCEThe experienced nurseadministersmedicationcarefully.AGREEMENT CHECKPOINTS✓Subject–Verb: "nurse" (sing.) → "administers" (sing.)✓Modifier Placement: "carefully" clearly modifies "administers"✓Sentence Completeness: independent clause with S + V + O
This diagram deconstructs a grammatically correct sentence into its syntactic components. The top tier shows the binary division between the subject (noun phrase) and the predicate (verb phrase). The agreement checkpoints at the bottom illustrate the verification process you should apply when evaluating TEAS answer choices.

When approaching a TEAS grammar question, mentally reconstruct this tree. First, identify the subject and the main verb to confirm they agree. Next, check that any pronouns clearly refer to a specific antecedent. Then, verify that modifiers are positioned adjacent to the words they modify. Finally, confirm that the sentence constitutes a complete independent clause—or, if it contains multiple clauses, that they are properly joined with a coordinating conjunction, subordinating conjunction, or semicolon. This systematic approach transforms grammar identification from guesswork into a reliable analytical process.

SECTION 4

How Grammar Rules Operate: Deep Dive into Agreement & Structure

Subject-Verb Agreement: The Core Mechanism

Subject-verb agreement is arguably the most frequently tested grammar convention on the TEAS. The rule itself is deceptively simple: a singular subject takes a singular verb, and a plural subject takes a plural verb. However, the difficulty arises from intervening phrases, inverted sentence order, compound subjects, and indefinite pronouns that obscure the true subject. Consider the sentence: "The collection of patient records were missing." The subject is "collection" (singular), not "records" (plural), so the correct verb is "was," not "were." The prepositional phrase "of patient records" is merely a modifier that does not change the number of the subject.

Pronoun-Antecedent Agreement & Reference Clarity

Pronoun errors on the TEAS typically fall into two categories: agreement errors and ambiguous reference. An agreement error occurs when a pronoun does not match its antecedent in number—for example, "Each student must submit their assignment" uses a plural pronoun ("their") to refer to a singular antecedent ("Each student"). While this usage is increasingly accepted in informal contexts, the TEAS adheres to traditional prescriptive standards where "his or her" or a restructured sentence is preferred. Ambiguous reference occurs when a pronoun could logically refer to more than one noun, as in "When the nurse informed the physician, she was surprised"—it is unclear whether "she" refers to the nurse or the physician.

Sentence Structure Errors: Fragments, Run-ons, & Comma Splices

A sentence fragment lacks either a subject, a predicate, or both, or it is a dependent clause masquerading as a complete sentence (e.g., "Because the medication was administered late."). A run-on sentence fuses two independent clauses without any punctuation or conjunction (e.g., "The patient improved he was discharged."). A comma splice uses only a comma—without a coordinating conjunction—to join two independent clauses (e.g., "The lab results arrived, the doctor reviewed them."). Correcting a comma splice requires one of four strategies: (1) add a coordinating conjunction after the comma, (2) replace the comma with a semicolon, (3) replace the comma with a period and begin a new sentence, or (4) subordinate one of the clauses.

💡

TEAS TEST TIP

When evaluating answer choices, read each option aloud mentally and strip away all prepositional phrases, appositives, and interrupters to isolate the subject-verb core. This technique reveals agreement errors that are camouflaged by intervening modifiers.

SECTION 5

Detailed Breakdown: Classification of Grammar Errors

The TEAS English and Language Usage section draws from a predictable taxonomy of grammatical errors. The following diagram organizes these errors into a decision-tree format, illustrating the diagnostic process you should employ when evaluating each answer choice. By categorizing errors systematically, you can efficiently eliminate incorrect options and identify the grammatically correct sentence.

Grammar Error Decision TreeREAD THE SENTENCECHECK AGREEMENTCHECK STRUCTURECHECK MODIFIERSSubject-VerbSingular ↔ SingularPlural ↔ PluralPronoun-AntecedentNumber matchClear referenceFragment?Missing S/V?Dep. clause?Run-on/Splice?Two IC fused?Comma only?MisplacedModifier far fromits target wordDanglingNo logical subjectfor the modifierALSO CHECK: Verb Tense Consistency · Parallel Structure · Pronoun CaseCOMMON TEAS ERROR EXAMPLES✗The data shows that the results is conclusive.✓The data show that the results are conclusive.✗Running down the hall, the alarm startled the nurse.✓Running down the hall, the nurse was startled by the alarm.
This decision tree guides you through a three-checkpoint diagnostic process: agreement, structure, and modifier placement. The bottom panel shows common error examples paired with their corrected versions.
Error TypeIncorrect ExampleCorrected VersionRule Violated
Subject-Verb AgreementNeither the doctor nor the nurses was available.Neither the doctor nor the nurses were available.With "neither…nor," the verb agrees with the nearer subject ("nurses" = plural).
Pronoun-AntecedentEvery patient should know their rights.Every patient should know his or her rights."Every" is singular; pronoun must match in traditional prescriptive grammar.
Comma SpliceThe results were alarming, the team acted immediately.The results were alarming, so the team acted immediately.Two independent clauses require a conjunction or semicolon, not just a comma.
Dangling ModifierAfter reviewing the chart, the diagnosis was changed.After reviewing the chart, the physician changed the diagnosis.The participial phrase must modify the subject of the main clause.
Faulty ParallelismThe nurse enjoys reading, hiking, and to cook.The nurse enjoys reading, hiking, and cooking.Items in a series must share the same grammatical form.

Common TEAS Grammar Error Types with Examples

SECTION 6

Worked Example: Identifying the Correct Sentence

The following worked example models the analytical process you should apply to a typical TEAS grammar question. The question asks you to identify which of four sentences is grammatically correct.

ℹ

SAMPLE QUESTION

Which of the following sentences is grammatically correct? (A) The committee have decided to postpone their meeting until next week. (B) Each of the students are required to submit an application before the deadline. (C) The professor, along with several teaching assistants, reviews the exams every Friday. (D) Neither the manager nor the employees has received notification about the policy change.

Step-by-Step Analysis

  1. 1

    Step 1 — Analyze Option A

    The subject is "committee," which is a collective noun. In American English, collective nouns are treated as singular units. Therefore, "have decided" and "their" should be "has decided" and "its" (or the sentence should be restructured). This option contains a subject-verb agreement error.
    INCORRECT — Collective noun treated as plural
  2. 2

    Step 2 — Analyze Option B

    The subject is "Each," which is an indefinite pronoun that is always singular. The prepositional phrase "of the students" does not change the number of the subject. The verb "are" is plural, creating a disagreement. The correct verb would be "is."
    INCORRECT — "Each" is singular; "are" is plural
  3. 3

    Step 3 — Analyze Option C

    The subject is "professor" (singular). The phrase "along with several teaching assistants" is a parenthetical modifier set off by commas—it does not create a compound subject. Therefore, the singular verb "reviews" correctly agrees with the singular subject "professor." The sentence is complete (S+V+O), the modifier placement is correct, and verb tense is consistent.
    ✓ CORRECT — Singular subject "professor" agrees with singular verb "reviews"
  4. 4

    Step 4 — Analyze Option D (Confirm by Elimination)

    With "neither…nor," the verb must agree with the subject nearer to the verb. The nearer subject is "employees" (plural), so the verb should be "have," not "has." This confirms D is incorrect and reinforces our selection of C.
    INCORRECT — Proximity rule: verb should agree with "employees" (plural)
  5. 5

    Step 5 — Final Answer

    After systematically evaluating each option against the subject-verb agreement rules—checking for collective nouns, indefinite pronouns, parenthetical phrases, and correlative conjunctions—we confirm that Option C is the only grammatically correct sentence.
    ANSWER: (C)

SECTION 7

Common Pitfalls & Test-Taking Strategies

Even students with strong grammatical intuition can be tripped up by TEAS questions that exploit common cognitive biases. The exam designers craft distractor answer choices that "sound right" by leveraging colloquial speech patterns, intervening noise between subjects and verbs, and the inherent ambiguity of English syntax. Understanding these pitfalls—and having explicit strategies to counter them—can significantly improve your accuracy and speed on test day.

PitfallWhy It Traps YouCounter-Strategy
Intervening Phrase TrapA prepositional phrase containing a noun of different number sits between the subject and verb, making the wrong verb form "sound" correct.Mentally bracket or cross out all prepositional phrases and appositives between the subject and verb. Read the stripped version to test agreement.
Inverted Order TrapQuestions beginning with "There is/are" or "Here is/are" place the verb before the subject, making it easy to misjudge number.Rearrange the sentence into standard subject-verb order (e.g., "There are many options" → "Many options are there") to reveal the true subject.
Colloquial Acceptance TrapCertain constructions (e.g., singular "they," split infinitives) are common in spoken English but may be treated as incorrect in Standard Written English on the TEAS.Apply prescriptive grammar rules, not conversational norms. The TEAS adheres to traditional standards. When in doubt, choose the more formal construction.
False Parallelism TrapA series of items appears parallel at first glance, but one item uses a different grammatical form (e.g., mixing gerunds and infinitives).Isolate each item in a series and verify they share the same grammatical form. Check items in correlative pairs (both…and, not only…but also) individually.
Tense Shift TrapAn unnecessary shift from past to present tense (or vice versa) within a sentence or between related clauses goes unnoticed because each clause sounds fine in isolation.Underline every verb and check that tense is consistent throughout. A shift is acceptable only if the sentence describes actions at genuinely different time points.

Five Common TEAS Grammar Pitfalls and Counter-Strategies

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KEY TAKEAWAY

Approach TEAS grammar questions like a clinical differential diagnosis. Just as a clinician systematically rules out conditions by checking vital signs, lab values, and imaging, you should systematically rule out answer choices by checking agreement, structure, modifier placement, parallelism, and tense. The answer that passes every checkpoint is your "diagnosis"—the grammatically correct sentence. Resist the temptation to go with what merely "sounds right," since spoken English often violates written conventions.

SECTION 8

Connection to Graduate-Level Writing & Advanced Grammar

The grammar skills tested on the TEAS are not merely exam-specific hurdles; they form the foundation of the precise, unambiguous writing expected in graduate programs and healthcare professions. Patient care documentation, research manuscripts, policy briefs, and clinical correspondence all demand grammatical rigor because ambiguity in these contexts can have serious consequences. A misplaced modifier in a medication order or an ambiguous pronoun reference in a clinical note can lead to genuine patient safety risks.

Grammar ConceptTEAS-Level ApplicationGraduate/Professional Application
Subject-Verb AgreementIdentify correct verb form in isolated sentences with intervening phrases.Maintain agreement across complex multi-clause research sentences with nested clauses, appositive insertions, and extended subjects.
Pronoun ClarityDetect ambiguous pronoun reference in short passages.Ensure unambiguous referencing in clinical documentation where multiple patients, providers, or medications are discussed in sequence.
Parallel StructureRecognize faulty parallelism in simple lists or paired constructions.Construct parallel headings, PICO frameworks, and systematic review criteria where inconsistency undermines logical rigor.
Modifier PlacementSpot dangling and misplaced modifiers in individual sentences.Precisely position dosing modifiers (e.g., "Administer 50 mg orally every 8 hours") where misplacement could alter meaning and endanger patients.
Tense ConsistencyIdentify unnecessary tense shifts within a sentence.Follow APA/AMA tense conventions: past tense for methods/results, present tense for established facts and discussion of implications.

TEAS Grammar vs. Graduate-Level Application

As you advance into graduate study, you will encounter additional layers of grammatical sophistication—including the strategic use of the subjunctive mood in research hypotheses ("If the intervention were to prove effective..."), the distinction between restrictive and nonrestrictive clauses ("that" vs. "which"), and nuanced uses of the passive voice in scientific writing. Mastering the fundamentals tested on the TEAS gives you the scaffolding to build these higher-order competencies with confidence.

SECTION 9

Practice Problems

Question 1: CONCEPTUAL

Explain why the sentence "The group of researchers have published their findings" is considered grammatically incorrect in Standard Written English, even though it might sound acceptable in casual speech. What specific rule does it violate, and how would you correct it?
Show answer
This sentence violates subject-verb agreement. The subject is "group," a collective noun that is treated as singular in American Standard Written English. The prepositional phrase "of researchers" modifies "group" but does not change its number. Therefore, the plural verb "have" and the plural pronoun "their" are incorrect. The corrected sentence reads: "The group of researchers has published its findings." This error is common because the noun nearest to the verb ("researchers") is plural, creating a perceptual illusion of agreement that masks the true singular subject.

Question 2: BASIC

Which of the following sentences is grammatically correct? (A) The patient, along with her family members, were informed of the diagnosis. (B) The patient, along with her family members, was informed of the diagnosis. (C) The patient, along with her family members, have been informed of the diagnosis. (D) The patient, along with her family members, are being informed of the diagnosis.
Show answer
The correct answer is (B). The subject is "patient" (singular). The phrase "along with her family members" is a parenthetical modifier—not a compound subject formed with "and." Phrases introduced by "along with," "together with," "as well as," and "in addition to" do not create compound subjects in Standard English; they merely add supplementary information. Therefore, the verb must agree with the singular subject "patient," making "was informed" the only correct option. Options A, C, and D all use plural verb forms that disagree with the singular subject.

Question 3: INTERMEDIATE

Identify and correct all grammatical errors in the following sentence: "After studying the effects of the new medication, the results were published by the research team in a journal that focuses on pharmacology and also to study drug interactions."
Show answer
This sentence contains two errors. First, it has a dangling modifier: "After studying the effects of the new medication" implies that "the results" did the studying, which is illogical. The main clause must be restructured so that the agent of the participial phrase (the research team) is the subject: "After studying the effects of the new medication, the research team published the results." Second, the sentence contains faulty parallelism: "focuses on pharmacology and also to study drug interactions" mixes a finite verb phrase with an infinitive. The parallel version would be "focuses on pharmacology and drug interactions" or "focuses on pharmacology and also studies drug interactions." A fully corrected version: "After studying the effects of the new medication, the research team published the results in a journal that focuses on pharmacology and drug interactions."

Question 4: APPLIED

A nursing student drafts the following clinical note: "The patient reported that they has been experiencing chest pain for two days, the physician ordered an ECG and blood work, and instructed the nurse to monitor their vitals closely and that she should document any changes." Identify every grammar error and rewrite the note using correct Standard English conventions.
Show answer
The original note contains four errors. (1) Subject-verb agreement: "they has" should be "he has" or "she has" (assuming the patient's gender is known; in traditional prescriptive grammar, "they" with a singular antecedent requires a plural verb, creating a conflict). (2) Comma splice: "The patient reported...for two days, the physician ordered" joins two independent clauses with only a comma. (3) Ambiguous pronoun reference: "their vitals" could refer to the patient's or the physician's vitals, though context strongly suggests the patient's. (4) Faulty parallelism: "to monitor...and that she should document" mixes an infinitive construction with a "that" clause. Corrected version: "The patient reported that he had been experiencing chest pain for two days. The physician ordered an ECG and blood work and instructed the nurse to monitor the patient's vitals closely and to document any changes." This revision eliminates the comma splice by creating two sentences, clarifies the pronoun by replacing "their" with "the patient's," corrects tense sequence with "had been experiencing," and achieves parallel structure with paired infinitives.

Question 5: CRITICAL THINKING

The TEAS tests prescriptive Standard Written English, yet many contemporary style guides (including the APA 7th edition) now endorse the singular "they" as grammatically acceptable. Construct an argument for why the TEAS might maintain traditional pronoun-antecedent agreement rules, and then construct a counterargument for why adopting the singular "they" might better serve test-takers preparing for healthcare careers. In each argument, cite at least one grammatical principle discussed in this lesson.
Show answer
Argument for maintaining traditional rules: The TEAS is a standardized assessment that must apply consistent, unambiguous scoring criteria. Traditional pronoun-antecedent agreement—where a singular indefinite pronoun like "each" or "everyone" requires a singular pronoun ("he or she")—provides a clear, binary rule that eliminates subjectivity in grading. Furthermore, in clinical documentation, precision is paramount; using "they" for a singular referent could create genuine ambiguity about how many patients or providers are involved (e.g., "The patient stated that they felt dizzy" could theoretically refer to multiple people in a group care setting). The principle of clarity of reference, which underpins the pronoun-antecedent agreement rule, directly serves patient safety. Counterargument for adopting singular "they": APA 7th edition, the dominant style guide in health sciences, officially endorses the singular "they" both as a gender-neutral pronoun and as a way to respect individuals' chosen pronouns. Preparing future healthcare professionals to use inclusive language aligns with contemporary clinical practice standards. The ambiguity concern is typically resolved by context, just as other forms of grammatical context-dependence (such as polysemous words) are routinely resolved. Parallel structure and modifier placement rules remain clear under singular "they" usage; only the narrow pronoun-antecedent number rule is relaxed. By updating its conventions, the TEAS could better prepare students for the professional writing they will actually produce.

SUMMARY

Lesson Summary

Summary

Identifying correct grammar on the TEAS requires systematic mastery of five core conventions: subject-verb agreement (the verb must match the true subject in number, regardless of intervening phrases), pronoun-antecedent agreement (pronouns must match their antecedents in number and provide clear reference), verb tense consistency (tense should remain stable unless a genuine time shift warrants a change), sentence structure and completeness (every sentence must contain at least one independent clause, with no fragments, run-ons, or comma splices), and modifier placement (modifiers must be positioned to clearly and logically modify their intended targets).

Apply a diagnostic approach to each TEAS question: strip away intervening phrases to find the true subject, verify that pronouns have unambiguous antecedents, confirm tense stability across clauses, check that parallel structure is maintained in all series and correlative pairs, and ensure that modifiers are adjacent to the words they describe. This rigorous, checkpoint-based methodology transforms grammar identification from an exercise in intuition into a reliable, repeatable analytical skill—one that will serve you well both on the TEAS and throughout your graduate healthcare career.

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