USAGE EXAM 2026 2027 1 to 200 Q
and A DETAILED CORRECT ANSWERS
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TEAS 7 English & Language Usage Exam: 2026–2027
Comprehensive Competency Evaluation
1. Which of the following sentences contains an error in
subject-verb agreement?
A. The group of graduates, along with their primary faculty advisor, is
planning a formal celebration.
B. Neither the lead laboratory technician nor the clinical nurses are
authorized to alter the testing protocol.
C. A major percentage of the medical charts, including the
emergency intake logs, was destroyed in the flood.
D. Every physician, medical assistant, and administrative clerk in the
facility is required to maintain complete confidentiality.
Correct Answer: C
Rationale: In this sentence, the subject is "A major percentage of the
medical charts." When a fraction or percentage is followed by an "of"
phrase, the verb must agree with the object of the preposition if that
object is plural ("charts"). Therefore, the plural verb "were destroyed"
must be used instead of the singular "was destroyed." Options A, B, and
D all display correct subject-verb agreement rules.
2. The critical care nurse carefully reviewed the patient's
updated chart before administering the new medication.
Which of the following parts of speech is the word "carefully"
in the sentence above?
,A. Adjective
B. Adverb
C. Preposition
D. Conjunction
Correct Answer: B
Rationale: The word "carefully" is an adverb because it modifies the
action verb "reviewed," explaining how or in what manner the nurse
conducted the review. Adjectives modify nouns, prepositions establish
spatial or logical relationships, and conjunctions connect words or
clauses.
3. Which of the following sentences is written in the passive
voice?
A. The surgical team successfully completed the complex procedure in
less than two hours.
B. Several patients in the waiting room requested extra blankets from the
administrative assistant.
C. The updated health information guidelines were heavily
criticized by the clinical administration.
D. The physician prescribed a modern antibiotic to treat the patient's
deep wound infection.
Correct Answer: C
Rationale: A sentence is written in the passive voice when the subject
receives the action of the verb rather than performing it. Here, "the
guidelines" (subject) received the action of being criticized by the
"clinical administration" (the agent performing the action). Options A,
B, and D are all written in the active voice.
4. Patient satisfaction scores have increased dramatically over
the past fiscal quarter; ______________, the clinic has
authorized an expansion of the evening hours.
Which of the following transition words or phrases logically completes
the sentence above?
A. conversely
B. nonetheless
,C. consequently
D. illustrative of
Correct Answer: C
Rationale: The transition word "consequently" indicates a cause-and-
effect relationship. The second clause (expanding evening hours) is a
direct logical result of the first clause (increased patient satisfaction
scores). "Conversely" indicates contrast, "nonetheless" indicates
exception, and "illustrative of" is grammatically incorrect in this
compound structure.
5. Which of the following sentences contains an error in the
use of a punctuation mark?
A. The patient’s symptoms included a persistent dry cough, a high fever,
and extreme fatigue.
B. Although the rapid screening test returned a negative result, the
provider ordered a formal laboratory culture.
C. The newly purchased autoclave machine has three distinct
operational cycles; sterilization, sanitization, and drying.
D. Dr. Ramirez, who completed her residency at Mayo Clinic, is the new
director of emergency medicine.
Correct Answer: C
Rationale: A colon, rather than a semicolon, should be used to
introduce a list when the introductory clause is a complete independent
thought. The semicolon in Option C disrupts the grammatical structure.
Options A, B, and D use commas, apostrophes, and semicolons entirely
correctly.
6. Which of the following sentences contains a misplaced or
dangling modifier?
A. Walking into the pediatric examination room, the infant’s
loud crying startled the medical assistant.
B. While treating the open laceration, the physician noticed a deep
foreign object embedded in the muscle.
C. To prevent cross-contamination of additives, the phlebotomist
carefully followed the standard order of draw.
, D. Covered in dense protective wraps, the sterile surgical instruments
were delivered to the operating room.
Correct Answer: A
Rationale: This sentence contains a dangling modifier because the
introductory participial phrase "Walking into the pediatric
examination room" is placed next to "the infant's loud crying." This
grammatically implies that the crying itself was walking into the room.
To correct this, the modifier should target the person performing the
action (e.g., "Walking into the pediatric examination room, the medical
assistant was startled by...").
7. Which of the following examples displays the correct
capitalization of a professional title or academic credential?
A. The emergency protocol was authorized by director of nursing Sarah
Jenkins, MSN.
B. Yesterday, Professor Marcus Thorne delivered a
comprehensive lecture on advanced human anatomy.
C. The patient requested a consultation with the Chief of Cardiology at
the local hospital.
D. We are proud to announce that Dr. Alan Smith, a noted
Endocrinologist, has joined our medical practice.
Correct Answer: B
Rationale: Professional titles are capitalized only when they directly
precede a specific person's name, acting as part of the proper noun. In
Option A, "director of nursing" should be capitalized only if it comes
before the name as a formal title. In Option C and D, job titles and
common nouns representing medical specialties (like "endocrinologist")
should not be capitalized unless they are part of a specific proper
department title.
8. Which of the following singular nouns is pluralized
incorrectly?
A. Crisis → Crises
B. Phenomenon → Phenomena
C. Diagnosis → Diagnosises
D. Nucleus → Nuclei