WITH PRACTICE QUESTIONS & ANSWERS | LATEST UPDATE 2026/2027
TABLE OF CONTENTS
i. Key Ideas and Details — central ideas, supporting evidence, inference, sequence, and
objective summaries
ii. Craft and Structure — author's purpose, tone, organizational patterns, vocabulary, and
point of view
iii. Integration of Knowledge and Ideas — arguments, evidence, comparisons, graphics,
and source evaluation
iv. Advanced Reading Skills — logical reasoning, contextual interpretation, synthesis, and
evidence-based conclusions
INTRODUCTION
The ATI TEAS 7 Reading assessment evaluates a student's ability to understand, analyze,
and interpret written information in academic and healthcare-related contexts. This
practice examination emphasizes the higher-level reasoning required to identify central
ideas, distinguish relevant evidence, infer unstated conclusions, analyze organizational
structures, interpret vocabulary in context, evaluate arguments, and synthesize
information across sources. The questions are intentionally challenging and require
careful reading rather than simple recall. Students should expect realistic passages,
plausible distractors, nuanced distinctions between answer choices, and questions
requiring evidence-based judgment. Successful performance depends on recognizing
what a passage explicitly states, what can reasonably be inferred, and how individual
details contribute to the author's overall purpose.
Question 1
Read the passage:
During the first year after a hospital introduced electronic medication alerts,
reported prescribing errors declined substantially. Administrators initially attributed
the improvement entirely to the alert system. However, a review revealed that the
hospital had simultaneously required additional pharmacist training and introduced
daily medication-safety meetings. Although the alerts may have contributed to the
decline, the available data do not establish that they were solely responsible for the
improvement.
Which conclusion is best supported by the passage?
,A. Electronic medication alerts are ineffective unless hospitals eliminate safety
meetings.
B. The decline in prescribing errors cannot reasonably be associated with electronic
alerts.
C. Multiple interventions occurred simultaneously, making it difficult to determine the
alerts' independent effect.
D. Pharmacist training was responsible for all improvements in medication safety.
🔴 Correct Answer: C. Multiple interventions occurred simultaneously, making it
difficult to determine the alerts' independent effect.
🔵 Explanation: The passage explicitly identifies three simultaneous interventions and
cautions against attributing the improvement entirely to the alert system. Therefore, the
strongest supported conclusion is that the independent contribution of the alerts cannot
be isolated.
Question 2
Read the passage:
A city replaced several conventional streetlights with LED fixtures. Although the new
fixtures consumed less electricity, the city did not immediately experience the
expected reduction in its lighting budget. Officials discovered that the LED fixtures
illuminated a wider area, allowing the city to eliminate several previously necessary
lights. The savings became apparent only after the installation was complete and
maintenance requirements were recalculated.
What is the primary purpose of the passage?
A. To argue that LED lighting is too expensive for municipal use
B. To explain why the financial effects of a technological change may not be
immediately apparent
C. To demonstrate that conventional streetlights consume less electricity than LED
fixtures
D. To criticize city officials for failing to predict maintenance expenses
🔴 Correct Answer: B. To explain why the financial effects of a technological change
may not be immediately apparent.
🔵 Explanation: The passage describes an initially unexpected financial outcome and
then explains the factors that eventually clarified the savings. Its purpose is explanatory
rather than critical or argumentative.
,Question 3
Read the passage:
Researchers studying sleep patterns found that participants who maintained
relatively consistent sleep schedules performed better on attention tests than
participants whose sleep and wake times varied substantially. The researchers
cautioned, however, that the study was observational. Participants were not
randomly assigned to different sleep schedules, so other characteristics associated
with consistent sleep could have influenced the results.
Which statement represents the most appropriate inference?
A. Irregular sleep schedules necessarily cause poor attention.
B. Consistent sleep schedules may be associated with better attention, but causation
has not been established.
C. Sleep schedules have no relationship to cognitive performance.
D. Randomized studies are unnecessary when studying sleep behavior.
🔴 Correct Answer: B. Consistent sleep schedules may be associated with better
attention, but causation has not been established.
🔵 Explanation: The researchers observed an association but identified the observational
design as a limitation. Without random assignment, the study cannot establish that sleep
consistency caused the difference in attention.
Question 4
Read the passage:
The committee considered three proposals for reducing water consumption. The
first required replacing aging pipes. The second encouraged residents to install
water-efficient appliances. The third imposed higher rates on households exceeding
a specified consumption level. After reviewing projected costs and expected
reductions, the committee recommended combining the first and second proposals
while postponing the rate increase.
Which organizational pattern is primarily used?
A. Compare and contrast
B. Chronological sequence
C. Problem and solution
D. Cause and effect
, 🔴 Correct Answer: C. Problem and solution.
🔵 Explanation: The passage presents a problem—excessive water consumption—then
identifies possible approaches and describes the committee's recommended solution.
Although alternatives are compared, the dominant structure is problem and solution.
Question 5
Read the passage:
The physician's recommendation was deliberately provisional. Rather than
presenting the treatment plan as final, she emphasized that it should be
reconsidered after the patient's laboratory results became available.
What does provisional most nearly mean as used in the passage?
A. Permanent
B. Conditional
C. Unnecessary
D. Experimental
🔴 Correct Answer: B. Conditional.
🔵 Explanation: The physician intends to reconsider the plan when additional
information becomes available. Therefore, provisional means temporary or conditional
rather than final.
Question 6
Read the passage:
When the school introduced mandatory tutoring, test scores increased. Some
administrators concluded that tutoring caused the improvement. Yet during the
same semester, teachers also received additional instructional resources, class sizes
decreased, and students were given more practice assessments. The evidence
therefore supports a more cautious interpretation.
Which evidence most strongly supports the author's cautious interpretation?
A. Test scores increased after tutoring was introduced.
B. Students completed more practice assessments.
C. Several potentially influential changes occurred during the same period.
D. Administrators believed tutoring was effective.