← TEAS Grammar & Punctuation Mastery

TEAS Nursing School Admission Test Study Guide

Key concepts, definitions, and exam tips organized by topic.

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TEAS Grammar & Punctuation Mastery: Complete Study Guide


Overview

This study guide covers the essential grammar and punctuation concepts tested on the TEAS exam, including sentence structure, parts of speech, punctuation rules, and common grammar errors. Mastering these topics requires recognizing correct sentence construction, applying punctuation rules precisely, and avoiding the tricky word-choice and agreement errors that frequently appear on standardized tests.


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Sentence Structure


Summary

A grammatically correct sentence requires a subject, a verb, and a complete thought. Understanding how clauses combine — and how modifiers function — is critical for identifying errors and constructing clear sentences.


Key Concepts


  • Independent clause: Contains a subject and verb and expresses a complete thought; can stand alone as a sentence.
  • Dependent (subordinate) clause: Contains a subject and verb but cannot stand alone; it depends on an independent clause to complete its meaning (e.g., Because she studied hard is incomplete without she passed the exam).
  • Run-on sentence: Two or more independent clauses joined without proper punctuation or a coordinating conjunction.
  • - Incorrect: She studied hard she passed the exam.

    - Correct: She studied hard, so she passed the exam.

  • Sentence fragment: An incomplete sentence missing a subject, a verb, or a complete thought.
  • - Incorrect: Running down the hallway quickly.

    - Correct: She ran down the hallway quickly.

  • Complex sentence: One independent clause + one or more dependent clauses joined by a subordinating conjunction (e.g., because, although, since, when).
  • Dangling modifier: A descriptive word or phrase that does not clearly and logically modify the intended subject.
  • - Incorrect: Running down the street, the rain soaked my clothes. (The rain wasn't running.)

    - Correct: Running down the street, I got soaked by the rain.


    Key Terms

  • Coordinating conjunction – Joins equal grammatical elements (FANBOYS: For, And, Nor, But, Or, Yet, So)
  • Subordinating conjunction – Introduces a dependent clause (e.g., because, although, unless, while)
  • Clause – A group of words with both a subject and a verb
  • Modifier – A word or phrase that describes or limits another word

  • ⚠️ Watch Out For

    > - Run-ons disguised as long sentences: A sentence can be long and still be correct — it's the missing punctuation between independent clauses that creates a run-on, not length alone.

    > - Fragments disguised as sentences: Phrases beginning with subordinating conjunctions (because, although, since) are dependent clauses and are fragments if they stand alone.

    > - Dangling modifiers: Always ask, Who is performing the action in the opening phrase? That person must be the subject of the main clause.


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    Parts of Speech & Usage


    Summary

    Correct usage depends on selecting the right pronoun case, matching subjects with verbs, and understanding how linking verbs work with adjectives versus adverbs. Irregular forms of adjectives and distinctions between verb types are also commonly tested.


    Key Concepts


  • Transitive verb: Requires a direct object to complete its meaning.
  • - She administered the medication. ("the medication" = direct object)

  • Intransitive verb: Does not take a direct object.
  • - She slept. (nothing receives the action)

  • Who vs. Whom:
  • - Who = subject pronoun (replaces he/she) → Who called the patient?

    - Whom = object pronoun (replaces him/her) → To whom was the note addressed?

    - Trick: Substitute he/she or him/her — if him/her fits, use whom.

  • Subject-verb agreement: The verb must match its subject in number (singular/plural), not a nearby prepositional phrase.
  • - The team of nurses was ready. ("team" is the singular subject)

  • Linking verbs + adjectives: Linking verbs (e.g., feel, seem, appear, become, smell, taste) are followed by adjectives, not adverbs.
  • - She felt bad. ✅ (not badlybad describes she, not felt)

  • Irregular adjective forms:

  • | Base | Comparative | Superlative |

    |------|-------------|-------------|

    | good | better | best |

    | bad | worse | worst |

    | many/much | more | most |

    | little | less | least |


    Key Terms

  • Subject pronoun – Used as the subject of a verb (I, he, she, we, they, who)
  • Object pronoun – Used as the object of a verb or preposition (me, him, her, us, them, whom)
  • Predicate adjective – An adjective following a linking verb that describes the subject
  • Collective noun – A noun that refers to a group as a unit (e.g., team, staff, committee) — treated as singular in American English
  • Linking verb – A verb that connects the subject to a describing word, not an action

  • ⚠️ Watch Out For

    > - Collective nouns like team, staff, committee, and jury are singular in American English — always use a singular verb.

    > - Don't confuse adverbs and adjectives after linking verbs: If you can substitute is or was for the verb and the sentence still makes sense, use an adjective (She felt badShe was bad about the mistake).

    > - Who/Whom trick: Mentally rearrange the sentence — Whom did she call?She called him → use whom.


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    Punctuation Rules


    Summary

    Punctuation marks control the pace, clarity, and meaning of sentences. The most frequently tested marks on the TEAS are commas, semicolons, colons, and apostrophes. Knowing exactly when to use each — and when not to — is essential.


    Key Concepts


  • Semicolon (;):
  • - Joins two closely related independent clauses without a coordinating conjunction.

    - She studied all night; she passed the exam.

    - Used before conjunctive adverbs (however, therefore, moreover, consequently) that link two independent clauses. A comma follows the adverb.

    - She was tired; however, she completed the shift.

  • Colon (:):
  • - Placed after a complete independent clause to introduce a list, explanation, quotation, or elaboration.

    - She needed three things: rest, fluids, and medication.

    - Rule: The material before the colon must be able to stand alone as a sentence.

  • Comma rules:
  • - Before a FANBOYS conjunction joining two independent clauses

    - Do NOT use a comma before a conjunction joining only two words, two phrases, or two dependent clauses ❌

    - Use commas to set off nonrestrictive (nonessential) clauses — information that is extra, not essential to meaning.

    - Dr. Lee, who is on call tonight, will see the patient. (commas needed)

    - The nurse who is on call will see the patient. (no commas — essential to identify which nurse)

    - Oxford (serial) comma: The comma before the final item in a list of three or more.

    - She brought scrubs, a stethoscope, and her badge. (prevents ambiguity)

  • Apostrophe rules:
  • - Singular possessive: Add 'sthe nurse's badge

    - Plural possessive (ends in -s): Add only ' after the sthe nurses' station

    - Plural possessive (does not end in -s): Add 'sthe children's ward

    - Contractions: Apostrophe replaces missing letters → it's = it is/it has


    Key Terms

  • Nonrestrictive clause – Extra information set off by commas; removing it does not change the core meaning
  • Restrictive clause – Essential identifying information; no commas used
  • Conjunctive adverb – An adverb that connects two independent clauses (e.g., however, therefore, moreover, thus)
  • Oxford comma – The serial comma before the last item in a list
  • Contraction – A shortened form of two words using an apostrophe

  • ⚠️ Watch Out For

    > - Semicolons vs. commas: A comma alone (without a coordinating conjunction) between two independent clauses creates a comma splice — a common error. Use a semicolon or add a FANBOYS conjunction.

    > - Colon placement: The clause before the colon must be a complete sentence. She needed: rest and fluids ❌ is incorrect because "She needed" is incomplete.

    > - Its vs. It's: Its never uses an apostrophe for possession. If you can substitute it is or it has, use it's. If not, use its.

    > - Nonrestrictive vs. restrictive clauses: Ask, "Would removing this clause change who or what we're talking about?" If yes → no commas (restrictive). If no → commas needed (nonrestrictive).


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    Common Grammar Errors


    Summary

    Certain word-choice and agreement errors appear repeatedly on the TEAS. These include pronoun-antecedent agreement, easily confused word pairs, and subject-verb agreement with intervening phrases. Learning the traditional rules and noting where modern usage has evolved is important for test success.


    Key Concepts


  • Everyone/their pronoun agreement:
  • - Everyone is a singular indefinite pronoun → traditionally requires his or her

    - Their is now widely accepted as a gender-neutral singular pronoun in contemporary usage

    - Know both rules for the exam — the TEAS may test the traditional standard

  • Affect vs. Effect:

  • | Word | Part of Speech | Meaning | Example |

    |------|---------------|---------|---------|

    | Affect | Verb (usually) | To influence | The drug affects heart rate. |

    | Effect | Noun (usually) | A result/outcome | The effect was immediate. |

    - Memory trick: Affect = Action (verb); Effect = End result (noun)


  • Its vs. It's:
  • - Its = possessive pronoun (The hospital updated its policy.)

    - It's = contraction of it is or it has (It's been a long shift.)


  • Subject-verb agreement with intervening phrases:
  • - Phrases like along with, as well as, in addition to, together with do not change the subject.

    - The doctor, along with her nurses, is reviewing the chart. (subject = doctor, singular)


  • Nauseous vs. Nauseated:
  • - Nauseous (traditional) = causing nausea (The smell was nauseous.)

    - Nauseated = feeling nausea (The patient was nauseated.)

    - Modern usage widely accepts nauseous to mean feeling sick — know both for test purposes


    Key Terms

  • Indefinite pronoun – A pronoun referring to a nonspecific person or thing (e.g., everyone, someone, anyone, each, nobody)
  • Antecedent – The noun that a pronoun refers back to
  • Intervening phrase – A phrase inserted between the subject and verb that does not affect subject-verb agreement
  • Contraction – A shortened word pair using an apostrophe (it's, they're, you're)

  • ⚠️ Watch Out For

    > - Intervening phrases are traps: The box of medications was (not were) on the counter. Always identify the true subject by mentally crossing out the prepositional phrase.

    > - Affect/Effect exceptions: Effect can occasionally be a verb meaning to bring about (to effect change), and affect can be a noun in psychology. The TEAS primarily tests the standard noun/verb distinction.

    > - Possessive pronouns never use apostrophes: its, his, her, their, your, whose — none of these take apostrophes. Apostrophes in pronouns always signal contractions (it's, they're, you're, who's).

    > - Don't confuse your and you're, or their/there/they're: These are frequent distractors on standardized tests.


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    Quick Review Checklist


    Use this checklist to confirm you are ready for TEAS grammar and punctuation questions:


    Sentence Structure

  • • [ ] I can identify and correct run-on sentences and comma splices
  • • [ ] I can identify sentence fragments, including those starting with subordinating conjunctions
  • • [ ] I can distinguish independent clauses from dependent clauses
  • • [ ] I can identify and correct dangling modifiers
  • • [ ] I know all FANBOYS coordinating conjunctions

  • Parts of Speech & Usage

  • • [ ] I can choose correctly between who and whom using the he/him substitution trick
  • • [ ] I know that collective nouns are singular in American English
  • • [ ] I can identify linking verbs and know they are followed by adjectives, not adverbs
  • • [ ] I know the irregular forms: good → better → best and bad → worse → worst
  • • [ ] I understand the difference between transitive and intransitive verbs

  • Punctuation Rules

  • • [ ] I know when to use a semicolon versus a comma + conjunction
  • • [ ] I know a colon must follow a complete independent clause
  • • [ ] I can identify nonrestrictive clauses and set them off with commas
  • • [ ] I understand when not to use a comma before a conjunction
  • • [ ] I know the Oxford comma and its purpose
  • • [ ] I can correctly place apostrophes in singular and plural possessives

  • Common Grammar Errors

  • • [ ] I can distinguish affect (verb) from effect (noun)
  • • [ ] I can distinguish its (possessive) from it's (contraction)
  • • [ ] I understand that phrases like along with do not change subject-verb agreement
  • • [ ] I know the traditional and modern rules for everyone/their agreement
  • • [ ] I know the distinction between nauseous and nauseated

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    Tip: For the TEAS, when in doubt between two answer choices, ask yourself: "What is the true subject?" and "Is this verb/modifier clearly and logically connected to that subject?" These two questions resolve the majority of grammar questions on the exam.

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