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Study Confirms Validity of TEAS Scores Across Nursing Program Types

 

A study in the Journal of Nursing Measurement provides strong psychometric evidence that supports how nursing programs use the Test of Essential Academic Skills (TEAS®) for admissions and student guidance. The findings reinforce that TEAS measures both overall academic readiness and distinct foundational skills, making it a reliable tool for equitable, data-driven decision-making across PN, ADN and BSN pathways.

Researchers evaluated the internal structure and fairness of TEAS using confirmatory factor analysis and measurement invariance testing. Confirmatory factor analysis evaluates whether an assessment measures what it claims to measure and measurement invariance testing evaluates whether it does so consistently across different groups.

Using two independent samples with more than 5,000 test-takers in each group, the researchers analyzed TEAS scores across associate degree, bachelor’s degree and practical nursing programs.

Unlike earlier studies that focused primarily on the prediction of outcomes, this research examined structural validity. Specifically, it examined whether TEAS accurately captures both general academic preparedness and content-specific skills in reading, math, science, and English and language usage.

To read more about this study, see the ATI News page here. Read about the application of the research findings in this blog article.

Reference

Zhong X, Yoo H, Turner S, Zeiher W, Phillips B. Psychometric evaluation of a standardized nursing preadmission assessment: Evidence from bifactor modeling and measurement invariance testing. Journal of Nursing Measurement. 2026. DOI: 10.1891/JNM-2025-0145

 


    Studies Demonstrate Strong Alignment Between ATI Comprehensive Predictor and NCLEX Test Plans for RNs and PNs

    Two newly published studies provide strong evidence that the ATI Comprehensive Predictor® assessments for registered nurse and practical nurse programs closely align with the National Council Licensure Examination (NCLEX®) test plans for RNs and PNs.1,2 The findings reinforce the value of these assessments as indicators of entry-level nursing competence and licensure readiness.

    The analyses used confirmatory factor analysis (CFA) to evaluate whether the structure of the Comprehensive Predictor exams reflects the competencies assessed on the licensure examinations for each role (RN Comprehensive Predictor and the NCLEX‑RN test plan and PN Comprehensive Predictor and the NCLEX‑PN test plan).

    Together, the findings demonstrate robust construct validity across both assessments, including strong integration of clinical judgment.

    To read more about this study, see the ATI News page here.

    References

    1. Miller JE, Hodge KJ, Lin Y, Haugan TR, Yoo H, Philips B. Evaluating Alignment Between the RN Comprehensive Predictor and the NCLEX-RN Test Plan. Journal of Nursing Education. 2026. doi: 10.3928/01484834-20251121-01
    2. Hodge KJ, Miller JE, Lin Y, Yoo H, Phillips B. Evaluating Construct Alignment of the PN Comprehensive Predictor and the NCLEX-PN Test Plan. HSOA Journal of Practical and Professional Nursing. 2026. DOI:10.24966/PPN-5681/100066


      New Research Confirms Strong Link Between ATI Content Mastery Series Performance & NCLEX Readiness

      A new large‑scale study published in Teaching and Learning in Nursing in January 2026 confirms the value of two ATI Nursing Education resources in developing and predicting PN and RN student readiness for the NCLEX exam.1

      This retrospective quantitative analysis followed 9,728 PN and RN students across U.S. programs between 2023 and 2024. The analysis determined that among these students, performance on ATI Content Mastery Series assessments was strongly associated with student outcomes on the ATI Comprehensive Predictor, an indicator of NCLEX readiness.

      To read more about this study, see the ATI News page here.

        Efficacy of Launch: Nursing Academic Readiness®

        • New Study Shows That Launch: Nursing Academic Readiness® Improves Student Performance

        By ATI Staff

        A published analysis of student performance before and after adoption of an academic preparatory and readiness program documented statistically significant improvements that contribute to higher first-year retention rates.

        NCLEX Prep

         

        • Standardized Tests as Predictors of NCLEX-RN Success

        James Montegrico, University of North Carolina at Charlotte

        This study examined the predictive ability of Assessment Technologies Institute (ATI) standardized tests on Fundamentals of Nursing (FON), Pharmacology (PHARM), Medical-Surgical Nursing (MSN), and RN Comprehensive Predictor (RNCP) on the National Council Licensure Examination-Registered Nurses (NCLEX-RN) performance of nursing graduates. Background: Various assessment tools in nursing education are used to predict the success of students in nursing licensure examinations. There are inconsistent findings on the predictive ability of course-specific standardized tests on NCLEX-RN success.

         

        • Remediation for NCLEX-RN success in high-risk nursing students

        At a Pennsylvania nursing program, educators implemented a prescribed remediation protocol to assist students achieve the necessary scores on the Comprehensive Predictor exam to increase their likelihood of success on NCLEX. Research showed the integration of a remediation program had a positive effect on the Comprehensive Predictor scores. 

         

         

        TEAS prediction

         

        • Is the ATI TEAS predictive of early nursing school success?

        The ATI Test of Essential Academic Skills (TEAS) is an assessment of academic preparedness to enter a nursing program. As such, it is often used by schools of nursing as one of the criteria to select students for entrance into a program. Some programs choose to adopt one of several performance level descriptors, known as academic preparedness categories, associated with the ATI TEAS as a minimum score for admission. This analysis examines the relationship between the ATI TEAS scores, specifically the academic preparedness categories, and early academic performance in a nursing program as measured by ATI’s Content Mastery Series (CMS) Fundamentals assessments.

         

        • Predicting early nursing school performance in an ADN program: How do the ATI TEAS preparedness levels predict Fundamentals performance?

        This analysis examines the relationship between the ATI TEAS scores, specifically the academic preparedness categories, and early academic performance in an ADN nursing program as measured by ATI’s RN Content Mastery Series (CMS) Fundamentals 2019 and 2020 assessments.

         

        • Predicting early nursing school performance in a PN program: How do the ATI TEAS preparedness levels predict Fundamentals performance?

        This analysis examines the relationship between the ATI TEAS scores, specifically the academic preparedness categories, and early academic performance in a PN nursing program as measured by ATI’s PN Content Mastery Series (CMS) Fundamentals of Nursing 2019 and 2020 assessments.

         

        • Predicting Early Nursing School Performance in a BSN Program: How Do the ATI TEAS Preparedness Levels Predict Fundamentals Performance?

        This analysis examines the relationship between the ATI TEAS scores, specifically the academic preparedness categories, and early academic performance in a BSN nursing program as measured by ATI’s RN Content Mastery Series (CMS) Fundamentals 2019 and 2020 assessments.

         

        • Predicting Early Nursing Performance Using ATI TEAS Scores: Recent 5-year trend from 2019 to 2023

        A recent 5-year data from 2019 to 2023 demonstrates that TEAS scores remain a reliable predictor of early nursing academic performance post-pandemic.

         

         

         

           

           

          Curriculum Development

           

          • Achieving Transformation Curriculum Change: How Mount Carmel College of Nursing Implemented the Engage™

          By Beth Cusatis Phillips, PhD, RN, CNE, CHSE, ATI Senior Manager Content Strategy, and Lori Hill, PhD., RN, APRN-WHNP, Associate Professor

          Mount Carmel College of Nursing has restructured its prelicensure curriculum with a concept-based, competency-driven approach, utilizing the Engage™ Series to replace textbooks. This strategic update, aligning with the American Association of Colleges of Nursing (AACN) recommendations, has led to improved student outcomes and satisfaction by focusing on essential information and interactive learning.

             

             

            Teaching & Learning Strategies

             

            • Turning student remediation into readiness using Focused Review®

            By Lucia Xin Liu, PhD.; Jihang Chen; Beth Phillips, PhD, RN, CNE, CHSE

            Students often cringe at the thought of remediation. After all, it can carry a negative connotation. At ATI, we understand students have much to learn in a short period. Reviewing learned information does not demonstrate a deficit. It shows a student’s strength and self-awareness to understand we need to review previously learned content. That’s the beauty of Focused Review®.

             

            • Benefits of an online interactive educational program over traditional textbooks

            By Beth Cusatis Phillips, PhD, RN, CNE, CHSE; Janean Johnson, DNP, RN, CNE; Nikita Khalid, MS; Nicole Zapparrata, MA; and Glenn Albright, PhD

            The significance of technology in nursing education has grown significantly. Online educational platforms are proving to be more valuable than conventional textbooks when it comes to fostering active learning, engagement, and overall satisfaction. In this research study, a novel online interactive education program (OIEP) was assessed as a replacement for traditional textbooks. The study aimed to investigate levels of student and faculty satisfaction, the perceived effectiveness of the program, student engagement, and the potential of the OIEP to enhance NCLEX preparation while also mitigating burnout.


             

             

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