Free ATI TEAS 7 English & Language Usage guide

October 2026 - Affixes: Prefixes & Suffixes Study Guide

Prefixes attach to the front of a root and suffixes to the end, changing meaning or part of speech. Knowing the common affixes lets you decode words you have never met — and clinical vocabulary recurs so consistently that a few dozen of them cover most of what a nursing programme will throw at you.

English & Language Usage guide Using language and vocabulary to express ideas in writing · 10 scored questions 6 min read

The three parts of a word

  • Root — the core carrying the basic meaning. Cardi means heart.
  • Prefix — attached at the front, usually changing meaning. Brady- means slow.
  • Suffix — attached at the end, usually changing the part of speech, and in clinical terms often naming a condition or procedure. -ia marks a condition.
  • Put together: brady + cardi + a = the condition of a slow heart.

Prefixes that recur in clinical language

PrefixMeansExample
hyper- above, excessive hypertension — high blood pressure
hypo- below, deficient hypoglycaemia — low blood sugar
brady- slow bradycardia
tachy- fast tachycardia
a-, an- without anaemia — without enough blood
dys- difficult, painful, abnormal dysphagia — difficulty swallowing
peri- around perioperative
poly- many polyuria — excessive urination
anti- against antibiotic
bi- two bilateral

Suffixes worth knowing

SuffixMeansExample
-itis inflammation appendicitis
-ectomy surgical removal appendectomy
-ostomy a surgical opening colostomy
-ology the study of cardiology
-osis an abnormal condition thrombosis
-emia / -aemia a blood condition anaemia
-algia pain neuralgia
-pathy disease neuropathy

Suffixes change the part of speech

Outside clinical vocabulary, a suffix's main job is grammatical. -tion and -ment make nouns (document → documentation, treat → treatment), -ful and -ous make adjectives (care → careful), -ly usually makes an adverb, and -ise or -ify make verbs.

That is often what the question is really asking. When a sentence needs a noun and the choices are advise, advice, advisory and advisable, the grammar decides it before any question of meaning arises.

Hyper- and hypo- differ by one letter and mean opposite things. Two hooks: hypo- has an o and sits below, like the o in "low"; hyper- shares its e with "excess". Getting them the wrong way round is the single most consequential affix error in clinical work.

Decoding an unfamiliar word

Worked example

What does polyneuropathy mean, without looking it up?

  1. Break it into parts: poly + neuro + pathy.
  2. poly- means many.
  3. neuro refers to nerves.
  4. -pathy means disease.

Disease affecting many nerves. Splitting a long clinical word into prefix, root and suffix will get you close enough to answer a vocabulary question even when the word is completely new.

Terms to know

Affix
A prefix or suffix attached to a root.
Prefix
An affix at the front of a word.
Suffix
An affix at the end of a word.
Root
The core of a word, carrying its basic meaning.
Derivation
Making a new word by adding an affix.
Part of speech
The grammatical category a suffix often determines.

What the TEAS asks most

The same core ideas appear in different wording. If you can answer these without stopping to think, you have what this section requires.

What does this prefix mean?

Learn the clinical set: hyper, hypo, brady, tachy, dys, a-, poly, peri.

What is the meaning of this unfamiliar word?

Break it into prefix, root and suffix, and assemble the meaning from the parts.

Which form of the word fits the sentence?

Decide which part of speech the slot needs, then pick the suffix that produces it.

Key points

  • Prefixes change meaning; suffixes usually change part of speech or name a condition.
  • hyper- is above, hypo- is below; brady- is slow, tachy- is fast.
  • -itis is inflammation, -ectomy is removal, -ology is the study of.
  • Break an unfamiliar word into prefix, root and suffix.
  • When the choices differ only by suffix, the grammar of the sentence decides.

Review quiz

4 questions on this topic, each with the reasoning worked through. Pick an answer to see how it went, or open the explanation straight away.

  1. Question 1 of 4

    What does the prefix hypo- mean?

    Answer choices for question 1

    Show the answer and explanation

    Correct answer: B. Below or deficient

    Hypo- marks something below normal, as in hypoglycaemia or hypotension. Above or excessive is hyper-, around is peri-, and against is anti- — and confusing the first two reverses the meaning of a clinical term entirely.

  2. Question 2 of 4

    Based on its parts, what does bradycardia mean?

    Answer choices for question 2

    Show the answer and explanation

    Correct answer: B. A slow heart rate

    Brady- means slow and cardi refers to the heart. A fast rate would be tachycardia, inflammation would take -itis, and removal would take -ectomy.

  3. Question 3 of 4

    What does the suffix -ectomy indicate?

    Answer choices for question 3

    Show the answer and explanation

    Correct answer: C. Surgical removal

    -ectomy names an operation to take something out, as in appendectomy. Inflammation is -itis, the study of something is -ology, and pain is -algia.

  4. Question 4 of 4

    Which form correctly completes the sentence? The consultant gave her professional ____ on the matter.

    Answer choices for question 4

    Show the answer and explanation

    Correct answer: B. advice

    The slot follows an adjective and needs a noun, and advice is the noun form. Advise is the verb, while advisable and advisory are adjectives — the suffix decides the part of speech, and the grammar of the sentence decides which one you need.

Put this TEAS topic into practice

Build a set on affixes and use the rationale on every question to reinforce what you just reviewed.