Free ATI TEAS 7 English & Language Usage guide
October 2026 - Affixes: Prefixes & Suffixes Study Guide for nursing students in
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.
The three parts of a word
- Root — the core carrying the basic meaning.
Cardimeans 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.
-iamarks a condition. - Put together:
brady + cardi + a= the condition of a slow heart.
Prefixes that recur in clinical language
| Prefix | Means | Example |
|---|---|---|
| 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
| Suffix | Means | Example |
|---|---|---|
| -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?
- Break it into parts:
poly+neuro+pathy. poly-means many.neurorefers to nerves.-pathymeans 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.
-
Question 1 of 4
What does the prefix
hypo-mean?Show the answer and explanation
Correct answer: B. Below or deficient
Hypo-marks something below normal, as in hypoglycaemia or hypotension. Above or excessive ishyper-, around isperi-, and against isanti-— and confusing the first two reverses the meaning of a clinical term entirely. -
Question 2 of 4
Based on its parts, what does
bradycardiamean?Show the answer and explanation
Correct answer: B. A slow heart rate
Brady-means slow andcardirefers to the heart. A fast rate would be tachycardia, inflammation would take-itis, and removal would take-ectomy. -
Question 3 of 4
What does the suffix
-ectomyindicate?Show the answer and explanation
Correct answer: C. Surgical removal
-ectomynames an operation to take something out, as in appendectomy. Inflammation is-itis, the study of something is-ology, and pain is-algia. -
Question 4 of 4
Which form correctly completes the sentence?
The consultant gave her professional ____ on the matter.Show the answer and explanation
Correct answer: B. advice
The slot follows an adjective and needs a noun, and
adviceis the noun form.Adviseis the verb, whileadvisableandadvisoryare 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.
Keep reading
More TEAS Resources
Guides and tools across the TEAS course.
TEAS 7 Exam Prep
Format, sections, timing
TEAS 7 FAQ
Scoring, retakes, test day
Is the TEAS Hard?
An honest answer
How Long Is the TEAS 7?
209 minutes, section by section
What Is a Passing TEAS Score?
Your programme sets the bar
TEAS Reading
18 topics · 39 scored questions
TEAS Math
18 topics · 34 scored questions
TEAS Science
22 topics · 44 scored questions
TEAS English
21 topics · 33 scored questions
Free TEAS Practice Test
Sit a set before you buy
TEAS Plans & Pricing
Choose your access
Start TEAS Prep
Create your account
TEAS Study Guide
All four sections, free
8-Week Study Plan
Week-by-week schedule
TEAS Cheat Sheet
Formulas and high-yield facts
TEAS vs HESI A2
Which exam to take