which of the following words fits best in the following sentence the emergency room was not busy last night the head nurse still did not let anyone e
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HESI A2

HESI A2 Grammar Practice Exam

1. Which of the following words fits best in the following sentence? ___________ the emergency room was not busy last night, the head nurse still did not let anyone end her shift early.

Correct answer: D

Rationale: The word 'although' is the best fit in the sentence because it indicates a contrast between the fact that the emergency room was not busy last night and the head nurse's decision not to let anyone end her shift early. 'Although' sets up a contrast by acknowledging the first part of the sentence while introducing the surprising or unexpected information that follows. Choices A, B, and C do not provide the appropriate contrast needed in this context. 'Because' implies causation, 'Provided that' implies a condition for something to happen, and 'As if' implies a comparison rather than a contrast.

2. Select the phrase in the following sentence that is not used correctly. Before their hospitalization, the children had rarely eaten three meals a day.

Correct answer: C

Rationale: The phrase 'had rarely' is not used correctly in the sentence. The correct form should be 'rarely eaten' instead of 'had rarely' to convey the past tense of the children's eating habits before their hospitalization. 'Had rarely' is incorrect because it does not match the structure needed to describe the children's eating habits in the past. Choices A, B, and D are grammatically sound and fit appropriately in the sentence.

3. Which of the following words fits best in the following sentence? ___________ having finished her coursework, Lorene expects to spend another year on campus.

Correct answer: A

Rationale: The correct answer is 'Despite.' 'Despite' is the best word to use in the sentence because it shows a contrast between Lorene having finished her coursework and her expectation to spend another year on campus. The word 'Despite' signals that there is an unexpected or contrary situation, emphasizing the contradiction between the two parts of the sentence. 'Although' (choice B) introduces a contrast but is not as strong as 'Despite' in highlighting the contradiction. 'Thus' (choice C) and 'However' (choice D) do not convey the intended contrast needed in this context, making them incorrect choices.

4. The child cried, 'I want to do it ____________.'

Correct answer: C

Rationale: In this sentence, the correct reflexive pronoun is 'myself' as it reflects the action back onto the subject. 'I want to do it myself' means the child wants to do something on their own without assistance from others. Choice A 'Mine' is a possessive pronoun and doesn't fit in the context of the sentence. Choice B 'Me' is an object pronoun and doesn't show the action reflecting back on the subject. Choice D 'Me self' is not a correct form of a reflexive pronoun in English.

5. Select the word in the following sentence that is not used correctly. Try not to lose patience or suffer a drop in morale.

Correct answer: A

Rationale: The word 'lose' in the sentence is not used correctly. The correct word should be 'lose,' which means to be deprived of or to fail to maintain possession of something. 'Loose' means not tight or free from restraint. In this context, 'lose' is the appropriate term to convey the idea of not maintaining patience or morale.

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