Nursing Elites

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.

• A. Because
• B. Provided that
• C. As if
• D. Although

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. What word is best to substitute for the underlined words in the following sentence? The nurse told Silvio’s family that visiting hours were over, but Silvio’s family could come back early tomorrow morning.

• A. them
• B. us
• C. they
• D. those

Correct answer: A

Rationale: In the sentence, 'The nurse told Silvio’s family that visiting hours were over, but Silvio’s family could come back early tomorrow morning,' the second occurrence of 'Silvio’s family' can be effectively substituted with the word 'them' to avoid repetition and improve clarity. Using 'them' in this context helps to make the sentence more concise and less redundant, enhancing the overall flow and readability. Choice B ('us') is incorrect as it would imply that Silvio’s family could come back early tomorrow morning to the speaker and others, which is not the intended meaning. Choice C ('they') is incorrect as it would shift the subject from 'Silvio’s family' to a third-person perspective, altering the original meaning. Choice D ('those') is incorrect as it does not appropriately refer back to 'Silvio’s family' in a clear and concise manner.

3. If they _________ that the weather was going to be so bad, they wouldn’t have gone to the beach.

• A. Know
• B. Knew
• C. Had known
• D. Were knowing

Correct answer: C

Rationale: The correct answer is 'C: Had known.' In this sentence, the structure is a third conditional, which is used for unreal situations in the past. 'Had known' is the correct past perfect form that matches the conditional structure. It indicates that if they had possessed the knowledge about the bad weather in advance, they wouldn’t have gone to the beach. Options A, B, and D do not correctly fit the past perfect tense required in this context. 'Know' (Option A) is present tense, 'Knew' (Option B) is simple past tense, and 'Were knowing' (Option D) is incorrect and does not convey the intended meaning of the sentence in the context of a third conditional.

4. Which word is not spelled correctly in the context of the sentence? The chef rolled each meatball in a mixture of coarse flour and herbs.

• A. rolled
• B. coarse
• C. flour
• D. herbs

Correct answer: B

Rationale: The correct word should be 'coarse' instead of 'course' in this context. 'Coarse' means composed of relatively large parts or particles, which is the intended meaning in the sentence as it describes the type of flour used for the meatballs. On the other hand, 'course' means a route or direction taken, which does not fit the context here.

5. Select the word that makes the following sentence grammatically correct. The nursing staff ___________ to serve their patients well.

• A. hope
• B. hopes
• C. hoping
• D. does hope

Correct answer: B

Rationale: The subject 'The nursing staff' is a collective noun that is considered singular. Therefore, the correct verb form to use is 'hopes.' The verb 'hopes' agrees with the singular subject, making the sentence grammatically correct. Choice A ('hope') is incorrect because it is not the correct verb form for a singular subject. Choice C ('hoping') is incorrect as it is a gerund and does not function as the verb in this sentence. Choice D ('does hope') is incorrect as it introduces unnecessary emphasis and does not match the subject-verb agreement required in the sentence.

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