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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Nursing Elites

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. What punctuation is needed in the following sentence to make it correct? Do not be afraid to ask questions in his class, he is very approachable and explains things well.

Correct answer: B

Rationale: The correct punctuation needed in the given sentence is a comma after 'class.' This comma is necessary to separate the two independent clauses 'Do not be afraid to ask questions in his class' and 'he is very approachable and explains things well.' Commas are used to separate independent clauses when they are joined by a coordinating conjunction like 'and.' Choice A, 'Hyphen,' is incorrect as a hyphen is not needed to connect any words in the sentence. Choice C, 'Apostrophe,' is incorrect as there is no possession or contraction being indicated in the sentence that requires an apostrophe. Choice D, 'Semicolon,' is incorrect as a semicolon is not used to join two independent clauses in this context; a comma followed by a coordinating conjunction is more appropriate.

3. Select the word in the following sentence that is not used correctly. On departing, the patient complimented her therapist and counselor.

Correct answer: C

Rationale: The word 'therapist' in the sentence is used correctly. However, the word 'councilor' is misspelled and should be 'counselor' to refer to a mental health professional providing therapy services. The correct term should have an 's' after 'counselor,' making it 'counselor' instead of 'councilor.' Therefore, the word 'councilor' is the one not used correctly in the sentence.

4. Select the word or phrase that makes the following sentence grammatically correct: The wheelchair started _______ down the corridor without assistance.

Correct answer: B

Rationale: The correct answer is 'to roll.' In this sentence, 'started' is followed by the infinitive form of the verb 'to roll.' The construction 'started to roll' indicates the beginning of the action of the wheelchair moving down the corridor. Choice A ('roll') is incorrect as it lacks the infinitive marker 'to' needed after 'started.' Choice C ('rolled') is incorrect as it is the past tense form of the verb, not suitable for the sentence's context. Choice D ('will roll') is incorrect as it indicates a future action, not the past action indicated by 'started.'

5. What word is best to substitute for the underlined words in the following sentence? You can hear the nurses’ laughter all the way down the hallway.

Correct answer: D

Rationale: The phrase 'the nurses’ laughter' indicates possession by the nurses, a plural subject. Therefore, the appropriate possessive pronoun to use in this context is 'their,' which correctly reflects possession by multiple nurses. Choice A ('his') is singular and refers to a male subject, not suitable for a group of nurses. Choice B ('hers') is singular and refers to a female subject, not suitable for a group of nurses. Choice C ('them') is a pronoun used for a group of people, but it doesn't indicate possession as required in the sentence.

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