the nurse did not think that the symptoms an emergency room visit
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Nursing Elites

HESI A2

HESI A2 Grammar Practice Exam 2024

1. The nurse did not think that the symptoms ___________ an emergency room visit.

Correct answer: B

Rationale: In this sentence, the word that best fits is 'warranted,' meaning that the symptoms did not justify or necessitate an emergency room visit. 'Desired' means wanted or wished for, 'Guaranteed' means assured, and 'Should have been' is not the appropriate phrase in this context. Therefore, 'warranted' is the correct choice for this question.

2. Select the phrase or clause that is misplaced in the following sentence. With torn pages, I returned the book I’d just bought to the store.

Correct answer: A

Rationale: The phrase 'With torn pages' is misplaced in the sentence because it disrupts the flow of the sentence. Placing it at the beginning creates an awkward structure. It would be clearer to present the main action first before adding the detail about the torn pages. In this case, rearranging the sentence to 'I returned the book I’d just bought to the store with torn pages' would improve the sentence's coherence and readability. Choices B, C, and D are not misplaced in the sentence as they follow a logical order of action and description.

3. What punctuation is needed in the following sentence to make it correct? The days seem long, but the nights seem even longer.

Correct answer: B

Rationale: The sentence needs a comma before the conjunction 'but' to correctly join the two independent clauses 'The days seem long' and 'the nights seem even longer.' This comma helps to create a clear separation between the contrasting ideas in the sentence. Choice A (Period) is incorrect because a period would create two separate sentences rather than connecting them. Choice C (Colon) is incorrect as colons are used to introduce lists, explanations, or quotations. Choice D (Apostrophe) is incorrect as it is not needed in this sentence.

4. What word is best to fill in the blank in the following sentence? Jenny loaned Luis 50 dollars, and he repaid ___________ within the month.

Correct answer: C

Rationale: In this sentence, the pronoun should refer to Luis, who borrowed the money. Since Luis is a male, the correct pronoun to use in this context is 'him.' Therefore, the correct answer is 'him.' Choices A, B, and D are incorrect as they do not match the gender of Luis or do not make sense in the context of the sentence.

5. What word is best to substitute for the underlined words in the following sentence? The doctor and I went over the doctor’s and my notes.

Correct answer: C

Rationale: The word 'our' is the best substitute for the underlined words 'the doctor’s and my' in the sentence. Using 'our' indicates joint possession, making the sentence more concise and natural. Choice A, 'his', is singular possessive and does not reflect the joint ownership implied by the sentence. Choice B, 'their', is plural possessive and does not align with the singular subjects 'the doctor and I'. Choice D, 'mine', is possessive for the first person singular pronoun and does not convey the shared ownership of the notes by both individuals.

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