what word is best to substitute for the underlined words in the following sentence the nurse told silvios family that visiting hours were over but sil
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Nursing Elites

HESI A2

HESI A2 Grammar Practice Test

1. 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.

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.

2. Which word is used incorrectly in the following sentence? Jeremiah seemed enthusiastic when we reported on our astonishing success.

Correct answer: B

Rationale: The word 'enthusiastic' is used incorrectly in the sentence. It should be 'enthusiastic' instead of 'enthusiastically' since it is describing Jeremiah's state of being, not an action he performed. Adverbs like 'enthusiastically' are used to modify verbs, not adjectives like 'enthusiastic'. The other choices ('seemed,' 'astonishing,' 'success') are all used appropriately in the sentence and do not need any correction.

3. What punctuation is needed in the following sentence to make it correct? In addition to the hospital's regularly scheduled festivities, the custodians celebrate with a party of their own.

Correct answer: B

Rationale: The correct punctuation needed in the sentence is a comma. A comma should be placed after 'festivities' to separate the two independent clauses in the sentence: 'In addition to the hospital's regularly scheduled festivities' and 'the custodians celebrate with a party of their own.' The comma helps in improving the clarity and structure of the sentence by indicating a pause between the clauses. Choice A, 'Period,' is incorrect because a period would create two separate sentences rather than connecting the related clauses. Choice C, 'Apostrophe,' is incorrect as there is no need for an apostrophe in this context. Choice D, 'Semicolon,' is incorrect because a semicolon is used to join closely related independent clauses, which is not the case in the given sentence.

4. Select the word or phrase that makes this sentence grammatically correct. Before ________ this medicine, consume a modest meal.

Correct answer: B

Rationale: The correct form to use in this sentence is the present participle 'taking.' The sentence should read, 'Before taking this medicine, consume a modest meal.' It is important to use the present participle form when talking about an action that occurs before another action. Choice A 'having taken' is incorrect as it suggests a completed action before consuming a meal. Choice C 'took' is in the past tense, not suitable for indicating an action that should happen before another. Choice D 'will take' is in the future tense, which does not fit the context of the sentence.

5. Select the word that makes the following sentence grammatically correct. One out of four doctors ___________ to this plan.

Correct answer: B

Rationale: In the sentence 'One out of four doctors,' the subject is 'One,' which is singular. Therefore, the verb that follows should also be singular. The correct verb form in this case is 'subscribes,' not 'subscribe' or any other form. This subject-verb agreement rule ensures that the sentence is grammatically correct. Choice A 'subscribe' is incorrect as it is in the plural form and does not agree with the singular subject. Choice C 'subscribing' is in the gerund form and does not function as the main verb of the sentence. Choice D 'are subscribed' is in the passive voice and does not match the active voice required in this sentence.

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