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 sentence that is grammatically correct.

Correct answer: B

Rationale: The correct pronouns to use as objects of the verb 'told' are 'her' and 'me.' Therefore, the grammatically correct sentence is: 'Dr. Chu told her and me to take a break for lunch.' 'Her' is used as the object form of 'she,' and 'me' is the object form of 'I' in this context. Choice A is incorrect because 'me' should come before 'her' in the sentence. Choice C is a duplicate of the correct answer. Choice D is incorrect because 'she' should be 'her' and 'I' should be 'me' to function as objects in the sentence.

3. 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.

4. Which word is not spelled correctly in the context of the following sentence? The principal role of this clinic has to do with the provision of convenient care.

Correct answer: A

Rationale: In this context, 'principle' is spelled incorrectly. The correct word should be 'principal,' which means main or primary. 'Principle' refers to a fundamental truth or belief. Choice B, 'role,' is correctly spelled. Choice C, 'provision,' is also spelled correctly. Choice D, 'convenient,' is spelled correctly as well. Therefore, the correct answer is A as it is the only word spelled incorrectly in the context of the sentence.

5. Which word is used incorrectly in the following sentence? Her mentor’s advice was bound to affect her final decision.

Correct answer: C

Rationale: In the given sentence, the word 'effect' is used incorrectly. In this context, the word 'affect' should be used instead of 'effect.' 'Affect' is a verb that means to influence or have an impact on something, while 'effect' is a noun that represents the result or outcome of an action. Therefore, to convey the intended meaning that her mentor's advice was bound to influence or impact her final decision, the correct word should be 'affect,' not 'effect.' The other options ('mentor’s,' 'advice,' 'decision') are used appropriately in the sentence and do not contain any errors.

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